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SAFEWAY INC
CH10248F COWLITZ FAMILY HEALTH CENTER
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Covered Entity Details
Entity Name
COWLITZ FAMILY HEALTH CENTER
Subdivision Name
FHC Kelso Clinic
Type
HRSA-Funded Health Center
340B ID
CH10248F
Entity Address
300 Oak Street STE B
Kelso, WA 98626-2304
Grant Number
H80CS00542
Participating Start Date
10/1/2014
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
SAFEWAY INC
Pharmacy Address
SAFEWAY PHARMACY #0091
1227 15TH AVENUE
LONGVIEW, WA 98632
Pharmacy Comments
Contract Details
Approval Date
10/6/2014
Contract Begin Date
1/1/2015
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
DIAN COOPER, CEO
(360) 636-3892
Contract Pharmacy Representative
Safeway
Merle Jarvill, Director, Managed Care
(623) 869-4260
Signed By Date
10/6/2014
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