Individual
THOMAS ALLEN KEITH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
1908 EAST MAIN STREET, SPARTANBURG, SC 29307-2308
(864) 253-1830
(864) 253-1828
Mailing address
1905 E MAIN ST, SPARTANBURG, SC 29307-2308
(864) 253-1833
(864) 253-1828
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4896
SC
Other
Enumeration date
12/06/2012
Last updated
12/06/2012
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