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SMITH'S PHARMACY #87
CH08380H MIDTOWN COMMUNITY HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
MIDTOWN COMMUNITY HEALTH CENTER, INC.
Subdivision Name
Midtown Community Health Center Logan Clinic
Type
HRSA-Funded Health Center
340B ID
CH08380H
Entity Address
550 East 1400 North
Logan, UT 84341
Grant Number
H80CS00831
Participating Start Date
4/1/2016
Last Recertification Date
1/31/2023
Entity Termination Date
4/1/2024
Pharmacy Details
Pharmacy Name
SMITH'S PHARMACY #87
Pharmacy Address
442 N 175 E
LOGAN, UT 84321
Pharmacy Comments
12/17/2012 address update (was 175 EAST 442 NORTH)
Contract Details
Approval Date
1/15/2016
Contract Begin Date
4/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/20/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Lisa Nichols, Executive Director
(801) 710-0973
Contract Pharmacy Representative
Smiths Food & Drug Centers
Blair Woolf, Pharmacy Director
(801) 974-1302
Signed By Date
1/15/2016
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