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SAFEWAY INC
DSH380021 TUALITY HEALTHCARE
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Covered Entity Details
Entity Name
TUALITY HEALTHCARE
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH380021
Entity Address
335 SE 8TH AVE
HILLSBORO, OR 97123
Medicare Provider Number
380021
Participating Start Date
7/1/2010
Last Recertification Date
9/2/2024
Pharmacy Details
Pharmacy Name
SAFEWAY INC
Pharmacy Address
SAFEWAY PHARMACY #0406
2836 PACIFIC AVENUE
FOREST GROVE, OR 97116
Pharmacy Comments
Contract Details
Approval Date
4/4/2013
Contract Begin Date
7/1/2013
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
TIMOTHY L. FLEISCHMANN, CFO
(503) 681-1579
Contract Pharmacy Representative
THE VONS COMPANIES INC
Matt Vian, 340B Program Administrator
(623) 869-3454
Signed By Date
4/4/2013
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