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SAFEWAY INC
CH10102AE Sea Mar Community Health Centers
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Covered Entity Details
Entity Name
Sea Mar Community Health Centers
Subdivision Name
Sea Mar CHC - Burien Ambaum Blvd. SW
Type
HRSA-Funded Health Center
340B ID
CH10102AE
Entity Address
14434 Ambaum Blvd SW
Burien, WA 98166
Grant Number
H80CS00445
Participating Start Date
4/1/2008
Last Recertification Date
2/17/2025
Pharmacy Details
Pharmacy Name
SAFEWAY INC
Pharmacy Address
SAFEWAY PHARMACY #1664
138 SW 148TH ST
BURIEN, WA 98166
Pharmacy Comments
Contract Details
Approval Date
6/16/2011
Contract Begin Date
7/1/2011
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
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