Provider Demographics
NPI:1578188140
Name:VELA, ADA KARINA (PHARM D)
Entity Type:Individual
Prefix:
First Name:ADA
Middle Name:KARINA
Last Name:VELA
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 HOUSTON WAY
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:TX
Mailing Address - Zip Code:78589-3195
Mailing Address - Country:US
Mailing Address - Phone:956-784-4932
Mailing Address - Fax:
Practice Address - Street 1:1310 N TEXAS BLVD
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78599-4210
Practice Address - Country:US
Practice Address - Phone:956-968-8689
Practice Address - Fax:956-447-9403
Is Sole Proprietor?:No
Enumeration Date:2020-06-10
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX42776183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist