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Individual

MR. ERIC DEE FUNDERBURG

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
1000 JOHNSON FERRY RD NE, NORTHSIDE HOSPITAL PHARMACY, ATLANTA, GA 30342-1606
(404) 851-6562
Mailing address
933 GARRETT ST SE, UNIT 303, ATLANTA, GA 30316-6810
(706) 860-1345

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17229
GA

Other

Enumeration date
07/28/2005
Last updated
07/08/2007
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