Provider Demographics
NPI:1851071773
Name:UPSHAW, GRADY STEVEN II (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:GRADY
Middle Name:STEVEN
Last Name:UPSHAW
Suffix:II
Gender:M
Credentials:PHARMD
Other - Prefix:
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Mailing Address - Street 1:3400 SPRINGHILL DR
Mailing Address - Street 2:
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72117-2923
Mailing Address - Country:US
Mailing Address - Phone:501-603-8894
Mailing Address - Fax:501-907-8354
Practice Address - Street 1:3400 SPRINGHILL DR
Practice Address - Street 2:
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72117-2923
Practice Address - Country:US
Practice Address - Phone:501-603-8894
Practice Address - Fax:501-907-8354
Is Sole Proprietor?:No
Enumeration Date:2023-07-25
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ARPD166651835X0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835X0200XPharmacy Service ProvidersPharmacistOncology