Organization
CARVAJAL PHARMACY LTC
Active
Other names
Carvajal Pharmacy LTC LLC
Organization subpart
No
Provider details
NPI number
Authorized official
LISA MARTINEZ (ADMIN)
(210) 922-9031
Entity
Organization
Contact information
Practice address
819 S ACME RD, SAN ANTONIO, TX 78237-2707
(210) 922-9031
(210) 927-5577
Mailing address
819 S ACME RD, SAN ANTONIO, TX 78237-2707
(210) 922-9031
(210) 927-5577
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
31857
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2175907
PK
—
Enumeration date
08/23/2006
Last updated
06/12/2024
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