Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Edwin Self IV, PHARMD

Individual provider Pharmacist · NPI 1306589643

Dr. Edwin Self IV, PHARMD is a Pharmacist in Eatonton, Georgia. Licensed in Georgia. Registered with an NPI since 2022.

Licensed in
GA
In the registry since
2022
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

201 Walmart Dr
Eatonton, GA 31024-6761
Phone: (706) 485-4546
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence RPH028443 (GA)

Record details

NPI number1306589643
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedApril 14, 2022
Last updated in NPPESApril 14, 2022
Certification dateApril 14, 2022
Mailing address307 Carriage Way, Eatonton, GA 31024-1303

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