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SAFEWAY INC
FQHC638292 GILA RIVER HEALTH CARE CORPORATION
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Covered Entity Details
Entity Name
GILA RIVER HEALTH CARE CORPORATION
Subdivision Name
HU HU KAM MEMORIAL HOSPITAL
Type
Tribal Contract/Compact with IHS (P.L. 93-638)
340B ID
FQHC638292
Entity Address
483 W SEED FARM ROAD
SACATON, AZ 85147
Grant Number
Participating Start Date
10/1/2007
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
SAFEWAY INC
Pharmacy Address
SAFEWAY PHARMACY #1732
1449 N. ARIZONA BLVD
COOLIDGE, AZ 85128-3214
Pharmacy Comments
01/31/2013 update zip (was 85128)
Contract Details
Approval Date
1/15/2015
Contract Begin Date
4/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Ginger Fligger, CEO
(602) 528-1470
Contract Pharmacy Representative
Safeway
Thuy Le, 340B Program Manager
(925) 467-2825
Signed By Date
1/15/2015
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