Provider Demographics
NPI:1417548025
Name:EATON, KIRKLAND (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KIRKLAND
Middle Name:
Last Name:EATON
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1012 FOOTHILLS PKWY NE
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30501-3878
Mailing Address - Country:US
Mailing Address - Phone:678-519-7099
Mailing Address - Fax:
Practice Address - Street 1:4050 WINDER HWY
Practice Address - Street 2:
Practice Address - City:FLOWERY BRANCH
Practice Address - State:GA
Practice Address - Zip Code:30542-3021
Practice Address - Country:US
Practice Address - Phone:770-965-1979
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-27
Last Update Date:2021-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH032210183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist