340B Drug Pricing Program Database

Office of Pharmacy Affairs Logo

ASCENSION WISCONSIN PHARMACY, INC
DSH520051 COLUMBIA ST MARYS HOSPITAL MILWAUKEE, INC

Covered Entity Details

COLUMBIA ST MARYS HOSPITAL MILWAUKEE
Disproportionate Share Hospital
DSH520051
2323 N LAKE DRIVE
MILWAUKEE, WI 53211-4508
520051
4/1/2004
8/26/2024


Pharmacy Details

DBA ASCENSION RX 1112
2301 N LAKE DR
MILWAUKEE, WI 53211-4508

Contract Details

4/9/2019
7/1/2019


Contacts


Vanessa Freitag, Vice President, Pharmacy
(715) 897-1183



Ascension
Michael Torhorst, Regional Director Retail Pharmacy
(262) 687-2161
4/9/2019