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Organization
DANA JO GOVE
Active
Organization
DANA JO GOVE
Active
Other names
SOUTH VALLEY PHARMACY SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
DANA GOVE BS OF SCIENCE (OWNER)
(408) 847-6160
Entity
Organization
Contact information
Practice address
7496 EIGLEBERRY ST, GILROY, CA 95020-5712
(408) 847-6160
(408) 847-7878
Mailing address
7496 EIGLEBERRY ST, GILROY, CA 95020-5712
(408) 847-6160
(408) 847-7878
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
PHY47540
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2103346
PK
—
05
—
PHA475400
—
CA
Enumeration date
08/18/2006
Last updated
12/09/2016
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