Organization · Type 2 NPI

County of Santa Clara

Pharmacy · San Jose, CA

NPI number 1104904390 Active

Practice location

750 S Bascom Ave
San Jose, CA 95128-2603

Call (408) 885-2320 Map

Fax (408) 885-3729

Mailing address

777 Turner Dr Ste 330
San Jose, CA 95128

Specialties and licenses

Taxonomy	Code	License
Pharmacy Primary	333600000X	PHE32327 (CA)

Pharmacy: 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 lo…

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NPI record

NPI: 1104904390
Entity type: Organization (Type 2)
Issued: Nov 2, 2006
Last updated: Sep 5, 2023
Status: Active
Subpart: Yes of County of Santa Clara

Other names

<unavail>
Valley Health Center Bascom Pharmacy · doing business as
Valley Health Center San Jose Pharmacy · doing business as

Authorized official

Paul E Lorenz
Chief Executive Officer
(408) 885-4010

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1104904390

County of Santa Clara's National Provider Identifier is 1104904390, issued on Nov 2, 2006. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in San Jose, CA. The record was last updated on Sep 5, 2023.