Provider Demographics
NPI:1972957645
Name:TRONE, DEVIN R (PHARMD)
Entity type:Individual
Prefix:DR
First Name:DEVIN
Middle Name:R
Last Name:TRONE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2790 W CHERRY LN
Mailing Address - Street 2:STE 100
Mailing Address - City:MERIDIAN
Mailing Address - State:ID
Mailing Address - Zip Code:83642-1100
Mailing Address - Country:US
Mailing Address - Phone:208-288-1496
Mailing Address - Fax:208-288-1812
Practice Address - Street 1:2790 W CHERRY LN
Practice Address - Street 2:STE 100
Practice Address - City:MERIDIAN
Practice Address - State:ID
Practice Address - Zip Code:83642-1100
Practice Address - Country:US
Practice Address - Phone:208-288-1496
Practice Address - Fax:208-288-1812
Is Sole Proprietor?:No
Enumeration Date:2016-04-19
Last Update Date:2016-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDP5299183500000X, 1835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist