340B Drug Pricing Program Database


WISCONSIN CVS PHARMACY, L.L.C. - information as of 5/18/2025 12:52:40 AM


WISCONSIN CVS PHARMACY, L.L.C.

CVS PHARMACY # 16256
485 N ROLLING MEADOWS DR
FOND DU LAC, WI 54937



  • Contracts
  • History
Contracts
Contract Detail340B IDEntity NameSub NameEntity TypeAddressAddress Cont.CityStateBegin DateTerm DateEdit Date
DetailsDSH520177FROEDTERT MEMORIAL LUTHERAN HOSPITALFORMERLY JOHN L. DOYNE HOSPITALDisproportionate Share Hospital9200 WEST WISCONSIN AVENUE
MILWAUKEEWI04/01/2022 4/1/2022 12:01 AM
DetailsSCH520088-00SSM HEALTH ST AGNES HOSPITAL - FOND DU LAC Sole Community Hospital430 EAST DIVISION STREET
FOND DU LACWI01/01/2024 1/1/2024 12:01 AM
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesPharmacy AddressUpdate WISCONSIN CVS PHARMACY, L.L.C. TARGET PHARMACY # 16256 485 N ROLLING MEADOWS DR FOND DU LAC, WI 54937WISCONSIN CVS PHARMACY, L.L.C. CVS PHARMACY # 16256 485 N ROLLING MEADOWS DR FOND DU LAC, WI 549376/7/2016 1:10 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 # 16256 485 N ROLLING MEADOWS DR FOND DU LAC, WI 5493712/23/2015 4:52 PM
DetailsNameInsert  WISCONSIN CVS PHARMACY, L.L.C.12/23/2015 4:52 PM