Provider Demographics
NPI:1568799450
Name:POLLARD, EBONY WATKINS (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:EBONY
Middle Name:WATKINS
Last Name:POLLARD
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 1:922 4TH WAY
Mailing Address - Street 2:
Mailing Address - City:PLEASANT GROVE
Mailing Address - State:AL
Mailing Address - Zip Code:35127-1326
Mailing Address - Country:US
Mailing Address - Phone:205-585-1608
Mailing Address - Fax:
Practice Address - Street 1:922 4TH WAY
Practice Address - Street 2:
Practice Address - City:PLEASANT GROVE
Practice Address - State:AL
Practice Address - Zip Code:35127-1326
Practice Address - Country:US
Practice Address - Phone:205-585-1608
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-12
Last Update Date:2009-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL15996183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist