Individual
DONNIE L EIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 GALLATIN PIKE S, MADISON, TN 37115-4613
(615) 868-2150
Mailing address
1200 GALLATIN PIKE S, MADISON, TN 37115-4613
(615) 868-2150
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
C2730
TN
Other
Enumeration date
12/14/2020
Last updated
12/14/2020
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