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SMITH'S FOOD & DRUG CENTERS
FP843218 PLANNED PARENTHOOD ASSOC. OF UTAH
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Covered Entity Details
Entity Name
PLANNED PARENTHOOD ASSOC. OF UTAH
Subdivision Name
LOGAN CLINIC
Type
Family Planning (Title X only)
340B ID
FP843218
Entity Address
550 NORTH MAIN #117
LOGAN, UT 84321
Grant Number
FPHPA006544
Participating Start Date
10/1/2022
Last Recertification Date
5/13/2024
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
10/15/2013
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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