| NPI | 1730432964 |
|---|---|
| Doing Business As | UPSTATE PHARMACY IMA |
| Entity Type | Organization |
| Authorized Contact | STEVEN RANCK Manager, Pharmacy 864-455-1325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: SC 14249) |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2012-10-25 |