340B Drug Pricing Program Database
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SAFEWAY INC
CAH501305-00 Lincoln County Public Hospital District No. 3
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Covered Entity Details
Entity Name
Lincoln County Public Hospital District No. 3
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH501305-00
Entity Address
10 Nicholls St
Davenport, WA 99122
Medicare Provider Number
501305
Participating Start Date
7/1/2012
Last Recertification Date
8/28/2024
Pharmacy Details
Pharmacy Name
SAFEWAY INC
Pharmacy Address
SAFEWAY PHARMACY #3247
101 GRAND COULEE HWY
PO BOX 50
GRAND COULEE, WA 99133
Pharmacy Comments
Contract Details
Approval Date
1/15/2021
Contract Begin Date
4/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Tim O'Connell, CFO
(509) 725-2979 Ext: 1157
Contract Pharmacy Representative
Albertsons Companies
Chuck Hanson, Senior 340B Program Manager
(208) 395-6304
Signed By Date
1/15/2021
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