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SMITH'S PHARMACY #87
CH08022N COMMUNITY HEALTH CENTERS, INC.
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Covered Entity Details
Entity Name
COMMUNITY HEALTH CENTERS, INC.
Subdivision Name
Community Health Centers, Inc. - Brigham City
Type
HRSA-Funded Health Center
340B ID
CH08022N
Entity Address
980 S 500 W STE 1
BRIGHAM CITY, UT 84302-3094
Grant Number
H80CS00220
Participating Start Date
10/1/2017
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
SMITH'S PHARMACY #87
Pharmacy Address
442 N 175 E
LOGAN, UT 84321
Pharmacy Comments
12/17/2012 address update (was 175 EAST 442 NORTH)
Contract Details
Approval Date
10/8/2020
Contract Begin Date
1/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
DEXTER PEARCE, Executive Director
(801) 412-6920
Contract Pharmacy Representative
Smiths Food & Drug
Jaime Montuoro, Pharmacy Director
(801) 974-1340
Signed By Date
10/8/2020
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