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Lucky Stores II LLC

Pharmacy, Community/Retail Pharmacy in San Jose, CA. Organization (NPI-2).

NPI number1841237278
StatusActive
Last updated in NPPESSep 11, 2025

Details

NPI
1841237278
Entity type
Organization (NPI-2)
Legal business name
Lucky Stores II LLC
Organization subpart
No
Enumeration date
Jun 2, 2006
Last updated
Sep 11, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail Pharmacy––Yes
333600000X PharmacyPHY41476CA

Other names

  • Savon Pharmacy (Doing Business As)

Practice location

565 W Capitol Expy
San Jose, CA 95136-3914

Phone 408-267-6828 · Fax 408-267-6907

Mailing address

565 W Capitol Expy
San Jose, CA 95136-3914

Authorized official

Lorenzo Torres
New Store Enrollments
8479164463

Is something wrong?

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