National Provider Identifier Database

LUCKY STORES II LLC
Community/Retail Pharmacy

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.


Contact Information

LUCKY STORES II LLC
915 MONTGOMERY VILLAGE COURT
SANTA ROSA, CA95405
Phone: 707-542-1879
Fax: 707-542-4615
Website:
Specialty Taxonomy Code
* Community/Retail Pharmacy 3336C0003X
Pharmacy 333600000X

* Indicates primary specialty

NPI Profile & details for LUCKY STORES II LLC

NPI Number 1922046184
Legal business name
LBN
LUCKY STORES II LLC
Authorized official LORENZO TORRES - (NEW STORE ENROLLMENTS)
Entity Organization
Organization subpart No
Enumeration date 06/02/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: PHY46285
  • Other: 0588624 OTHER ID NUMBER-COMMERCIAL NUMBER

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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