Healthcare Provider Details

I. General information

NPI: 1013846989
Provider Name (Legal Business Name): ALLISON TEAL RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5809 CALHOUN MEMORIAL HWY STE A
EASLEY SC
29640-3876
US

IV. Provider business mailing address

5809 CALHOUN MEMORIAL HWY STE A
EASLEY SC
29640-3876
US

V. Phone/Fax

Practice location:
  • Phone: 864-810-5161
  • Fax: 864-810-5162
Mailing address:
  • Phone: 864-810-5161
  • Fax: 864-810-5162

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number9115
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: