# LYDIA E. MATOS COLON

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Farmacia Lujan
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588003420
- **Authorized official:** MS. YOLANDA I MATOS (GENERAL MANAGER)
- **Authorized official phone:** (787) 762-3200

## Contact information

- **Practice address:** URB. COUNTRY CLUB AVE. SANCHEZ VILELLA \#819, SAN JUAN, PR 00924-6121
- **Practice address phone:** (787) 762-3200
- **Mailing address:** URB. COUNTRY CLUB AVE. SANCHEZ VILELLA \#819, SAN JUAN, PR 00924-6121
- **Mailing address phone:** (787) 762-3200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 15-F-1078 | PR | Yes |

## Other

- **Enumeration date:** 06/24/2013
- **Last updated:** 06/24/2013