COUNTY OF SANTA CLARA NPI 1720136765

NPI Information

COUNTY OF SANTA CLARA is a pharmacy in San Jose, CA. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. COUNTY OF SANTA CLARA NPI is 1720136765. The provider is registered as an organization entity type.
The provider Is Doing Business As Enborg Lane Pharmacy.

The provider's business location address is:

2221 ENBORG LN
SAN JOSE, CA
ZIP 95128-608
Phone: (408) 885-4100
Fax: (408) 885-4109

The provider's authorized official is Alfonso F Banuelos .
The authorized official title is Chief Medical Officer and has the following contact phone number (408) 885-4001.

The enumeration date for this NPI number is 1/8/2007 and was last updated on 3/19/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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