Lucky Stores II LLC
Pharmacy, Long Term Care Pharmacy in Daly City, CA. Organization (NPI-2).
NPI number1740227263
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1740227263
- Entity type
- Organization (NPI-2)
- Legal business name
- Lucky Stores II LLC
- Organization subpart
- No
- Enumeration date
- Jun 1, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336L0003X | Pharmacy, Long Term Care Pharmacy | PHY43550 | CA | Yes |
Other names
- Savon Drugs (Doing Business As)
Practice location
6843 Mission StDaly City, CA 94014-2006
Phone 650-992-9490 · Fax 650-992-9504
Mailing address
6843 Mission StDaly City, CA 94014-2006
Authorized official
Lorenzo Torres
New Store Enrollments
8479164463
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