Contract Pharmacy Details

SMITH'S FOOD AND DRUG CENTERS INC
FP844035 PLANNED PARENTHOOD ASSOC. OF UTAH

Covered Entity Details

Entity Name

PLANNED PARENTHOOD ASSOC. OF UTAH

Subdivision Name

OGDEN CLINIC

Type

Family Planning (Title X only)

340B ID

FP844035

Entity Address

434 East 5350 South
Unit D
Washington Terrace, UT 84405

Grant Number

FPHPA006544

Participating Start Date

10/1/2022

Last Recertification Date

5/13/2024

Pharmacy Details

Pharmacy Name

SMITH'S FOOD AND DRUG CENTERS INC

Pharmacy Address

SMITH'S PHARMACY 82
1080 WEST HIGHWAY 40
VERNAL, UT 84078

Pharmacy Comments

Contract Details

Approval Date

7/17/2018

Contract Begin Date

10/1/2018

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

10/1/2019
Covered Entity Terminated

Contacts

Covered Entity Signing Official

Lesley Bailey, CFO
(801) 532-1586

Contract Pharmacy Representative

Smiths Food & Drug Centers
Blair Woolf, Pharmacy Director
(801) 974-1302

Signed By Date

7/17/2018

340B Drug Pricing Program Database