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SAFEWAY INC
CAH381306-00 Wallowa County Health Care District DBA Wallowa Memorial Hospital
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Covered Entity Details
Entity Name
Wallowa County Health Care District DBA Wallowa Memorial Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH381306-00
Entity Address
601 Medical Parkway
Enterprise, OR 97828
Medicare Provider Number
381306
Participating Start Date
10/1/2011
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
SAFEWAY INC
Pharmacy Address
SAFEWAY PHARMACY #0371
601 W NORTH ST
ENTERPRISE, OR 97828-1427
Pharmacy Comments
Contract Details
Approval Date
10/15/2015
Contract Begin Date
1/1/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Joe Wanner, Chief Financial Officer
(541) 426-5460
Contract Pharmacy Representative
Masina Berry, 340B Analyst
(208) 395-3860
Signed By Date
10/15/2015
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