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SAFEWAY INC
CH101340 YAKIMA NEIGHBORHOOD HEALTH SERVICES
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Covered Entity Details
Entity Name
YAKIMA NEIGHBORHOOD HEALTH SERVICES
Subdivision Name
Type
HRSA-Funded Health Center
340B ID
CH101340
Entity Address
12 SOUTH 8TH STREET
YAKIMA, WA 98901
Grant Number
H80CS06078
Participating Start Date
4/1/1999
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
SAFEWAY INC
Pharmacy Address
SAFEWAY PHARMACY #0563
613 S. 6TH ST.
SUNNYSIDE, WA 98944
Pharmacy Comments
Contract Details
Approval Date
4/1/2013
Contract Begin Date
7/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/1/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
ANITA MONOIAN, CEO
(509) 574-5550
Contract Pharmacy Representative
SAFEWAY PHARMACY
Merle Jarvill, Director of Manages Care
(623) 869-4260
Signed By Date
4/1/2013
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