Contract Pharmacy Details

SANTA CLARA VALLEY MEDICAL CENTER
CH091181L SANTA CLARA, COUNTY OF

Covered Entity Details

Entity Name

SANTA CLARA, COUNTY OF

Subdivision Name

Valley Health Center Lenzen

Type

HRSA-Funded Health Center

340B ID

CH091181L

Entity Address

976 Lenzen Ave
Suite 1500B
San Jose, CA 95126-2737

Grant Number

H80CS01442

Participating Start Date

4/1/2009

Last Recertification Date

2/22/2023

Entity Termination Date

4/1/2024

Pharmacy Details

Pharmacy Name

SANTA CLARA VALLEY MEDICAL CENTER

Pharmacy Address

DISCHARGE PHARMACY
751 SOUTH BASCOM AVE, MAIN HOSPITAL BUIL
SAN JOSE, CA 95128

Pharmacy Comments

Contract Details

Approval Date

7/7/2016

Contract Begin Date

10/1/2016

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

6/6/2018
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Paul Edward Lorenz, Chief Executive Officer
(408) 885-4004

Contract Pharmacy Representative

SCVMC
Narinder Singh, Director of Pharmacy
(408) 885-2300

Signed By Date

7/7/2016

340B Drug Pricing Program Database