340B Drug Pricing Program Database
WISCONSIN CVS PHARMACY, L.L.C. - information as of 4/28/2025 1:53:03 AM
Export
Name
WISCONSIN CVS PHARMACY, L.L.C.
Address
DBA: CVS/PHARMACY # 08525
700 WEST WISCONSIN AVE.
APPLETON, WI 54914
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
CAH521317-00
Ascension Calumet Hospital, Inc.
Critical Access Hospital
614 MEMORIAL DRIVE
CHILTON
WI
04/01/2022
4/1/2022 12:01 AM
Details
DSH520009
Ascension NE Wisconsin, Inc. d/b/a Ascension NE Wisconsin - St. Elizabeth Hospital Campus
Disproportionate Share Hospital
1506 S. Oneida St.
Appleton
WI
04/01/2022
4/1/2022 12:01 AM
History
Section
Field
Action
Activity
Value Before
Value After
Timestamp
Details
Comments
Insert
3/28/2013 4:19 PM
Details
Is Deleted
Insert
False
3/28/2013 4:19 PM
Addresses
Pharmacy Address
Insert
WISCONSIN CVS PHARMACY, L.L.C. DBA: CVS/PHARMACY # 08525 700 WEST WISCONSIN AVE. APPLETON, WI 54914
3/28/2013 4:19 PM
Details
Name
Insert
WISCONSIN CVS PHARMACY, L.L.C.
3/28/2013 4:19 PM
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