Lucky Stores Ii Llc in San Jose - Community/retail Pharmacy
Lucky Stores Ii Llc - NPI 1689611014
Lucky Stores Ii Llc is a Community/retail Pharmacy in San Jose, California. Lucky Stores Ii Llc practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Lucky Stores Ii Llc is 1689611014. The last update date is 2020-08-22.
Lucky Stores Ii Llc's current location address is 129 Bernal Rd, San Jose, California. You can contact this provider via phone number 4085782295 and fax number 4085782881. The mailing address for Lucky Stores Ii Llc is 129 Bernal Rd, San Jose, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lucky Stores Ii Llc |
|---|---|
| Address | 129 Bernal Rd, San Jose, California |
| Phone Number | 4085782295 |
| Fax Number | 4085782881 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | NEW STORE |
|---|---|
| Authorized Official Name | Torres Lorenzo |
| Telephone Number | 8479164463 |
NPI Number Detail
| NPI Number | 1689611014 |
|---|---|
| Provider Enumeration Date | 2006-06-02 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 129 Bernal Rd |
|---|---|
| City | San Jose |
| State | California (CA) |
| Post Code | 951191303 |
| Phone Number | 4085782295 |
| Fax Number | 4085782881 |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
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Definition: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing pr |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 508878 | OTHER ID NUMBER-COMMERCIAL NUM |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Lucky Stores Ii Llc by the Centers for Medicare & Medicaid Services?
The Lucky Stores Ii Llc has been issued the NPI (National Provider Identifier) 1689611014 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Lucky Stores Ii Llc is physically located?
The Lucky Stores Ii Llc is physically situated at the following address: 129 Bernal Rd, San Jose, CA, 951191303.
What is the area of specialization for Lucky Stores Ii Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Lucky Stores Ii Llc is Community/retail Pharmacy, and the corresponding taxonomy code that categorizes this area of expertise is 3336C0003X.
On what date did Lucky Stores Ii Llc receive its 1689611014 assignment from the Centers for Medicare & Medicaid Services?
The Lucky Stores Ii Llc was assigned its 1689611014 on 2006-06-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
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.
NPI Number: 1932102142
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