Individual
EBONY HARDING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5855 WALNUT CREEK RD, APT E131, RIVER RIDGE, LA 70123-5620
(662) 466-2735
Mailing address
5855 WALNUT CREEK RD, APT E131, RIVER RIDGE, LA 70123-5620
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.019592
LA
Other
Enumeration date
12/19/2015
Last updated
12/19/2015
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