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Walgreens #21435
STD841023 Utah AIDS Foundation
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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
Walgreens #21435
Pharmacy Address
Walgreens Central Fill #21435
6306 S Airport Rd
West Jordan, UT 84084-5601
Pharmacy Comments
Contract Details
Approval Date
4/8/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Christy Huggins, Operations Manager
(801) 487-2323 Ext: 1010
Contract Pharmacy Representative
Walgreen Co.
Maryam Ali, Client Relationship Analyst
(847) 964-4000
Signed By Date
4/8/2025
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