Pharmacy Details

INTERMOUNTAIN PHARMACY #05 - information as of 5/7/2025 10:53:55 PM

Name
INTERMOUNTAIN PHARMACY #05

Address

1375 E 19TH AVE
STE 1665
DENVER, CO 80218

Comments

Contracts
History

Contracts

Contract Detail	340B ID	Entity Name	Sub Name	Entity Type	Address	Address Cont.	City	State	Begin Date	Term Date	Edit Date
Details	DSH060004	Brighton Community Hospital Association DBA: Intermountain Health Platte Valley Hospital		Disproportionate Share Hospital	1600 PRAIRIE CENTER PKWY.		BRIGHTON	CO	10/24/2022	01/01/2023	1/1/2023 12:01 AM
Details	DSH060004	Brighton Community Hospital Association DBA: Intermountain Health Platte Valley Hospital		Disproportionate Share Hospital	1600 PRAIRIE CENTER PKWY.		BRIGHTON	CO	01/13/2023		1/13/2023 12:31 PM
Details	DSH060009	Intermountain Health Lutheran Hospital		Disproportionate Share Hospital	12911 W 40th Ave		WHEAT RIDGE	CO	04/01/2021		4/1/2021 12:01 AM
Details	DSH060023	St. Mary's Hospital & Medical Center, Inc dba Intermountain Health St. Mary's Regional Hospital		Disproportionate Share Hospital	2635 N. 7TH STREET		GRAND JUNCTION	CO	04/01/2021		4/1/2021 12:01 AM
Details	DSH060028	Saint Joseph Hospital, Inc. DBA Intermountain Health Saint Joseph Hospital		Disproportionate Share Hospital	1375 EAST 19TH AVENUE		DENVER	CO	01/01/2018		7/31/2019 10:49 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Update		SCL HEALTH PHARMACY SERVICES - SAINT JOS 1375 E 19TH AVE STE 1665 DENVER, CO 80218	INTERMOUNTAIN PHARMACY #05 1375 E 19TH AVE STE 1665 DENVER, CO 80218	3/26/2024 9:36 AM
Details	Name	Update		SCL HEALTH PHARMACY SERVICES - SAINT JOS	INTERMOUNTAIN PHARMACY #05	3/26/2024 9:36 AM
Addresses	Pharmacy Address	Update		SCL HEALTH PHARMACY SERVICES - SAINT JOS PHARMACY 1375 E 19TH AVE STE 1665 DENVER, CO 80218-1114	SCL HEALTH PHARMACY SERVICES - SAINT JOS 1375 E 19TH AVE STE 1665 DENVER, CO 80218	3/15/2024 4:56 PM
Addresses	Pharmacy Address	Insert			SCL HEALTH PHARMACY SERVICES - SAINT JOS PHARMACY 1375 E 19TH AVE STE 1665 DENVER, CO 80218-1114	12/5/2017 4:32 PM
Details	Comments	Insert				8/14/2017 2:36 PM
Details	Is Deleted	Insert			False	8/14/2017 2:36 PM
Addresses	Pharmacy Address	Insert			SCL HEALTH PHARMACY SERVICES - SAINT JOS PHARMACY 8550 W 38TH AVE STE 209 WHEAT RIDGE, CO 80033-4342	8/14/2017 2:36 PM
Details	Name	Insert			SCL HEALTH PHARMACY SERVICES - SAINT JOS	8/14/2017 2:36 PM