Individual provider · Type 1 NPI

Gloria Jan T. Eidson, RPH

Pharmacist · Lilburn, GA

NPI number 1639478126 Active

Practice location

4101 Five Forks Trickum Rd SW
Lilburn, GA 30047-3129

Fax (770) 935-8132

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X012642 (GA)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

4 other providers at this address

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About NPI 1639478126

Gloria Jan T. Eidson, RPH's National Provider Identifier is 1639478126, issued on Mar 23, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Lilburn, GA. The record was last updated on Mar 23, 2011.