Healthcare Provider Details

I. General information

NPI: 1285571810
Provider Name (Legal Business Name): EMILY VARGAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

144 BANK ST
SEYMOUR CT
06483-2721
US

IV. Provider business mailing address

144 BANK ST
SEYMOUR CT
06483-2721
US

V. Phone/Fax

Practice location:
  • Phone: 203-881-9999
  • Fax: 203-881-3163
Mailing address:
  • Phone: 203-881-9999
  • Fax: 203-881-3163

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License NumberPTN.0037108
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: