Contract Pharmacy Details

SAFEWAY INC
CH092420 OLE HEALTH

Covered Entity Details

Entity Name

OLE HEALTH

Subdivision Name

OLE Health - North Napa Campus

Type

HRSA-Funded Health Center

340B ID

CH092420

Entity Address

1141 PEAR TREE LANE
Suite 100
NAPA, CA 94558-6485

Grant Number

H80CS04219

Participating Start Date

10/1/2004

Last Recertification Date

2/21/2025

Pharmacy Details

Pharmacy Name

SAFEWAY INC

Pharmacy Address

SAFEWAY PHARMACY #2449
3375 JEFFERSON STREET
NAPA, CA 94558

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

Kevin E. Moses, Legal Officer
(707) 254-1774 Ext: 8222

Contract Pharmacy Representative

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

Signed By Date

1/9/2018

340B Drug Pricing Program Database