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Organization

GREENVILLE HEALTH CORPORATION

Active
Other names
UPSTATE PHARMACY BOILING SPRINGS
Organization subpart
No

Provider details

NPI number
Authorized official
STEVE RANCK (DIRECTOR, AMBULATORY PHARMACY,AO)
(864) 522-1708
Entity
Organization

Contact information

Practice address
2400 BOILING SPRINGS RD STE B, BOILING SPRINGS, SC 29316-5304
(864) 578-9524
(864) 579-9529
Mailing address
PO BOX 527, GREER, SC 29652-0527
(864) 522-1707
(864) 522-1727

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
16923
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2166520
PK
Enumeration date
12/02/2016
Last updated
01/17/2017
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