Lucky Stores Ii Llc in San Jose - Community/retail Pharmacy
Lucky Stores Ii Llc - NPI 1922045350
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 1922045350. The last update date is 2020-08-22.
Lucky Stores Ii Llc's current location address is 844 Blossom Hill Rd, San Jose, California. You can contact this provider via phone number 4089722862 and fax number 4089722866. The mailing address for Lucky Stores Ii Llc is 844 Blossom Hill Rd, San Jose, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lucky Stores Ii Llc |
|---|---|
| Address | 844 Blossom Hill Rd, San Jose, California |
| Phone Number | 4089722862 |
| Fax Number | 4089722866 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | NEW STORE |
|---|---|
| Authorized Official Name | Torres Lorenzo |
| Telephone Number | 8479164463 |
NPI Number Detail
| NPI Number | 1922045350 |
|---|---|
| Provider Enumeration Date | 2006-06-02 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 844 Blossom Hill Rd |
|---|---|
| City | San Jose |
| State | California (CA) |
| Post Code | 951232725 |
| Phone Number | 4089722862 |
| Fax Number | 4089722866 |
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 |
|---|---|---|---|
| 550776 | OTHER ID NUMBER-COMMERCIAL NUM |
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What is the unique 10-digit identification 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) 1922045350 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Lucky Stores Ii Llc's physical address?
The Lucky Stores Ii Llc is physically located at 844 Blossom Hill Rd, in the city of San Jose, CA, with the postal code 951232725.
What is Lucky Stores Ii Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Lucky Stores Ii Llc is Community/retail Pharmacy, and the taxonomy code that categorizes this field of expertise is 3336C0003X.
On what date did the Lucky Stores Ii Llc receive the assignment of its 1922045350 from the Centers for Medicare & Medicaid Services?
The Lucky Stores Ii Llc was issued its 1922045350 by the Centers for Medicare & Medicaid Services on 2006-06-02.
As of what date were the Lucky Stores Ii Llc's details last updated?
The information pertaining to the Lucky Stores Ii Llc, including its address, specialty, and other details, was most recently updated on 2020-08-22.
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