Provider Demographics
NPI:1649006651
Name:HARRIS, JAMON DANARD (PHARMD)
Entity type:Individual
Prefix:
First Name:JAMON
Middle Name:DANARD
Last Name:HARRIS
Suffix:
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 1:478 JIM FINLEY RD
Mailing Address - Street 2:
Mailing Address - City:CALHOUN
Mailing Address - State:LA
Mailing Address - Zip Code:71225-8708
Mailing Address - Country:US
Mailing Address - Phone:318-267-7663
Mailing Address - Fax:
Practice Address - Street 1:4430 DESIARD ST
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71203-4532
Practice Address - Country:US
Practice Address - Phone:318-267-3609
Practice Address - Fax:318-267-3610
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-09
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy