| NPI | 1790269165 |
|---|---|
| Doing Business As | UPSTREAM PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JAMES R AUSTIN Chief Operating Officer 336-430-8450 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2018-09-20 |
| Last Update Date | 2020-08-05 |