Organization
COUNTY OF SANTA CLARA
Active
Parent organization
COUNTY OF SANTA CLARA
Other names
SCVMC Outpatient 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
751 S BASCOM AVE, SUITE 150, SAN JOSE, CA 95128-2604
(408) 885-2310
(408) 793-2039
Mailing address
751 S BASCOM AVE, BUILDING W, SAN JOSE, CA 95128-2604
(408) 885-2300
(408) 885-2289
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
PHE45424
CA
Other
Enumeration date
01/02/2007
Last updated
02/12/2009
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