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SAFEWAY INC
CAH381315-00 ST. ALPHONSUS MEDICAL CENTER BAKER CITY
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Covered Entity Details
Entity Name
ST. ALPHONSUS MEDICAL CENTER BAKER CITY
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH381315-00
Entity Address
3325 POCAHONTAS ROAD
BAKER CITY, OR 97814
Medicare Provider Number
381315
Participating Start Date
7/1/2011
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
SAFEWAY INC
Pharmacy Address
SAFEWAY PHARMACY #4381
1205 CAMPBELL ST
BAKER CITY, OR 97814
Pharmacy Comments
Contract Details
Approval Date
1/16/2017
Contract Begin Date
4/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Kenneth Fry, VP Finance
(208) 367-3445
Contract Pharmacy Representative
Albertsons Companies
Chuck Hanson, Senior 340B Program Manager
(208) 395-6304
Signed By Date
1/16/2017
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