Organization
CARVAJAL PHARMACY LTC
Active
Other names
Carvajal Pharmacy LTC North Texas
Organization subpart
No
Provider details
NPI number
Authorized official
LISA MARTINEZ CPHT (ADMIN. ASSISTANT)
(210) 977-1852
Entity
Organization
Contact information
Practice address
2100 VIRGINIA ST STE I, GRAND PRAIRIE, TX 75051-3796
(214) 845-7333
Mailing address
819 S ACME RD, SAN ANTONIO, TX 78237-3202
(210) 977-1852
Taxonomy
Speciality
Code
Description
License number
State
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
11/09/2022
Last updated
07/17/2025
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