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SMITH'S PHARMACY #28
FP847702 PLANNED PARENTHOOD ASSOC. OF UTAH
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Covered Entity Details
Entity Name
PLANNED PARENTHOOD ASSOC. OF UTAH
Subdivision Name
St. George Clinic
Type
Family Planning (Title X only)
340B ID
FP847702
Entity Address
595 S BLUFF ST
ST GEORGE, UT 84770
Grant Number
FPHPA006544
Participating Start Date
10/1/2022
Last Recertification Date
5/14/2024
Entity Termination Date
7/1/2025
Pharmacy Details
Pharmacy Name
SMITH'S PHARMACY #28
Pharmacy Address
922 E. 2100 S.
SALT LAKE CITY, UT 84106
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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