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SAFEWAY INC
CH10208J ONE COMMUNITY HEALTH
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Covered Entity Details
Entity Name
ONE COMMUNITY HEALTH
Subdivision Name
One Community Health - Dufur School Health Center
Type
HRSA-Funded Health Center
340B ID
CH10208J
Entity Address
802 NE 5th St
Dufur, OR 97021
Grant Number
H80CS00426
Participating Start Date
10/1/2024
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
SAFEWAY INC
Pharmacy Address
SAFEWAY PHARMACY #1489
520 MT HOOD ST
THE DALLES, OR 97058-3555
Pharmacy Comments
Contract Details
Approval Date
8/13/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Renerose Hinkle, Chief Financial Officer
(541) 256-4404
Contract Pharmacy Representative
Wellpartner
Morgan Moore, Senior Account Manager
(480) 204-3096
Signed By Date
7/11/2024
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