340B Drug Pricing Program Database


AGNESIAN HEALTHCARE INC. - information as of 4/30/2025 12:03:39 AM


AGNESIAN HEALTHCARE INC.

SSM HEALTH PHARMACY
904 W MAIN ST
WAUPUN, WI 53963

4/13/11 CHANGED ADDR (WAS 910 W. MAIN STREET)


  • 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 904 W MAIN ST WAUPUN, WI 53963AGNESIAN HEALTHCARE INC. SSM HEALTH PHARMACY 904 W MAIN ST WAUPUN, WI 5396312/26/2024 8:49 AM
DetailsNameUpdate SSM HEALTH PHARMACYAGNESIAN HEALTHCARE INC.12/26/2024 8:49 AM
AddressesPharmacy AddressUpdate SSM HEALTH PHARMACY 904 W MAIN ST WAUPUN, WI 53963SSM HEALTH PHARMACY SSM HEALTH PHARMACY 904 W MAIN ST WAUPUN, WI 5396312/16/2024 4:49 PM
AddressesPharmacy AddressUpdate AGNESIAN PHARMACY AGNESIAN HEALTHCARE INC. 904 WEST MAIN STREET WAUPUN, WI 53963SSM HEALTH PHARMACY 904 W MAIN ST WAUPUN, WI 539636/7/2022 10:00 AM
DetailsNameUpdate AGNESIAN PHARMACYSSM HEALTH PHARMACY6/7/2022 10:00 AM
AddressesPharmacy AddressUpdate AGNESIAN PHARMACY AGNESIAN HEALTHCARE INC. 904 WEST MAIN STREET WAUPUN, WI 53963AGNESIAN PHARMACY AGNESIAN HEALTHCARE INC. 904 WEST MAIN STREET WAUPUN, WI 5396310/13/2021 10:55 AM
AddressesPharmacy AddressInsert  AGNESIAN PHARMACY AGNESIAN HEALTHCARE INC. 904 WEST MAIN STREET WAUPUN, WI 53963-12015/19/2021 3:32 PM
AddressesPharmacy AddressInsert  AGNESIAN PHARMACY AGNESIAN HEALTHCARE INC. 904 WEST MAIN STREET WAUPUN, WI 539639/29/2017 6:44 AM
DetailsCommentsUpdate  4/13/11 CHANGED ADDR (WAS 910 W. MAIN STREET)4/18/2013 3:57 PM
AddressesPharmacy AddressUpdate AGNESIAN PHARMACY AGNESIAN HEALTHCARE INC. WAUPUN, WI 53963AGNESIAN PHARMACY AGNESIAN HEALTHCARE INC. 904 WEST MAIN STREET WAUPUN, WI 539634/18/2013 3:57 PM