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Lucky Stores Ii Llc
Community/Retail Pharmacy in Santa Rosa, California
NPI 1922046184

Lucky Stores Ii Llc is a Community/Retail Pharmacy based in Santa Rosa, CA and is specialized in Community/Retail Pharmacy. Lucky Stores Ii Llc practices in Santa Rosa, CA. The NPI Number for Lucky Stores Ii Llc is 1922046184 and holds a License No. PHY46285 (California).

The current practice location address for Lucky Stores Ii Llc is 915 Montgomery Village Court, Santa Rosa, CA and can be reached out via phone at 707-542-1879 and via fax at 707-542-4615.

Location: 915 Montgomery Village Court, Santa Rosa, CA, 95405
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1922046184
Provider Name
Lucky Stores Ii Llc
Credential
Provider Entity Type
Organization
Address
915 Montgomery Village Court, Santa Rosa, CA, 95405
Phone Number
707-542-1879
Fax Number
707-542-4615
Provider Enumeration Date
06/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0588624 01 OTHER ID NUMBER-COMMERCIAL NUMBER
institution
Provider Business Practice Location Address Details
Address
915 Montgomery Village Court
City
Santa Rosa
State
California
Zip
95405
Phone Number
707-542-1879
Fax Number
707-542-4615
person
Provider Business Mailing Address Details
Address
915 Montgomery Village Court
City
Santa Rosa
State
California
Zip
95405
Phone Number
707-542-1879
Fax Number
707-542-4615
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.
PHY46285 (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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