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South Dakota Board of Pharmacy

Nonresident Pharmacies; Active, in good standing as of October 5, 2018

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License

No Prefix Pharmacy Name Address 2 Address 1 City State

Zip

Code Phone Fax Type of Pharmacy Issued Expires

1736 400 1ST CHOICE PRESCRIPTIONS 8111 LBJ FWY STE 540 DALLAS TX 75251 972- 607-4978 281-783-2592 RETAIL 06/14/2017 06/30/2019

1877 400 360 PHARMACY CARE LLC dba 360 PHARMACY CARE 2441 PRODUCTION DR STE 101 INDIANAPOLIS IN 46241 317- 669-1093 317-836-0305 RETAIL 07/06/2018 06/30/2019

1787 400 A & K PHARMACY LLC dba BROADWAY CONTINENTAL DRUGS 7200 BROADWAY NORTH BERGEN NJ 07047 201- 854-4800 201-854-1518 RETAIL INDEPENDENT 11/09/2017 06/30/2019

0919 400 A & S DRUGS LLC dba A AND S DRUGS 101 W MAIN ST PIPESTONE MN 56164 507-825-3100 507-825-5810 RETAIL 05/05/2011 06/30/2019

1610 400 AB PHARMACY INC dba ASPCARES 1401 E RIDGE RD UNIT B MCALLEN TX 78503 956- 284-6687 956-284-6689 RETAIL 06/28/2016 06/30/2019

0802 400 ABBVIE ENDOCRINOLOGY INC dba PHARMACY SOLUTIONS 1 N WAUKEGAN RD AP5-NE NORTH CHICAGO IL 60064 888-857-0668 847-937-3216 SPECIALTY/MAIL ORDER 06/04/2009 06/30/2019

1029 400 ABC MEDCARE 709 ROBERTSON AVE WORLAND WY 82401 307- 278-2719 307-347-3085 CLOSED DOOR 10/10/2012 06/30/2019

0831 400 ABITACARE LLC dba VITAL CARE RX 1501 23RD AVE STE B MERIDIAN MS 39301 877-229-1724 877-229-1725 SPECIALTY 11/17/2009 06/30/2019

1299 400 ABSOLUTE PHARMACY LLC 16011 N NEBRASKA AVE STE 103 LUTZ FL 33549 813- 999-2700 813-999-2701 COMPOUNDING/COMMUNITY 06/30/2014 06/30/2019

1525 400

ABSOLUTE VETERINARY COMPOUNDING

PHARMACY LLC dba NEXGEN COMPOUNDING PHARMACY 2005 FT WORTH HWY STE 100 WEATHERFORD TX 76086 817- 599-7781 817-668-7651 COMPOUNDING 12/07/2015 06/30/2019

1178 400 ACARIAHEALTH PHARMACY #11 INC 1311 W SAM HOUSTON PKWY N STE 130 HOUSTON TX 77043 855- 422-2742 866-834-8523 RETAIL 11/21/2013 06/30/2019

0529 400 ACCREDO HEALTH GROUP INC 2915 WATERS RD STE 109 EAGAN MN 55121 651-681-0885 651-681-0977 SPECIALTY 08/18/2005 06/30/2019

0531 400 ACCREDO HEALTH GROUP INC 1620 CENTURY CENTER PKWY STE 109 MEMPHIS TN 38134 901- 435-2388 901-385-3777 SPECIALTY 08/18/2005 06/30/2019

0532 400 ACCREDO HEALTH GROUP INC 41 RACHEL DR STE 1 NASHVILLE TN 37214 615- 352-2500 615-850-5100 SPECIALTY 08/18/2005 06/30/2019

0536 400 ACCREDO HEALTH GROUP INC 3000 ERICSSON DR STE 100 WARRENDALE PA 15086 724-772-6000 724-742-2450 SPECIALTY 09/07/2005 06/30/2019

0652 400 ACCREDO HEALTH GROUP INC 2 BOULDEN CR STE 1 NEW CASTLE DE 19720 302- 395-8937 866-844-6629 SPECIALTY 03/08/2007 06/30/2019

1052 400 ACCREDO HEALTH GROUP INC 9307 KIRBY DR HOUSTON TX 77054 713- 791-1552 713-791-9411 SPECIALTY 12/28/2012 06/30/2019

1056 400 ACCREDO HEALTH GROUP INC 650 W GRAND AVE STE 102 ELMHURST IL 60126 630- 279-7390 630-279-8464 SPECIALTY PHARMACY 01/07/2013 06/30/2019

