Lucky Stores Ii Llc in Antioch - Pharmacy
Lucky Stores Ii Llc - NPI 1669419099
Lucky Stores Ii Llc is a Pharmacy in Antioch, California. Lucky Stores Ii Llc practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Lucky Stores Ii Llc is 1669419099. The last update date is 2020-08-22.
Lucky Stores Ii Llc's current location address is 4500 Lone Tree Way, Antioch, California. You can contact this provider via phone number 9257069037 and fax number 9257069031. The mailing address for Lucky Stores Ii Llc is 4500 Lone Tree Way, Antioch, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lucky Stores Ii Llc |
|---|---|
| Address | 4500 Lone Tree Way, Antioch, California |
| Phone Number | 9257069037 |
| Fax Number | 9257069031 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | NEW STORE |
|---|---|
| Authorized Official Name | Torres Lorenzo |
| Telephone Number | 8479164463 |
NPI Number Detail
| NPI Number | 1669419099 |
|---|---|
| Provider Enumeration Date | 2006-06-02 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 4500 Lone Tree Way |
|---|---|
| City | Antioch |
| State | California (CA) |
| Post Code | 945317414 |
| Phone Number | 9257069037 |
| Fax Number | 9257069031 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacy |
|---|---|
| Taxonomy | 333600000X |
| Licence No | PHY41640 |
|
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 |
|---|---|---|---|
| 542298 | OTHER ID NUMBER-COMMERCIAL NUM |
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What is the Lucky Stores Ii Llc's unique identification number?
The Lucky Stores Ii Llc has been assigned the NPI (National Provider Identifier) Number 1669419099 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Lucky Stores Ii Llc located?
The Lucky Stores Ii Llc is located at 4500 Lone Tree Way, Antioch, CA 945317414.
What is the Lucky Stores Ii Llc's specialty and taxonomy code?
The Lucky Stores Ii Llc's specialty is Pharmacy, and the corresponding taxonomy code is 333600000X.
When did the Lucky Stores Ii Llc receive its 1669419099?
The Lucky Stores Ii Llc was issued its 1669419099 on 2006-06-02, which is the date when the organization was assigned this unique identifier.
When was the information regarding Lucky Stores Ii Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Lucky Stores Ii Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.
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