340B Drug Pricing Program Database
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SAFEWAY INC
CH106300 BOUNDARY REGIONAL COMMUNITY HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
BOUNDARY REGIONAL COMMUNITY HEALTH CENTER, INC.
Subdivision Name
BOUNDARY REGIONAL CHC
Type
HRSA-Funded Health Center
340B ID
CH106300
Entity Address
6615 COMANCHE ST
BONNERS FERRY, ID 83805
Grant Number
H80CS00302
Participating Start Date
10/1/2004
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
SAFEWAY INC
Pharmacy Address
SAFEWAY PHARMACY #1159
121 W. WALNUT ST
NEWPORT, WA 99156
Pharmacy Comments
Contract Details
Approval Date
1/9/2014
Contract Begin Date
4/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
VICTORIA McCLELLAN KING, CEO
(208) 263-7101 Ext: 2202
Contract Pharmacy Representative
Safeway
Thuy Le, 340B Program Manager
(925) 467-2825
Signed By Date
1/9/2014
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