340B Drug Pricing Program Database
WALGREEN CO. - information as of 5/27/2025 1:17:14 PM
Export
Name
WALGREEN CO.
Address
DBA: WALGREENS # 09824
705 SOUTH STATE STREET
JERSEYVILLE, IL 62052
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
CAH141300-00
THOMAS H BOYD CRITICAL ACC HOSPITAL
Critical Access Hospital
800 SCHOOL STREET
CARROLLTON
IL
07/01/2019
7/1/2019 12:05 AM
Details
CH053320
SIHF Healthcare
SIHF Healthcare
HRSA-Funded Health Center
2041 Goose Lake Rd,
Sauget
IL
07/01/2019
7/1/2019 12:05 AM
Details
DSH260091
SSM HEALTH ST MARY'S HOSPITAL-STL
Disproportionate Share Hospital
6420 CLAYTON ROAD
ST. LOUIS
MO
04/01/2017
04/12/2019
4/12/2019 11:06 AM
Details
DSH260091
SSM HEALTH ST MARY'S HOSPITAL-STL
Disproportionate Share Hospital
6420 CLAYTON ROAD
ST. LOUIS
MO
04/19/2019
4/25/2019 10:44 AM
Details
DSH260104
SSM HEALTH DEPAUL HOSPITAL
Disproportionate Share Hospital
12303 DePaul Dr
BRIDGETON
MO
04/01/2017
7/13/2017 12:12 PM
History
Section
Field
Action
Activity
Value Before
Value After
Timestamp
Details
Comments
Insert
3/28/2013 4:21 PM
Details
Is Deleted
Insert
False
3/28/2013 4:21 PM
Addresses
Pharmacy Address
Insert
WALGREEN CO. DBA: WALGREENS # 09824 705 SOUTH STATE STREET JERSEYVILLE, IL 62052
3/28/2013 4:21 PM
Details
Name
Insert
WALGREEN CO.
3/28/2013 4:21 PM
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