1157 400 ACCREDO HEALTH GROUP INC 6272 LEE VISTA BLDV STE 100 ORLANDO FL 32822 888- 773-7376 888-773-7386 MAIL ORDER 10/18/2013 06/30/2019

1164 400 ACCREDO HEALTH GROUP INC 2825 W PERIMETER RD STE 112 INDIANAPOLIS IN 46241 317- 240-8484 800-824-2642 MAIL ORDER 10/21/2013 06/30/2019

1292 400 ACCREDO HEALTH GROUP INC 19060 Q STREET STE 101 OMAHA NE 68135 402- 597-2330 402-597-2333 SPECIALTY 06/17/2014 06/30/2019

0852 400 ACCURATE Rx PHARMACY CONSULTING LLC dba ACCURATE RX PHARMACY 103 CORPORATE LAKE DR COLUMBIA MO 65203 573-256-4279 573-442-6429 RETAIL 04/20/2010 06/30/2019

1745 400 ACHOR CARE PHARMACY INC 12130 CENTRAL AVE MITCHELLVILLE MD 20721 301- 383-1502 301-383-1408 MAIL ORDER 06/29/2017 06/30/2019

1361 400 ACRO PHARMACEUTICAL SERVICES LLC 313 HENDERSON DR SHARON HILL PA 19079 800- 906-7798 877-381-3806 10/22/2014 06/30/2019

0748 400 ADVANCED CARE SCRIPTS INC dba ACS PHARMACY 6251 CHANCELLOR DR STE 101 ORLANDO FL 32809 877-985-6337 866-679-7131 NONRESIDENT 06/25/2008 06/30/2019

1807 400 ADVANCED HEALTH TECHNOLOGIES, INC dba GEM EDWARDS PHARMACY 5640 HUDSON INDUSTRIAL PKWY HUDSON OH 44236 866- 552-5522 330-342-8400

RETAIL/CLOSED DOOR/ MAIL

ORDER 01/17/2018 06/30/2019

0910 400 ADVANCED PHARMACY LLC 350 FEASTER RD STE D GREENVILLE SC 29615 855- 240-9368 864-558-0085 MAIL ORDER 04/04/2011 06/30/2019




License


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1705 400 ADVANCED RX 5205 MILITIA HILL RD STE 200 PLYMOUTH MEETING PA 19462 484- 681-5756 610-397-1899 INDEPENDENT/COMPOUNDING 05/01/2017 06/30/2019

1698 400 AE PHARMACY LLC dba PILLPACK AUSTIN 220 INDUSTRIAL BLVD STE 100 AUSTIN TX 78745 512- 537-3205 512-677-6267 RETAIL 03/15/2017 06/30/2019

0339 400 AETNA RX HOME DELIVERY LLC 10991 NW AIRWORLD DR KANSAS CITY MO 64153 959- 299-2900 860-975-3701 NONRESIDENT 03/05/2003 06/30/2019

0538 400 AETNA RX HOME DELIVERY LLC 1600 SW 80TH TERRACE 2ND FLR PLANTATION FL 33324 888- 792-3862 877-270-3317 NONRESIDENT 09/21/2005 06/30/2019

0564 400 AETNA SPECIALTY PHARMACY LLC 503 SUNPORT LN ORLANDO FL 32809 866- 782-2779 866-329-2779 NONRESIDENT 01/31/2006 06/30/2019

0863 400 AGROPEC TRADING LLC dba ALLIVET 480 W 83RD ST HIALEAH FL 33014 877- 500-9944 877-500-9950 VETERINARY PHARMACY 06/08/2010 06/30/2019

1452 400 ALBERTSON PHARMACY INC dba ALBERTSON PHARMACY 1028 WILLIS AVE ALBERTSON NY 11507 516- 246-9900 516-621-1329 RETAIL 05/27/2015 06/30/2019

1213 400 ALIXA RX LLC dba ALIXARX 10132 W 76TH ST EDEN PRAIRIE MN 55344 877- 322-4292 952-944-2909 LONG TERM CARE 01/27/2014 06/30/2019

1270 400 ALIXA RX LLC dba ALIXARX 11286 RENNER BLVD LENEXA KS 66219 877- 655-9157 913-541-1459 LONG TERM CARE 05/06/2014 06/30/2019

1601 400 ALLCARE PHARMACY INC 12 PLYMOUTH ST STE 100 WORCESTER MA 01608 508- 459-3514 508-393-0762 RETAIL 06/13/2016 06/30/2019

1284 400 ALLCARE PLUS PHARMACY INC 50 BEARFOOT RD NORTHBOROUGH MA 01532 508- 459-3535 508-393-0762 MAIL ORDER 05/28/2014 06/30/2019

