Lucky Stores Ii Llc in Fremont - Pharmacy

Lucky Stores Ii Llc - NPI 1023055787

Lucky Stores Ii Llc is a Pharmacy in Fremont, California. Lucky Stores Ii Llc practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Lucky Stores Ii Llc is 1023055787. The last update date is 2020-08-22.

Lucky Stores Ii Llc's current location address is 34101 Fremont Blvd, Fremont, California. You can contact this provider via phone number 5107949735 and fax number 5107940784. The mailing address for Lucky Stores Ii Llc is 34101 Fremont Blvd, Fremont, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Lucky Stores Ii Llc
Address 34101 Fremont Blvd, Fremont, California
Phone Number 5107949735
Fax Number 5107940784
Sole Proprietor --
Credentials --

Authorized Official

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

NPI Number Detail

NPI Number 1023055787
Provider Enumeration Date 2006-06-01
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 34101 Fremont Blvd
City Fremont
State California (CA)
Post Code 945552230
Phone Number 5107949735
Fax Number 5107940784

Provider's Primary Taxonomy Detail

Speciality Pharmacy
Taxonomy 333600000X
Licence No PHY39246
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
534847 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 (CMS)?

The Lucky Stores Ii Llc has been assigned the NPI (National Provider Identifier) 1023055787. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where Lucky Stores Ii Llc is located?

The Lucky Stores Ii Llc is situated at the following address: 34101 Fremont Blvd, Fremont, CA, 945552230.

What is Lucky Stores Ii Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Lucky Stores Ii Llc is Pharmacy, and the taxonomy code that classifies this field of practice is 333600000X.

On what date was the 1023055787 assigned to Lucky Stores Ii Llc?

The Lucky Stores Ii Llc was issued its 1023055787 on 2006-06-01, which is the date when this unique identifier was assigned 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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