Healthcare Provider Details

I. General information

NPI: 1033951462
Provider Name (Legal Business Name): CONTRA COSTA COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2024
Last Update Date: 10/08/2025
Certification Date: 10/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 WARD ST MARTINEZ DETENTION FACILITY PHARMACY
MARTINEZ CA
94553-1360
US

IV. Provider business mailing address

2500 ALHAMBRA AVE CONTRA COSTA REGIONAL MEDICAL CENTER INPATIENT PHARMACY
MARTINEZ CA
94553-3156
US

V. Phone/Fax

Practice location:
  • Phone: 925-335-4708
  • Fax:
Mailing address:
  • Phone: 925-335-7474
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: DAVID D. LEE
Title or Position: DEPUTY CFO
Credential: MBA, FHFMA
Phone: 925-957-5445