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O'CONNOR OUT-PATIENT PHARMACY
CHC26615-00 Asian Americans For Community Involvement Of Santa Clara, Inc, The
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Covered Entity Details
Entity Name
Asian Americans For Community Involvement Of Santa Clara, Inc, The
Subdivision Name
AACI
Type
HRSA-Funded Health Center
340B ID
CHC26615-00
Entity Address
2400 Moorpark Ave STE 300
San Jose, CA 95128-2680
Grant Number
H80CS26615
Participating Start Date
7/1/2023
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
O'CONNOR OUT-PATIENT PHARMACY
Pharmacy Address
2101 Forest Ave Suite 122
San Jose, CA 95128-1424
Pharmacy Comments
Contract Details
Approval Date
4/15/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Sarita Kohli, President and CEO
(408) 975-2730 Ext: 106
Contract Pharmacy Representative
SCVMC
Narinder Singh, Director of Pharmacy
(408) 885-2300
Signed By Date
4/15/2024
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