340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
SAFEWAY INC
CAH131301-00 BOUNDARY COMMUNITY HOSPITAL
Print
Covered Entity Details
Entity Name
BOUNDARY COMMUNITY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH131301-00
Entity Address
6640 KANIKSU
BONNERS FERRY, ID 83805
Medicare Provider Number
131301
Participating Start Date
1/1/2023
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
SAFEWAY INC
Pharmacy Address
SAFEWAY PHARMACY #2954
6519 MAIN STREET
BONNERS FERRY, ID 83805
Pharmacy Comments
Contract Details
Approval Date
4/6/2017
Contract Begin Date
7/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2022
Covered Entity Terminated
Contacts
Covered Entity Signing Official
CRAIG JOHNSON, CEO
(208) 267-4850
Contract Pharmacy Representative
Albertsons Companies
Chuck Hanson, Senior 340B Program Manager
(208) 395-6304
Signed By Date
4/6/2017
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session