Pharmacy Details

WISCONSIN CVS PHARMACY, L.L.C. - information as of 6/18/2025 1:39:04 AM

Name
WISCONSIN CVS PHARMACY, L.L.C.

Address

DBA: CVS/PHARMACY # 05600
2149 PRAIRIE AVE.
BELOIT, WI 53511

Comments

Contracts
History

Contracts

Contract Detail	340B ID	Entity Name	Sub Name	Entity Type	Address	Address Cont.	City	State	Begin Date	Term Date	Edit Date
Details	CAH521357-00	Mercy Walworth Hospital		Critical Access Hospital	N2950 State Road 67		Lake Geneva	WI	04/01/2022		4/1/2022 12:01 AM
Details	CH059030	COMMUNITY HEALTH SYSTEMS, INC.	Beloit Area Community Health Center	HRSA-Funded Health Center	74 Eclipse Ctr		BELOIT	WI	07/01/2024	10/09/2024	10/9/2024 4:55 PM
Details	CH059030	COMMUNITY HEALTH SYSTEMS, INC.	Beloit Area Community Health Center	HRSA-Funded Health Center	74 Eclipse Ctr		BELOIT	WI	01/01/2025		1/1/2025 12:01 AM
Details	DSH140228	SWEDISH AMERICAN HOSPITAL		Disproportionate Share Hospital	1401 E STATE ST		ROCKFORD	IL	09/25/2020		9/25/2020 4:31 PM
Details	DSH140239	Javon Bea Hospital		Disproportionate Share Hospital	8201 E Riverside Blvd		Rockford	IL	01/01/2020		1/1/2020 12:05 AM
Details	DSH520066	MERCY HEALTH SYSTEM CORPORATION		Disproportionate Share Hospital	1000 MINERAL POINT AVE		JANESVILLE	WI	07/01/2019	01/01/2024	1/1/2024 12:01 AM
Details	DSH520066BK	MERCY HEALTH SYSTEM CORPORATION	MERCY CLINIC EAST - East Pediatric Gastroenterology	Disproportionate Share Hospital	3524E MILWAUKEE ST		JANESVILLE	WI	07/01/2019	06/22/2022	6/27/2022 11:51 AM
Details	RRC520066-00	MERCY HEALTH SYSTEM CORPORATION		Rural Referral Center	1000 MINERAL POINT AVE		JANESVILLE	WI	01/01/2024		1/1/2024 12:01 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Comments	Insert				3/28/2013 4:18 PM
Details	Is Deleted	Insert			False	3/28/2013 4:18 PM
Addresses	Pharmacy Address	Insert			WISCONSIN CVS PHARMACY, L.L.C. DBA: CVS/PHARMACY # 05600 2149 PRAIRIE AVE. BELOIT, WI 53511	3/28/2013 4:18 PM
Details	Name	Insert			WISCONSIN CVS PHARMACY, L.L.C.	3/28/2013 4:18 PM