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SAFEWAY PHARMACY #4903
CH091140 SAN MATEO, COUNTY OF
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Covered Entity Details
Entity Name
SAN MATEO, COUNTY OF
Subdivision Name
39th Outpatient Clinics
Type
HRSA-Funded Health Center
340B ID
CH091140
Entity Address
222 W 39th Ave
San Mateo, CA 94403-4364
Grant Number
H80CS00051
Participating Start Date
10/1/2001
Last Recertification Date
3/5/2025
Pharmacy Details
Pharmacy Name
SAFEWAY PHARMACY #4903
Pharmacy Address
2710 MIDDLEFIELD ROAD
REDWOOD CITY, CA 94063
Pharmacy Comments
Contract Details
Approval Date
1/17/2014
Contract Begin Date
4/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2016
Pharmacy closed
Contacts
Covered Entity Signing Official
SUSAN EHRLICH, CEO
(650) 573-2041
Contract Pharmacy Representative
Albertsons
Anna Fung, Regional Pharmacy Manager
(415) 542-6224
Signed By Date
1/17/2014
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