| NPI | 1356408397 |
|---|---|
| Doing Business As | SCVMC OUTPATIENT PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ALFONSO F BANUELOS Chief Medical Officer 408-885-4001 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA PHE45424) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2009-02-12 |