Contract Pharmacy Details

SAFEWAY INC
CH10792L COUNTY OF LANE

Covered Entity Details

Entity Name

COUNTY OF LANE

Subdivision Name

LANE COUNTY MENTAL HEALTH

Type

HRSA-Funded Health Center

340B ID

CH10792L

Entity Address

2411 Martin Luther King Jr Blvd
Eugene, OR 97401-5824

Grant Number

H80CS01443

Participating Start Date

4/1/2008

Last Recertification Date

2/10/2025

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

10/14/2017

Contract Begin Date

1/1/2018

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/9/2018
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Karen Gaffney, DIRECTOR, HEALTH & HUMAN SERVICES
(541) 682-3942

Contract Pharmacy Representative

Albertsons Companies
Chuck Hanson, Senior 340B Program Manager
(208) 395-6304

Signed By Date

10/14/2017

340B Drug Pricing Program Database