| NPI | 1790863991 |
|---|---|
| Doing Business As | VALLEY HEALTH CENTER AT TULLY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ALFONSO F BANUELOS Chief Medical Officer 408-885-4001 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy (Licence: CA PHE30090) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2008-09-08 |