Healthcare Provider Details

I. General information

NPI: 1437510534
Provider Name (Legal Business Name): VICTORIA UKA PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: VICTORIA WALKER PHARMD

II. Dates (important events)

Enumeration Date: 03/16/2016
Last Update Date: 12/06/2023
Certification Date: 12/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1065 COMMONWEALTH AVE
BOSTON MA
02215-1031
US

IV. Provider business mailing address

14 W BOYLSTON ST
WORCESTER MA
01605-1228
US

V. Phone/Fax

Practice location:
  • Phone: 617-782-4585
  • Fax: 617-789-4809
Mailing address:
  • Phone: 508-852-5344
  • Fax: 617-789-4809

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH232714
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: