340B Drug Pricing Program Database


INTERMOUNTAIN PHARMACY #07 - information as of 5/27/2025 11:48:53 PM


INTERMOUNTAIN PHARMACY #07

200 EXEMPLA CIR STE P1-142
LAFAYETTE, CO 80026



  • Contracts
  • History
Contracts
Contract Detail340B IDEntity NameSub NameEntity TypeAddressAddress Cont.CityStateBegin DateTerm DateEdit Date
DetailsCAH271347-00Holy Rosary Healthcare dba Intermountain Health Holy Rosary Hospital Critical Access Hospital2600 Wilson Street
Miles CityMT10/01/2019 10/1/2019 12:05 AM
DetailsDSH060004Brighton Community Hospital Association DBA: Intermountain Health Platte Valley Hospital Disproportionate Share Hospital1600 PRAIRIE CENTER PKWY.
BRIGHTONCO04/01/2021 4/1/2021 12:01 AM
DetailsDSH060009Intermountain Health Lutheran Hospital Disproportionate Share Hospital12911 W 40th Ave
WHEAT RIDGECO10/01/2018 7/31/2019 4:15 PM
DetailsDSH060023St. Mary's Hospital & Medical Center, Inc dba Intermountain Health St. Mary's Regional Hospital Disproportionate Share Hospital2635 N. 7TH STREET
GRAND JUNCTIONCO10/01/2018 7/31/2019 3:05 PM
DetailsDSH060028Saint Joseph Hospital, Inc. DBA Intermountain Health Saint Joseph Hospital Disproportionate Share Hospital1375 EAST 19TH AVENUE
DENVERCO10/01/201810/01/201810/15/2018 10:52 AM
DetailsDSH060028Saint Joseph Hospital, Inc. DBA Intermountain Health Saint Joseph Hospital Disproportionate Share Hospital1375 EAST 19TH AVENUE
DENVERCO01/01/2019 7/31/2019 10:47 AM
DetailsDSH270017St. James Healthcare dba Intermountain Health St. James Hospital Disproportionate Share Hospital400 SOUTH CLARK STREET
BUTTEMT04/01/202307/01/20254/28/2025 2:46 PM
DetailsDSH270049Intermountain Health St Vincent Regional Hospital Disproportionate Share Hospital1233 N. 30th Street
BillingsMT10/01/2018 7/31/2019 10:29 AM
DetailsSCH270017-00SAINT JAMES HEALTHCARE Sole Community Hospital400 SOUTH CLARK
BUTTEMT10/01/201804/01/20234/1/2023 12:01 AM
DetailsSCH270017-00SAINT JAMES HEALTHCARE Sole Community Hospital400 SOUTH CLARK
BUTTEMT07/01/2025 4/28/2025 2:46 PM
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesPharmacy AddressUpdate SCL HEALTH PHARMACY SERVICES - GOOD SAMA 200 EXEMPLA CIR STE P1-142 LAFAYETTE, CO 80026-3370INTERMOUNTAIN PHARMACY #07 200 EXEMPLA CIR STE P1-142 LAFAYETTE, CO 800265/7/2024 10:41 AM
DetailsNameUpdate SCL HEALTH PHARMACY SERVICES - GOOD SAMAINTERMOUNTAIN PHARMACY #075/7/2024 10:41 AM
AddressesPharmacy AddressInsert  SCL HEALTH PHARMACY SERVICES - GOOD SAMA 200 EXEMPLA CIR STE P1-142 LAFAYETTE, CO 80026-337010/24/2018 8:18 AM
AddressesPharmacy AddressInsert  SCL HEALTH PHARMACY SERVICES - GOOD SAMA 3655 LUTHERAN PKWY STE 406 WHEAT RIDGE, CO 8003310/2/2018 3:46 PM
DetailsCommentsInsert   2/27/2018 9:12 AM
DetailsIs DeletedInsert  False2/27/2018 9:12 AM
AddressesPharmacy AddressInsert  SCL HEALTH PHARMACY SERVICES - GOOD SAMA PHARMACY 3655 LUTHERAN PKWY STE 406 WHEAT RIDGE, CO 800332/27/2018 9:12 AM
DetailsNameInsert  SCL HEALTH PHARMACY SERVICES - GOOD SAMA2/27/2018 9:12 AM