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SAFEWAY INC
CAH381302-00 SAMARITAN NORTH LINCOLN HOSPITAL
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Covered Entity Details
Entity Name
SAMARITAN NORTH LINCOLN HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH381302-00
Entity Address
3043 NE 28TH ST.
LINCOLN CITY, OR 97367
Medicare Provider Number
381302
Participating Start Date
8/3/2010
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
SAFEWAY INC
Pharmacy Address
SAFEWAY PHARMACY #0415
4101 NW LOGAN RD
LINCOLN CITY, OR 97367
Pharmacy Comments
Contract Details
Approval Date
6/20/2012
Contract Begin Date
6/20/2012
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Dan Smith, Chief Financial Officer
(541) 768-5390
Contract Pharmacy Representative
Safeway
charles Hanson, 340B program manager
(208) 395-6304
Signed By Date
5/23/2012
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