340B Drug Pricing Program Database
SAFEWAY INC
CAH381307-00 Harney District Hospital - information as of 5/18/2025 12:50:21 AM
Covered Entity Details
Entity Name
Harney District Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH381307-00
Entity Address
557 W Washington
Burns, OR 97720
Medicare Provider Number
381307
Participating Start Date
4/1/2013
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
SAFEWAY INC
Pharmacy Address
SAFEWAY PHARMACY #1888
320 SW CENTURY DR
BEND, OR 97702-3037
Pharmacy Comments
Contract Details
Approval Date
4/15/2015
Contract Begin Date
7/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/9/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Catherine White, Chief Financial Officer
(541) 573-5187
Contract Pharmacy Representative
Safeway
Thuy Le, 340B Program Manager
(925) 467-2825
Signed By Date
4/15/2015
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