Organization
CARVAJALS INC
Active
Other names
Carvajal Pharmacy Dixon
Organization subpart
No
Provider details
NPI number
Authorized official
LISA MARTINEZ (ADMIN ASSISTANT)
(210) 977-1806
Entity
Organization
Contact information
Practice address
4212 E SOUTHCROSS BLVD, SAN ANTONIO, TX 78222-3735
(210) 977-1852
(210) 927-4604
Mailing address
3410 ROOSEVELT AVE, SAN ANTONIO, TX 78214-2606
(210) 977-1852
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
31983
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2177282
PK
—
Enumeration date
04/26/2018
Last updated
09/19/2025
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