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SAFEWAY INC
CAH501338-00 PUBLIC HOSPITAL DISTRICT #4 KING COUNTY WASHINGTON
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Covered Entity Details
Entity Name
PUBLIC HOSPITAL DISTRICT #4 KING COUNTY WASHINGTON
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH501338-00
Entity Address
9801 Frontier Ave SE
SNOQUALMIE, WA 98065
Medicare Provider Number
501338
Participating Start Date
7/1/2011
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
SAFEWAY INC
Pharmacy Address
SAFEWAY PHARMACY #1528
460 SW MT SI BLVD
NORTH BEND, WA 98045
Pharmacy Comments
Contract Details
Approval Date
1/9/2018
Contract Begin Date
4/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
THOMAS S. PARKER, CEO
(425) 831-2364
Contract Pharmacy Representative
Albertsons Companies
Chuck Hanson, Senior 340B Program Manager
(208) 395-6304
Signed By Date
1/9/2018
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