340B Drug Pricing Program Database

Name

IRA GREENE PACE CLINIC

Subdivision Name

Type

Ryan White Part A

340B ID

RWI95128

Grant Number

SAN JOSE EMA

Current Program Status

Terminated

Registration Date

2/23/2006

Participating Start Date

4/1/2006

Participating Approval Date

2/24/2006

Last Recertification Date

3/6/2018

Time Period the Assistance was Received

Termination Date
Termination Reason

4/1/2019
Business decision by the Covered Entity

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

Street Address

2400 MOORPARK
SUITE 316
SAN JOSE, CA 95128

Billing Address
Same as Street Address