Organization · Type 2 NPI

Lucky Stores II LLC

Community/Retail Pharmacy · Antioch, CA

NPI number 1669419099 Active

Practice location

4500 Lone Tree Way
Antioch, CA 94531-7414

Fax (925) 706-9031

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	PHY41640 (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 …

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About NPI 1669419099

Lucky Stores II LLC's National Provider Identifier is 1669419099, issued on Jun 2, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Antioch, CA. The record was last updated on Sep 11, 2025.