Individual
MR. KEN VON EILAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2103 VETERANS BLVD, UNIT 2, DUBLIN, GA 31021-7502
(478) 274-5362
(303) 398-5278
Mailing address
327 REGENCY CIR, DUBLIN, GA 31021-4315
(478) 274-5362
(303) 398-5278
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16472
GA
1835P1200X
Pharmacotherapy Pharmacist
16472
GA
Other
Enumeration date
07/19/2006
Last updated
12/12/2011
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