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SMITHS FOOD & DRUG CTRS
TB84025 Davis County Health Department
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Covered Entity Details
Entity Name
Davis County Health Department
Subdivision Name
Type
Tuberculosis
340B ID
TB84025
Entity Address
22 S State Street
Clearfield, UT 84015
Grant Number
1 NU52PS910273-01
Participating Start Date
10/1/2017
Last Recertification Date
5/16/2024
Pharmacy Details
Pharmacy Name
SMITHS FOOD & DRUG CTRS
Pharmacy Address
DBA SMITH'S FOOD & DRUG #135
1316 NORTH HIGHWAY 89
FARMINGTON, UT 84025
Pharmacy Comments
Contract Details
Approval Date
4/3/2018
Contract Begin Date
7/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Brian Hatch, Local Health Officer/Executive Director
(801) 525-5161
Contract Pharmacy Representative
SFDC
Julie Arellano, Third Party Insurance Coordinator
(801) 974-1402
Signed By Date
4/3/2018
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