Provider Demographics
NPI:1629155775
Name:EILAND, EDWARD HERBERT III (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:HERBERT
Last Name:EILAND
Suffix:III
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 1:317 BUSH RD SE
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35803-6539
Mailing Address - Country:US
Mailing Address - Phone:256-723-2879
Mailing Address - Fax:
Practice Address - Street 1:317 BUSH RD SE
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35803-6539
Practice Address - Country:US
Practice Address - Phone:256-723-2879
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL142611835P1200X
LA164331835P1200X
TX381671835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy