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SAFEWAY INC
CH10792L COUNTY OF LANE
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Covered Entity Details
Entity Name
COUNTY OF LANE
Subdivision Name
LANE COUNTY MENTAL HEALTH
Type
HRSA-Funded Health Center
340B ID
CH10792L
Entity Address
2411 Martin Luther King Jr Blvd
Eugene, OR 97401-5824
Grant Number
H80CS01443
Participating Start Date
4/1/2008
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
SAFEWAY INC
Pharmacy Address
SAFEWAY PHARMACY #4288
145 EAST 18TH STREET
EUGENE, OR 97401
Pharmacy Comments
Contract Details
Approval Date
8/15/2009
Contract Begin Date
8/15/2009
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Safeway
Merle Jarvill, Director, Managed Care
(623) 869-4260
Signed By Date
8/11/2009
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