Organization
CARVAJALS INC.
Active
Other names
Carvajal Pharmacy Ingram Park
Organization subpart
No
Provider details
NPI number
Authorized official
MARK CARVAJAL (DIRCTOR OF PHARMACY)
(210) 977-1852
Entity
Organization
Contact information
Practice address
6157 NW LOOP 410 STE 124, SAN ANTONIO, TX 78238-3302
(210) 521-2552
(210) 521-2566
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
30844
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149408
—
TX
Enumeration date
05/16/2016
Last updated
04/21/2021
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