DR. Edwin Self IV, PHARMD

NPI #1306589643 in Eatonton, Georgia

Provider Information

NPI Number: 1306589643
Entity Type: Individual
Name: DR. Edwin Self IV, PHARMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Apr 14, 2022
Last Updated: Apr 14, 2022

Practice Location

Address: 201 WALMART DR
City: Eatonton
State: Georgia
ZIP Code: 31024-6761
Phone: (706) 485-4546

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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