Pharmacy Details

MD GROUP LLC - information as of 4/27/2025 1:02:04 AM

Name
MD GROUP LLC

Address

DBA DEFOREST HOMETOWN PHARMACY
645 S MAIN ST
DEFOREST, WI 53532-1421

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
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History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			MD GROUP LLC DBA DEFOREST HOMETOWN PHARMACY 645 S MAIN ST DEFOREST, WI 53532-1421	5/27/2020 4:59 PM
Details	Name	Update		DEFOREST HOMETOWN PHARMACY	MD GROUP LLC	5/27/2020 4:59 PM
Addresses	Pharmacy Address	Insert			DEFOREST HOMETOWN PHARMACY MD GROUP LLC 645 SOUTH MAIN STREET DEFOREST, WI 53532	9/29/2017 6:44 AM
Addresses	Pharmacy Address	Update		DEFOREST HOMETOWN PHARMACY MD GROUP LLC DE FOREST, WI 53532	DEFOREST HOMETOWN PHARMACY MD GROUP LLC 645 SOUTH MAIN STREET DEFOREST, WI 53532	6/2/2017 4:11 PM
Addresses	Pharmacy Address	Update		DEFOREST PHARMACY DEFOREST HOMETOWN PHARMACY MD GROUP LLC DEFOREST, WI 53532	DEFOREST HOMETOWN PHARMACY MD GROUP LLC DE FOREST, WI 53532	6/30/2014 8:34 AM
Details	Name	Update		DEFOREST PHARMACY	DEFOREST HOMETOWN PHARMACY	6/30/2014 8:34 AM
Addresses	Pharmacy Address	Update		DEFOREST PHARMACY MD GROUP LLC DEFOREST, WI 53532	DEFOREST PHARMACY DEFOREST HOMETOWN PHARMACY MD GROUP LLC DEFOREST, WI 53532	6/2/2014 4:04 PM
Details	Comments	Update				3/28/2013 4:19 PM
Addresses	Pharmacy Address	Update		DEFOREST PHARMACY MD GROUP LLC 645 SOUTH MAIN STREET DeForest, WI 53532	DEFOREST PHARMACY MD GROUP LLC DEFOREST, WI 53532	3/28/2013 4:19 PM
Details	Name	Update		DEFOREST PHARMACY MD GROUP LLC	DEFOREST PHARMACY	3/28/2013 4:19 PM