Organization
CARVAJALS INC
Active
Other names
Carvajal Pharmacy Crockett Park
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES CARVAJAL R.PH. (PIC)
(210) 410-7024
Entity
Organization
Contact information
Practice address
1715 MCCULLOUGH AVE, SAN ANTONIO, TX 78212-4046
(210) 977-1870
(210) 354-3600
Mailing address
3410 ROOSEVELT AVE, SAN ANTONIO, TX 78214-2606
(210) 922-2176
(210) 927-4604
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28829
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5909936
—
TX
Enumeration date
10/21/2013
Last updated
04/21/2021
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