1582 400 ALLCARE SPECIALTY PHARMACY LLC dba ALLCARE SPECIALTY PHARMACY 10620 COLONEL GLENN RD STE 300 LITTLE ROCK AR 72204 501- 217-8880 501-217-8885 SPECIALTY 05/09/2016 06/30/2019

0591 400 ALLERGYCHOICES PHARMACY 2731 NATIONAL DR ONALASKA WI 54650 608-793-1580 608-793-1571 INDEPENDENT 05/10/2006 06/30/2019

1810 400 ALLIANCE MEDICATION SERVICES LLC dba ALLIANCE MEDS & MSA MEDS 88 MAHANOY AVE TAMAQUA PA 18252 866- 929-8590 570-668-8825 MAIL ORDER 01/17/2018 06/30/2019

1711 400 ALLYSCRIPTS LLC dba ALLYSCRIPTS 201 LONNIE CRAWFORD BLVD STE B SCOTTSBORO AL 35769 844- 309-7171 844-309-7173 SPECIALTY 04/12/2017 06/30/2019

1635 400 ALPHA-OMEGA PHARMACY LLC dba ALPHA OMGEA-PHARMACY 4625 E BAY DR STE 313 CLEARWATER FL 33764 844- 557-0835 800-563-2710 RETAIL/COMMUNITY 09/13/2016 06/30/2019

1846 400 ALTA RX LLC 9883 S 500 WEST SANDY UT 84070 801- 716-7200 801-716-7202 COMMUNITY 04/25/2018 06/30/2019

1549 400 ALTRU HEALTH SYSTEM dba ALTRU RETAIL PHARMACY 1200 S COLUMBIA RD GRAND FORKS ND 58201 701- 780-3443 701-780-3441 HOSPITAL/CLINIC 02/09/2016 06/30/2019

1286 400 AMBER ENTERPRISES INC dba AMBER PHARMACY 10004 S 152ND ST STE A OMAHA NE 68138 402- 896-5000 402-896-3774 RETAIL 06/03/2014 06/30/2019

1186 400 AMERICAN HOMECARE FEDERATION INC dba DIPLOMAT SPECIALTY INFUSION GROUP 31 MOODY RD ENFIELD CT 06083 860- 763-7020 860-763-7022 RETAIL 12/17/2013 06/30/2019

0464 400 AMERICAN OUTCOMES MANAGEMENT LP 6310 SOUTHWEST BLVD STE 204 FT WORTH TX 67109 817- 361-7699 817-361-9671 HOME INFUSION 09/22/2004 06/30/2019

1849 400 AMERICAN SERVICE AND PRODUCT INC dba AMERICAN SERVICE AND PRODUCT 16612 107TH COURT ORLAND PARK IL 60467 708- 671-1200 708-448-8598 RETAIL 05/02/2018 06/30/2019

1703 400 AMERICAN SPECIALTY PHARMACY INC dba ASPCARES 3405 NW EXYWY OKLAHOMA CITY OK 73112 405- 607-3995 405-607-3998 RETAIL 05/01/2017 06/30/2019

1845 400 AMERICAN TRADING LLC dba GEORGETOWN RX LLC 10401 OLD GEORGETOWN RD STE 205 BETHESDA MD 20814 301- 571-0850 301-571-0840 MAIL ORDER 04/25/2018 06/30/2019

0683 400 AMERICA'S BEST CARE PLUS INC 1825 EVERETT DR W FT PAYNE AL 35968 800- 638-6305 800-638-0294 MAIL ORDER 07/25/2002 06/30/2019

1322 400 AMERIPHARM INC dba MEDVANTX SPECIALTY PHARMACY 1860 OUTER LOOP STE 348 LOUISVILLE KY 40219 844- 877-8444 866-345-2757 SPECIALTY 08/18/2014 06/30/2019

1133 400 AMOP PHARMACY 23290 SCHOENHERR WARREN MI 48089 586- 772-6872 586-772-6873 RETAIL/MAIL ORDER 08/06/2013 06/30/2019




License


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0681 400 ANAZAOHEALTH CORPORATION 7465 W SUNSET RD STE 1200 LAS VEGAS NV 89113 800- 995-4363 800-238-8239 MAIL ORDER 06/03/2007 06/30/2019

1182 400 ANDERSON COMPOUNDING PHARMACY 310 BLUFF CITY HWY BRISTOL TN 37620 423- 764-4136 423-764-5167 INDEPENDENT RETAIL 12/09/2013 06/30/2019

