Healthcare Provider Details

I. General information

NPI: 1477477586
Provider Name (Legal Business Name): KEATON JAMES ALLISON PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 EDGEFIELD RD
NORTH AUGUSTA SC
29841-2423
US

IV. Provider business mailing address

101 EDGEFIELD RD
NORTH AUGUSTA SC
29841-2423
US

V. Phone/Fax

Practice location:
  • Phone: 803-341-1233
  • Fax:
Mailing address:
  • Phone: 803-341-1233
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number67939
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: