340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
SAFEWAY INC
CAH501330-00 ASTRIA SUNNYSIDE HOSPITAL
Print
Covered Entity Details
Entity Name
ASTRIA SUNNYSIDE HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH501330-00
Entity Address
1016 TACOMA AVE
SUNNYSIDE, WA 98944
Medicare Provider Number
501330
Participating Start Date
1/1/2020
Last Recertification Date
8/27/2024
Pharmacy Details
Pharmacy Name
SAFEWAY INC
Pharmacy Address
SAFEWAY PHARMACY #1593
610 E. WINE COUNTRY ROAD
GRANDVIEW, WA 98930
Pharmacy Comments
Contract Details
Approval Date
1/10/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Cary Rowan, CFO
(509) 837-1655
Contract Pharmacy Representative
Albertsons Companies
Chuck Hanson, Senior 340B Program Manager
(208) 395-6304
Signed By Date
1/10/2020
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session