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SMITH'S FOOD AND DRUG CENTERS INC
FP004219 PLANNED PARENTHOOD ASSOC. OF UTAH
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Covered Entity Details
Entity Name
PLANNED PARENTHOOD ASSOC. OF UTAH
Subdivision Name
WEST VALLEY CLINIC
Type
Family Planning (Title X only)
340B ID
FP004219
Entity Address
1906 WEST 3600 SOUTH
WEST VALLEY CITY, UT 84119
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
1/2/2019
Contract Begin Date
4/1/2019
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
1/2/2019
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