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Lucky Stores Ii Llc
Community/Retail Pharmacy in Antioch, California
NPI 1669419099

Lucky Stores Ii Llc is a Community/Retail Pharmacy based in Antioch, CA and is specialized in Community/Retail Pharmacy. Lucky Stores Ii Llc practices in Antioch, CA. The NPI Number for Lucky Stores Ii Llc is 1669419099 and holds a License No. PHY41640 (California).

The current practice location address for Lucky Stores Ii Llc is 4500 Lone Tree Way, Antioch, CA and can be reached out via phone at 925-706-9037 and via fax at 925-706-9031.

Location: 4500 Lone Tree Way, Antioch, CA, 94531-7414
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1669419099
Provider Name
Lucky Stores Ii Llc
Credential
Provider Entity Type
Organization
Address
4500 Lone Tree Way, Antioch, CA, 94531-7414
Phone Number
925-706-9037
Fax Number
925-706-9031
Provider Enumeration Date
06/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0542298 01 OTHER ID NUMBER-COMMERCIAL NUMBER
institution
Provider Business Practice Location Address Details
Address
4500 Lone Tree Way
City
Antioch
State
California
Zip
94531-7414
Phone Number
925-706-9037
Fax Number
925-706-9031
person
Provider Business Mailing Address Details
Address
4500 Lone Tree Way
City
Antioch
State
California
Zip
94531-7414
Phone Number
925-706-9037
Fax Number
925-706-9031
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.
PHY41640 (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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