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VHC @ MILPITAS PHARMACY
CH09021E Gardner Family Health Network, Inc.
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Covered Entity Details
Entity Name
Gardner Family Health Network, Inc.
Subdivision Name
ST. JAMES HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH09021E
Entity Address
55 E Julian St
San Jose, CA 95112-4007
Grant Number
H80CS00359
Participating Start Date
12/1/1992
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
VHC @ MILPITAS PHARMACY
Pharmacy Address
143 N MAIN ST
SUITE 1038
MILPITAS, CA 95035-4322
Pharmacy Comments
12/04/2012 pharmacy update (was Valley Health Center at Silvercreek Pharmacy 1620 East Capitol Expressway San Jose 95121)
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
Narinder Singh, Director of Pharmacy
(408) 885-2300
Signed By Date
1/22/2013
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