| NPI | 1265417927 |
|---|---|
| Doing Business As | UPSTATE PHARMACY - EASTSIDE |
| Entity Type | Organization |
| Authorized Contact | POLLY H. MILLER VP Payor Stategies & Alignment 864-522-2286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2023-03-07 |