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VALLEY HEALTH CENTER AT VASC PHARMACY
CH090210 GARDNER FAMILY HEALTH NETWORK, INC
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Covered Entity Details
Entity Name
GARDNER FAMILY HEALTH NETWORK, INC
Subdivision Name
Alviso Health Center
Type
HRSA-Funded Health Center
340B ID
CH090210
Entity Address
1621 GOLD ST
ALVISO, CA 95002
Grant Number
H80CS00359
Participating Start Date
4/1/2007
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
VALLEY HEALTH CENTER AT VASC PHARMACY
Pharmacy Address
2410 Senter Rd Rm 209
San Jose, CA 95111
Pharmacy Comments
Contract Details
Approval Date
4/13/2022
Contract Begin Date
7/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
EFRAIN CORIA, CHIEF OPERATIONS OFFICER
(408) 200-2291
Contract Pharmacy Representative
SCVMC
Narinder Singh, Director of Pharmacy
(408) 885-2300
Signed By Date
4/13/2022
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