Provider Demographics
NPI:1912256025
Name:HONCHAR, FREDDIE (RPH)
Entity Type:Individual
Prefix:
First Name:FREDDIE
Middle Name:
Last Name:HONCHAR
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 ANNENBERG LANE
Mailing Address - Street 2:
Mailing Address - City:EASLEY
Mailing Address - State:SC
Mailing Address - Zip Code:29642
Mailing Address - Country:US
Mailing Address - Phone:864-307-9243
Mailing Address - Fax:864-307-9243
Practice Address - Street 1:429 EAST MAIN STREET
Practice Address - Street 2:
Practice Address - City:LIBERTY
Practice Address - State:SC
Practice Address - Zip Code:29657
Practice Address - Country:US
Practice Address - Phone:864-843-9326
Practice Address - Fax:864-878-3196
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-05
Last Update Date:2017-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC011387183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist