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SAFEWAY INC
CAH031301-00 BENSON HOSPITAL
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Covered Entity Details
Entity Name
BENSON HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH031301-00
Entity Address
450 S. OCOTILLO
BENSON, AZ 85602-2990
Medicare Provider Number
031301
Participating Start Date
7/1/2019
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
SAFEWAY INC
Pharmacy Address
SAFEWAY PHARMACY #0272
650 N BISBEE AVENUE
WILLCOX, AZ 85643
Pharmacy Comments
Contract Details
Approval Date
1/25/2022
Contract Begin Date
4/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Julia Strange, CEO
(520) 720-6543
Contract Pharmacy Representative
Albertsons Companies
Chuck Hanson, Senior 340B Program Manager
(208) 395-6304
Signed By Date
1/25/2022
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