Healthcare Provider Details

I. General information

NPI: 1164226411
Provider Name (Legal Business Name): LM PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2025
Last Update Date: 04/03/2025
Certification Date: 03/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

URB SANTA JUANITA DJ8 , AVE. IRLANDA HEIGHT
BAYAMON PR
00956-0095
US

IV. Provider business mailing address

URB SANTA JUANITA DJ8 , AVE. IRLANDA HEIGHT
BAYAMON PR
00956
US

V. Phone/Fax

Practice location:
  • Phone: 787-230-6360
  • Fax: 787-230-6361
Mailing address:
  • Phone: 787-230-6360
  • Fax: 787-230-6361

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. ALBERTO JOSE RODRIGUEZ COLON
Title or Position: PHARMACY MANAGER
Credential: PHARMD
Phone: 787-230-6360