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CH091181AN SANTA CLARA, COUNTY OF (Active)
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Main Details
Name
SANTA CLARA, COUNTY OF
Subdivision Name
Reentry Mobile Medical Unit #4
Type
HRSA-Funded Health Center
Site ID
BPS-H80-038383
340B ID
CH091181AN
Grant Number
H80CS01442
Additional Details
Current Program Status
Active
Registration Date
4/12/2024
Participating Start Date
7/1/2024
Participating Approval Date
6/3/2024
Last Recertification Date
2/20/2025
Contacts
Authorizing Official
SCVMC
Narinder Singh, Director of Pharmacy
(408) 885-2300
Primary Contact
Santa Clara Valley Health and Hospital System
Jennefer Yoon, Assistant Director of Pharmacy
(408) 885-7636
Addresses
Street Address
725 E Santa Clara St
San Jose, CA 95112-1900
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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