340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
SAFEWAY PHARMACY #4903
STD944039 SAN MATEO COUNTY HEALTH SERVICES AGENCY
Print
Covered Entity Details
Entity Name
SAN MATEO COUNTY HEALTH SERVICES AGENCY
Subdivision Name
PHPP, STD Control and Prevention
Type
Sexually Transmitted Diseases
340B ID
STD944039
Entity Address
225 W 37TH AVENUE, Building A
c/o STD Control Program
230
SAN MATEO, CA 94403
Grant Number
1H25PS005127
Participating Start Date
1/1/1998
Last Recertification Date
5/8/2024
Pharmacy Details
Pharmacy Name
SAFEWAY PHARMACY #4903
Pharmacy Address
2710 MIDDLEFIELD ROAD
REDWOOD CITY, CA 94063
Pharmacy Comments
Contract Details
Approval Date
4/15/2015
Contract Begin Date
7/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2022
Pharmacy closed
Contacts
Covered Entity Signing Official
Anita Booker, Public Health Clinics Manager
(650) 573-2493
Contract Pharmacy Representative
Safeway
Thuy Le, 340B Program Manager
(925) 467-2825
Signed By Date
4/15/2015
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session