Provider Demographics
NPI:1003111907
Name:CANALES-KITE, CAROLINA (PHARMD)
Entity Type:Individual
Prefix:MS
First Name:CAROLINA
Middle Name:
Last Name:CANALES-KITE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:CAROLINA
Other - Middle Name:
Other - Last Name:KITE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:1224 W CRAIG PL
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78201-5745
Mailing Address - Country:US
Mailing Address - Phone:210-885-4318
Mailing Address - Fax:
Practice Address - Street 1:701 E RIDGE RD
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503-1553
Practice Address - Country:US
Practice Address - Phone:956-683-9392
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-24
Last Update Date:2011-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX48796183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist