Provider Demographics
NPI:1942337605
Name:HONE, CALE WYNN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CALE
Middle Name:WYNN
Last Name:HONE
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 1:5617 RIO SECO DR
Mailing Address - Street 2:
Mailing Address - City:IDAHO FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83406-5091
Mailing Address - Country:US
Mailing Address - Phone:208-201-7982
Mailing Address - Fax:
Practice Address - Street 1:4040 W 5415 S
Practice Address - Street 2:
Practice Address - City:TAYLORSVILLE
Practice Address - State:UT
Practice Address - Zip Code:84118-4308
Practice Address - Country:US
Practice Address - Phone:801-982-1912
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2009-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5850206-1701183500000X
IDP5941183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist