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SANTA CLARA COUNTY PUBLIC
CHC02325-00 INDIAN HEALTH CENTER OF SANTA CLARA VALLEY
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Covered Entity Details
Entity Name
INDIAN HEALTH CENTER OF SANTA CLARA VALLEY
Subdivision Name
INDIAN HEALTH CENTER OF SANTA CLARA
Type
HRSA-Funded Health Center
340B ID
CHC02325-00
Entity Address
1333 Meridian Ave
San Jose, CA 95125-5212
Grant Number
H80CS02325
Participating Start Date
4/1/2013
Last Recertification Date
2/24/2025
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
4/10/2013
Contract Begin Date
7/1/2013
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Barbara Miao, Chief Financial Officer
(408) 445-3400 Ext: 2220
Contract Pharmacy Representative
SCVMC
Narinder Singh, Director of Pharmacy
(408) 885-2300
Signed By Date
4/10/2013
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