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MRS. GLORIA JAN T. EIDSON RPH
NPI 1639478126
Pharmacist in Lilburn, GA

Active since March 23, 2011
4101 FIVE FORKS TRICKUM RD SW, LILBURN, GA 30047(770) 381-2884(770) 935-8132 Get Directions Write a Review

NPPES record last updated: March 23, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Gloria Jan T. Eidson Rph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. GLORIA JAN T. EIDSON RPH (NPI 1639478126) is an individual pharmacist in Lilburn, Georgia, licensed in Georgia (012642) and active in the NPI registry since March 2011.

NPPES Registry Identity

NPI1639478126
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameMRS. GLORIA JAN T. EIDSONCredential: RPH
Location Address4101 FIVE FORKS TRICKUM RD SWLilburn, GA 30047-3129
Mailing Address4101 Five Forks Trickum Rd SwLilburn, GA 30047-3129 · (770) 381-2884 · Fax (770) 935-8132
Phone(770) 381-2884
Fax(770) 935-8132
Sole ProprietorYes
Enumeration DateMarch 23, 2011
✔ NPI 1639478126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in GA · 012642
Definition
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, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
4101 FIVE FORKS TRICKUM RD SW, Lilburn, GA 30047
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Other Names 1

Professional Name (2)Mrs. Jan Tippens Eidson Rph

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WALGREEN CO
Pharmacy
4101 FIVE FORKS TRICKUM RD SW
LILBURN, GA 30047
Gwinnett County No phone listed
CHRIS CHI CHIN PHARMD
Pharmacist
4101 FIVE FORKS TRICKUM RD SW
LILBURN, GA 30047
Gwinnett County (770) 381-2884
MRS. TRACY LYNN STROUD RPH
Pharmacist
4101 FIVE FORKS TRICKUM RD SW
LILBURN, GA 30047
Gwinnett County (770) 381-2884
KIMBERLY H DOWNS
Pharmacist
4101 FIVE FORKS TRICKUM RD SW
LILBURN, GA 30047
Gwinnett County (770) 381-2884

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gloria Eidson's NPI number?

The NPI number for Gloria Eidson is 1639478126. It was assigned to this individual provider in the NPPES registry on March 23, 2011. The provider is also known as Mrs. Jan Tippens Eidson Rph.

Where is Gloria Eidson located?

Gloria Eidson practices at 4101 Five Forks Trickum Rd SW, Lilburn, GA 30047. The listed phone number is (770) 381-2884.

What is Gloria Eidson's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Gloria Eidson was last updated on March 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.