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SMITH'S DRUG #44
CH08022A COMMUNITY HEALTH CENTERS, INC.
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Covered Entity Details
Entity Name
COMMUNITY HEALTH CENTERS, INC.
Subdivision Name
CENTRAL CITY COMMUNITY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH08022A
Entity Address
324 Tenth Avenue
Suite 249
SALT LAKE CITY, UT 84103
Grant Number
H80CS00220
Participating Start Date
7/1/1995
Last Recertification Date
2/7/2018
Entity Termination Date
4/1/2019
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
6/14/2004
Contract Begin Date
6/14/2004
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2019
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
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