Upstate Pharmacy - Eastside

LBN: Greenville Health Corporation
Upstate Pharmacy - Eastside is an health care organization with primary practice located at 200 Patewood Dr Suite B-150, Greenville SC 29615-3593. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Greenville Health Corporation can be contacted via phone (864) 454-2369, or through Miller, Polly H. via phone (864) 522-2286.

Contact Information

Primary practice address
200 Patewood Dr Suite B-150 Greenville SC 29615-3593
Phone: (864) 454-2369
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Miller, Polly H.
Phone: (864) 522-2286

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X

Profile Details

NPI number 1265417927
LBN Legal business name Greenville Health Corporation
DBA Doing business as Upstate Pharmacy - Eastside
Authorized official Miller, Polly H.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 14th, 2005
Last updated Mar 7th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265417927 NPPES
South Carolina MEDICAID 747056
South Carolina Other 4222434
South Carolina MEDICAID DE1462
South Carolina Other 018

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