340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WISCONSIN CVS PHARMACY, L.L.C.
STD53212 Holton Street Clinic, Inc
Print
Covered Entity Details
Entity Name
Holton Street Clinic, Inc
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD53212
Entity Address
3251 N. HOLTON ST.
MILWAUKEE, WI 53212-2126
Grant Number
1U52PS005148
Participating Start Date
1/1/2008
Last Recertification Date
5/8/2024
Pharmacy Details
Pharmacy Name
WISCONSIN CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 01267
7550 W. PERKINS PLACE
MILWAUKEE, WI 53216
Pharmacy Comments
Contract Details
Approval Date
1/3/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
David Wenten, Executive Director
(414) 264-8800
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/3/2024
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session