MEDICARE: LOTUS CARE PHARMACY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1841144953
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOTUS CARE PHARMACY LLC

Provider Business Mailing Address
First Line	:	6966 65TH ST STE A
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95823-2355
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6966 65TH ST STE A
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95823-2355
Country	:	US
Telephone Number	:	279-900-6776
Fax Number	:

Authorized Official
Title or Position	:	PHARMACIST
Name	:	JUDY HUYNH
Credential	:	RPH
Telephone Number	:	279-900-6776

Provider Enumeration Date	:	02/25/2026
Last Update Date	:	02/25/2026

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Directions to “LOTUS CARE PHARMACY LLC ” Practice Location

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