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SAFEWAY INC
CAH051305-00 MAYERS MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
MAYERS MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH051305-00
Entity Address
43563 HIGHWAY 299 EAST
FALL RIVER MILLS, CA 96028
Medicare Provider Number
051305
Participating Start Date
1/1/2021
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
SAFEWAY INC
Pharmacy Address
SAFEWAY PHARMACY #4178
37264 MAIN STREET
BURNEY, CA 96013
Pharmacy Comments
Contract Details
Approval Date
4/28/2014
Contract Begin Date
7/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2016
Contacts
Covered Entity Signing Official
MATTHEW REES, CEO
(530) 336-5554 Ext: 1132
Contract Pharmacy Representative
Safeway
Thuy Le, 340B Program Manager
(925) 467-2825
Signed By Date
4/28/2014
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