Provider Demographics
NPI:1710315288
Name:CLONTZ, HALEE HUNEYCUTT (PHARM D)
Entity type:Individual
Prefix:
First Name:HALEE
Middle Name:HUNEYCUTT
Last Name:CLONTZ
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1585 LIBERTY DR
Mailing Address - Street 2:
Mailing Address - City:THOMASVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27360-6356
Mailing Address - Country:US
Mailing Address - Phone:336-474-2264
Mailing Address - Fax:
Practice Address - Street 1:1585 LIBERTY DR
Practice Address - Street 2:
Practice Address - City:THOMASVILLE
Practice Address - State:NC
Practice Address - Zip Code:27360-6356
Practice Address - Country:US
Practice Address - Phone:336-474-2264
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-21
Last Update Date:2024-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC23405183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist