# SUPERTIENDA FAMILIAR INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FARMACIA LUMA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730122110
- **Authorized official:** MR. JUAN FERNANDEZ FERNANDEZ (OWNER)
- **Authorized official phone:** (787) 508-9306

## Contact information

- **Practice address:** SAN FRANCISCO STE 255, SAN JUAN, PR 00901-1724
- **Practice address phone:** (787) 722-0335
- **Practice address fax:** (787) 725-8292
- **Mailing address:** PO BOX 79514, CAROLINA, PR 00984-9514
- **Mailing address phone:** (787) 722-0335
- **Mailing address fax:** (787) 725-8292

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 17-F-3302 | PR | Yes |

## Other

- **Enumeration date:** 06/14/2006
- **Last updated:** 10/20/2025