Provider Demographics
NPI:1780995076
Name:HONEYCUTT, AMY WEST
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:WEST
Last Name:HONEYCUTT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:816 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FUQUAY VARINA
Mailing Address - State:NC
Mailing Address - Zip Code:27526-2067
Mailing Address - Country:US
Mailing Address - Phone:919-552-4248
Mailing Address - Fax:919-552-8965
Practice Address - Street 1:816 N MAIN ST
Practice Address - Street 2:
Practice Address - City:FUQUAY VARINA
Practice Address - State:NC
Practice Address - Zip Code:27526-2067
Practice Address - Country:US
Practice Address - Phone:919-552-4248
Practice Address - Fax:919-552-8965
Is Sole Proprietor?:No
Enumeration Date:2010-07-01
Last Update Date:2010-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9768183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist