340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
SAFEWAY INC
CH10076K NORTHWEST HUMAN SERVICES, INC.
Print
Covered Entity Details
Entity Name
NORTHWEST HUMAN SERVICES, INC.
Subdivision Name
QUICKCARE CLINIC
Type
HRSA-Funded Health Center
340B ID
CH10076K
Entity Address
1233 Edgewater St NW STE A
Salem, OR 97304
Grant Number
H80CS00148
Participating Start Date
4/1/2014
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
SAFEWAY INC
Pharmacy Address
SAFEWAY PHARMACY #1629
1265 CENTER ST NE
SALEM, OR 97301
Pharmacy Comments
Contract Details
Approval Date
7/12/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
PAUL LOGAN, CEO
(503) 588-5828 Ext: 831
Contract Pharmacy Representative
Welllpartner
Kristen Hartlen, Sr. Account Manager
(480) 364-2573
Signed By Date
7/12/2023
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session