| NPI | 1508816802 |
|---|---|
| Doing Business As | UPSTATE MEDICAL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | POLLY H. MILLER VP Payor Strategies & Alignment 864-522-2286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: SC 10-02663) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2023-03-07 |