County of Santa Clara

NPI #1255417374 in Milpitas, California

Provider Information

NPI Number
1255417374
Entity Type
Organization
Organization Name
County of Santa Clara
Subpart
Yes (part of a larger organization)
Parent Organization
COUNTY OF SANTA CLARA
Primary Specialty
Pharmacy
Enumeration Date
Oct 31, 2006
Last Updated
Jun 27, 2011

Practice Location

Address
143 N MAIN ST
Address 2
SUITE 1038
ZIP Code
95035-4322
Phone
(408) 885-2300

Authorized Official

Name
DR. ALFONSO F BANUELOS JR., MD
Title
CHIEF MEDICAL OFFICER
Phone
(408) 885-4001

Specialties & Taxonomy Codes

Specialty
Pharmacy

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