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SAFEWAY INC
CH09175D MOUNTAIN VALLEYS HEALTH CENTERS
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Covered Entity Details
Entity Name
MOUNTAIN VALLEYS HEALTH CENTERS
Subdivision Name
Burney Health Center
Type
HRSA-Funded Health Center
340B ID
CH09175D
Entity Address
37491 Enterprise Dr
Burney, CA 96013-4386
Grant Number
H80CS00260
Participating Start Date
7/1/2005
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
SAFEWAY INC
Pharmacy Address
SAFEWAY PHARMACY #4178
37264 MAIN STREET
BURNEY, CA 96013
Pharmacy Comments
Contract Details
Approval Date
11/7/2009
Contract Begin Date
11/7/2009
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Safeway
Merle Jarvill, Director, Managed Care
(623) 869-4260
Signed By Date
10/6/2009
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