Santa Clara Drug

LBN: Santa Clara Drug
Santa Clara Drug is an health care organization with primary practice located at 2453 Forest Ave , San Jose CA 95128-1505. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Santa Clara Drug can be contacted via phone (408) 296-5015, or through Gibino, Louise via phone (408) 296-5015.

Contact Information

Primary practice address
2453 Forest Ave San Jose CA 95128-1505
Phone: (408) 296-5015
Fax: (408) 248-2790
Website:
Map and Directions
Authorized official contact:
Name: Gibino, Louise
Phone: (408) 296-5015

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY39079 California
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1750392338
LBN Legal business name Santa Clara Drug
DBA Doing business as Santa Clara Drug
Authorized official Gibino, Louise
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2006
Last updated May 28th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750392338 NPPES
California MEDICAID PHA390790
California Other 0548531

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