Contract Pharmacy Details

SMITH MANAGEMENT CORP
FP844035 PLANNED PARENTHOOD ASSOC. OF UTAH

Covered Entity Details

Entity Name

PLANNED PARENTHOOD ASSOC. OF UTAH

Subdivision Name

OGDEN CLINIC

Type

Family Planning (Title X only)

340B ID

FP844035

Entity Address

434 East 5350 South
Unit D
Washington Terrace, UT 84405

Grant Number

FPHPA006544

Participating Start Date

10/1/2022

Last Recertification Date

5/9/2025

Pharmacy Details

Pharmacy Name

SMITH MANAGEMENT CORP

Pharmacy Address

DBA SMITH'S PHARMACY #69
1174 WEST 600 NORTH
SALT LAKE CITY, UT 84116

Pharmacy Comments

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

340B Drug Pricing Program Database