Contract Pharmacy Details

SAFEWAY INC
CHC26604-00 NEIGHBORHOOD OUTREACH ACCESS TO HEALTH

Covered Entity Details

Entity Name

NEIGHBORHOOD OUTREACH ACCESS TO HEALTH

Subdivision Name

Heuser Family Health Center

Type

HRSA-Funded Health Center

340B ID

CHC26604-00

Entity Address

7301 E 2nd Street # 210
Scottsdale, AZ 85251

Grant Number

H80CS26604

Participating Start Date

7/1/2014

Last Recertification Date

2/2/2023

Entity Termination Date

7/1/2023

Pharmacy Details

Pharmacy Name

SAFEWAY INC

Pharmacy Address

SAFEWAY PHARMACY #0240
3450 W BELL RD
PHOENIX, AZ 85053-2926

Pharmacy Comments

Contract Details

Approval Date

4/14/2017

Contract Begin Date

7/1/2017

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/17/2018
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Wendy Armendariz, Chief Executive Officer
(602) 786-0003

Contract Pharmacy Representative

Albertsons Companies
Chuck Hanson, Senior 340B Program Manager
(208) 395-6304

Signed By Date

4/14/2017

340B Drug Pricing Program Database