Lucky Stores Ii Llc in Fremont - Pharmacy
Lucky Stores Ii Llc - NPI 1861439291
Lucky Stores Ii Llc is a Pharmacy in Fremont, California. Lucky Stores Ii Llc practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Lucky Stores Ii Llc is 1861439291. The last update date is 2020-08-22.
Lucky Stores Ii Llc's current location address is 5000 Mowry Ave, Fremont, California. You can contact this provider via phone number 5107449330 and fax number 5107449518. The mailing address for Lucky Stores Ii Llc is 5000 Mowry Ave, Fremont, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lucky Stores Ii Llc |
|---|---|
| Address | 5000 Mowry Ave, Fremont, California |
| Phone Number | 5107449330 |
| Fax Number | 5107449518 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | NEW STORE |
|---|---|
| Authorized Official Name | Torres Lorenzo |
| Telephone Number | 8479164463 |
NPI Number Detail
| NPI Number | 1861439291 |
|---|---|
| Provider Enumeration Date | 2006-06-02 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 5000 Mowry Ave |
|---|---|
| City | Fremont |
| State | California (CA) |
| Post Code | 945381045 |
| Phone Number | 5107449330 |
| Fax Number | 5107449518 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacy |
|---|---|
| Taxonomy | 333600000X |
| Licence No | PHY43769 |
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Definition: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense presc |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 505353 | OTHER ID NUMBER-COMMERCIAL NUM |
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What is the unique identifier code issued to Lucky Stores Ii Llc by the Centers for Medicare & Medicaid Services?
The Lucky Stores Ii Llc has been assigned the NPI (National Provider Identifier) 1861439291. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Lucky Stores Ii Llc located?
The Lucky Stores Ii Llc is located at 5000 Mowry Ave, Fremont, CA 945381045.
What is Lucky Stores Ii Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Lucky Stores Ii Llc is Pharmacy, and the corresponding taxonomy classification code for this specialized field is 333600000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1861439291 to Lucky Stores Ii Llc?
The Lucky Stores Ii Llc received its 1861439291 assignment from the Centers for Medicare & Medicaid Services on 2006-06-02.
When was the information regarding Lucky Stores Ii Llc most recently updated?
The details pertaining to the Lucky Stores Ii Llc, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.
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