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Lucky Stores Ii Llc
Long Term Care Pharmacy in Daly City, California
NPI 1740227263

Lucky Stores Ii Llc is a Long Term Care Pharmacy based in Daly City, CA and is specialized in Long Term Care Pharmacy. Lucky Stores Ii Llc practices in Daly City, CA. The NPI Number for Lucky Stores Ii Llc is 1740227263 and holds a License No. PHY43550 (California).

The current practice location address for Lucky Stores Ii Llc is 6843 Mission St, Daly City, CA and can be reached out via phone at 650-992-9490 and via fax at 650-992-9504.

Location: 6843 Mission St, Daly City, CA, 94014-2006
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1740227263
Provider Name
Lucky Stores Ii Llc
Credential
Provider Entity Type
Organization
Address
6843 Mission St, Daly City, CA, 94014-2006
Phone Number
650-992-9490
Fax Number
650-992-9504
Provider Enumeration Date
06/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0579194 01 OTHER ID NUMBER-COMMERCIAL NUMBER
institution
Provider Business Practice Location Address Details
Address
6843 Mission St
City
Daly City
State
California
Zip
94014-2006
Phone Number
650-992-9490
Fax Number
650-992-9504
person
Provider Business Mailing Address Details
Address
6843 Mission St
City
Daly City
State
California
Zip
94014-2006
Phone Number
650-992-9490
Fax Number
650-992-9504
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Long Term Care Pharmacy
Taxonomy
3336L0003X
License No.
PHY43550 (California)
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
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