Individual
MR. GREGORY C UPHAM SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH., CDE
Contact information
Practice address
3053 SW MARTIN DOWNS BLVD, PALM CITY, FL 34990-2644
(772) 288-0103
(772) 288-5063
Mailing address
3053 SW MARTIN DOWNS BLVD, PALM CITY, FL 34990-2644
(772) 288-0103
(772) 288-5063
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PS014654
FL
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
2081-0433
FL
Other
Enumeration date
08/23/2008
Last updated
08/23/2008
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