Provider Demographics
NPI:1972925873
Name:HONEYMAN, CHRISTENA (RPH)
Entity Type:Individual
Prefix:
First Name:CHRISTENA
Middle Name:
Last Name:HONEYMAN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:391 CHAPARRAL LN
Mailing Address - Street 2:
Mailing Address - City:ARROYO GRANDE
Mailing Address - State:CA
Mailing Address - Zip Code:93420-2685
Mailing Address - Country:US
Mailing Address - Phone:805-266-3334
Mailing Address - Fax:
Practice Address - Street 1:391 CHAPARRAL LN
Practice Address - Street 2:
Practice Address - City:ARROYO GRANDE
Practice Address - State:CA
Practice Address - Zip Code:93420-2685
Practice Address - Country:US
Practice Address - Phone:805-266-3334
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-11
Last Update Date:2014-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH44584183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CARPH44584OtherCALIFORNIA STATE BOARD OF PHARMACY