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SMITH'S PHARMACY #28
CH0818490 SOUTHWEST UTAH COMMUNITY HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
SOUTHWEST UTAH COMMUNITY HEALTH CENTER, INC.
Subdivision Name
Southwest Utah Community Health Center dba Family Healthcare
Type
HRSA-Funded Health Center
340B ID
CH0818490
Entity Address
2276 E Riverside Drive
Saint George, UT 84790
Grant Number
H80CS07890
Participating Start Date
4/1/2008
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
SMITH'S PHARMACY #28
Pharmacy Address
922 E. 2100 S.
SALT LAKE CITY, UT 84106
Pharmacy Comments
Contract Details
Approval Date
10/15/2013
Contract Begin Date
1/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/10/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
NANCY C. NEFF, CEO
(435) 879-5101
Contract Pharmacy Representative
Smiths Food & Drug Centers
Blair Woolf, Pharmacy Director
(801) 974-1302
Signed By Date
10/15/2013
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