Lucky Stores Ii Llc in San Lorenzo - Pharmacy

Lucky Stores Ii Llc - NPI 1851338289

Lucky Stores Ii Llc is a Pharmacy in San Lorenzo, California. Lucky Stores Ii Llc practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Lucky Stores Ii Llc is 1851338289. The last update date is 2020-08-22.

Lucky Stores Ii Llc's current location address is 15840 Hesperian Blvd, San Lorenzo, California. You can contact this provider via phone number 5102769395 and fax number 5102768195. The mailing address for Lucky Stores Ii Llc is 15840 Hesperian Blvd, San Lorenzo, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Lucky Stores Ii Llc
Address 15840 Hesperian Blvd, San Lorenzo, California
Phone Number 5102769395
Fax Number 5102768195
Sole Proprietor --
Credentials --

Authorized Official

Title or Position NEW STORE
Authorized Official Name Torres Lorenzo
Telephone Number 8479164463

NPI Number Detail

NPI Number 1851338289
Provider Enumeration Date 2006-06-02
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 15840 Hesperian Blvd
City San Lorenzo
State California (CA)
Post Code 945801538
Phone Number 5102769395
Fax Number 5102768195

Provider's Primary Taxonomy Detail

Speciality Pharmacy
Taxonomy 333600000X
Licence No PHY39154
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
534594 OTHER ID NUMBER-COMMERCIAL NUM

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FAQs about Lucky Stores Ii Llc

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) 1851338289. 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 physical location address of Lucky Stores Ii Llc?

The Lucky Stores Ii Llc is physically situated at 15840 Hesperian Blvd, in the city of San Lorenzo, state of CA, with the postal code 945801538.

What is the area of specialization for Lucky Stores Ii Llc, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Lucky Stores Ii Llc is Pharmacy, and the corresponding taxonomy code that categorizes this area of expertise is 333600000X.

On what date did Lucky Stores Ii Llc receive its 1851338289 assignment from the Centers for Medicare & Medicaid Services?

The Lucky Stores Ii Llc was assigned its 1851338289 on 2006-06-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Lucky Stores Ii Llc most recently updated or revised?

The details related to Lucky Stores Ii Llc, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.

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