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Lucky Pharmacy Inc
Compounding Pharmacy in San Gabriel, California
NPI 1780685263

Lucky Pharmacy Inc is a Compounding Pharmacy based in San Gabriel, CA and is specialized in Compounding Pharmacy. Lucky Pharmacy Inc practices in San Gabriel, CA. The NPI Number for Lucky Pharmacy Inc is 1780685263 and holds a License No. (California).

The current practice location address for Lucky Pharmacy Inc is 416 W Las Tunas Dr, San Gabriel, CA and can be reached out via phone at 626-282-2277 and via fax at 626-458-8329.

Location: 416 W Las Tunas Dr, San Gabriel, CA, 91776-1236
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1780685263
Provider Name
Lucky Pharmacy Inc
Credential
Provider Entity Type
Organization
Address
416 W Las Tunas Dr, San Gabriel, CA, 91776-1236
Phone Number
626-282-2277
Fax Number
626-458-8329
Provider Enumeration Date
08/09/2005
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0519097 01 NCPDP PROVIDER IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
416 W Las Tunas Dr
City
San Gabriel
State
California
Zip
91776-1236
Phone Number
626-282-2277
Fax Number
626-458-8329
person
Provider Business Mailing Address Details
Address
416 W Las Tunas Dr
City
San Gabriel
State
California
Zip
91776-1236
Phone Number
626-282-2277
Fax Number
626-458-8329
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
PHY48786 (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.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Compounding Pharmacy
Taxonomy
3336C0004X
License No.
()
Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
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