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Lucky Stores Ii Llc
Community/Retail Pharmacy in Tracy, California
NPI 1104863620

Lucky Stores Ii Llc is a Community/Retail Pharmacy based in Tracy, CA and is specialized in Community/Retail Pharmacy. Lucky Stores Ii Llc practices in Tracy, CA. The NPI Number for Lucky Stores Ii Llc is 1104863620 and holds a License No. PHY42087 (California).

The current practice location address for Lucky Stores Ii Llc is 875 S Tracy Blvd, Tracy, CA and can be reached out via phone at 209-830-1977 and via fax at 209-830-1987.

Location: 875 S Tracy Blvd, Tracy, CA, 95376-4744
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104863620
Provider Name
Lucky Stores Ii Llc
Credential
Provider Entity Type
Organization
Address
875 S Tracy Blvd, Tracy, CA, 95376-4744
Phone Number
209-830-1977
Fax Number
209-830-1987
Provider Enumeration Date
06/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0568797 01 OTHER ID NUMBER-COMMERCIAL NUMBER
institution
Provider Business Practice Location Address Details
Address
875 S Tracy Blvd
City
Tracy
State
California
Zip
95376-4744
Phone Number
209-830-1977
Fax Number
209-830-1987
person
Provider Business Mailing Address Details
Address
875 S Tracy Blvd
City
Tracy
State
California
Zip
95376-4744
Phone Number
209-830-1977
Fax Number
209-830-1987
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
()
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 prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
PHY42087 (California)
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 process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
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