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SMITH'S FOOD & DRUG CTRS
FP84095 PLANNED PARENTHOOD ASSOC. OF UTAH
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Covered Entity Details
Entity Name
PLANNED PARENTHOOD ASSOC. OF UTAH
Subdivision Name
SOUTH JORDAN
Type
Family Planning (Title X only)
340B ID
FP84095
Entity Address
1091 W SOUTH JORDAN PARKWAY, SUITE 100
SOUTH JORDAN, UT 84095
Grant Number
FPHPA006544
Participating Start Date
10/1/2022
Last Recertification Date
5/9/2025
Pharmacy Details
Pharmacy Name
SMITH'S FOOD & DRUG CTRS
Pharmacy Address
SMITH'S FOOD & DRUG #138
1634 WEST SOUTH JORDAN PKWY
SOUTH JORDAN, UT 84095
Pharmacy Comments
Contract Details
Approval Date
5/13/2008
Contract Begin Date
5/13/2008
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/7/2018
Agreement registered in error
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
4/22/2008
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