Individual
EBONY HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2703 N PONCE DE LEON BLVD, SAINT AUGUSTINE, FL 32084-2603
(904) 824-2838
Mailing address
111 WOODCREST DR APT 617, SAINT AUGUSTINE, FL 32084-8663
(904) 824-2838
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
RPT122891
FL
Other
Enumeration date
05/23/2026
Last updated
05/23/2026
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