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SMITHS FOOD & DRUG CTRS
FP84095 PLANNED PARENTHOOD ASSOC. OF UTAH
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Covered Entity Details
Entity Name
PLANNED PARENTHOOD ASSOC. OF UTAH
Subdivision Name
SOUTH JORDAN
Type
Family Planning (Title X only)
340B ID
FP84095
Entity Address
1091 W SOUTH JORDAN PARKWAY, SUITE 100
SOUTH JORDAN, UT 84095
Grant Number
FPHPA006544
Participating Start Date
10/1/2022
Last Recertification Date
5/9/2025
Pharmacy Details
Pharmacy Name
SMITHS FOOD & DRUG CTRS
Pharmacy Address
SMITH'S FOOD DRUG #149
1170 EAST GENTILE
LAYTON, UT 84040
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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