Pharmacy Details

WISCONSIN CVS PHARMACY, L.L.C. - information as of 4/24/2025 11:45:12 PM

Name
WISCONSIN CVS PHARMACY, L.L.C.

Address

CVS PHARMACY # 17537
660 S GRAND AVE
SUN PRAIRIE, WI 53590

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	DSH520098	UNIVERSITY OF WI HOSPITALS & CLINICS		Disproportionate Share Hospital	600 HIGHLAND AVE		MADISON	WI	10/01/2023		10/1/2023 12:01 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Update		WISCONSIN CVS PHARMACY, L.L.C. TARGET PHARMACY # 17537 660 S GRAND AVE SUN PRAIRIE, WI 53590	WISCONSIN CVS PHARMACY, L.L.C. CVS PHARMACY # 17537 660 S GRAND AVE SUN PRAIRIE, WI 53590	3/31/2016 4:15 PM
Details	Comments	Insert				12/23/2015 4:52 PM
Details	Is Deleted	Insert			False	12/23/2015 4:52 PM
Addresses	Pharmacy Address	Insert			WISCONSIN CVS PHARMACY, L.L.C. TARGET PHARMACY # 17537 660 S GRAND AVE SUN PRAIRIE, WI 53590	12/23/2015 4:52 PM
Details	Name	Insert			WISCONSIN CVS PHARMACY, L.L.C.	12/23/2015 4:52 PM