340B Drug Pricing Program Database


WISCONSIN CVS PHARMACY, L.L.C. - information as of 5/20/2025 2:04:40 AM


WISCONSIN CVS PHARMACY, L.L.C.

CVS PHARMACY # 17015
1501 MILLER PARK WAY
WEST MILWAUKEE, WI 53214



  • Contracts
  • History
Contracts
Contract Detail340B IDEntity NameSub NameEntity TypeAddressAddress Cont.CityStateBegin DateTerm DateEdit Date
DetailsCH0511020PROGRESSIVE COMMUNITY HEALTH CENTERS, INCLISBON AVENUE HEALTH CENTERHRSA-Funded Health Center3522 W Lisbon Ave
MilwaukeeWI10/01/2019 10/1/2019 12:05 AM
DetailsDSH520051COLUMBIA ST MARYS HOSPITAL MILWAUKEE, INCCOLUMBIA ST MARYS HOSPITAL MILWAUKEEDisproportionate Share Hospital2323 N LAKE DRIVE
MILWAUKEEWI01/01/2021 1/1/2021 12:01 AM
DetailsDSH520078Ascension St. Francis Hospital, Inc. Disproportionate Share Hospital3237 SOUTH 16TH STREET
MILWAUKEEWI01/01/2021 1/1/2021 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
MILWAUKEEWI04/01/2021 4/1/2021 12:01 AM
DetailsFQHCLA437Muslim Community & Health CenterMuslim Community & Health CenterHealth Center Program Look-Alike803 W Layton Avenue
MilwaukeeWI01/01/2023 1/1/2023 12:01 AM
DetailsSTD53212Holton Street Clinic, Inc Sexually Transmitted Diseases3251 N. HOLTON ST.
MILWAUKEEWI04/01/2024 4/1/2024 12:01 AM
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesPharmacy AddressUpdate WISCONSIN CVS PHARMACY, L.L.C. TARGET PHARMACY # 17015 1501 MILLER PARK WAY WEST MILWAUKEE, WI 53214WISCONSIN CVS PHARMACY, L.L.C. CVS PHARMACY # 17015 1501 MILLER PARK WAY WEST MILWAUKEE, WI 532143/31/2016 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 # 17015 1501 MILLER PARK WAY WEST MILWAUKEE, WI 5321412/23/2015 4:52 PM
DetailsNameInsert  WISCONSIN CVS PHARMACY, L.L.C.12/23/2015 4:52 PM