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SMITHS FOOD & DRUG CTR INC
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
SMITHS FOOD & DRUG CTR INC
Pharmacy Address
SMITH'S PHARMACY #147
5620 W 4100 SO
WEST VALLEY CITY, UT 84128
Pharmacy Comments
Contract Details
Approval Date
1/7/2016
Contract Begin Date
4/1/2016
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
Lori Wright, CEO
(435) 879-5101
Contract Pharmacy Representative
Smiths Food & Drug Centers
Blair Woolf, Pharmacy Director
(801) 974-1302
Signed By Date
1/7/2016
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