340B Drug Pricing Program Database

Pharmacy Name

SETON PHARMACY, COLUMBIA ST. MARYS HOSPI

Pharmacy Address

2323 NORTH LAKE DRIVE
MILWAUKEE, WI 53211

Pharmacy Comments

Approval Date

10/1/2004

Contract Begin Date

10/1/2004

Carve-In Effective Date

Contract Comments

12/3/07-UPDATED ADDRESS (WAS 2315 N LAKE DRIVE) 4/24/06 - CHANGED LINK TO DSH520051 DUE TO ADMIN CORRECT (WAS LINKED TO DSH53211)

Contract Termination Date
Termination Reason

12/1/2015
Agreement registered in error

Covered Entity Signing Official

Rhonda Anderson, PRESIDENT & CFO
(414) 270-4850

Contract Pharmacy Representative

Jenny Kregel, Pharmacist
(414) 291-1303

Signed By Date

4/30/2012