340B Drug Pricing Program Database


THEDACARE PHARMACY - GREEN LAKE - information as of 4/25/2025 8:38:22 PM


THEDACARE PHARMACY - GREEN LAKE

THEDACARE MEDICAL CENTER - BERLIN, INC.
762 COMMERCIAL AVE
GREEN LAKE, WI 54941



  • 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
BERLINWI10/01/201310/01/20166/9/2017 1:54 PM
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesPharmacy AddressUpdate THEDACARE MEDICAL CENTER - BERLIN, INC. DBA THEDACARE PHARMACY - GREEN LAKE 762 COMMERCIAL AVE GREEN LAKE, WI 54941THEDACARE PHARMACY - GREEN LAKE THEDACARE MEDICAL CENTER - BERLIN, INC. 762 COMMERCIAL AVE GREEN LAKE, WI 5494112/23/2015 4:52 PM
DetailsNameUpdate THEDACARE MEDICAL CENTER - BERLIN, INC.THEDACARE PHARMACY - GREEN LAKE12/23/2015 4:52 PM
AddressesPharmacy AddressUpdate CHN PHARMACY GREEN LAKE 762 COMMERCIAL AVE GREEN LAKE, WI 54941THEDACARE MEDICAL CENTER - BERLIN, INC. DBA THEDACARE PHARMACY - GREEN LAKE 762 COMMERCIAL AVE GREEN LAKE, WI 5494111/6/2015 4:04 PM
DetailsNameUpdate CHN PHARMACY GREEN LAKETHEDACARE MEDICAL CENTER - BERLIN, INC.11/6/2015 4:04 PM
AddressesPharmacy AddressUpdate CHN PHARMACY GREEN LAKE 760 COMMERCIAL AVE GREEN LAKE, WI 54941CHN PHARMACY GREEN LAKE 762 COMMERCIAL AVE GREEN LAKE, WI 549416/2/2014 4:05 PM
DetailsCommentsInsert   5/20/2013 9:59 AM
DetailsIs DeletedInsert  False5/20/2013 9:59 AM
AddressesPharmacy AddressInsert  CHN PHARMACY GREEN LAKE 760 COMMERCIAL AVE GREEN LAKE, WI 549415/20/2013 9:59 AM
DetailsNameInsert  CHN PHARMACY GREEN LAKE5/20/2013 9:59 AM