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SAFEWAY INC
CH10792P COUNTY OF LANE
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Covered Entity Details
Entity Name
COUNTY OF LANE
Subdivision Name
Delta Oaks Clinic
Type
HRSA-Funded Health Center
340B ID
CH10792P
Entity Address
1022 Green Acres Road
Eugene, OR 97408-6501
Grant Number
H80CS01443
Participating Start Date
4/1/2016
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
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