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SAFEWAY INC
CH081460 PEAK VISTA COMMUNITY HEALTH CENTERS
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Covered Entity Details
Entity Name
PEAK VISTA COMMUNITY HEALTH CENTERS
Subdivision Name
Peak Vista Administrative Services Center
Type
HRSA-Funded Health Center
340B ID
CH081460
Entity Address
3205 N Academy Blvd Ste 130
Colorado Springs, CO 80917
Grant Number
H80CS00212
Participating Start Date
12/1/1992
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
SAFEWAY INC
Pharmacy Address
SAFEWAY PHARMACY #1532
220 ELIZABETH ST.
ELIZABETH, CO 80107-7562
Pharmacy Comments
06/14/2012 changed address (was 220 S. Elizabeth St.)
Contract Details
Approval Date
9/5/2014
Contract Begin Date
10/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/20/2015
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
PAMELA J. MCMANUS, PRESIDENT AND CEO
(719) 344-6453
Contract Pharmacy Representative
Safeway
Thuy Le, 340B Program Manager
(925) 467-2825
Signed By Date
9/5/2014
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