Pharmacy Details

WALGREEN CO. - information as of 5/16/2025 11:55:24 PM

Name
WALGREEN CO.

Address

DBA: WALGREENS # 07236
225 NORTH ELM STREET
CENTRALIA, IL 62801-3248

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	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	DSH140046	SSM HEALTH GOOD SAMARITAN HOSPITAL		Disproportionate Share Hospital	1 GOOD SAMARITAN WAY		MT. VERNON	IL	07/01/2023	07/01/2025	5/5/2025 12:40 PM
Details	RRC140034-00	ST. MARY'S HOSPITAL, CENTRALIA, ILLINOIS		Rural Referral Center	400 NORTH PLEASANT AVENUE		CENTRALIA	IL	01/01/2016	07/01/2023	7/1/2023 12:01 AM
Details	RRC140046-00	SSM HEALTH GOOD SAMARITAN HOSPITAL		Rural Referral Center	1 GOOD SAMARITAN WAY		MT. VERNON	IL	10/01/2016	07/01/2023	7/1/2023 12:01 AM
Details	RRC140046-00	SSM HEALTH GOOD SAMARITAN HOSPITAL		Rural Referral Center	1 GOOD SAMARITAN WAY		MT. VERNON	IL	07/01/2025		5/5/2025 12:40 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 # 07236 225 NORTH ELM STREET CENTRALIA, IL 62801-3248	3/28/2013 4:21 PM
Details	Name	Insert			WALGREEN CO.	3/28/2013 4:21 PM