Contract Pharmacy Details

ALBERTSONS LLC
CH10163N Valley Family Health Care, Inc.

Covered Entity Details

Entity Name

Valley Family Health Care, Inc.

Subdivision Name

Emmett Dental Clinic

Type

HRSA-Funded Health Center

340B ID

CH10163N

Entity Address

1020 E Locust Ave
Emmett, ID 83617-2813

Grant Number

H80CS00556

Participating Start Date

1/1/2023

Last Recertification Date

2/12/2025

Pharmacy Details

Pharmacy Name

ALBERTSONS LLC

Pharmacy Address

SAV-ON PHARMACY #168
405 S MAIN ST
PAYETTE, ID 83661

Pharmacy Comments

Contract Details

Approval Date

10/13/2023

Contract Begin Date

1/1/2024

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Ben Murray, COO
(208) 642-7364

Contract Pharmacy Representative

Albertsons Companies
Chuck Hanson, Senior 340B Program Manager
(208) 395-6304

Signed By Date

10/13/2023

340B Drug Pricing Program Database