Contract Pharmacy Details

SAFEWAY INC
CH10792B COUNTY OF LANE

Covered Entity Details

Entity Name

COUNTY OF LANE

Subdivision Name

Springfield Schools Health Center

Type

HRSA-Funded Health Center

340B ID

CH10792B

Entity Address

1050 10th St
Springfield, OR 97477-4003

Grant Number

H80CS01443

Participating Start Date

4/1/2004

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

SAFEWAY INC

Pharmacy Address

SAFEWAY PHARMACY #4288
145 EAST 18TH STREET
EUGENE, OR 97401

Pharmacy Comments

Contract Details

Approval Date

10/10/2013

Contract Begin Date

1/1/2014

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

ALICIA HAYS, DIRECTOR, HEALTH & HUMAN SERVICES
(541) 682-4035

Contract Pharmacy Representative

Safeway
Thuy Le, 340B Program Manager
(925) 467-2825

Signed By Date

10/10/2013

340B Drug Pricing Program Database