Organization
SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC
Active
Parent organization
SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC
Other names
Intermountain Health Candelas Pharmacy, Intermountain Pharmacy #21
Organization subpart
Yes
Provider details
NPI number
Legal business name
SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC
Authorized official
RONALD SPARKS (VP ANCILLARY & SUPPORT OPERATIONS)
(303) 813-5187
Entity
Organization
Contact information
Practice address
15389 W 91ST DR STE 102, ARVADA, CO 80007-1400
(303) 813-5532
Mailing address
8300 W 38TH AVE STE T2-434, WHEAT RIDGE, CO 80033-6005
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
10/22/2021
Last updated
11/07/2023
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