Lucky Stores Ii Llc in San Bruno - Pharmacy
Lucky Stores Ii Llc - NPI 1205873635
Lucky Stores Ii Llc is a Pharmacy in San Bruno, California. Lucky Stores Ii Llc practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Lucky Stores Ii Llc is 1205873635. The last update date is 2020-08-22.
Lucky Stores Ii Llc's current location address is 1322 El Camino Real, San Bruno, California. You can contact this provider via phone number 6507429737 and fax number 6507426152. The mailing address for Lucky Stores Ii Llc is 1322 El Camino Real, San Bruno, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lucky Stores Ii Llc |
|---|---|
| Address | 1322 El Camino Real, San Bruno, California |
| Phone Number | 6507429737 |
| Fax Number | 6507426152 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | NEW STORE |
|---|---|
| Authorized Official Name | Torres Lorenzo |
| Telephone Number | 8479164463 |
NPI Number Detail
| NPI Number | 1205873635 |
|---|---|
| Provider Enumeration Date | 2006-06-02 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1322 El Camino Real |
|---|---|
| City | San Bruno |
| State | California (CA) |
| Post Code | 940661304 |
| Phone Number | 6507429737 |
| Fax Number | 6507426152 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacy |
|---|---|
| Taxonomy | 333600000X |
| Licence No | PHY39240 |
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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 |
|---|---|---|---|
| 535786 | OTHER ID NUMBER-COMMERCIAL NUM |
Post Comment/ Review Below
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) 1205873635. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Lucky Stores Ii Llc is physically located?
The Lucky Stores Ii Llc is physically situated at the following address: 1322 El Camino Real, San Bruno, CA, 940661304.
What is Lucky Stores Ii Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Lucky Stores Ii Llc is Pharmacy, and the taxonomy code that classifies this field of practice is 333600000X.
On what date did the Lucky Stores Ii Llc receive its 1205873635 assignment from the Centers for Medicare & Medicaid Services?
The Lucky Stores Ii Llc was assigned its 1205873635 by the Centers for Medicare & Medicaid Services on 2006-06-02.
When was the information regarding Lucky Stores Ii Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Lucky Stores Ii Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.