Organization
COUNTY OF SANTA CLARA
Active
Parent organization
COUNTY OF SANTA CLARA
Other names
Valley Health Center at Gilroy Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF SANTA CLARA
Authorized official
MRS. ALFONSO F BANUELOS JR. MD (CHIEF MEDICAL OFFICER)
(408) 885-4001
Entity
Organization
Contact information
Practice address
7475 CAMINO ARROYO, SUITE 1025, GILROY, CA 95020-7340
(408) 852-2294
(408) 852-2298
Mailing address
751 S BASCOM AVE, BUILDING W, SAN JOSE, CA 95128-2604
(408) 885-2300
(408) 885-5822
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHE 49156
CA
333600000X
Pharmacy
PHE19565
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHB195650
—
CA
Enumeration date
10/26/2006
Last updated
10/16/2008
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