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SKYWALK PHARMACY NEW BERLIN
PED523300-00 CHILDREN'S HOSPITAL OF WISCONSIN, INC.
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Covered Entity Details
Entity Name
CHILDREN'S HOSPITAL OF WISCONSIN, INC.
Subdivision Name
Type
Children's Hospital
340B ID
PED523300-00
Entity Address
9000 W. WISCONSIN AVENUE
MILWAUKEE, WI 53226
Medicare Provider Number
523300
Participating Start Date
4/1/2010
Last Recertification Date
8/28/2024
Pharmacy Details
Pharmacy Name
SKYWALK PHARMACY NEW BERLIN
Pharmacy Address
WAUWATOSA PRESCRIPTION CENTER, INC
4855 SOUTH MOORLAND ROAD
NEW BERLIN, WI 53151-7494
Pharmacy Comments
Contract Details
Approval Date
10/1/2014
Contract Begin Date
1/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/13/2023
Pharmacy closed
Contacts
Covered Entity Signing Official
Cinthia Christensen, President Children's Hospital of Wisconsin
(414) 266-3010
Contract Pharmacy Representative
Sklywalk
Kara Boghossian, Pharmacy Operations Manager
(414) 337-3341
Signed By Date
10/1/2014
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