Provider Demographics
NPI:1932773215
Name:HONEA, AMELIA A (RPH)
Entity Type:Individual
Prefix:
First Name:AMELIA
Middle Name:A
Last Name:HONEA
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 1:422 N BROAD ST
Mailing Address - Street 2:
Mailing Address - City:ALBERTVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35950-1761
Mailing Address - Country:US
Mailing Address - Phone:256-878-1514
Mailing Address - Fax:256-891-3155
Practice Address - Street 1:422 N BROAD ST
Practice Address - Street 2:
Practice Address - City:ALBERTVILLE
Practice Address - State:AL
Practice Address - Zip Code:35950-1761
Practice Address - Country:US
Practice Address - Phone:256-878-1514
Practice Address - Fax:256-891-3155
Is Sole Proprietor?:No
Enumeration Date:2021-05-19
Last Update Date:2021-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL13592183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist