340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
SMITHS FOOD & DRUG CTRS
CH083800 Midtown Community Health Center, Inc.
Print
Covered Entity Details
Entity Name
Midtown Community Health Center, Inc.
Subdivision Name
MIDTOWN COMMUNITY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH083800
Entity Address
2240 Adams Ave
Ogden, UT 84401-1511
Grant Number
H80CS00831
Participating Start Date
1/1/2004
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
SMITHS FOOD & DRUG CTRS
Pharmacy Address
DBA SMITH'S FOOD & DRUG #135
1316 NORTH HIGHWAY 89
FARMINGTON, UT 84025
Pharmacy Comments
Contract Details
Approval Date
10/7/2013
Contract Begin Date
1/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/6/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Lisa Nichols, Executive Director
(801) 710-0973
Contract Pharmacy Representative
Smiths Food & Drug Centers
Blair Woolf, Pharmacy Director
(801) 974-1302
Signed By Date
10/7/2013
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session