340B Drug Pricing Program Database


WISCONSIN CVS PHARMACY, L.L.C. - information as of 5/6/2025 12:37:22 AM


WISCONSIN CVS PHARMACY, L.L.C.

DBA CVS/PHARMACY # 4996
N83W15550 APPLETON AVE
MENOMONEE FALLS, WI 53051-3714



  • Contracts
  • History
Contracts
Contract Detail340B IDEntity NameSub NameEntity TypeAddressAddress Cont.CityStateBegin DateTerm DateEdit Date
DetailsDSH520051COLUMBIA ST MARYS HOSPITAL MILWAUKEE, INCCOLUMBIA ST MARYS HOSPITAL MILWAUKEEDisproportionate Share Hospital2323 N LAKE DRIVE
MILWAUKEEWI07/01/2021 7/1/2021 12:01 AM
DetailsDSH520078Ascension St. Francis Hospital, Inc. Disproportionate Share Hospital3237 SOUTH 16TH STREET
MILWAUKEEWI10/01/2021 10/1/2021 12:01 AM
DetailsDSH520136Ascension SE Wisconsin Hospital, Inc.ST. JOSEPH CAMPUSDisproportionate Share Hospital5000 WEST CHAMBERS STREET
MILWAUKEEWI10/01/2021 10/1/2021 12:01 AM
DetailsDSH520177FROEDTERT MEMORIAL LUTHERAN HOSPITALFORMERLY JOHN L. DOYNE HOSPITALDisproportionate Share Hospital9200 WEST WISCONSIN AVENUE
MILWAUKEEWI10/01/2014 4/25/2017 6:01 PM
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesPharmacy AddressInsert  WISCONSIN CVS PHARMACY, L.L.C. DBA CVS/PHARMACY # 4996 N83W15550 APPLETON AVE MENOMONEE FALLS, WI 53051-37148/20/2018 4:20 PM
DetailsCommentsInsert   3/28/2013 4:18 PM
DetailsIs DeletedInsert  False3/28/2013 4:18 PM
AddressesPharmacy AddressInsert  WISCONSIN CVS PHARMACY, L.L.C. DBA CVS/PHARMACY # 4996 N83 W15550 APPLETON AVE MENOMONEE FALLS, WI 535013/28/2013 4:18 PM
DetailsNameInsert  WISCONSIN CVS PHARMACY, L.L.C.3/28/2013 4:18 PM