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SAFEWAY INC
CAH501331-00 Public Hospital District #1-A DBA Pullman Regional Hospital
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Covered Entity Details
Entity Name
Public Hospital District #1-A DBA Pullman Regional Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH501331-00
Entity Address
835 SE Bishop Blvd
Pullman, WA 99163
Medicare Provider Number
501331
Participating Start Date
4/1/2012
Last Recertification Date
8/12/2024
Pharmacy Details
Pharmacy Name
SAFEWAY INC
Pharmacy Address
SAFEWAY PHARMACY #0383
1320 S BLAINE STREET
MOSCOW, ID 83843-3971
Pharmacy Comments
Contract Details
Approval Date
7/17/2017
Contract Begin Date
10/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Steve Douglas Febus, CFO
(509) 336-7362
Contract Pharmacy Representative
Chuck Hanson, 340B Program Manager
(208) 395-6304
Signed By Date
7/17/2017
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