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SAFEWAY INC
CAH381301-00 COTTAGE GROVE COMMUNITY HOSPITAL
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Covered Entity Details
Entity Name
COTTAGE GROVE COMMUNITY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH381301-00
Entity Address
1515 VILLAGE DRIVE
COTTAGE GROVE, OR 97424-9700
Medicare Provider Number
381301
Participating Start Date
4/1/2017
Last Recertification Date
8/16/2024
Pharmacy Details
Pharmacy Name
SAFEWAY INC
Pharmacy Address
SAFEWAY PHARMACY #1458
1500 E MAIN ST
COTTAGE GROVE, OR 97424
Pharmacy Comments
Contract Details
Approval Date
4/24/2012
Contract Begin Date
4/24/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2016
Contacts
Covered Entity Signing Official
Wendy Apland, CFO
(541) 222-2007
Contract Pharmacy Representative
Safeway
Merle Jarvill, Director, Managed Care
(623) 869-4260
Signed By Date
3/30/2012
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