340B Drug Pricing Program Database

Pharmacy Name

ALBERTSON'S LLC

Pharmacy Address

SAFEWAY PHARMACY #252
690 GAGE BLVD
RICHLAND, WA 99352

Pharmacy Comments

Approval Date

4/15/2019

Contract Begin Date

7/1/2019

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Spencer Dwayne Harris, CFO
(509) 942-2708

Contract Pharmacy Representative

Albertsons Companies
Chuck Hanson, Senior 340B Program Manager
(208) 395-6304

Signed By Date

4/15/2019