Contract Pharmacy Details

SAFEWAY INC
CH10102Q Sea Mar Community Health Centers

Covered Entity Details

Entity Name

Sea Mar Community Health Centers

Subdivision Name

Sea Mar CHC - Olympia 3030 Limited Lane NW

Type

HRSA-Funded Health Center

340B ID

CH10102Q

Entity Address

3030 LIMITED LN NW
OLYMPIA, WA 98502

Grant Number

H80CS00445

Participating Start Date

10/1/2001

Last Recertification Date

2/17/2025

Pharmacy Details

Pharmacy Name

SAFEWAY INC

Pharmacy Address

SAFEWAY PHARMACY #1464
3215 HARRISON AVE NW
OLYMPIA, WA 98502

Pharmacy Comments

Contract Details

Approval Date

12/10/2010

Contract Begin Date

12/10/2010

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Contract Pharmacy Representative

Safeway
Merle Jarvill, Director, Managed Care
(623) 869-4260

Signed By Date

340B Drug Pricing Program Database