340B Drug Pricing Program Database
INTERMOUNTAIN PHARMACY #09 - information as of 5/3/2025 11:38:30 PM
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Name
INTERMOUNTAIN PHARMACY #09
Address
12911 W 40TH AVE
WHEAT RIDGE, CO 80401
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
DSH060009
Intermountain Health Lutheran Hospital
Disproportionate Share Hospital
12911 W 40th Ave
WHEAT RIDGE
CO
08/03/2024
8/9/2024 4:40 PM
History
Section
Field
Action
Activity
Value Before
Value After
Timestamp
Details
Comments
Insert
5/7/2024 10:41 AM
Details
Is Deleted
Insert
False
5/7/2024 10:41 AM
Addresses
Pharmacy Address
Insert
INTERMOUNTAIN PHARMACY #09 12911 W 40TH AVE WHEAT RIDGE, CO 80401
5/7/2024 10:41 AM
Details
Name
Insert
INTERMOUNTAIN PHARMACY #09
5/7/2024 10:41 AM
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