Upstate Pharmacy Center For Family Medicine
LBN: Greenville Health Corporation
Upstate Pharmacy Center For Family Medicine is an health care organization with primary practice located at 877 W Faris Rd , Greenville SC 29605-4289. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Greenville Health Corporation can be contacted via phone (864) 455-6330, or through Miller, Polly H. via phone (864) 522-2286.
Contact Information
Primary practice address
877 W Faris Rd
Greenville SC 29605-4289
Phone: (864) 455-6330
Fax: (864) 455-6329
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 15530 | South Carolina |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1114325800 |
|---|---|
| LBN Legal business name | Greenville Health Corporation |
| DBA Doing business as | Upstate Pharmacy Center For Family Medicine |
| Authorized official | Miller, Polly H. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 11th, 2014 |
| Last updated | Apr 14th, 2021 - about 5 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114325800 | NPPES |
| Other | 2149227 | PK | |
| MEDICAID | 715530 | PK |
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