340B Drug Pricing Program Database


AGNESIAN PRESCRIPTION CENTER - MAYVILLE - information as of 4/28/2025 12:45:50 AM


AGNESIAN PRESCRIPTION CENTER - MAYVILLE

360 S. MOUNTIN DRIVE
MAYVILLE, WI 53050



  • 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
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesPharmacy AddressInsert  AGNESIAN PRESCRIPTION CENTER - MAYVILLE 360 S. MOUNTIN DRIVE MAYVILLE, WI 530509/29/2017 6:44 AM
AddressesPharmacy AddressUpdate AGNESIAN PHARMACY MAYVILLE AGNESIAN HEALTHCARE INC 360 SOUTH MOUNTAIN DRIVE MAYVILLE, WI 53050AGNESIAN PRESCRIPTION CENTER - MAYVILLE 360 S. MOUNTIN DRIVE MAYVILLE, WI 530504/6/2015 12:00 PM
DetailsNameUpdate AGNESIAN PHARMACY MAYVILLEAGNESIAN PRESCRIPTION CENTER - MAYVILLE4/6/2015 12:00 PM
DetailsCommentsUpdate   3/28/2013 4:19 PM
AddressesPharmacy AddressUpdate AGNESIAN PHARMACY - MAYVILLE 360 S. MOUNTAIN DRIVE MAYVILLE, WI 53050AGNESIAN PHARMACY MAYVILLE AGNESIAN HEALTHCARE INC 360 SOUTH MOUNTAIN DRIVE MAYVILLE, WI 530503/28/2013 4:19 PM
DetailsNameUpdate AGNESIAN PHARMACY - MAYVILLEAGNESIAN PHARMACY MAYVILLE3/28/2013 4:19 PM
DetailsCommentsInsert   11/24/2010 7:19 AM
DetailsIs DeletedInsert  False11/24/2010 7:19 AM
AddressesPharmacy AddressInsert  AGNESIAN PHARMACY - MAYVILLE 360 S. MOUNTAIN DRIVE MAYVILLE, WI 5305011/24/2010 7:19 AM
DetailsNameInsert  AGNESIAN PHARMACY - MAYVILLE11/24/2010 7:19 AM