Provider Demographics
NPI:1740415983
Name:HONKONEN, MARCELLA NICOLE (PHARMD)
Entity type:Individual
Prefix:
First Name:MARCELLA
Middle Name:NICOLE
Last Name:HONKONEN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:MARCELLA
Other - Middle Name:NICOLE
Other - Last Name:HOYLAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:UNIVERSITY OF ARIZONA PHARMACY PULIDO CTR
Mailing Address - Street 2:1295 N. MARTIN AVE, P.O. BOX 210202
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85721-0202
Mailing Address - Country:US
Mailing Address - Phone:520-626-0499
Mailing Address - Fax:520-626-7355
Practice Address - Street 1:UNIVERSITY OF ARIZONA PHARMACY PULIDO CTR
Practice Address - Street 2:1295 N. MARTIN AVE
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85721-0202
Practice Address - Country:US
Practice Address - Phone:520-626-0499
Practice Address - Fax:520-626-7355
Is Sole Proprietor?:No
Enumeration Date:2009-05-18
Last Update Date:2014-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS0191711835P0018X
WVRP0007311183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist