Provider Demographics
NPI:1396704409
Name:EMPTAGE, TRON AARON (RPH)
Entity type:Individual
Prefix:MR
First Name:TRON
Middle Name:AARON
Last Name:EMPTAGE
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 1:1057 KIRK AVE
Mailing Address - Street 2:
Mailing Address - City:WORTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43085-2922
Mailing Address - Country:US
Mailing Address - Phone:614-848-6242
Mailing Address - Fax:614-212-8766
Practice Address - Street 1:250 PROGRESSIVE WAY
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43082
Practice Address - Country:US
Practice Address - Phone:614-212-8766
Practice Address - Fax:614-839-5421
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-1-19152183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH03-1-19152OtherSTATE PHARMACY LICENSE #