Organization
COUNTY OF SAN JOAQUIN
Active
Other names
MENTAL HEALTH SERVICES PHARMACY, SAN JOAQUIN COUNTY MENTAL HEALTH SERVICES PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
GENEVIEVE VALENTINE LMFT (DIRECTOR-BEHAVIORAL HEALTH SERVICES)
(209) 468-8750
Entity
Organization
Contact information
Practice address
1212 N CALIFORNIA ST, STOCKTON, CA 95202-1552
(209) 468-8711
(209) 468-8712
Mailing address
1212 N CALIFORNIA ST, STOCKTON, CA 95202-1552
(209) 468-8710
(209) 468-8712
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
Primary
HPE19588
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2115858
PK
—
05
—
PHB195880
—
CA
Enumeration date
01/03/2007
Last updated
05/03/2024
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