340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
SMITH'S PHARMACY #87
CH080220 COMMUNITY HEALTH CENTERS, INC.
Print
Covered Entity Details
Entity Name
COMMUNITY HEALTH CENTERS, INC.
Subdivision Name
SALT LAKE COMMUNITY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH080220
Entity Address
220 W 7200 S
Midvale, UT 84047
Grant Number
H80CS00220
Participating Start Date
12/1/1992
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
10/17/2013
Contract Begin Date
1/1/2014
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
DEXTER PEARCE, Executive Director
(801) 412-6920
Contract Pharmacy Representative
Smiths Food & Drug Centers
Blair Woolf, Pharmacy Director
(801) 974-1302
Signed By Date
10/17/2013
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