340B Drug Pricing Program Database


AGNESIAN HEALTHCARE INC. - information as of 5/25/2025 1:28:24 AM


AGNESIAN HEALTHCARE INC.

SSM HEALTH PHARMACY
420 E DIVISION ST
FOND DU LAC, WI 54935



  • Contracts
  • History
Contracts
Contract Detail340B IDEntity NameSub NameEntity TypeAddressAddress Cont.CityStateBegin DateTerm DateEdit Date
DetailsCAH521327-00WAUPUN MEMORIAL HOSPITAL Critical Access Hospital620 WEST BROWN STREET
WAUPUNWI12/01/201006/30/20167/11/2016 1:24 PM
DetailsSCH520088-00SSM HEALTH ST AGNES HOSPITAL - FOND DU LAC Sole Community Hospital430 EAST DIVISION STREET
FOND DU LACWI01/01/202401/01/20251/6/2025 10:06 AM
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesPharmacy AddressUpdate SSM HEALTH PHARMACY SSM HEALTH PHARMACY 420 E DIVISION ST FOND DU LAC, WI 54935AGNESIAN HEALTHCARE INC. SSM HEALTH PHARMACY 420 E DIVISION ST FOND DU LAC, WI 5493512/26/2024 8:49 AM
DetailsNameUpdate SSM HEALTH PHARMACYAGNESIAN HEALTHCARE INC.12/26/2024 8:49 AM
AddressesPharmacy AddressUpdate SSM HEALTH PHARMACY 420 E DIVISION ST FOND DU LAC, WI 54935SSM HEALTH PHARMACY SSM HEALTH PHARMACY 420 E DIVISION ST FOND DU LAC, WI 5493512/16/2024 4:49 PM
AddressesPharmacy AddressUpdate PHARMACY PLUS 420 E DIVISION ST AGNESIAN HEALTHCARE INC FOND DU LAC, WI 54935-4560SSM HEALTH PHARMACY 420 E DIVISION ST FOND DU LAC, WI 549356/7/2022 10:00 AM
DetailsNameUpdate PHARMACY PLUSSSM HEALTH PHARMACY6/7/2022 10:00 AM
AddressesPharmacy AddressInsert  PHARMACY PLUS 420 E DIVISION ST AGNESIAN HEALTHCARE INC FOND DU LAC, WI 54935-45602/27/2019 3:54 PM
AddressesPharmacy AddressInsert  PHARMACY PLUS AGNESIAN HEALTHCARE INC. 420 EAST DIVISION STREET FOND DU LAC, WI 549359/29/2017 6:44 AM
AddressesPharmacy AddressUpdate PHARMACY PLUS AGNESIAN HEALTHCARE INC. FOND DU LAC, WI 54935PHARMACY PLUS AGNESIAN HEALTHCARE INC. 420 EAST DIVISION STREET FOND DU LAC, WI 549353/28/2013 4:19 PM
DetailsCommentsUpdate   3/28/2013 4:19 PM
AddressesPharmacy AddressUpdate AGNESIAN PHARMACY PLUS 420 E. DIVISION ST. FOND DU LAC, WI 54935PHARMACY PLUS AGNESIAN HEALTHCARE INC. FOND DU LAC, WI 549353/28/2013 4:19 PM