Contract Pharmacy Details

SMITH'S FOOD & DRUG CENTERS
CH08022D COMMUNITY HEALTH CENTERS, INC.

Covered Entity Details

Entity Name

COMMUNITY HEALTH CENTERS, INC.

Subdivision Name

72nd STREET CLINIC

Type

HRSA-Funded Health Center

340B ID

CH08022D

Entity Address

220 WEST 7200 SOUTH
SUITE A
MIDVALE, UT 84047-1043

Grant Number

H80CS00220

Participating Start Date

7/1/1995

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

SMITH'S FOOD & DRUG CENTERS

Pharmacy Address

SMITH'S PHARMACY # 85
980 EAST FORT UNION BLVD.
MIDVALE, UT 84047

Pharmacy Comments

Contract Details

Approval Date

2/23/2005

Contract Begin Date

2/23/2005

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Contract Pharmacy Representative

Signed By Date

340B Drug Pricing Program Database