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

Mrs. Gloria Jan T. Eidson, RPH

Individual provider Pharmacist · NPI 1639478126

Mrs. Gloria Jan T. Eidson, RPH is a Pharmacist in Lilburn, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2011
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

4101 Five Forks Trickum Rd SW
Lilburn, GA 30047-3129
Phone: (770) 381-2884
Fax: (770) 935-8132
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 012642 (GA)

Record details

NPI number1639478126
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPH
Sole proprietorYes
NPI enumeratedMarch 23, 2011
Last updated in NPPESMarch 23, 2011

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