# COUNTY OF SANTA CLARA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COUNTY OF SANTA CLARA
- **Other names:** SCVMC Outpatient Pharmacy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1356408397
- **Legal business name:** COUNTY OF SANTA CLARA
- **Authorized official:** DR. ALFONSO F BANUELOS JR. MD (CHIEF MEDICAL OFFICER)
- **Authorized official phone:** (408) 885-4001

## Contact information

- **Practice address:** 751 S BASCOM AVE, SUITE 150, SAN JOSE, CA 95128-2604
- **Practice address phone:** (408) 885-2310
- **Practice address fax:** (408) 793-2039
- **Mailing address:** 751 S BASCOM AVE, BUILDING W, SAN JOSE, CA 95128-2604
- **Mailing address phone:** (408) 885-2300
- **Mailing address fax:** (408) 885-2289

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | PHE45424 | CA | Yes |

## Other

- **Enumeration date:** 01/02/2007
- **Last updated:** 02/12/2009
