Provider Demographics
NPI:1992925432
Name:EDWARDS, EERON G (PHARMD)
Entity type:Individual
Prefix:DR
First Name:EERON
Middle Name:G
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 SAND MOUNTAIN DR NE
Mailing Address - Street 2:
Mailing Address - City:ALBERTVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35950-1709
Mailing Address - Country:US
Mailing Address - Phone:256-878-5953
Mailing Address - Fax:
Practice Address - Street 1:103 SAND MOUNTAIN DR NE
Practice Address - Street 2:
Practice Address - City:ALBERTVILLE
Practice Address - State:AL
Practice Address - Zip Code:35950-1709
Practice Address - Country:US
Practice Address - Phone:256-878-5953
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL15026183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist