Pharmacy Details

BEAVER DAM HOMETOWN PHARMACY - information as of 6/21/2025 12:44:16 AM

Name
BEAVER DAM HOMETOWN PHARMACY

Address

609 N SPRING ST
BEAVER DAM, WI 53916-5391

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	RRC520076-00	BEAVER DAM COMMUNITY HOSPITALS		Rural Referral Center	707 SOUTH UNIVERSITY AVENUE		BEAVER DAM	WI	04/01/2025		4/1/2025 12:01 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			BEAVER DAM HOMETOWN PHARMACY 609 N SPRING ST BEAVER DAM, WI 53916-5391	9/29/2017 6:44 AM
Addresses	Pharmacy Address	Update		BEAVER DAM HOMETOWN PHARMACY 709 N SPRINGS ST BEAVER DAM, WI 53916	BEAVER DAM HOMETOWN PHARMACY 609 N SPRING ST BEAVER DAM, WI 53916-5391	6/13/2016 4:05 PM
Details	Comments	Insert				11/6/2015 4:04 PM
Details	Is Deleted	Insert			False	11/6/2015 4:04 PM
Addresses	Pharmacy Address	Insert			BEAVER DAM HOMETOWN PHARMACY 709 N SPRINGS ST BEAVER DAM, WI 53916	11/6/2015 4:04 PM
Details	Name	Insert			BEAVER DAM HOMETOWN PHARMACY	11/6/2015 4:04 PM