Lucky Stores Ii Llc in Santa Rosa - Pharmacy
Lucky Stores Ii Llc - NPI 1922046184
Lucky Stores Ii Llc is a Pharmacy in Santa Rosa, California. Lucky Stores Ii Llc practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Lucky Stores Ii Llc is 1922046184. The last update date is 2020-08-22.
Lucky Stores Ii Llc's current location address is 915 Montgomery Village Court, Santa Rosa, California. You can contact this provider via phone number 7075421879 and fax number 7075424615. The mailing address for Lucky Stores Ii Llc is 915 Montgomery Village Court, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lucky Stores Ii Llc |
|---|---|
| Address | 915 Montgomery Village Court, Santa Rosa, California |
| Phone Number | 7075421879 |
| Fax Number | 7075424615 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | NEW STORE |
|---|---|
| Authorized Official Name | Torres Lorenzo |
| Telephone Number | 8479164463 |
NPI Number Detail
| NPI Number | 1922046184 |
|---|---|
| Provider Enumeration Date | 2006-06-02 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 915 Montgomery Village Court |
|---|---|
| City | Santa Rosa |
| State | California (CA) |
| Post Code | 95405 |
| Phone Number | 7075421879 |
| Fax Number | 7075424615 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacy |
|---|---|
| Taxonomy | 333600000X |
| Licence No | PHY46285 |
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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 |
|---|---|---|---|
| 588624 | OTHER ID NUMBER-COMMERCIAL NUM |
Post Comment/ Review Below
What is the Lucky Stores Ii Llc's 1922046184?
The Lucky Stores Ii Llc's NPI (National Provider Identifier) Number is 1922046184. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Lucky Stores Ii Llc?
The Lucky Stores Ii Llc is situated at 915 Montgomery Village Court, in the city of Santa Rosa, state of CA, with the zip code 95405.
What is Lucky Stores Ii Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Lucky Stores Ii Llc is Pharmacy, and the taxonomy classification code that categorizes this area of expertise is 333600000X.
When was the Lucky Stores Ii Llc's 1922046184 issued?
The Lucky Stores Ii Llc's 1922046184 was issued on 2006-06-02.
As of what date was the information pertaining to Lucky Stores Ii Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Lucky Stores Ii Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.
NPI Number: 1356344279
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