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SAFEWAY INC
CH10102CE Sea Mar Community Health Centers
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Covered Entity Details
Entity Name
Sea Mar Community Health Centers
Subdivision Name
Sea Mar CHC - Kent 233 2nd Ave. S.
Type
HRSA-Funded Health Center
340B ID
CH10102CE
Entity Address
233 2nd Ave. S.
Kent, WA 98032
Grant Number
H80CS00445
Participating Start Date
10/1/2014
Last Recertification Date
2/17/2025
Pharmacy Details
Pharmacy Name
SAFEWAY INC
Pharmacy Address
SAFEWAY PHARMACY #1294
210 WASHINGTON AVENUE SOUTH
KENT, WA 98032
Pharmacy Comments
Contract Details
Approval Date
10/11/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Mary Bartolo, Executive Vice President
(206) 763-5277
Contract Pharmacy Representative
Albertsons Companies
Chuck Hanson, Senior 340B Program Manager
(208) 395-6304
Signed By Date
10/11/2023
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