1559 400 ANIMAL HEALTH INTERNATIONAL INC 1117 W MAIN MANCHESTER IA 52057 970- 347-3149 970-347-3649 VET /MAIL ORDER 02/19/2016 06/30/2019

0744 400 ANIMAL RX PHARMACY 2450 MIDPOINT DR EDWARDSVILLE KS 66111 877- 495-1303 855-380-3683 VETERINARY MAIL ORDER 05/30/2008 06/30/2019

1045 400 ANIMAL RX PHARMACY 5655 11TH AVE E SHAKOPEE MN 55379 855- 562-4978 888-936-8860 VETERINARY 12/11/2012 06/30/2019

1751 400 ANIMART LLC dba ANIMART LIVESTOCK PHARMACY 1240 GREEN VALLEY RD BEAVER DAM WI 53916 920- 319-4362 920-569-0112 LIVESTOCK 08/10/2017 06/30/2019

1146 400 ANOVORX GROUP LLC 1710 N SHELBY OAKS DR STE 1 MEMPHIS TN 38134 901- 201-5470 901-201-5465 SPECIALTY 09/20/2013 06/30/2019

1395 400 APOGEE BIO-PHARM LLC 180 RARITAN CENTER PKWY STE 101 EDISON NJ 08837 732- 902-6575 609-534-5693 MAIL ORDER/RETAIL 02/05/2015 06/30/2019

0437 400 APOTHECARE INC dba COLUMBIA PHARMACY INC 2929 S WABASH AVE #101 CHICAGO IL 60616 866- 311-3334 312-791-3391 RETAIL 05/26/2004 06/30/2019

0441 400 APRIA HEALTHCARE LLC dba STAR MEDICAL RX 2612 NE INDUSTRIAL DR KANSAS CITY MO 64117 816- 584-3600 816-842-6600 RETAIL 06/15/2004 06/30/2019

1258 400 ARDON HEALTH LLC 11835 NE GLENN WIDING DR PORTLAND OR 97220 855- 425-4085 855-425-4096 RETAIL 05/01/2014 06/30/2019

1561 400 ARISTACARE HEALTH INC 1056 W GOLF RD HOFFMAN ESTATES IL 60169 855- 767-5644 888-510-5220 RETAIL/HOME INFUSION 02/29/2016 06/30/2019

0996 400 ARIZONA BOARD OF REGENTS dba THE UNIVERSITY OF ARIZONA 220 W 6TH ST RM B113 TUCSON AZ 85721 844- 866-3730 520-626-0626

LIMITED SERVICE-GOVERNMENT

OWNED 04/23/2012 06/30/2019

1681 400 ARIZONA BOARD OF REGENTS

dba U OF A MEDICATION MANAGEMENT

CENTER #2 2001 W CAMELBACK RD STE 290 PHOENIX AZ 85015 866- 218-6646 602-314-6027 MTM/CLINICAL 02/09/2017 06/30/2019

1542 400 ARJ INFUSION SERVICES 3730 S 149TH ST STE 102 OMAHA NE 68144 866- 451-8804 402-991-3199 MAIL ORDER 01/28/2016 06/30/2019

0571 400 ARJ INFUSION SERVICES INC 7930 MARSHALL DR LENEXA KS 66214 913-451-8804 913-451-8914 HOME HEALTH 02/15/2006 06/30/2019

1838 400 ARJ INFUSION SERVICES INC 1847 1ST AVE SE STE 100 CEDAR RAPIDS IA 52402 866- 451-8804 877-451-8955 SPECIALTY 04/11/2018 06/30/2019

1090 400 ARROW PHARMACY HOLDINGS LLC dba ARROW PHARMACY & NUTRITION CENTER 461 COOKE ST FARMINGTON CT 06032 888- 787-2800 860-676-1339 ONLINE 05/01/2013 06/30/2019

1237 400 ASSURED RX LLC 13555 AUTOMOBILE BLVD STE 230 CLEARWATER FL 33762 888- 987-9977 888-209-4962 RETAIL/MAIL ORDER 03/10/2014 06/30/2019

1127 400 ATLANTIC MEDICAL LLC dba A1 PHARMACY SERVICES 915 FERNCLIFF COVE STE 1-A SOUTHAVEN MS 38671 855- 722-8526 888-891-3929 MAIL ORDER 07/22/2013 06/30/2019

1310 400 AVACARE INC 7355 W FRIENDLY AVE STE E GREENSBORO NC 27410 866- 794-1044 866-794-5661 MAIL ORDER 07/24/2014 06/30/2019

0790 400 AVELLA OF DEER VALLEY INC 23620 N 20TH DR STE 12 PHOENIX AZ 85085 877- 546-5779 877-546-5780 MAIL ORDER 02/26/2009 06/30/2019

