Contract Pharmacy Details

SMITH MANAGEMENT CORP
STD841021 PLANNED PARENTHOOD ASSOCIATION OF UTAH

Covered Entity Details

Entity Name

PLANNED PARENTHOOD ASSOCIATION OF UTAH

Subdivision Name

METRO CLINIC

Type

Sexually Transmitted Diseases

340B ID

STD841021

Entity Address

160 South 1000 East
SUITE 120
SALT LAKE CITY, UT 84102

Grant Number

NH25PS005169

Participating Start Date

1/1/2011

Last Recertification Date

5/9/2025

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

10/24/2013

Contract Begin Date

1/1/2014

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

7/15/2019
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

LYNN MEINOR, PROGRAM MANAGER
(801) 538-6198

Contract Pharmacy Representative

Smiths Food & Drug Centers
Blair Woolf, Pharmacy Director
(801) 974-1302

Signed By Date

10/24/2013

340B Drug Pricing Program Database