Lucky Stores Ii Llc in Roseville - Pharmacy
Lucky Stores Ii Llc - NPI 1215974647
Lucky Stores Ii Llc is a Pharmacy in Roseville, California. Lucky Stores Ii Llc practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Lucky Stores Ii Llc is 1215974647. The last update date is 2020-08-22.
Lucky Stores Ii Llc's current location address is 5060 Foothills Blvd, Roseville, California. You can contact this provider via phone number 9167822720 and fax number 9167827273. The mailing address for Lucky Stores Ii Llc is 5060 Foothills Blvd, Roseville, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lucky Stores Ii Llc |
|---|---|
| Address | 5060 Foothills Blvd, Roseville, California |
| Phone Number | 9167822720 |
| Fax Number | 9167827273 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | NEW STORE |
|---|---|
| Authorized Official Name | Torres Lorenzo |
| Telephone Number | 8479164463 |
NPI Number Detail
| NPI Number | 1215974647 |
|---|---|
| Provider Enumeration Date | 2006-06-02 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 5060 Foothills Blvd |
|---|---|
| City | Roseville |
| State | California (CA) |
| Post Code | 957476500 |
| Phone Number | 9167822720 |
| Fax Number | 9167827273 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacy |
|---|---|
| Taxonomy | 333600000X |
| Licence No | PHY41080 |
|
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 |
|---|---|---|---|
| 523515 | OTHER ID NUMBER-COMMERCIAL NUM |
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What is the unique 10-digit 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) 1215974647 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Lucky Stores Ii Llc located?
The Lucky Stores Ii Llc is located at 5060 Foothills Blvd, Roseville, CA 957476500.
What is Lucky Stores Ii Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Lucky Stores Ii Llc is Pharmacy, and the corresponding taxonomy classification code for this specialized field is 333600000X.
On what date did the Lucky Stores Ii Llc receive the assignment of its 1215974647 from the Centers for Medicare & Medicaid Services?
The Lucky Stores Ii Llc was issued its 1215974647 by the Centers for Medicare & Medicaid Services on 2006-06-02.
As of what date were the details related to Lucky Stores Ii Llc most recently updated or revised?
The information pertaining to Lucky Stores Ii Llc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
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