340B Drug Pricing Program Database

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THEDA CARE PHARMACY
CAH521346-00 ThedaCare Medical Center Shawano, Inc.

Covered Entity Details

Critical Access Hospital
CAH521346-00
100 County Road B
Shawano, WI 54166
521346
4/1/2012
8/15/2024


Pharmacy Details

100 COUNTY ROAD B
SHAWANO, WI 54166

Contract Details

1/16/2014
4/1/2014

5/22/2017
Ownership change


Contacts


Nancy Fugate, Director, Ancillary Services
(715) 526-7160



Robert Probasco, Manager, Pharmacy Clinical Operations
(715) 584-8045
1/16/2014