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Organization

COUNTY OF SANTA CLARA

Active
Parent organization
COUNTY OF SANTA CLARA
Other names
VHC @ Milpitas Pharmacy
Organization subpart
Yes

Provider details

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

Contact information

Practice address
143 N MAIN ST, SUITE 1038, MILPITAS, CA 95035-4322
(408) 885-2300
(408) 885-5822
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
PHE40474
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PHA404740
CA
Enumeration date
10/31/2006
Last updated
06/27/2011
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