340B Drug Pricing Program Database

Pharmacy Name

SCVH&HS REFILL CTR PHARMACY

Pharmacy Address

871 ENBORG COURT
UNIT 200
SAN JOSE, CA 95128

Pharmacy Comments

Approval Date

2/14/2013

Contract Begin Date

4/1/2013

Carve-In Effective Date

Contract Comments

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

1/22/2013