Contract Pharmacy Details

SMITH MANAGEMENT CORP
CH08022E COMMUNITY HEALTH CENTERS, INC.

Covered Entity Details

Entity Name

COMMUNITY HEALTH CENTERS, INC.

Subdivision Name

STEPHEN D. RATCLIFFE COMMUNITY HEALTH CENTER

Type

HRSA-Funded Health Center

340B ID

CH08022E

Entity Address

1365 WEST 1000 NORTH
SALT LAKE CITY, UT 84116

Grant Number

H80CS00220

Participating Start Date

7/1/1995

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

SMITH MANAGEMENT CORP

Pharmacy Address

DBA SMITH'S PHARMACY #69
1174 WEST 600 NORTH
SALT LAKE CITY, UT 84116

Pharmacy Comments

Contract Details

Approval Date

6/14/2004

Contract Begin Date

6/14/2004

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Contract Pharmacy Representative

Signed By Date

340B Drug Pricing Program Database