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SMITH'S FOOD AND DRUG CENTERS INC
CH08395B MOUNTAINLANDS COMMUNITY HEALTH CENTER, INC
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Covered Entity Details
Entity Name
MOUNTAINLANDS COMMUNITY HEALTH CENTER, INC
Subdivision Name
Mountainlands Community Health Center - Vernal
Type
HRSA-Funded Health Center
340B ID
CH08395B
Entity Address
1680 West Highway 40, STE 201
Vernal, UT 84078
Grant Number
H80CS00213
Participating Start Date
7/1/2014
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
SMITH'S FOOD AND DRUG CENTERS INC
Pharmacy Address
SMITH'S PHARMACY 82
1080 WEST HIGHWAY 40
VERNAL, UT 84078
Pharmacy Comments
Contract Details
Approval Date
4/21/2014
Contract Begin Date
7/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/16/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Todd Bailey, Executive Director
(801) 429-2000 Ext: 1155
Contract Pharmacy Representative
Smiths Food & Drug Centers
Blair Woolf, Pharmacy Director
(801) 974-1302
Signed By Date
4/11/2014
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