Contract Pharmacy Details

SMITHS FOOD & DRUG CTRS
CH08022J COMMUNITY HEALTH CENTERS, INC.

Covered Entity Details

Entity Name

COMMUNITY HEALTH CENTERS, INC.

Subdivision Name

UTAH FARMWORKER HEALTH PROGRAM

Type

HRSA-Funded Health Center

340B ID

CH08022J

Entity Address

980 Medical Drive STE 1
BRIGHAM CITY, UT 84302

Grant Number

H80CS00220

Participating Start Date

7/1/2004

Last Recertification Date

2/3/2023

Entity Termination Date

10/1/2023

Pharmacy Details

Pharmacy Name

SMITHS FOOD & DRUG CTRS

Pharmacy Address

SMITH'S PHARMACY #178
156 SOUTH MAIN
BRIGHAM CITY, UT 84302

Pharmacy Comments

Contract Details

Approval Date

7/1/2004

Contract Begin Date

7/1/2004

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

10/1/2023
Covered Entity Terminated

Contacts

Covered Entity Signing Official

Contract Pharmacy Representative

Signed By Date

340B Drug Pricing Program Database