| NPI | 1760718761 |
|---|---|
| Doing Business As | UPSTATE PHARMACY CROSS CREEK |
| Entity Type | Organization |
| Authorized Contact | POLLY H. MILLER VP Payor Strategies & Alignment 864-522-2286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: SC 10615) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2009-10-26 |
| Last Update Date | 2021-04-14 |