Provider Demographics
NPI:1487901963
Name:BOADU, VILAWOE AKU (RPHPHARMD)
Entity type:Individual
Prefix:MRS
First Name:VILAWOE
Middle Name:AKU
Last Name:BOADU
Suffix:
Gender:F
Credentials:RPHPHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 E BASELINE RD
Mailing Address - Street 2:SUITE #100
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85085
Mailing Address - Country:US
Mailing Address - Phone:602-903-7228
Mailing Address - Fax:
Practice Address - Street 1:303 E BASELINE RD
Practice Address - Street 2:SUITE #100
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85085
Practice Address - Country:US
Practice Address - Phone:602-903-7228
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-14
Last Update Date:2012-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS015864183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist