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SMITH'S PHARMACY
CH081849D SOUTHWEST UTAH COMMUNITY HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
SOUTHWEST UTAH COMMUNITY HEALTH CENTER, INC.
Subdivision Name
Family Healthcare Cedar East
Type
HRSA-Funded Health Center
340B ID
CH081849D
Entity Address
245 E 680 S
CEDAR CITY, UT 84720-3593
Grant Number
H80CS07890
Participating Start Date
1/1/2016
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
SMITH'S PHARMACY
Pharmacy Address
SMITH'S FOOD & DRUG #42
633 S. MAIN
CEDAR CITY, UT 84720
Pharmacy Comments
Contract Details
Approval Date
4/10/2018
Contract Begin Date
7/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/1/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Lori Wright, CEO
(435) 879-5101
Contract Pharmacy Representative
Smiths Food & Drug Centers
Blair Woolf, Pharmacy Director
(801) 974-1302
Signed By Date
4/10/2018
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