MEDICARE: L J PHARMACY RELIEF, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1093288003
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	L J PHARMACY RELIEF, INC

Provider Business Mailing Address
First Line	:	19318 WATER BRIDGE DR
Second Line	:
City	:	CYPRESS
State	:	TX
Zip	:	77433-3176
Country	:	US
Telephone Number	:	469-952-9111
Fax Number	:	956-405-3178

Provider Business Practice Location Address
First Line	:	2004 E EXPRESSWAY 83 STE 2
Second Line	:
City	:	WESLACO
State	:	TX
Zip	:	78599-5057
Country	:	US
Telephone Number	:	956-405-3089
Fax Number	:	956-405-3178

Authorized Official
Title or Position	:	OFFICER
Name	:	LUCY MATA BARRACHINA
Credential	:	PHARMD
Telephone Number	:	469-952-9111

Provider Enumeration Date	:	01/03/2019
Last Update Date	:	06/11/2025

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Directions to “L J PHARMACY RELIEF, INC ” Practice Location

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