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 |
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Address | 15840 Hesperian Blvd, San Lorenzo, California |
Phone Number | 5102769395 |
Fax Number | 5102768195 |
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 | 1851338289 |
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Provider Enumeration Date | 2006-06-02 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 15840 Hesperian Blvd |
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City | San Lorenzo |
State | California (CA) |
Post Code | 945801538 |
Phone Number | 5102769395 |
Fax Number | 5102768195 |
Provider's Primary Taxonomy Detail
Speciality | Pharmacy |
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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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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.