Lucky Stores Ii Llc in Sacramento - Pharmacy

Lucky Stores Ii Llc - NPI 1124065552

Lucky Stores Ii Llc is a Pharmacy in Sacramento, California. Lucky Stores Ii Llc practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Lucky Stores Ii Llc is 1124065552. The last update date is 2020-08-22.

Lucky Stores Ii Llc's current location address is 4220 Florin Rd, Sacramento, California. You can contact this provider via phone number 9163916167 and fax number 9163916709. The mailing address for Lucky Stores Ii Llc is 4220 Florin Rd, Sacramento, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Lucky Stores Ii Llc
Address 4220 Florin Rd, Sacramento, California
Phone Number 9163916167
Fax Number 9163916709
Sole Proprietor --
Credentials --

Authorized Official

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

NPI Number Detail

NPI Number 1124065552
Provider Enumeration Date 2006-06-02
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 4220 Florin Rd
City Sacramento
State California (CA)
Post Code 958232508
Phone Number 9163916167
Fax Number 9163916709

Provider's Primary Taxonomy Detail

Speciality Pharmacy
Taxonomy 333600000X
Licence No PHY44405
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
531168 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) 1124065552. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Where is the Lucky Stores Ii Llc located?

The Lucky Stores Ii Llc is located at 4220 Florin Rd, Sacramento, CA 958232508.

What is Lucky Stores Ii Llc's specialized field of practice, and what is the corresponding taxonomy classification code?

The Lucky Stores Ii Llc's area of specialization is Pharmacy, and the corresponding taxonomy code that categorizes this field of practice is 333600000X.

On what date did the Lucky Stores Ii Llc receive the assignment of its 1124065552 from the Centers for Medicare & Medicaid Services?

The Lucky Stores Ii Llc was issued its 1124065552 by the Centers for Medicare & Medicaid Services on 2006-06-02.

As of what date was the information regarding Lucky Stores Ii Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Lucky Stores Ii Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.

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