Organization
COUNTY OF SANTA CLARA
Active
Other names
Santa Clara Valley Medical Center Discharge Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA RILEY (ADMINISTRATIVE ASSISTANT)
(408) 885-2300
Entity
Organization
Contact information
Practice address
751 S BASCOM AVE, MAIN HOSPITAL BUILDING, SAN JOSE, CA 95128-2604
(408) 885-2300
(408) 885-5822
Mailing address
751 S BASCOM AVE, MAIN HOSPITAL BUILDING, SAN JOSE, CA 95128-2604
(408) 885-2300
(408) 885-5822
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336C0002X
Clinic Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2159653
PK
—
Enumeration date
05/23/2016
Last updated
05/23/2016
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