Provider Demographics
NPI:1114130085
Name:LM PHARMACEUTICAL SERVICES, INC.
Entity Type:Organization
Organization Name:LM PHARMACEUTICAL SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:DOLLY
Authorized Official - Middle Name:EILEEN
Authorized Official - Last Name:LUGO
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:787-202-6198
Mailing Address - Street 1:PO BOX 727
Mailing Address - Street 2:
Mailing Address - City:YAUCO
Mailing Address - State:PR
Mailing Address - Zip Code:00698-0727
Mailing Address - Country:US
Mailing Address - Phone:787-202-6198
Mailing Address - Fax:787-856-3914
Practice Address - Street 1:M-24 AQUAMARINA ST.
Practice Address - Street 2:ESTANCIAS DE YAUCO
Practice Address - City:YAUCO
Practice Address - State:PR
Practice Address - Zip Code:00698
Practice Address - Country:US
Practice Address - Phone:787-202-6198
Practice Address - Fax:787-856-3914
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR161447183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR3455440008OtherPR WORK DEPARTMENT