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SAFEWAY INC
CAH051311-00 ORCHARD HOSPITAL
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Covered Entity Details
Entity Name
ORCHARD HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH051311-00
Entity Address
240 SPRUCE ST.
GRIDLEY, CA 95948
Medicare Provider Number
051311
Participating Start Date
1/1/2011
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
SAFEWAY INC
Pharmacy Address
SAFEWAY PHARMACY #2287
1596 STATE HWY 99
GRIDLEY, CA 95948
Pharmacy Comments
Contract Details
Approval Date
11/17/2011
Contract Begin Date
11/17/2011
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
David Yarbrough, CEO
(530) 846-5671 Ext: 1274
Contract Pharmacy Representative
SAFEWAY PHARMACY
Merle Jarvill, Director of Manages Care
(623) 869-4260
Signed By Date
11/10/2011
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