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Contact Information

LUCKY STORES II LLC
3100 E 9TH ST
OAKLAND, CA94601
 Phone: 510-532-0100
 Fax: 510-532-0175
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for LUCKY STORES II LLC

NPI Number 1760420780
LBN Legal business name LUCKY STORES II LLC
Authorized official LORENZO TORRES - (NEW STORE ENROLLMENTS)
Entity Organization
Organization subpart 1 No
Enumeration date 06/02/2006
Last updated 09/11/2025 - About 9 months ago
Identifiers
CA License # PHY41986
Other 0549874 OTHER ID NUMBER-COMMERCIAL NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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