Organization
COUNTY OF SANTA CLARA
Active
Parent organization
COUNTY OF SANTA CLARA
Other names
SCVH & HS Refill Center 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
871 ENBORG CT UNIT 200, SAN JOSE, CA 95128-2645
(408) 885-2300
(408) 885-5822
Mailing address
2325 ENBORG LN STE 320, SAN JOSE, CA 95128-2649
(408) 885-2300
(408) 885-5822
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0002X
Clinic Pharmacy
PHE 47456
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5638208
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/30/2010
Last updated
02/06/2026
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