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SAFEWAY INC
CH10257B COMMUNITY HEALTH ASSOCIATION OF SPOKANE
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Covered Entity Details
Entity Name
COMMUNITY HEALTH ASSOCIATION OF SPOKANE
Subdivision Name
Valley Clinic
Type
HRSA-Funded Health Center
340B ID
CH10257B
Entity Address
15812 E Indiana Ave
Spokane Valley, WA 99216
Grant Number
H80CS00319
Participating Start Date
1/1/2001
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
SAFEWAY INC
Pharmacy Address
SAFEWAY PHARMACY #1740
2710 1ST STREET
CHENEY, WA 99004
Pharmacy Comments
Contract Details
Approval Date
4/10/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Aaron Wilson, CEO
(509) 444-8888
Contract Pharmacy Representative
Albertsons Companies
Chuck Hanson, Senior 340B Program Manager
(208) 395-6304
Signed By Date
4/10/2020
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