Organization
LUCKY'S PHARMACY LLC
Active
Other names
Lucky's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SAMIR FALDU (OWNER)
(610) 329-3681
Entity
Organization
Contact information
Practice address
810 S DORT HWY STE B, FLINT, MI 48503-2898
(610) 329-3681
Mailing address
5240 WARWICK WOODS TRL, GRAND BLANC, MI 48439-9591
(610) 329-3681
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
01/08/2021
Last updated
01/08/2021
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