P Praxis·MD
● Active Type 1 · Individual

MRS. Gloria Jan T. Eidson, RPH

Pharmacist·Lilburn, GA· NPI 1639478126 · Enumerated 2011 · 15 years on NPI
Eidson is 1 of 49 pharmacist providers in Lilburn and 1 of 8384 in Georgia.
NPI age
15 years
Enumerated 2011-03-23
Primary specialty
Pharmacist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2011-03-23
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 8384 active pharmacist providers in Georgia.

NPI age
15 years
↑ 6 yr above median (9 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
10% of peers hold subspecialties

NPI lifetime · 2011 → 2026

2011-03Enumerated in NPPES
2011 2026

Where they practice

Practice location
4101 Five Forks Trickum Rd Sw
Lilburn, GA 300473129
📞 7703812884fax 7709358132
Mailing address
4101 Five Forks Trickum Rd Sw
Lilburn, GA 300473129
📞 7703812884fax 7709358132

Specialties

  • Pharmacist Primary
    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,...
    GA license #012642 taxonomy 183500000X

Practice context

Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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