Pharmacy Details

WALGREEN CO. - information as of 5/30/2025 7:36:21 PM

Name
WALGREEN CO.

Address

DBA: WALGREENS # 07397
2125 CLOVERDALE AVE
WINSTON SALEM, NC 27103-2506

Comments

Contracts
History

Contracts

Contract Detail	340B ID	Entity Name	Sub Name	Entity Type	Address	Address Cont.	City	State	Begin Date	Term Date	Edit Date
Details	DSH340014	Forsyth Memorial Hospital, Inc d/b/a Novant Health Forsyth Medical Center		Disproportionate Share Hospital	3333 SILAS CREEK PARKWAY		WINSTON-SALEM	NC	10/01/2019	07/07/2020	7/30/2020 7:52 AM
Details	DSH340047	NORTH CAROLINA BAPTIST HOSPITAL		Disproportionate Share Hospital	MEDICAL CENTER BOULEVARD		WINSTON-SALEM	NC	01/01/2021		1/1/2021 12:01 AM
Details	RRC340014-00	FORSYTH MEMORIAL HOSPITAL INC		Rural Referral Center	3333 SILAS CREEK PARKWAY		WINSTON SALEM	NC	07/29/2020		7/29/2020 3:40 PM
Details	RWIID276261	NORTH CAROLINA DHHS	COMMUNICABLE DISEASE BRANCH	Ryan White Part B ADAP Direct Purchase	225 N. MCDOWELL ST.		RALEIGH	NC	04/01/2015		1/13/2015 4:08 PM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Comments	Insert				3/28/2013 4:07 PM
Details	Is Deleted	Insert			False	3/28/2013 4:07 PM
Addresses	Pharmacy Address	Insert			WALGREEN CO. DBA: WALGREENS # 07397 2125 CLOVERDALE AVE WINSTON SALEM, NC 27103-2506	3/28/2013 4:07 PM
Details	Name	Insert			WALGREEN CO.	3/28/2013 4:07 PM