Organization
LUCKY STORES II LLC
Active
Other names
SAVON PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LORENZO TORRES (NEW STORE ENROLLMENTS)
(847) 916-4463
Entity
Organization
Contact information
Practice address
1133 OLD COUNTY RD, SAN CARLOS, CA 94070-4009
(650) 637-1788
(650) 637-0185
Mailing address
1133 OLD COUNTY RD, SAN CARLOS, CA 94070-4009
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY39213
CA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0535255
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
06/02/2006
Last updated
09/11/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us