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Organization
CARVAJAL PHARMACY LTC
Active
Organization
CARVAJAL PHARMACY LTC
Active
Other names
Carvajal Pharmacy LTC North Texas
Organization subpart
No
Provider details
NPI number
Authorized official
LISA MARTINEZ CPHT (ADMIN. ASSISTANT)
(210) 977-1852
Entity
Organization
Contact information
Practice address
2100 VIRGINIA ST STE I, GRAND PRAIRIE, TX 75051-3796
(214) 845-7333
Mailing address
819 S ACME RD, SAN ANTONIO, TX 78237-3202
(210) 977-1852
Taxonomy
Speciality
Code
Description
License number
State
3336H0001X
Home Infusion Therapy Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Enumeration date
11/09/2022
Last updated
07/17/2025
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