Pharmacy Details

WALGREEN CO. - information as of 6/7/2025 4:53:36 AM

Name
WALGREEN CO.

Address

DBA: WALGREENS #07001
5296 JIMMY CARTER BLVD
NORCROSS, GA 30093-1603

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	CHC26591-00	CENTER FOR PANASIAN COMMUNITY SERVICES INC	CPACS Cosmo Health Center	HRSA-Funded Health Center	6185 Buford Highway STE B		Norcross	GA	07/01/2015		4/3/2015 8:48 AM
Details	DSH110076	DEKALB MEDICAL CENTER, INC - DBA EMORY DECATUR HOSPITAL		Disproportionate Share Hospital	2701 NORTH DECATUR ROAD		DECATUR	GA	10/12/2012	04/30/2025	4/30/2025 12:01 AM
Details	HV00799	Positive Impact Health Centers, Inc		Ryan White Part C	3350 BRECKINRIDGE BLVD	STE 200	DULUTH	GA	10/01/2013	12/01/2023	1/22/2024 1:30 PM
Details	RWI30309	Positive Impact Health Centers, Inc.		Ryan White Part A	523 Church St		Decatur	GA	10/01/2015	12/01/2023	1/22/2024 1:30 PM
Details	RWII302461	Positive Impact Health Centers, Inc		Ryan White Part B	3350 Breckenridge Blvd.	STE 200	DULUTH	GA	10/01/2017	12/01/2020	12/29/2020 12:48 PM
Details	STD30309	Positive Impact Health Centers, Inc.		Sexually Transmitted Diseases	523 Church St		Decatur	GA	10/01/2017	01/13/2020	2/25/2020 9:58 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			WALGREEN CO. DBA: WALGREENS #07001 5296 JIMMY CARTER BLVD NORCROSS, GA 30093-1603	1/31/2019 7:45 AM
Addresses	Pharmacy Address	Insert			WALGREEN CO. 5296 JIMMY CARTER BLVD NORCROSS, GA 30093-1603	1/23/2019 4:16 PM
Addresses	Pharmacy Address	Update		WALGREENS # 07001 5296 JIMMY CARTER BLVD NORCROSS, GA 30093-1603	WALGREEN CO. DBA: WALGREENS # 07001 5296 JIMMY CARTER BLVD NORCROSS, GA 30093-1603	3/28/2013 4:09 PM
Details	Name	Update		WALGREENS # 07001	WALGREEN CO.	3/28/2013 4:09 PM
Details	Comments	Insert				10/12/2012 6:42 PM
Details	Is Deleted	Insert			False	10/12/2012 6:42 PM
Addresses	Pharmacy Address	Insert			WALGREENS # 07001 5296 JIMMY CARTER BLVD NORCROSS, GA 30093-1603	10/12/2012 6:42 PM
Details	Name	Insert			WALGREENS # 07001	10/12/2012 6:42 PM