340B Drug Pricing Program Database

Name

GARDNER FAMILY HEALTH NETWORK, INC.

Subdivision Name

Healthcare to the Homeless

Type

HRSA-Funded Health Center

Site ID

BPS-H80-001044

340B ID

CH09021S

Grant Number

H80CS00359

Current Program Status

Terminated

Registration Date

1/14/2013

Participating Start Date

4/1/2013

Participating Approval Date

2/25/2013

Last Recertification Date

1/27/2020

Termination Date
Termination Reason

4/1/2020
Site closure

Authorizing Official

Gardner Family Health Network, Inc.
EFRAIN CORIA, CHIEF OPERATIONS OFFICER
(408) 200-2291

Primary Contact

Gardner Family Health Network, Inc.
Helen Tong, Director of Pharmacy
(408) 918-2613

Street Address

1621 GOLD STREET
ALVISO, CA 95002

Billing Address

GARDNER FAMILY HEALTH NETWORK, INC.
1621 GOLD ST PO BOX 1240
ALVISO, CA 95002