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SAFEWAY INC
CH101081G BENTON COUNTY
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Covered Entity Details
Entity Name
BENTON COUNTY
Subdivision Name
East Linn Health Center
Type
HRSA-Funded Health Center
340B ID
CH101081G
Entity Address
100 Mullins Drive, STE A-1
Lebanon, OR 97355-2805
Grant Number
H80CS02592
Participating Start Date
4/1/2008
Last Recertification Date
2/25/2025
Pharmacy Details
Pharmacy Name
SAFEWAY INC
Pharmacy Address
SAFEWAY PHARMACY #1558
1983 S MAIN ST
LEBANON, OR 97355
Pharmacy Comments
Contract Details
Approval Date
3/10/2010
Contract Begin Date
3/10/2010
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/31/2015
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
SHERLYN DAHL, Executive Director
(541) 766-6835
Contract Pharmacy Representative
Safeway
Merle Jarvill, Director, Managed Care
(623) 869-4260
Signed By Date
11/20/2009
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