County of Santa Clara

NPI #1306156336 in Milpitas, California

Provider Information

NPI Number
1306156336
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 - Clinic Pharmacy
Enumeration Date
Oct 8, 2010
Last Updated
Oct 8, 2010

Practice Location

Address
143 S MAIN ST
ZIP Code
95035-5302
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 - Clinic PharmacyClinic Pharmacy

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