LUCKY STORES II LLC
Pharmacy at Edgewater Blvd, San Mateo, CA

License number
California PHY39235
Category
Suppliers
Type
Pharmacy
Owner
Name: LORENZO TORRES
Title: NEW STORE ENROLLMENTS
Phone: (847) 916-4463
Address
Address
919 Edgewater Blvd, San Mateo, CA 94404
National Provider ID: 1679510002
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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