# FARMACIA LOURDES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457418774
- **Authorized official:** LAURA I LOPEZ PHARM D (PHARMACIST)
- **Authorized official phone:** (787) 242-7822

## Contact information

- **Practice address:** CARRETERA 123, STE 14, PONCE, PR 00728
- **Practice address phone:** (787) 842-1314
- **Practice address fax:** (787) 842-8185
- **Mailing address:** 14 CARR 123, PONCE, PR 00728-2708
- **Mailing address phone:** (787) 842-1314
- **Mailing address fax:** (787) 842-8185

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 01/03/2007
- **Last updated:** 07/28/2025