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SAFEWAY INC
DSH050006 St. Joseph Health Northern California, LLC-DBA St. Joseph Hospital
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Covered Entity Details
Entity Name
St. Joseph Health Northern California, LLC-DBA St. Joseph Hospital
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH050006
Entity Address
2700 DOLBEER STREET
EUREKA, CA 95501
Medicare Provider Number
050006
Participating Start Date
4/1/2009
Last Recertification Date
8/16/2024
Pharmacy Details
Pharmacy Name
SAFEWAY INC
Pharmacy Address
SAFEWAY PHARMACY #2908
2555 HARRIS STREET
EUREKA, CA 95503
Pharmacy Comments
03/16/2012 changed zip (was 95501); 01/11/2012 address and name change (was Safeway Pharmacy #0641, 2850 F STREET)
Contract Details
Approval Date
5/4/2012
Contract Begin Date
5/4/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/19/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Jim Strong, VP Finance/CFO
(707) 445-8121 Ext: 7491
Contract Pharmacy Representative
Safeway
Merle Jarvill, Director, Managed Care
(623) 869-4260
Signed By Date
4/23/2012
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