Children’s hospital · WI
LAKE SUPERIOR COMMUNITY HEALTH CENTER
- 0Registered locations
- 1Associated locations
- 42Contract pharmacies
- 42With no end date
- 1 April 2004In 340B since
Finances, as filed
This entity type does not file a Medicare cost report; no finances are recorded.
Changes recorded
Nothing on this record has moved since it was first read here on 6 September 2026.
Cite this page
Velarion Records, “LAKE SUPERIOR COMMUNITY HEALTH CENTER” (340B ID CH051028A), citing the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx. https://velarionrecords.com/340b/CH051028A
Register detail and identifiers
Participation, as filed
- Participating
- TRUE
- Participation start date
- 1 April 2004
- Certification date
- 20 February 2026
- Record last edited
- 20 February 2026
Identifiers
- 340B ID
- CH051028A
- Entity type as filed
- CH
- Site ID
- BPS-H80-033535
- Grant number
- H80CS00811
- NPI
- 1063789022 (MN,WI), 1578781639 (MN,WI), 1699708297 (WI)
2222 E 5th St, Superior WI 54880
Associated locations
| Organization | Address | Where |
|---|---|---|
| LAKE SUPERIOR COMMUNITY HEALTH CENTER | 2222 E 5th St | Superior WI 54880 |
Pharmacy contracts
| Pharmacy | Where | Begins | Ends |
|---|---|---|---|
| ADVANCED CARE SCRIPTS, INC | ORLANDO, FL | 1 January 2025 | no end date filed |
| ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCA | APOPKA, FL | 1 January 2018 | no end date filed |
| BIOPLUS SPECIALTY PHARMACY SERVICES, LLC | CHANDLER, AZ | 1 January 2025 | no end date filed |
| BIOPLUS SPECIALTY PHARMACY SERVICES, LLC | IRVINE, CA | 1 January 2025 | no end date filed |
| BIOPLUS SPECIALTY PHARMACY SERVICES, LLC | ALTAMONTE SPRINGS, FL | 1 January 2025 | no end date filed |
| BIOPLUS SPECIALTY PHARMACY SERVICES, LLC | INDIANAPOLIS, IN | 1 January 2025 | no end date filed |
| BIOPLUS SPECIALTY PHARMACY SERVICES, LLC | DURHAM, NC | 1 January 2025 | no end date filed |
| CAREMARK FLORIDA SPECIALTY PHARMACY LLC | TAMPA, FL | 1 January 2025 | no end date filed |
| CAREMARK ILLINOIS SPECIALTY PHARMACY, LL | MOUNT PROSPECT, IL | 1 January 2025 | no end date filed |
| CAREMARK KANSAS SPECIALTY PHARMACY | LENEXA, KS | 1 January 2025 | no end date filed |
| CAREMARK MASSACHUSETTS SPECIALTY PHARMAC | MILFORD, MA | 1 January 2025 | no end date filed |
| CAREMARK MICHIGAN SPECIALTY PHARMACY, LL | TROY, MI | 1 January 2025 | no end date filed |
| CAREMARK NEW JERSEY SPECIALTY PHCY, LLC | FAIRFIELD, NJ | 1 January 2025 | no end date filed |
| CAREMARK NORTH CAROLINA SPECIALTY PHARMA | RALEIGH, NC | 1 January 2025 | no end date filed |
| CAREMARK TENNESSEE SPECIALTY PHARMACY, L | BARTLETT, TN | 1 January 2025 | no end date filed |
| CAREMARK, L.L.C. | REDLANDS, CA | 1 January 2025 | no end date filed |
| CAREMARK, L.L.C. | LAS VEGAS, NV | 1 January 2025 | no end date filed |
| CVS CAREMARK | WILKES BARRE, PA | 1 October 2026 | no end date filed |
| CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC | MT PROSPECT, IL | 1 October 2026 | no end date filed |
| CVS/SPECIALTY OR CARELONRX SPECIALTY PHA | FLOWER MOUND, TX | 1 January 2025 | no end date filed |
| DELIVERCARERX PHARMACY LLC | MT PROSPECT, IL | 1 January 2018 | no end date filed |
| DOGWOOD PHARMACY LLC | GREENVILLE, SC | 1 January 2025 | no end date filed |
| ESSENTIA HEALTH SUPERIOR PHARMACY | SUPERIOR, WI | 1 April 2004 | no end date filed |
| ESSENTIA HEALTH WEST DULUTH PHARMACY | DULUTH, MN | 1 January 2018 | no end date filed |
| GENOA HEALTHCARE LLC | DULUTH, MN | 1 January 2025 | no end date filed |
| GENOA HEALTHCARE LLC | DULUTH, MN | 1 January 2025 | no end date filed |
| GRAND ST. PAUL CVS, L.L.C. | DULUTH, MN | 1 January 2025 | no end date filed |
| GRAND ST. PAUL CVS, L.L.C. | DULUTH, MN | 1 January 2025 | no end date filed |
| OPTUM PHARMACY 701, LLC | FLINT, MI | 1 January 2025 | no end date filed |
| OPTUM PHARMACY 702, LLC | JEFFERSONVILLE, IN | 1 January 2025 | no end date filed |
| PROCARE PHARMACY DIRECT, L.L.C. | MONROEVILLE, PA | 1 January 2025 | no end date filed |
| PROCARE PHARMACY, L.L.C. | BIRMINGHAM, AL | 1 January 2025 | no end date filed |
| PROCARE PHARMACY, L.L.C. | COLUMBIA, SC | 1 January 2025 | no end date filed |
| RAINA RX LLC | NEWBURGH, NY | 1 January 2025 | no end date filed |
| RIVER MEDICAL PHARMACY LLC | SAN ANTONIO, TX | 1 January 2025 | no end date filed |
| SANTA BARBARA SPECIALTY PHARMACY LLC | CARPINTERIA, CA | 1 January 2025 | no end date filed |
| WAL-MART CENTRAL FILL 10-2670 | SPRING, TX | 1 January 2019 | no end date filed |
| WAL-MART PHARMACY 10-1447 | SUPERIOR, WI | 1 January 2018 | no end date filed |
| WAL-MART PHARMACY 10-5997 | ORLANDO, FL | 1 January 2019 | no end date filed |
| WALGREEN CO. | GRAND RAPIDS, MN | 1 January 2025 | no end date filed |
| WALGREEN CO. | VIRGINIA, MN | 1 January 2025 | no end date filed |
| WALGREEN CO. | SUPERIOR, WI | 1 January 2018 | no end date filed |
Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx, stamped by its publisher 7 September 2026. This record has been read here since 6 September 2026.