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SMITH MANAGEMENT CORP
STD84102 PLANNED PARENTHOOD ASSOC. OF UTAH
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Covered Entity Details
Entity Name
PLANNED PARENTHOOD ASSOC. OF UTAH
Subdivision Name
West ValleyClinic
Type
Sexually Transmitted Diseases
340B ID
STD84102
Entity Address
1906 WEST 3600 SOUTH
WEST VALLEY CITY, UT 84119
Grant Number
NH25PS005169
Participating Start Date
1/1/2003
Last Recertification Date
5/9/2025
Pharmacy Details
Pharmacy Name
SMITH MANAGEMENT CORP
Pharmacy Address
DBA SMITH'S PHARMACY #69
1174 WEST 600 NORTH
SALT LAKE CITY, UT 84116
Pharmacy Comments
Contract Details
Approval Date
10/24/2013
Contract Begin Date
1/1/2014
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
LYNN MEINOR, PROGRAM MANAGER
(801) 538-6198
Contract Pharmacy Representative
Smiths Food & Drug Centers
Blair Woolf, Pharmacy Director
(801) 974-1302
Signed By Date
10/24/2013
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