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STAPLEY PHARMACY, INC.
CH082480 ENTERPRISE VALLEY MEDICAL CLINIC
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Covered Entity Details
Entity Name
ENTERPRISE VALLEY MEDICAL CLINIC
Subdivision Name
ENTERPRISE VALLEY MED CLINIC, INC.
Type
HRSA-Funded Health Center
340B ID
CH082480
Entity Address
223 SOUTH 200 EAST
ENTERPRISE, UT 84725-0370
Grant Number
H80CS00644
Participating Start Date
12/1/1992
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
STAPLEY PHARMACY, INC.
Pharmacy Address
DBA: STAPLEY PHARMACY ENTERPRISE
167 E. MAIN ST.
P O BOX 1057
ENTERPRISE, UT 84725-1057
Pharmacy Comments
Contract Details
Approval Date
1/19/2017
Contract Begin Date
4/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
RYDEL REBER, EXECUTIVE DIRECTOR
(435) 878-2281
Contract Pharmacy Representative
Aaron Stapley, Managing Pharmacist
(435) 878-2300
Signed By Date
1/19/2017
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