Pharmacy Details

KING SOOPERS PHARMACY #90 - information as of 4/23/2025 11:51:45 PM

Name
KING SOOPERS PHARMACY #90

Address

1725 SHERIDAN BLVD.
EDGEWATER, CO 80214

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	CH08006A	DENVER HEALTH AND HOSPITAL AUTHORITY	EASTSIDE FAMILY HEALTH CENTER	HRSA-Funded Health Center	501 28th St		Denver	CO	07/01/2022		7/1/2022 12:01 AM
Details	CH080730	METRO COMMUNITY PROVIDER NETWORK, INC.	STRIDE CHC- Peoria	HRSA-Funded Health Center	3292 Peoria St		Aurora	CO	01/01/2022		1/1/2022 12:01 AM
Details	CH08073AL	METRO COMMUNITY PROVIDER NETWORK, INC.	STRIDE CHC - Horizon Community Middle School	HRSA-Funded Health Center	3981 S Reservoir Rd Unit A		Aurora	CO	04/01/2025		4/1/2025 12:01 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			KING SOOPERS PHARMACY #90 1725 SHERIDAN BLVD. EDGEWATER, CO 80214	9/29/2017 6:44 AM
Details	Comments	Insert				3/28/2013 4:28 PM
Details	Is Deleted	Insert			False	3/28/2013 4:28 PM
Addresses	Pharmacy Address	Insert			KING SOOPERS PHARMACY #90 1725 SHERIDAN BLVD. EDGEWATER, CO 80214	3/28/2013 4:28 PM
Details	Name	Insert			KING SOOPERS PHARMACY #90	3/28/2013 4:28 PM