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VHC AT EAST VALLEY PHARMACY
CH09815D South County Community Health Center, Inc.
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Covered Entity Details
Entity Name
South County Community Health Center, Inc.
Subdivision Name
Mayview Community Health Center Mountain VIew a member of Ravenswood Family Health Network
Type
HRSA-Funded Health Center
340B ID
CH09815D
Entity Address
900 Miramonte Ave Fl 2
Mountain View, CA 94040-2457
Grant Number
H80CS00145
Participating Start Date
4/29/2020
Last Recertification Date
2/21/2025
Pharmacy Details
Pharmacy Name
VHC AT EAST VALLEY PHARMACY
Pharmacy Address
1993 MCKEE RD
SAN JOSE, CA 95116
Pharmacy Comments
Contract Details
Approval Date
4/15/2020
Contract Begin Date
4/29/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
LUISA BUADA, CEO
(650) 330-7410
Contract Pharmacy Representative
SCVMC
Narinder Singh, Director of Pharmacy
(408) 885-2300
Signed By Date
4/15/2020
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