Lucky Stores II LLC

NPI #1669419115 in Oakland, California

Provider Information

NPI Number
1669419115
Entity Type
Organization
Organization Name
Lucky Stores II LLC
Primary Specialty
Pharmacy
Enumeration Date
Jun 1, 2006
Last Updated
Sep 11, 2025

Practice Location

Address
247 E 18TH ST
ZIP Code
94606-1728
Phone
(510) 272-9042

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy
Pharmacy

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