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SANTA CLARA COUNTY PUBLIC
CH09021A Gardner Family Health Network, Inc.
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Covered Entity Details
Entity Name
Gardner Family Health Network, Inc.
Subdivision Name
GARDNER HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH09021A
Entity Address
195 E Virginia St
San Jose, CA 95112-5844
Grant Number
H80CS00359
Participating Start Date
7/1/2007
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
SANTA CLARA COUNTY PUBLIC
Pharmacy Address
VHC AT LENZEN PHARMACY
976 LENZEN AVENUE
SAN JOSE, CA 95126
Pharmacy Comments
Contract Details
Approval Date
2/14/2013
Contract Begin Date
4/1/2013
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
1/22/2013
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