1655 400 AVELLA OF DEER VALLEY INC #38 24416 N 19TH AVE PHOENIX AZ 85085 877- 719-6349 877-719-6362 MAIL ORDER 01/09/2017 06/30/2019

1759 400 AVELLA OF DENVER INC 1245 E COLFAX AVE STE 102 DENVER CO 80218 877- 470-7603 877-470-7604 MAIL ORDER 08/29/2017 06/30/2019

1390 400 AVELLA OF ORLANDO INC 100 TECHNOLOGY PARK STE 155 LAKE MARY FL 32746 877- 296-3177 877-296-3179 MAIL ORDER 01/21/2015 06/30/2019

1097 400 AVELLA OF SACRAMENTO INC 2288 AUBURN BLVD STE 102 SACRAMENTO CA 95821 916- 564-9888 888-554-3299 MAIL ORDER 05/10/2013 06/30/2019

1733 400 AVELLA PATIENT ACCESS PROGRAM INC 100 TECHNOLOGY PARK STE 157 LAKE MARY FL 32746 877- 719-6360 877-719-6361 MAIL ORDER 06/14/2017 06/30/2019




License


Zip


1092 400 AXTELL RITE VALUE PHARMACY INC 304 1/2 CHARLIE DR WHITESBORO TX 76273 903- 564-3216 903-564-7261 COMMUNITY 05/01/2013 06/30/2019

0873 400 BASIC HOME INFUSION PHARMACY INC dba BASIC HOME INFUSION 1401 VALLEY RD 4TH FLR WAYNE NJ 07470 888- 822-7428 973-706-8009 HOME INFUSION 08/02/2010 06/30/2019

0799 400 BAXTER HEALTHCARE CORPORATION 9000 109TH AVE N CHAMPLIN MN 55316 763-323-9666 763-323-0644

RENAL DIALYSIS ONLY/CLOSED

DOOR 05/08/2009 06/30/2019

1070 400 BAXTER HEALTHCARE CORPORATION 4225 S 57TH ST OMAHA NE 68117 402- 970-1438 402-970-1439

RENAL DIALYSIS ONLY/CLOSED

DOOR 02/05/2013 06/30/2019

1334 400 BAXTER HEALTHCARE CORPORATION 3595 W TECHNOLOGY DR STE 100 SALT LAKE CITY UT 84119 801- 956-1114 614-652-0282

RENAL CIALYSIS ONLY CLOSED

DOOR PHARMACY 09/12/2014 06/30/2019

1596 400 BAYTREE PHARMACY LLC 18005 SKY PARK CR STE E IRVINE CA 92614 949- 344-2624 949-344-2625 NONRESIDENT 05/23/2016 06/30/2019

0792 400 BCP VETERINARY PHARMACY 1614 WEBSTER ST HOUSTON TX 77003 713- 771-1144 713-771-1131 VETERINARY COMPOUNDING 03/18/2009 06/30/2019

1051 400 BELLA BRANDS LLC 9826 S JORDAN GATEWAY SANDY UT 84070 855- 289-3552 801-566-5596 MAIL ORDER 12/28/2012 06/30/2019

1489 400 BELMAR PHARMACY 231 VIOLET ST STE 140 GOLDEN CO 80401 303- 763-5533 303-763-9712 RETAIL 08/27/2015 06/30/2019

0801 400 BENECARD CENTRAL FILL OF PA 5040 RITTER RD MECHANICSBURG PA 17055 888-907-0090 888-907-0040 MAIL ORDER 05/11/2009 06/30/2019

1646 400 BENZER FL 13 LLC dba BENZER PHARMACY 5908 BRECKENRIDGE PKWY TAMPA FL 33610 813- 644-7277 813-875-4000 COMMUNITY 11/15/2016 06/30/2019

1450 400 BEST CARE PHARMACY INC dba ASPCARES 2657 NW 20TH ST MIAMI FL 33142 305- 856-0070 305-856-0072 COMMUNITY RETAIL 05/22/2015 06/30/2019

0478 400 BET PHARM LLC 1501 BULL LEA RD STE 102B LEXINGTON KY 40511 859- 273-2930 859-273-2860 RETAIL COMPOUNDING 11/15/2004 06/30/2019

1738 400

BETA DISCOUNT PHARMACY & HEALTH

SERVICES LLC 776 SAND TOWN RD MARIETTA GA 30008 888- 885-0887 888-892-1827 RETAIL, MAIL ORDER 06/19/2017 06/30/2019

1728 400 BIG BEND PHARMACY LLC 5724 STAGE RD STE B BARTLETT TN 38134 844- 646-2279 888-881-5570 RETAIL/MAIL ORDER 05/24/2017 06/30/2019

