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SAFEWAY INC
CAH501333-00 KITTITAS COUNTY PUBLIC HOSPITAL DISTRICT #1
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Covered Entity Details
Entity Name
KITTITAS COUNTY PUBLIC HOSPITAL DISTRICT #1
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH501333-00
Entity Address
603 S CHESTNUT ST
ELLENSBURG, WA 98926
Medicare Provider Number
501333
Participating Start Date
8/25/2010
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
SAFEWAY INC
Pharmacy Address
SAFEWAY PHARMACY #1135
804 W. 1ST ST.
CLE ELUM, WA 98922
Pharmacy Comments
Contract Details
Approval Date
3/16/2017
Contract Begin Date
4/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Rhonda Holden, Chief Ancillary Officer
(509) 962-7320
Contract Pharmacy Representative
Albertsons Companies
Chuck Hanson, Senior 340B Program Manager
(208) 395-6304
Signed By Date
3/16/2017
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