Organization
SUPERTIENDA FAMILIAR INC
Active
Other names
FARMACIA LUMA
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUAN FERNANDEZ FERNANDEZ (OWNER)
(787) 508-9306
Entity
Organization
Contact information
Practice address
SAN FRANCISCO STE 255, SAN JUAN, PR 00901-1724
(787) 722-0335
(787) 725-8292
Mailing address
PO BOX 79514, CAROLINA, PR 00984-9514
(787) 722-0335
(787) 725-8292
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
17-F-3302
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038292300
—
PR
01
—
2085367
PK
—
Enumeration date
06/14/2006
Last updated
10/20/2025
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