Provider Demographics
NPI:1508010596
Name:EDDINGS, VASPAR H (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:VASPAR
Middle Name:H
Last Name:EDDINGS
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 1:961 HIGHWAY 20 81
Mailing Address - Street 2:
Mailing Address - City:MCDONOUGH
Mailing Address - State:GA
Mailing Address - Zip Code:30253-6517
Mailing Address - Country:US
Mailing Address - Phone:770-898-4112
Mailing Address - Fax:770-898-8637
Practice Address - Street 1:961 HIGHWAY 20 81
Practice Address - Street 2:
Practice Address - City:MCDONOUGH
Practice Address - State:GA
Practice Address - Zip Code:30253-6517
Practice Address - Country:US
Practice Address - Phone:770-898-4112
Practice Address - Fax:770-898-8637
Is Sole Proprietor?:No
Enumeration Date:2008-11-04
Last Update Date:2008-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH019183183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist