340B Drug Pricing Program Database


THEDACARE PHARMACY - WAUTOMA - information as of 5/25/2025 1:31:28 AM


THEDACARE PHARMACY - WAUTOMA

N2934 HWY 22 N
WAUTOMA, WI 54982-0645



  • Contracts
  • History
Contracts
Contract Detail340B IDEntity NameSub NameEntity TypeAddressAddress Cont.CityStateBegin DateTerm DateEdit Date
DetailsCAH521355-00ThedaCare Medical Center Berlin, Inc. Critical Access Hospital225 MEMORIAL DRIVE
BERLINWI11/17/201105/12/20176/9/2017 1:54 PM
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesPharmacy AddressInsert  THEDACARE PHARMACY - WAUTOMA N2934 HWY 22 N WAUTOMA, WI 54982-06459/29/2017 6:44 AM
AddressesPharmacy AddressUpdate THEDACARE PHARMACY - WAUTOMA N2934 HWY 22 N PO BOX 645 WAUTOMA, WI 54982-0645THEDACARE PHARMACY - WAUTOMA N2934 HWY 22 N WAUTOMA, WI 54982-064512/27/2016 1:59 PM
AddressesPharmacy AddressUpdate CHN PHARMACY #1 N2934 HWY 22 N WAUTOMA, WI 54982-0645THEDACARE PHARMACY - WAUTOMA N2934 HWY 22 N PO BOX 645 WAUTOMA, WI 54982-064512/23/2015 4:51 PM
DetailsNameUpdate CHN PHARMACY #1THEDACARE PHARMACY - WAUTOMA12/23/2015 4:51 PM
AddressesPharmacy AddressUpdate CHN Pharmacy N2934 Highway 22 North Wautoma, WI 54982-0645CHN PHARMACY #1 N2934 HWY 22 N WAUTOMA, WI 54982-06453/28/2013 4:19 PM
DetailsNameUpdate CHN PharmacyCHN PHARMACY #13/28/2013 4:19 PM
DetailsCommentsInsert   11/10/2011 3:29 PM
DetailsIs DeletedInsert  False11/10/2011 3:29 PM
AddressesPharmacy AddressInsert  CHN Pharmacy N2934 Highway 22 North Wautoma, WI 54982-064511/10/2011 3:29 PM
DetailsNameInsert  CHN Pharmacy11/10/2011 3:29 PM