Organization · Type 2 NPI

Lucky Stores II LLC

Community/Retail Pharmacy · Tracy, CA

NPI number 1104863620 Active

Practice location

875 S Tracy Blvd
Tracy, CA 95376-4744

Call (209) 830-1977 Map

Fax (209) 830-1987

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	PHY42087 (CA)
Community/Retail Pharmacy Primary	3336C0003X	None listed

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 …

2 other providers at this address

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About NPI 1104863620

Lucky Stores II LLC's National Provider Identifier is 1104863620, issued on Jun 1, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Tracy, CA. The record was last updated on Sep 11, 2025.