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SAFEWAY INC
CAH501336-00 MASON GENERAL HOSPITAL
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Covered Entity Details
Entity Name
MASON GENERAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH501336-00
Entity Address
901 Mountain View Drive
SHELTON, WA 98584
Medicare Provider Number
501336
Participating Start Date
4/1/2016
Last Recertification Date
8/13/2024
Pharmacy Details
Pharmacy Name
SAFEWAY INC
Pharmacy Address
SAFEWAY PHARMACY #0585
600 W FRANKLIN ST
SHELTON, WA 98584-3519
Pharmacy Comments
Contract Details
Approval Date
7/5/2016
Contract Begin Date
10/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/4/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Rick Donald Smith, Chief Financial Officer
(360) 432-3260
Contract Pharmacy Representative
Albertsons Companies
Chuck Hanson, Senior 340B Program Manager
(208) 395-6304
Signed By Date
7/5/2016
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