Organization · Type 2 NPI

Lucky Stores II LLC

Community/Retail Pharmacy · Folsom, CA

NPI number 1114964541 Active

Practice location

1003 E Bidwell St
Folsom, CA 95630-5548

Fax (916) 983-0951

Specialties and licenses

TaxonomyCodeLicense
Pharmacy 333600000XPHY39238 (CA)
Community/Retail Pharmacy Primary 3336C0003XNone 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 …

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About NPI 1114964541

Lucky Stores II LLC's National Provider Identifier is 1114964541, issued on Jun 2, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Folsom, CA. The record was last updated on Sep 11, 2025.