0573 400 BIOLOGICS INC 13000 WESTON PKWY STE 105 CARY NC 27513 800- 850-4306 800-823-4506 SPECIALTY ONCOLOGY 02/28/2006 06/30/2019

1784 400 BIOLOGICS INC 11800 WESTON PKWY CARY NC 27513 800- 850-4306 800-823-4506 NON DISPENSING 11/03/2017 06/30/2019

0526 400 BIOPARTNERS IN CARE INC 11411 STRANG LINE RD LENEXA KS 66215 800- 662-2922 913-451-2919 SPECIALTY 08/18/2005 06/30/2019

0604 400 BIOPLUS SPECIALTY PHARMACY SERVICES INC 376 NORTHLAKE BLVD ALTAMONTE SPRINGS FL 32701 407- 830-8820 407-571-2515 SPECIALTY/RETAIL 06/19/2006 06/30/2019

0505 400 BIORX LLC dba DIPLOMAT SPECIALTY INFUSION GROUP 7167 E KEMPER RD CINCINNATI OH 45249 513-792-7080 513-792-3838 SPECIALTY HOME INFUSION 03/23/2005 06/30/2019

0778 400 BIORX LLC dba DIPLOMAT SPECIALTY INFUSION GROUP 10607 & 10611 AURORA AVE URBANDALE IA 50322 515-727-7937 515-727-7938 SPECIALTY/INFUSION 01/23/2009 06/30/2019

0936 400 BIORX LLC dba DIPLOMAT SPECIALTY INFUSION GROUP 9045 E PIMA CENTER PKWY STE 1 SCOTTSDALE AZ 85258 480-745-3200 480-699-5635 SPECIALTY/HOME INFUSION 07/11/2011 06/30/2019

1140 400 BIORX LLC dba DIPLOMAT SPECIALTY INFUSION GROUP 1819 ASTON AVE STE 102 CARLSBAD CA 92008 760- 707-1486 760-931-0516 SPECIALTY/HOME INFUSION 09/04/2013 06/30/2019

0756 400 BIOSCRIP INFUSION SERVICES INC dba BIOSCRIP INFUSION SERVICES 320 S FLOWER ST STE A BURBANK CA 91502 818- 830-5335 818-891-4184 INFUSION THERAPY 07/29/2008 06/30/2019

0295 400 BIOSCRIP INFUSION SERVICES LLC dba BIOSCRIP INFUSION SERVICES 102 THE AMERICAN RD MORRIS PLAINS NJ 07950 973- 597-0444 877-304-5516 INFUSION THERAPY 06/04/2002 06/30/2019

0033 400 BIOSCRIP PHARMACY SERVICES INC dba BIOSCRIP PHARMACY SERVICES 5700 PERIMETER DR STE B DUBLIN OH 43017 614-850-6700 855-265-2342 INFUSION THERAPY 01/07/1998 06/30/2019

1788 400 BIOTEK REMEDYS 2 PENNS WAY STE 404 NEW CASTLE DE 19720 302- 544-5138 302-544-5018 SPECIALTY 11/09/2017 06/30/2019




License


Zip


1750 400 BLONDELL RX CORP dba QUICK RX SPECIALTY PHARMACY 1642 EASTCHESTER RD BRONX NY 10461 347- 691-3494 347-691-3496 SPECIALTY 08/10/2017 06/30/2019

1381 400 BOCA RATON PHARMACY INC dba SPECIALTY CARE PHARMACY 4802 NW 2 AVENUE BOCA RATON FL 33431 561- 241-7711 561-241-7717 COMMUNITY 12/16/2014 06/30/2019

0876 400 BOND PHARMACY INC dba ADVANCED INFUSION SOLUTIONS 623 HIGHLAND COLONY PKWY STE 100 RIDGELAND MS 39157 877-443-4006 888-298-2220 INFUSION/STERILE COMPOUNDING 08/13/2010 06/30/2019

0856 400 BOSWELL PHARMACY SERVICES LLC 131 SCHOOLHOUSE RD PO BOX 266 JENNERSTOWN PA 15547 814-629-1397 814-629-7644 MAIL ORDER 05/06/2010 06/30/2019

1008 400 BRIAN W TRUAX dba TRUAX PATIENT SERVICES 1112 RAILROAD ST SE STE #4 BEMIDJI MN 56601 218- 444-8217 218-444-2267 MAIL ORDER/SPECIALTY 07/06/2012 06/30/2019

