Basic Information
| Provider Information | |||||||||
| NPI: | 1265655302 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DEMPS | ||||||||
| FirstName: | TRONNA | ||||||||
| MiddleName: | A | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | PHARM.D, CPH | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1607 SAINT JAMES CT | ||||||||
| Address2: | NF/SG VETERANS HEALTHCARE SYSTEM | ||||||||
| City: | TALLAHASSEE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 323085352 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8508780191 | ||||||||
| FaxNumber: | 8502192706 | ||||||||
| Practice Location | |||||||||
| Address1: | 1607 SAINT JAMES CT | ||||||||
| Address2: | NF/SG VETERANS HEALTHCARE SYSTEM | ||||||||
| City: | TALLAHASSEE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 323085352 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8508780191 | ||||||||
| FaxNumber: | 8502192706 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/10/2007 | ||||||||
| LastUpdateDate: | 04/06/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 183500000X | PS28428 | FL | Y | Pharmacy Service Providers | Pharmacist | 1835G0303X | PU4971 | FL | N | Pharmacy Service Providers | Pharmacist | Geriatric |
ID Information
| ID | Type | State | Issuer | Description | PS28428 | 01 | FL | PHARMACIST | OTHER | PU4971 | 01 | FL | CONSULTANT PHARMACIST | OTHER |