Lucky Stores Ii Llc in Sacramento - Pharmacy
Lucky Stores Ii Llc - NPI 1124065552
Lucky Stores Ii Llc is a Pharmacy in Sacramento, California. Lucky Stores Ii Llc practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Lucky Stores Ii Llc is 1124065552. The last update date is 2020-08-22.
Lucky Stores Ii Llc's current location address is 4220 Florin Rd, Sacramento, California. You can contact this provider via phone number 9163916167 and fax number 9163916709. The mailing address for Lucky Stores Ii Llc is 4220 Florin Rd, Sacramento, California. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Lucky Stores Ii Llc |
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Address | 4220 Florin Rd, Sacramento, California |
Phone Number | 9163916167 |
Fax Number | 9163916709 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | NEW STORE |
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Authorized Official Name | Torres Lorenzo |
Telephone Number | 8479164463 |
NPI Number Detail
NPI Number | 1124065552 |
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Provider Enumeration Date | 2006-06-02 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 4220 Florin Rd |
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City | Sacramento |
State | California (CA) |
Post Code | 958232508 |
Phone Number | 9163916167 |
Fax Number | 9163916709 |
Provider's Primary Taxonomy Detail
Speciality | Pharmacy |
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Taxonomy | 333600000X |
Licence No | PHY44405 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
531168 | 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 (CMS)?
The Lucky Stores Ii Llc has been assigned the NPI (National Provider Identifier) 1124065552. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Lucky Stores Ii Llc located?
The Lucky Stores Ii Llc is located at 4220 Florin Rd, Sacramento, CA 958232508.
What is Lucky Stores Ii Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Lucky Stores Ii Llc's area of specialization is Pharmacy, and the corresponding taxonomy code that categorizes this field of practice is 333600000X.
On what date did the Lucky Stores Ii Llc receive the assignment of its 1124065552 from the Centers for Medicare & Medicaid Services?
The Lucky Stores Ii Llc was issued its 1124065552 by the Centers for Medicare & Medicaid Services on 2006-06-02.
As of what date was the information regarding Lucky Stores Ii Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Lucky Stores Ii Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.