| NPI | 1730490194 |
|---|---|
| Doing Business As | SCVH & HS REFILL CENTER PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ALFONSO F BANUELOS Chief Medical Officer 408-885-4001 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: CA PHE 47456) |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2023-06-23 |