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BOULDER HEALTH CENTER PHARMACY
DSH060024 UNIVERSITY OF COLORADO HOSPITAL
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Covered Entity Details
Entity Name
UNIVERSITY OF COLORADO HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH060024
Entity Address
12605 E 16th Ave
AURORA, CO 80045
Medicare Provider Number
060024
Participating Start Date
12/1/1992
Last Recertification Date
8/22/2024
Pharmacy Details
Pharmacy Name
BOULDER HEALTH CENTER PHARMACY
Pharmacy Address
5495 ARAPAHOE AVE
SUITE 101
BOULDER, CO 80303-1260
Pharmacy Comments
Contract Details
Approval Date
3/20/2012
Contract Begin Date
3/20/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/2/2017
Ownership change
Contacts
Covered Entity Signing Official
Bruce Schroffel, CEO and President
(720) 848-7800
Contract Pharmacy Representative
Ralph Altiere, Dean, School of Pharmacy
(303) 724-2631
Signed By Date
2/27/2012
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