Contract Pharmacy Details

SAFEWAY INC
CH081460 PEAK VISTA COMMUNITY HEALTH CENTERS

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 #1644
7655 MCLAUGHLIN RD
FALCON, CO 80831

Pharmacy Comments

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

340B Drug Pricing Program Database