Contract Pharmacy Details

SMITH'S FOOD & DRUG CENTERS
FP840605 PLANNED PARENTHOOD ASSOC. OF UTAH

Covered Entity Details

Entity Name

PLANNED PARENTHOOD ASSOC. OF UTAH

Subdivision Name

Wasatch Clinic

Type

Family Planning (Title X only)

340B ID

FP840605

Entity Address

728 West 100 South, Ste. 1
Heber, UT 84032

Grant Number

FPHPA080562

Participating Start Date

1/1/1998

Last Recertification Date

4/27/2017

Entity Termination Date

7/1/2017

Pharmacy Details

Pharmacy Name

SMITH'S FOOD & DRUG CENTERS

Pharmacy Address

SMITH'S PHARMACY # 85
980 EAST FORT UNION BLVD.
MIDVALE, UT 84047

Pharmacy Comments

Contract Details

Approval Date

10/21/2013

Contract Begin Date

1/1/2014

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

7/1/2017

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

10/21/2013

340B Drug Pricing Program Database