| Doctor Name: | WANDA IVETTE VEGA |
| NPI Number: | 1437325149 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHTECH |
| License Number: | 5525 |
| Business Practice Address: | Hc 04 Box 17692 Sector Los Padines, Camuy Arriba Camuy, PR - 006279704 |
| Business Phone Number: | 7872012808 |
| Business Fax Number: | 7878165837 |
| Mailing Address: | Hc 04 Box 17692, Sector Los Padines, Camuy Arriba CAMUY |
| State: | PR |
| Postal Code: | 006279704 |
| Phone Number: | 7872012808 |
| Fax Number: | 7878165837 |
| NPI Enumeration Date: | 05/02/2008 |
| NPI Last Update Date: | 05/02/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 183700000X |
| License Number: | 5525 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Pharmacy Service Providers |
| Taxonomy Classification: | Pharmacy Technician |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |