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VALLEY HEALTH CENTER AT SAN JOSE PHARMAC
CH09021Q Gardner Family Health Network, Inc.
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Covered Entity Details
Entity Name
Gardner Family Health Network, Inc.
Subdivision Name
Gardner Downtown Health Center
Type
HRSA-Funded Health Center
340B ID
CH09021Q
Entity Address
725 E Santa Clara St
San Jose, CA 95112-1900
Grant Number
H80CS00359
Participating Start Date
10/1/2012
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
VALLEY HEALTH CENTER AT SAN JOSE PHARMAC
Pharmacy Address
750 SOUTH BASCOM AVE
SAN JOSE, CA 95128
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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