Contract Pharmacy Details

SMITH'S FOOD & DRUG #72
FP841024 PLANNED PARENTHOOD ASSOC. OF UTAH

Covered Entity Details

Entity Name

PLANNED PARENTHOOD ASSOC. OF UTAH

Subdivision Name

SALT LAKE CITY CLINIC

Type

Family Planning (Title X only)

340B ID

FP841024

Entity Address

654 South 900 East
SALT LAKE CITY, UT 84102

Grant Number

FPHPA006544

Participating Start Date

10/1/2022

Last Recertification Date

5/15/2024

Pharmacy Details

Pharmacy Name

SMITH'S FOOD & DRUG #72

Pharmacy Address

1725 UINTA WAY
PARK CITY, UT 84098

Pharmacy Comments

12/07/2012 city update (was KIMBALL JUNCTION)

Contract Details

Approval Date

1/23/2014

Contract Begin Date

4/1/2014

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

1/11/2016
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Penny Davies, Salt Lake City
(501) 532-1586

Contract Pharmacy Representative

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

Signed By Date

1/23/2014

340B Drug Pricing Program Database