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SMITH'S FOOD & DRUG #72
FP840575 PLANNED PARENTHOOD ASSOC. OF UTAH
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Covered Entity Details
Entity Name
PLANNED PARENTHOOD ASSOC. OF UTAH
Subdivision Name
UTAH VALLEY CLINIC
Type
Family Planning (Title X only)
340B ID
FP840575
Entity Address
1086 NORTH 1200 WEST
OREM, UT 84057
Grant Number
FPHPA006544
Participating Start Date
10/1/2022
Last Recertification Date
5/13/2024
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
10/15/2013
Contract Begin Date
1/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2019
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Lesley Bailey, CFO
(801) 532-1586
Contract Pharmacy Representative
Smiths Food & Drug Centers
Blair Woolf, Pharmacy Director
(801) 974-1302
Signed By Date
10/15/2013
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