Pharmacy Details

SAFEWAY INC - information as of 5/16/2025 12:03:07 AM

Name
SAFEWAY INC

Address

SAFEWAY PHARMACY #1516
4990 N. RIVER ROAD
KEIZER, OR 97303

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	CH100760	NORTHWEST HUMAN SERVICES, INC.		HRSA-Funded Health Center	681 CENTER STREET NE		SALEM	OR	11/14/2008		3/28/2013 3:11 PM
Details	CH10076A	NORTHWEST HUMAN SERVICES, INC.	WEST SALEM CLINIC	HRSA-Funded Health Center	1233 EDGEWATER AVENUE, NW		SALEM	OR	11/14/2008		3/28/2013 3:11 PM
Details	CH10076D	NORTHWEST HUMAN SERVICES, INC.	WEST SALEM DENTAL CLINIC	HRSA-Funded Health Center	1233 Edgewater St NW STE D		SALEM	OR	11/14/2008		3/28/2013 3:11 PM
Details	CH10076E	NORTHWEST HUMAN SERVICES, INC.	HOMELESS OUTREACH & ADVOCACY PROJECT (HOAP)	HRSA-Funded Health Center	694 CHURCH STREET, NE		SALEM	OR	11/14/2008		3/28/2013 3:11 PM
Details	CH10076G	NORTHWEST HUMAN SERVICES, INC.	WEST SALEM CLINIC - MENTAL HEALTH	HRSA-Funded Health Center	1233 Edgewater St NW STE B		SALEM	OR	11/14/2008		3/28/2013 3:11 PM
Details	CH10076H	NORTHWEST HUMAN SERVICES, INC.	TOTAL HEALTH COMMUNIITY CLINIC	HRSA-Funded Health Center	180 ATWATER STREET, N		MONMOUTH	OR	10/01/2023		10/1/2023 12:01 AM
Details	CH10076J	NORTHWEST HUMAN SERVICES, INC.	HOST YOUTH & FAMILY PROGRAM	HRSA-Funded Health Center	1143 LIBERTY STREET, NE		SALEM	OR	11/14/2008		3/28/2013 3:11 PM
Details	CH10076K	NORTHWEST HUMAN SERVICES, INC.	QUICKCARE CLINIC	HRSA-Funded Health Center	1233 Edgewater St NW STE A		Salem	OR	10/01/2023		10/1/2023 12:01 AM
Details	DSH380051	Salem Health		Disproportionate Share Hospital	890 Oak Street SE		Salem	OR	10/01/2016		7/14/2016 4:13 PM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			SAFEWAY INC SAFEWAY PHARMACY #1516 4990 N. RIVER ROAD KEIZER, OR 97303	2/1/2018 4:14 PM
Details	Name	Update		SAFEWAY PHARMACY #1516	SAFEWAY INC	2/1/2018 4:14 PM
Addresses	Pharmacy Address	Insert			SAFEWAY PHARMACY #1516 4990 N. RIVER ROAD KEIZER, OR 97303	9/29/2017 6:44 AM
Addresses	Pharmacy Address	Update		SAFEWAY STORES PHARMACY #1516 4990 RIVER RD N. KEIZER, OR 97303	SAFEWAY PHARMACY #1516 4990 N. RIVER ROAD KEIZER, OR 97303	3/28/2013 4:34 PM
Details	Name	Update		SAFEWAY STORES PHARMACY #1516	SAFEWAY PHARMACY #1516	3/28/2013 4:34 PM
Details	Comments	Insert				11/14/2008 2:18 PM
Details	Is Deleted	Insert			False	11/14/2008 2:18 PM
Addresses	Pharmacy Address	Insert			SAFEWAY STORES PHARMACY #1516 4990 RIVER RD N. KEIZER, OR 97303	11/14/2008 2:18 PM
Details	Name	Insert			SAFEWAY STORES PHARMACY #1516	11/14/2008 2:18 PM