Provider Demographics
NPI:1972303162
Name:LUCKY CHEN INC.
Entity type:Organization
Organization Name:LUCKY CHEN INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:DR
Authorized Official - First Name:NAKRY
Authorized Official - Middle Name:
Authorized Official - Last Name:OEUR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-509-7826
Mailing Address - Street 1:11643 BEACH BLVD UNIT A
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32246-6604
Mailing Address - Country:US
Mailing Address - Phone:757-509-7826
Mailing Address - Fax:
Practice Address - Street 1:559 DENBIGH BLVD
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23608-4215
Practice Address - Country:US
Practice Address - Phone:757-509-7826
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-17
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy