Provider Demographics
NPI:1750912804
Name:POKU, VICTORIA BOAHEMAA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:BOAHEMAA
Last Name:POKU
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3195 S MOUNT JULIET RD STE 104
Mailing Address - Street 2:
Mailing Address - City:MT JULIET
Mailing Address - State:TN
Mailing Address - Zip Code:37122-1568
Mailing Address - Country:US
Mailing Address - Phone:615-470-5062
Mailing Address - Fax:615-470-5281
Practice Address - Street 1:3195 S MOUNT JULIET RD STE 104
Practice Address - Street 2:
Practice Address - City:MT JULIET
Practice Address - State:TN
Practice Address - Zip Code:37122-1568
Practice Address - Country:US
Practice Address - Phone:615-470-5062
Practice Address - Fax:615-470-5062
Is Sole Proprietor?:No
Enumeration Date:2020-01-28
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX64183183500000X
TN43008183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN43008OtherTENNESSEE BOARD OF PHARMCY
TX64183OtherTEXAS BOARD OF PHARMACY