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General NPI Number Information
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NPI Number | 1033951462
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Entity Type | Organization
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Legal Business Name | CONTRA COSTA COUNTY
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Dates
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Enumeration Date | 06/07/2024
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 1000 WARD ST MARTINEZ DETENTION FACILITY PHARMACY
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City | MARTINEZ
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State | CA
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Zip | 94553-1360
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Country | US
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Telephone | 925-335-4708
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Fax |
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Provider Business Mailing Address
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Address Line | 2500 ALHAMBRA AVE CONTRA COSTA REGIONAL MEDICAL CENTER INPATIENT PHARMACY
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City | MARTINEZ
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State | CA
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Zip | 94553-3156
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Country | US
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Telephone | 925-335-7474
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Fax |
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Authorized Official
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Title or Position | DEPUTY CFO
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Name | DAVID D. LEE
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Credential | MBA, FHFMA
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Telephone | 925-957-5445
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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