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SAFEWAY INC
CH107200 COLUMBIA RIVER COMMUNITY HEALTH SERVICES
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Covered Entity Details
Entity Name
COLUMBIA RIVER COMMUNITY HEALTH SERVICES
Subdivision Name
Columbia River Community Health Services
Type
HRSA-Funded Health Center
340B ID
CH107200
Entity Address
450 Tatone Street
Boardman, OR 97818-9735
Grant Number
H80CS04207
Participating Start Date
4/1/2005
Last Recertification Date
3/6/2025
Pharmacy Details
Pharmacy Name
SAFEWAY INC
Pharmacy Address
SAFEWAY PHARMACY #0444
990 HWY 395 S
HERMISTON, OR 97838
Pharmacy Comments
Contract Details
Approval Date
5/4/2012
Contract Begin Date
5/4/2012
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Mindy Binder, Interim Chief Executive Director
(541) 481-7212 Ext: 229
Contract Pharmacy Representative
SAFEWAY PHARMACY
Merle Jarvill, Director of Manages Care
(623) 869-4260
Signed By Date
4/20/2012
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