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Lucky Stores Ii Llc
Community/Retail Pharmacy in San Bruno, California
NPI 1205873635

Lucky Stores Ii Llc is a Community/Retail Pharmacy based in San Bruno, CA and is specialized in Community/Retail Pharmacy. Lucky Stores Ii Llc practices in San Bruno, CA. The NPI Number for Lucky Stores Ii Llc is 1205873635 and holds a License No. PHY39240 (California).

The current practice location address for Lucky Stores Ii Llc is 1322 El Camino Real, San Bruno, CA and can be reached out via phone at 650-742-9737 and via fax at 650-742-6152.

Location: 1322 El Camino Real, San Bruno, CA, 94066-1304
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1205873635
Provider Name
Lucky Stores Ii Llc
Credential
Provider Entity Type
Organization
Address
1322 El Camino Real, San Bruno, CA, 94066-1304
Phone Number
650-742-9737
Fax Number
650-742-6152
Provider Enumeration Date
06/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0535786 01 OTHER ID NUMBER-COMMERCIAL NUMBER
institution
Provider Business Practice Location Address Details
Address
1322 El Camino Real
City
San Bruno
State
California
Zip
94066-1304
Phone Number
650-742-9737
Fax Number
650-742-6152
person
Provider Business Mailing Address Details
Address
1322 El Camino Real
City
San Bruno
State
California
Zip
94066-1304
Phone Number
650-742-9737
Fax Number
650-742-6152
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.
PHY39240 (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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