340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
THE APOTHECARY SHOPPE
STD841023 Utah AIDS Foundation
Print
Covered Entity Details
Entity Name
Utah AIDS Foundation
Subdivision Name
Utah AIDS Foundation
Type
Sexually Transmitted Diseases
340B ID
STD841023
Entity Address
150 South 1000 East
Salt Lake City, UT 84102
Grant Number
5 NH25PS005169-05-00
Participating Start Date
4/1/2023
Last Recertification Date
5/7/2025
Pharmacy Details
Pharmacy Name
THE APOTHECARY SHOPPE
Pharmacy Address
APOTHECARY SHOPPE
82 S 1100 E STE 104
SLC, UT 84102
Pharmacy Comments
Contract Details
Approval Date
3/1/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
JARED HAFEN, Programming Director
(801) 487-2323
Contract Pharmacy Representative
APOTHECARY SHOPPE
Kevin DeMass, Pharmacist
(801) 521-6353
Signed By Date
1/6/2023
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