MRS. Gloria Jan T. Eidson, RPH

NPI #1639478126 in Lilburn, Georgia

Provider Information

NPI Number: 1639478126
Entity Type: Individual
Name: MRS. Gloria Jan T. Eidson, RPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Mar 23, 2011
Last Updated: Mar 23, 2011

Practice Location

Address: 4101 FIVE FORKS TRICKUM RD SW
City: Lilburn
State: Georgia
ZIP Code: 30047-3129
Phone: (770) 381-2884

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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