1773 400 BRILLIANT PHARMACY INC dba RITE CARE PHARMACY 15271 SOUTHWEST FREEWAY SUGAR LAND TX 77478 713- 955-5700 713-955-6970 RETAIL 11/03/2017 06/30/2019

0934 400 BRIOVARX INFUSION SERVICES 103 LLC 9204 BERGER RD STE A COLUMBIA MD 21046 800- 715-6650 866-715-6651 HOME INFUSION 06/22/2011 06/30/2019

0951 400 BRIOVARX INFUSION SERVICES 305 LLC 15529 COLLEGE BLVD LENEXA KS 66219 877- 342-9352 877-542-9352 RETAIL 09/28/2011 06/30/2019

0625 400 BRIOVARX LLC dba BRIOVARX 1897 GENERAL GEORGE PATTON DR STE 112 FRANKLIN TN 37067 615- 791-8679 615-791-7666 SPECIALTY 09/20/2006 06/30/2019

1806 400 BRIOVARX LLC dba BRIOVARX 1100 LEE BRANCH LN BIRMINGHAM AL 35242 205- 995-8388 205-995-8897 SPECIALTY/MAIL ORDER/RETAIL 01/17/2018 06/30/2019

0372 400 BRIOVARX OF FLORIDA INC dba BRIOVARX OF FLORIDA 9994 PREMIER PKWY MIRAMAR FL 33025 957- 988-5088 954-443-9854 SPECIALTY 08/15/2003 06/30/2019

1192 400 BRIOVARX OF INDIANA LLC dba BRIOVARX 1050 PATROL RD JEFFERSONVILLE IN 47130 812- 924-4091 812-256-8700 NONRESIDENT 12/30/2013 06/30/2019

0738 400 BRIOVARX OF MAINE INC dba BRIOVARX 53 DARLING AVE SOUTH PORTLAND ME 04106 207- 747-6867 800-218-3221 SPECIALTY 04/18/2008 06/30/2019

1388 400 BRIOVARX OF NEVADA LLC dba BRIOVARX 8350 BRIOVA DR LAS VEGAS NV 89113 702- 954-8666 702-634-5502 NONRESIDENT 01/21/2015 06/30/2019

0957 400 BRIOVARX OF TEXAS INC dba BRIOVARX OF TEXAS 4590 LOCKHILL SELMA SAN ANTONIO TX 78249 210- 446-2119 210-564-2289 NONRESIDENT 10/19/2011 06/30/2019

1801 400 BSB VETERINARY CORP dba PET VALUE MART 2465 SALVIO ST STE B CONCORD CA 94520 415- 507-7347 NONRESIDENT 01/17/2018 06/30/2019

1878 400 BUX HEALTHCARE INC dba FAMILY PHARMACY 3644 WEBBER ST SARASOTA FL 34232 941- 921-6645 941-923-7558 COMMUNITY/RETAIL 07/12/2018 06/30/2019

1059 400 BYRAM HEALTHCARE CENTERS INC 5302 RANCHO RD HUNTINGTON BEACH CA 92647 714- 933-2121 714-933-2321 RETAIL 01/15/2013 06/30/2019

1730 400 BYRAM HEALTHCARE CENTERS INC 3793 S STATE ST SALT LAKE CITY UT 84115 801- 268-9699 866-855-6335 RETAIL 05/25/2017 06/30/2019

0893 400 CALIFORNIA PET PHARMACY dba CPP PET CARE 3157 CORPORATE PL HAYWARD CA 94545 877- 554-4797 877-554-4795 RETAIL 11/15/2010 06/30/2019

1895 400 CARDINAL CARE PHARMACY, INC dba CARDINAL CARE PHARMACY 2319 WELDON PARKWAY SAINT LOUIS MO 63146 800- 984-4432 314-552-7297 RETAIL 08/24/2018 06/30/2019

0580 400 CARDINAL HEALTH 128 LLC dba MMS SOLUTIONS 202 CUMBERLAND BEND NASHVILLE TN 37228 866- 716-5486 614-652-0282 MAIL ORDER 03/03/2006 06/30/2019

0333 400 CARDINAL HEALTH 414 LLC 5840 F ST OMAHA NE 68117 402-734-8045 402-553-8517 NUCLEAR 02/07/2003 06/30/2019

0472 400 CARDINAL HEALTH 414 LLC 1933 W CTY RD C2 ROSEVILLE MN 55113 651- 363-3177 651-636-4386 NUCLEAR 11/02/2004 06/30/2019

1002 400 CARDINAL HEALTH 414 LLC 1610 30TH AVE S MOORHEAD MN 56560 218- 233-2294 218-236-1468 NUCLEAR 05/23/2012 06/30/2019

