Lucky Stores Ii Llc is a Pharmacy in Tracy, California. Lucky Stores Ii Llc practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Lucky Stores Ii Llc is 1104863620. The last update date is 2020-08-22.
Lucky Stores Ii Llc's current location address is 875 S Tracy Blvd, Tracy, California. You can contact this provider via phone number 2098301977 and fax number 2098301987. The mailing address for Lucky Stores Ii Llc is 875 S Tracy Blvd, Tracy, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lucky Stores Ii Llc |
|---|---|
| Address | 875 S Tracy Blvd, Tracy, California |
| Phone Number | 2098301977 |
| Fax Number | 2098301987 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | NEW STORE |
|---|---|
| Authorized Official Name | Torres Lorenzo |
| Telephone Number | 8479164463 |
NPI Number Detail
| NPI Number | 1104863620 |
|---|---|
| Provider Enumeration Date | 2006-06-01 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 875 S Tracy Blvd |
|---|---|
| City | Tracy |
| State | California (CA) |
| Post Code | 953764744 |
| Phone Number | 2098301977 |
| Fax Number | 2098301987 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacy |
|---|---|
| Taxonomy | 333600000X |
| Licence No | PHY42087 |
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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 |
|---|---|---|---|
| 568797 | OTHER ID NUMBER-COMMERCIAL NUM |
Post Comment/ Review Below
What is the unique 10-digit identification 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) 1104863620 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Lucky Stores Ii Llc is geographically located?
The Lucky Stores Ii Llc is physically situated at the following location: 875 S Tracy Blvd, Tracy, CA, 953764744.
What is Lucky Stores Ii Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Lucky Stores Ii Llc's specialized field of practice is Pharmacy, and the corresponding taxonomy code that categorizes this area of specialization is 333600000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1104863620 to Lucky Stores Ii Llc?
The Centers for Medicare & Medicaid Services originally issued the 1104863620 to Lucky Stores Ii Llc on 2006-06-01.
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.