Pharmacy Details

FROEDTERT HEALTH PLANK ROAD PHARMACY - information as of 4/25/2025 6:45:56 PM

Name
FROEDTERT HEALTH PLANK ROAD PHARMACY

Address

1155 N MAYFAIR RD
WAUWATOSA, WI 53226-3462

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	PED523300-00	CHILDREN'S HOSPITAL OF WISCONSIN, INC.		Children's Hospital	9000 W. WISCONSIN AVENUE		MILWAUKEE	WI	07/01/2019	01/15/2020	2/12/2020 8:20 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			FROEDTERT HEALTH PLANK ROAD PHARMACY 1155 N MAYFAIR RD WAUWATOSA, WI 53226-3462	9/17/2018 4:11 PM
Addresses	Pharmacy Address	Insert			FROEDTERT HEALTH PLANK ROAD PHARMACY 1155 N MAYFAIR ROAD WAUWATOSA, WI 53226-3462	8/20/2018 4:20 PM
Addresses	Pharmacy Address	Insert			FROEDTERT HEALTH PLANK ROAD PHARMACY 1155 N MAYFAIR ROAD WAUWATOSA, WI 53226	9/29/2017 6:44 AM
Details	Comments	Insert				4/25/2013 4:29 PM
Details	Is Deleted	Insert			False	4/25/2013 4:29 PM
Addresses	Pharmacy Address	Insert			FROEDTERT HEALTH PLANK ROAD PHARMACY 1155 N MAYFAIR ROAD WAUWATOSA, WI 53226	4/25/2013 4:29 PM
Details	Name	Insert			FROEDTERT HEALTH PLANK ROAD PHARMACY	4/25/2013 4:29 PM