Organization
VABBYPHARMA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTORIA BOAHEMAA POKU (PIC)
(615) 470-5062
Entity
Organization
Contact information
Practice address
3195 S MOUNT JULIET RD STE 104, MOUNT JULIET, TN 37122-1568
(615) 470-5062
(615) 470-5281
Mailing address
3195 S MOUNT JULIET RD STE 104, MOUNT JULIET, TN 37122-1568
(615) 470-5062
(514) 470-5281
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q079870
—
TN
Enumeration date
09/15/2022
Last updated
10/23/2024
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