Organization
DANA JO GOVE
Active
Other names
SOUTH VALLEY PHARMACY SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
DANA GOVE BS OF SCIENCE (OWNER)
(408) 847-6160
Entity
Organization
Contact information
Practice address
7496 EIGLEBERRY ST, GILROY, CA 95020-5712
(408) 847-6160
(408) 847-7878
Mailing address
7496 EIGLEBERRY ST, GILROY, CA 95020-5712
(408) 847-6160
(408) 847-7878
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PHY47540
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2103346
PK
—
05
—
PHA475400
—
CA
Enumeration date
08/18/2006
Last updated
12/09/2016
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