340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
SAFEWAY INC
CHC24176-02 Olathe Community Clinic, Inc.
Print
Covered Entity Details
Entity Name
Olathe Community Clinic, Inc.
Subdivision Name
River Family Family Health Center of Delta
Type
HRSA-Funded Health Center
340B ID
CHC24176-02
Entity Address
107 W 11th St
Delta, CO 81416
Grant Number
H80CS24176
Participating Start Date
7/1/2018
Last Recertification Date
1/31/2023
Entity Termination Date
10/1/2023
Pharmacy Details
Pharmacy Name
SAFEWAY INC
Pharmacy Address
SAFEWAY PHARMACY #1863
1550 HIGHWAY 92
DELTA, CO 81416
Pharmacy Comments
Contract Details
Approval Date
4/19/2018
Contract Begin Date
7/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2023
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Jeremy Carroll, CEO
(970) 263-1701
Contract Pharmacy Representative
Safeway
Thuy Le, 340B Program Manager
(925) 467-2825
Signed By Date
4/16/2018
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session