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ENBORG LANE PHARMACY
CH091181P SANTA CLARA, COUNTY OF
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Covered Entity Details
Entity Name
SANTA CLARA, COUNTY OF
Subdivision Name
HOMELESS DENTAL MOBILE UNIT
Type
HRSA-Funded Health Center
340B ID
CH091181P
Entity Address
500 Tully Rd
San Jose, CA 95111-1917
Grant Number
H80CS01442
Participating Start Date
1/1/2014
Last Recertification Date
2/9/2017
Entity Termination Date
4/1/2018
Pharmacy Details
Pharmacy Name
ENBORG LANE PHARMACY
Pharmacy Address
2221 ENBORG LANE
1J018
SAN JOSE, CA 95128
Pharmacy Comments
Contract Details
Approval Date
1/23/2014
Contract Begin Date
4/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2018
Covered Entity Terminated
Contacts
Covered Entity Signing Official
DAVID CLAUDE, CHIEF FINANCIAL OFFICER
(408) 793-6540
Contract Pharmacy Representative
SCVMC
Narinder Singh, Director of Pharmacy
(408) 885-2300
Signed By Date
1/23/2014
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