340B Drug Pricing Program Database
SAFEWAY INC
RWIID97232 Oregon Health Authority - information as of 5/28/2025 12:29:26 AM
Covered Entity Details
Entity Name
Oregon Health Authority
Subdivision Name
ADAP / CAREAssist
Type
Ryan White Part B ADAP Direct Purchase
340B ID
RWIID97232
Entity Address
800 NE Oregon St.
Suite 1105
Portland, OR 97232
Grant Number
X07HA00007
Participating Start Date
10/1/2011
Last Recertification Date
2/25/2025
Pharmacy Details
Pharmacy Name
SAFEWAY INC
Pharmacy Address
SAFEWAY PHARMACY #1665
1705 S HWY 97
REDMOND, OR 97756
Pharmacy Comments
Contract Details
Approval Date
9/27/2011
Contract Begin Date
10/1/2011
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Victor J. Fox, ADAP Manager
(971) 673-0176
Contract Pharmacy Representative
Albertsons Companies
Chuck Hanson, Senior 340B Program Manager
(208) 395-6304
Signed By Date
9/26/2011
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