340B Drug Pricing Program Database


WALGREEN CO. - information as of 6/25/2025 12:59:35 AM


WALGREEN CO.

WALGREENS SPECIALTY PHARMACY #21254
2265 N MAYFAIR RD.
WAUWATOSA, WI 53226



  • Contracts
  • History
Contracts
Contract Detail340B IDEntity NameSub NameEntity TypeAddressAddress Cont.CityStateBegin DateTerm DateEdit Date
DetailsCAH521337-00ST. CROIX REGIONAL MEDICAL CENTER Critical Access Hospital235 STATE STREET
ST. CROIX FALLSWI04/01/202008/23/20249/16/2024 1:01 PM
DetailsCAH521337-01ST. CROIX REGIONAL MEDICAL CENTERFREDERIC CLINICCritical Access Hospital205 Oak Street West
FREDERICWI04/01/202008/23/20249/16/2024 1:01 PM
DetailsCAH521337-03ST. CROIX REGIONAL MEDICAL CENTERST. CROIX FALLS CLINICCritical Access Hospital216 South Adams Street
ST. CROIX FALLSWI04/01/202008/23/20249/16/2024 1:02 PM
DetailsCAH521337-05ST. CROIX REGIONAL MEDICAL CENTERUnity ClinicCritical Access Hospital1504 190th Avenue
Balsam LakeWI04/01/202008/23/20249/16/2024 1:02 PM
DetailsCAH521337-07ST. CROIX REGIONAL MEDICAL CENTERWebster Health CenterCritical Access Hospital26425 Lakeland Avenue South
WebsterWI04/01/202008/23/20249/16/2024 1:01 PM
DetailsCAH521351-00REEDSBURG AREA MEDICAL CENTER Critical Access Hospital2000 N DEWEY AVE
REEDSBURGWI06/29/2020 6/29/2020 11:54 AM
DetailsCH051920OUTREACH COMMUNITY HEALTH CENTERS, INC.Outreach Community Health Centers, IncorporatedHRSA-Funded Health Center220 W Capitol Drive
MilwaukeeWI07/01/2023 7/1/2023 12:01 AM
DetailsDSH140275GENESIS MEDICAL CENTER - SILVIS Disproportionate Share Hospital801 Illini Drive
SilvisIL10/01/202101/01/20241/1/2024 12:01 AM
DetailsDSH160033GENESIS MEDICAL CENTER - DAVENPORT Disproportionate Share Hospital1227 EAST RUSHOLME
DAVENPORTIA10/01/2021 10/1/2021 12:01 AM
DetailsDSH160067MercyOne Waterloo Medical Center Disproportionate Share Hospital3421 W 9TH STREET
WATERLOOIA04/01/2020 4/1/2020 12:05 AM
DetailsDSH520009Ascension NE Wisconsin, Inc. d/b/a Ascension NE Wisconsin - St. Elizabeth Hospital Campus Disproportionate Share Hospital1506 S. Oneida St.
AppletonWI07/01/2024 7/1/2024 12:01 AM
DetailsDSH520035AURORA HEALTH CARE CENTRAL INC.DBA AURORA SHEBOYGAN MEMORIAL MEDICAL CENTER Disproportionate Share Hospital3400 UNION AVE
SHEBOYGANWI04/01/2022 4/1/2022 12:01 AM
DetailsDSH520051COLUMBIA ST MARYS HOSPITAL MILWAUKEE, INCCOLUMBIA ST MARYS HOSPITAL MILWAUKEEDisproportionate Share Hospital2323 N LAKE DRIVE
MILWAUKEEWI04/01/2020 4/1/2020 12:05 AM
DetailsDSH520066MERCY HEALTH SYSTEM CORPORATION Disproportionate Share Hospital1000 MINERAL POINT AVE
JANESVILLEWI04/01/202001/01/20241/1/2024 12:01 AM
DetailsDSH520075ST.VINCENT HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST. FRANCIS Disproportionate Share Hospital835 S.VAN BUREN STREET
GREEN BAYWI04/01/2020 4/1/2020 12:05 AM
DetailsDSH520078Ascension St. Francis Hospital, Inc. Disproportionate Share Hospital3237 SOUTH 16TH STREET
MILWAUKEEWI04/01/2020 4/1/2020 12:05 AM
DetailsDSH520096Ascension All Saints Hospital, Inc. Disproportionate Share Hospital3801 SPRING STREET
RACINEWI04/01/2020 4/1/2020 12:05 AM
DetailsDSH520136Ascension SE Wisconsin Hospital, Inc.ST. JOSEPH CAMPUSDisproportionate Share Hospital5000 WEST CHAMBERS STREET
MILWAUKEEWI04/01/2020 4/1/2020 12:05 AM
DetailsDSH520138AURORA HEALTH CARE METRO, INC.Aurora St. Luke's Medical CenterDisproportionate Share Hospital2900 W OKLAHOMA AVE
MILWAUKEEWI04/01/2020 4/1/2020 12:05 AM
DetailsDSH520139West Allis Memorial Hospital Inc. DBA Aurora West Allis Medical Center Disproportionate Share Hospital8901 West Lincoln Avenue
West AllisWI04/01/2022 4/1/2022 12:01 AM
DetailsDSH520177FROEDTERT MEMORIAL LUTHERAN HOSPITALFORMERLY JOHN L. DOYNE HOSPITALDisproportionate Share Hospital9200 WEST WISCONSIN AVENUE
MILWAUKEEWI10/01/2020 10/1/2020 12:01 AM
DetailsPED523300-00CHILDREN'S HOSPITAL OF WISCONSIN, INC. Children's Hospital9000 W. WISCONSIN AVENUE
MILWAUKEEWI10/01/2021 10/1/2021 12:01 AM
DetailsRRC520066-00MERCY HEALTH SYSTEM CORPORATION Rural Referral Center1000 MINERAL POINT AVE
JANESVILLEWI01/01/2024 1/1/2024 12:01 AM
DetailsRRC520198-00AURORA MEDICAL CENTER OF OSHKOSH Rural Referral Center855 N. WESTHAVEN DRIVE
OSHKOSHWI01/01/2022 1/1/2022 12:01 AM
DetailsSCH240093-00MAYO CLINIC HEALTH SYSTEM MANKATO Sole Community Hospital1025 MARSH STREET
MANKATOMN07/01/2023 7/1/2023 12:01 AM
DetailsSCH520088-00SSM HEALTH ST AGNES HOSPITAL - FOND DU LAC Sole Community Hospital430 EAST DIVISION STREET
FOND DU LACWI01/01/2024 1/1/2024 12:01 AM
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesPharmacy AddressUpdate WALGREEN CO. COMMUNITY, A WALGREENS PHARMACY #21254 2265 N MAYFAIR RD. WAUWATOSA, WI 53226WALGREEN CO. WALGREENS SPECIALTY PHARMACY #21254 2265 N MAYFAIR RD. WAUWATOSA, WI 532262/3/2025 9:51 AM
DetailsCommentsInsert   10/16/2019 4:45 PM
DetailsIs DeletedInsert  False10/16/2019 4:45 PM
AddressesPharmacy AddressInsert  WALGREEN CO. COMMUNITY, A WALGREENS PHARMACY #21254 2265 N MAYFAIR RD. WAUWATOSA, WI 5322610/16/2019 4:45 PM
DetailsNameInsert  WALGREEN CO.10/16/2019 4:45 PM