340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
SAFEWAY INC
CAH051311-01 ORCHARD HOSPITAL
Print
Covered Entity Details
Entity Name
ORCHARD HOSPITAL
Subdivision Name
MEDICAL SPECIALTY CENTER
Type
Critical Access Hospital
340B ID
CAH051311-01
Entity Address
284 Spruce St
Gridley, CA 95948
Medicare Provider Number
051311
Outpatient Facility Provider Number
Participating Start Date
1/1/2011
Last Recertification Date
8/19/2024
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
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
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