Lucky Stores Ii Llc in San Jose - Pharmacy
Lucky Stores Ii Llc - NPI 1396782058
Lucky Stores Ii Llc is a Pharmacy in San Jose, California. Lucky Stores Ii Llc practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Lucky Stores Ii Llc is 1396782058. The last update date is 2020-08-22.
Lucky Stores Ii Llc's current location address is 2027 Camden Ave, San Jose, California. You can contact this provider via phone number 4085599491 and fax number 4085590165. The mailing address for Lucky Stores Ii Llc is 2027 Camden Ave, San Jose, California. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Lucky Stores Ii Llc |
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Address | 2027 Camden Ave, San Jose, California |
Phone Number | 4085599491 |
Fax Number | 4085590165 |
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 | 1396782058 |
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Provider Enumeration Date | 2006-06-01 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 2027 Camden Ave |
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City | San Jose |
State | California (CA) |
Post Code | 951242024 |
Phone Number | 4085599491 |
Fax Number | 4085590165 |
Provider's Primary Taxonomy Detail
Speciality | Pharmacy |
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Taxonomy | 333600000X |
Licence No | PHY39209 |
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 |
---|---|---|---|
534429 | OTHER ID NUMBER-COMMERCIAL NUM |
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What is the unique identification code assigned to Lucky Stores Ii Llc by the Centers for Medicare & Medicaid Services?
The Lucky Stores Ii Llc has been issued the NPI (National Provider Identifier) 1396782058. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Lucky Stores Ii Llc's facilities are situated?
The facilities of Lucky Stores Ii Llc are physically located at the following address: 2027 Camden Ave, San Jose, CA, 951242024.
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 Centers for Medicare & Medicaid Services originally issue the 1396782058 to Lucky Stores Ii Llc?
The Centers for Medicare & Medicaid Services originally issued the 1396782058 to Lucky Stores Ii Llc on 2006-06-01.
When was the Lucky Stores Ii Llc's information last updated?
The Lucky Stores Ii Llc's information was last updated on 2020-08-22.
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