Provider Demographics
NPI:1558145458
Name:RESPONDEK, CARRIE ANN (PHARMD)
Entity Type:Individual
Prefix:
First Name:CARRIE
Middle Name:ANN
Last Name:RESPONDEK
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1789 COUNTY ROAD 230
Mailing Address - Street 2:
Mailing Address - City:FALLS CITY
Mailing Address - State:TX
Mailing Address - Zip Code:78113-5200
Mailing Address - Country:US
Mailing Address - Phone:210-860-0335
Mailing Address - Fax:
Practice Address - Street 1:919 WURZBACH PKWY
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78231-2400
Practice Address - Country:US
Practice Address - Phone:210-764-1095
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-22
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX72862183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist