Pharmacy Details

SAFEWAY PHARMACY #4520 - information as of 4/29/2025 12:51:00 AM

Name
SAFEWAY PHARMACY #4520

Address

11696 NE 76TH
VANCOUVER, WA 98662

Comments

Contracts
History

Contracts

Contract Detail	340B ID	Entity Name	Sub Name	Entity Type	Address	Address Cont.	City	State	Begin Date	Term Date	Edit Date
Details	DSH500050	PeaceHealth Southwest Medical Center		Disproportionate Share Hospital	400 NE Mother Joseph Place		VANCOUVER	WA	04/26/2012	05/04/2016	10/25/2016 12:46 PM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Update		Safeway #4520 11696 NE 76th St Vancouver, WA 98662	SAFEWAY PHARMACY #4520 11696 NE 76TH VANCOUVER, WA 98662	3/28/2013 4:35 PM
Details	Name	Update		Safeway #4520	SAFEWAY PHARMACY #4520	3/28/2013 4:35 PM
Details	Comments	Insert				4/2/2012 9:58 AM
Details	Is Deleted	Insert			False	4/2/2012 9:58 AM
Addresses	Pharmacy Address	Insert			Safeway #4520 11696 NE 76th St Vancouver, WA 98662	4/2/2012 9:58 AM
Details	Name	Insert			Safeway #4520	4/2/2012 9:58 AM