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SAFEWAY INC
RRC380047-00 St. Charles Health System, Inc DBA St. Charles Medical Center-Bend
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Covered Entity Details
Entity Name
St. Charles Health System, Inc DBA St. Charles Medical Center-Bend
Subdivision Name
Type
Rural Referral Center
340B ID
RRC380047-00
Entity Address
2500 NE Neff Road
Bend, OR 97701
Medicare Provider Number
380047
Participating Start Date
7/1/2012
Last Recertification Date
8/6/2015
Entity Termination Date
7/1/2016
Pharmacy Details
Pharmacy Name
SAFEWAY INC
Pharmacy Address
SAFEWAY PHARMACY #1888
320 SW CENTURY DR
BEND, OR 97702-3037
Pharmacy Comments
Contract Details
Approval Date
3/15/2013
Contract Begin Date
4/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2016
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Karen Shepard, Chief Financial Officer
(541) 706-7707
Contract Pharmacy Representative
THE VONS COMPANIES INC
Matt Vian, 340B Program Administrator
(623) 869-3454
Signed By Date
2/14/2013
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