Pharmacy Details

WALGREEN CO. - information as of 6/16/2025 11:48:00 PM

Name
WALGREEN CO.

Address

DBA: WALGREENS #12693
729 W. NORTHLAND AVE.
APPLETON, WI 54914-1426

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	CH0526690	Partnership Community Health Center	Medical and Behavioral Health	HRSA-Funded Health Center	5471 Waterford Lane		Appleton	WI	04/01/2014		1/3/2014 10:33 AM
Details	DSH520009	Ascension NE Wisconsin, Inc. d/b/a Ascension NE Wisconsin - St. Elizabeth Hospital Campus		Disproportionate Share Hospital	1506 S. Oneida St.		Appleton	WI	07/01/2014		2/15/2017 12:48 PM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Update		Walgreens # 12693 729 W NORTHLAND AVE APPLETON, WI 54914	WALGREEN CO. DBA: WALGREENS #12693 729 W. NORTHLAND AVE. APPLETON, WI 54914-1426	3/28/2013 4:19 PM
Details	Name	Update		Walgreens # 12693	WALGREEN CO.	3/28/2013 4:19 PM
Details	Comments	Insert				3/8/2012 5:31 PM
Details	Is Deleted	Insert			False	3/8/2012 5:31 PM
Addresses	Pharmacy Address	Insert			Walgreens # 12693 729 W NORTHLAND AVE APPLETON, WI 54914	3/8/2012 5:31 PM
Details	Name	Insert			Walgreens # 12693	3/8/2012 5:31 PM