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SMITH'S PHARMACY
FP843218 PLANNED PARENTHOOD ASSOC. OF UTAH
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Covered Entity Details
Entity Name
PLANNED PARENTHOOD ASSOC. OF UTAH
Subdivision Name
LOGAN CLINIC
Type
Family Planning (Title X only)
340B ID
FP843218
Entity Address
550 NORTH MAIN #117
LOGAN, UT 84321
Grant Number
FPHPA006544
Participating Start Date
10/1/2022
Last Recertification Date
5/13/2024
Entity Termination Date
7/1/2025
Pharmacy Details
Pharmacy Name
SMITH'S PHARMACY
Pharmacy Address
SMITH'S FOOD & DRUG #42
633 S. MAIN
CEDAR CITY, UT 84720
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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