Organization
CARVAJALS INC.
Active
Other names
Carvajal Pharmacy South San
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND CARVAJAL R.PH. (PRESIDENT)
(210) 977-1852
Entity
Organization
Contact information
Practice address
7500 BARLITE BLVD 201-B, SAN ANTONIO, TX 78224-2606
(210) 977-1860
(210) 977-1864
Mailing address
3410 ROOSEVELT AVE, SAN ANTONIO, TX 78214-2606
(210) 922-2176
(210) 927-4604
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28491
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148159
—
TX
Enumeration date
04/03/2013
Last updated
06/12/2024
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