Lucky Stores II LLC

NPI #1023055456 in Sacramento, California

Provider Information

NPI Number
1023055456
Entity Type
Organization
Organization Name
Lucky Stores II LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jun 2, 2006
Last Updated
Sep 11, 2025

Practice Location

Address
5445 AUBURN BLVD
ZIP Code
95841-2801
Phone
(916) 332-8882

Authorized Official

Name
LORENZO TORRES
Title
NEW STORE ENROLLMENTS
Phone
(847) 916-4463

Specialties & Taxonomy Codes

Specialty
Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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