Contract Pharmacy Details

SMITH'S DRUG #44
FP84095 PLANNED PARENTHOOD ASSOC. OF UTAH

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 DRUG #44

Pharmacy Address

DBA SMITHS FOOD KING #1
876 E 8TH S
SALT LAKE CITY, UT 84102

Pharmacy Comments

12/04/2012 update zip (was 84111)

Contract Details

Approval Date

10/21/2013

Contract Begin Date

1/1/2014

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

10/1/2019
Covered Entity Terminated

Contacts

Covered Entity Signing Official

Penny Davies, Salt Lake City
(501) 532-1586

Contract Pharmacy Representative

Smiths Food & Drug Centers
Blair Woolf, Pharmacy Director
(801) 974-1302

Signed By Date

10/21/2013

340B Drug Pricing Program Database