Individual
CHARLES EDWARD CARVAJAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3410 ROOSEVELT AVE, SAN ANTONIO, TX 78214-2606
(210) 922-2176
Mailing address
3410 ROOSEVELT AVE, SAN ANTONIO, TX 78214-2606
(210) 922-2176
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19249
TX
Other
Enumeration date
03/12/2020
Last updated
03/12/2020
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