Provider Demographics
NPI:1013244201
Name:EMAKPOSE, VICTOR A (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:A
Last Name:EMAKPOSE
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 1:802 E PIONEER PKWY
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75051-5348
Mailing Address - Country:US
Mailing Address - Phone:972-262-0984
Mailing Address - Fax:972-262-8416
Practice Address - Street 1:802 E PIONEER PKWY
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75051-5348
Practice Address - Country:US
Practice Address - Phone:972-262-0984
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-09
Last Update Date:2009-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX43552183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist