340B Drug Pricing Program Database


WISCONSIN CVS PHARMACY, L.L.C. - information as of 5/20/2025 2:11:41 AM


WISCONSIN CVS PHARMACY, L.L.C.

CVS PHARMACY # 16567
1250 N PORT WASHINGTON RD
GRAFTON, WI 53024



  • Contracts
  • History
Contracts
Contract Detail340B IDEntity NameSub NameEntity TypeAddressAddress Cont.CityStateBegin DateTerm DateEdit Date
DetailsDSH520051COLUMBIA ST MARYS HOSPITAL MILWAUKEE, INCCOLUMBIA ST MARYS HOSPITAL MILWAUKEEDisproportionate Share Hospital2323 N LAKE DRIVE
MILWAUKEEWI07/01/2021 7/1/2021 12:01 AM
DetailsDSH520136Ascension SE Wisconsin Hospital, Inc.ST. JOSEPH CAMPUSDisproportionate Share Hospital5000 WEST CHAMBERS STREET
MILWAUKEEWI01/01/2021 1/1/2021 12:01 AM
DetailsDSH520177FROEDTERT MEMORIAL LUTHERAN HOSPITALFORMERLY JOHN L. DOYNE HOSPITALDisproportionate Share Hospital9200 WEST WISCONSIN AVENUE
MILWAUKEEWI04/01/2022 4/1/2022 12:01 AM
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesPharmacy AddressUpdate WISCONSIN CVS PHARMACY, L.L.C. TARGET PHARMACY # 16567 1250 N PORT WASHINGTON RD GRAFTON, WI 53024WISCONSIN CVS PHARMACY, L.L.C. CVS PHARMACY # 16567 1250 N PORT WASHINGTON RD GRAFTON, WI 530243/31/2016 4:15 PM
DetailsCommentsInsert   12/23/2015 4:52 PM
DetailsIs DeletedInsert  False12/23/2015 4:52 PM
AddressesPharmacy AddressInsert  WISCONSIN CVS PHARMACY, L.L.C. TARGET PHARMACY # 16567 1250 N PORT WASHINGTON RD GRAFTON, WI 5302412/23/2015 4:52 PM
DetailsNameInsert  WISCONSIN CVS PHARMACY, L.L.C.12/23/2015 4:52 PM