Provider Demographics
NPI:1265655302
Name:DEMPS, TRONNA A (PHARMD, CPH)
Entity type:Individual
Prefix:DR
First Name:TRONNA
Middle Name:A
Last Name:DEMPS
Suffix:
Gender:F
Credentials:PHARMD, CPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1607 SAINT JAMES CT
Mailing Address - Street 2:NF/SG VETERANS HEALTHCARE SYSTEM
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-5352
Mailing Address - Country:US
Mailing Address - Phone:850-878-0191
Mailing Address - Fax:850-219-2706
Practice Address - Street 1:1607 SAINT JAMES CT
Practice Address - Street 2:NF/SG VETERANS HEALTHCARE SYSTEM
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-5352
Practice Address - Country:US
Practice Address - Phone:850-878-0191
Practice Address - Fax:850-219-2706
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2011-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS28428183500000X
FLPU49711835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835G0303XPharmacy Service ProvidersPharmacistGeriatric
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPS28428OtherPHARMACIST
FLPU4971OtherCONSULTANT PHARMACIST