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SAFEWAY INC
CH090660 MISSION AREA HEALTH ASSOCIATES
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Covered Entity Details
Entity Name
MISSION AREA HEALTH ASSOCIATES
Subdivision Name
MISSION NEIGHBORHOOD HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH090660
Entity Address
240 Shotwell St
San Francisco, CA 94110-1323
Grant Number
H80CS00590
Participating Start Date
12/1/1992
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
SAFEWAY INC
Pharmacy Address
SAFEWAY PHARMACY #0964
4950 MISSION ST
SAN FRANCISCO, CA 94112
Pharmacy Comments
Contract Details
Approval Date
10/15/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Brenda Y. Storey, CEO
(415) 552-1013 Ext: 2201
Contract Pharmacy Representative
Albertsons Companies
Chuck Hanson, Senior 340B Program Manager
(208) 395-6304
Signed By Date
10/15/2019
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