1048 400 CARDINAL HEALTH 414 LLC 10400 E 48TH AVE DENVER CO 80238 303- 373-0579 720-374-7354 NUCLEAR 12/21/2012 06/30/2019

1217 400 CARDINAL HEALTH 414 LLC 7920 GEORGETOWN RD STE 100 INDIANAPOLIS IN 46268 317- 872-3301 317-872-3371 NUCLEAR 02/03/2014 06/30/2019




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0861 400 CARDINAL HEALTH PHARMACY SERVICES LLC 770 PASQUINELLE DR STE 406 WESTMONT IL 60559 877-851-2560 877-851-2573 REMOTE ORDER ENTRY 05/18/2010 06/30/2019

0862 400 CARDINAL HEALTH SPECIALTY PHARMACY LLC 7172 COLUMBIA GATEWAY DR COLUMBIA MD 21046 443- 510-0587 877-800-4790 MAIL ORDER 05/20/2010 06/30/2019

1875 400 CAREDIRECT RX LLC 112-A CELTIC DR MADISON AL 35758 256- 464-9949 256-464-9950 MAIL ORDER 10/31/2013 06/30/2019

1612 400 CAREKINESIS INC 228 STRAWBRIDGE DR STE 200 MOORETOWN NJ 08057 888- 974-2763 856-273-3693 COMMUNITY 06/29/2016 06/30/2019

1614 400 CAREKINESIS INC 5303 SPINE RD STE 100 BOULDER CO 80301 888- 974-2763 303-530-1346 RETAIL 06/29/2016 06/30/2019

1441 400 CAREMARK ARIZONA MAIL PHARMACY LLC dba CVS CAREMARK 4121 E COTTON CENTER BLVD PHOENIX AZ 85040 602- 431-5000 602-431-5001

NON-DISPENSING CENTRAL

PROCESSING 05/04/2015 06/30/2019

1517 400 CAREMARK ARIZONA SPECIALTY PHARMACY LLC dba CVS/SPECIALTY 2700 W FRYE RD STE 200 CHANDLER AZ 85224 480- 899-4488 480-899-4888 NON-DISPENSING SPECIALTY 11/24/2015 06/30/2019

1575 400

CAREMARK CALIFORNIA SPECIALTY PHARMACY

LLC dba CVS SPECIALTY 1110 RESEARCH DR STE B REDLANDS CA 92374 909- 796-7171 909-799-6462

NON-DISPENSING SPECIALTY

PHARMACY 03/29/2016 06/30/2019

0665 400 CAREMARK FLORIDA MAIL PHARMACY LLC dba CVS CAREMARK 9310 SOUTH PARK CENTER LOOP STE 200 ORLANDO FL 32819 407- 845-6800 407-845-6799 NON-DISPENSING MAIL ORDER 06/24/2008 06/30/2019

0671 400 CAREMARK ILLINOIS MAIL PHARMACY LLC dba CVS CAREMARK 800 BIERMANN CT STE A MT PROSPECT IL 60056 847- 634-7900 847-634-7832 NON-DISPENSING MAIL ORDER 06/24/2008 06/30/2019

0670 400 CAREMARK ILLINOIS SPECIALTY PHARMACY LLC dba CVS/SPECIALTY 800 BIERMANN CT STE B MT PROSPECT IL 60056 847- 634-7400 877-408-9743 SPECIALTY MAIL ORDER 04/30/2007 06/30/2019

0669 400 CAREMARK KANSAS SPECIALTY PHARMACY LLC dba CVS SPECIALTY 11162 RENNER BLVD LENEXA KS 66219 913- 748-3200 800-571-3995 SPECIALTY MAIL ORDER PHARMACY 04/30/2007 06/30/2019

0668 400 CAREMARK LLC dba CVS/SPECIALTY 1127 BRYN MAWR AVE STE A REDLANDS CA 92374 909- 796-7171 909-799-4060 SPECIALTY MAIL ORDER 04/30/2007 06/30/2019

1814 400 CAREMARK LLC dba CVS/SPECIALTY #48604 1001 SPINKS RD STE 280 FLOWER MOUND TX 75028 214- 607-3934 401-335-7592 MAIL ORDER 01/29/2018 06/30/2019

0889 400

CAREMARK NEW JERSEY SPECIALTY PHARMACY

LLC dba CVS SPECIALTY 180 PASSAIC AVE FAIRFIELD NJ 07004 973- 461-1550 800-266-1644 SPECIALTY MAIL ORDER 10/22/2010 06/30/2019

0661 400 CAREMARK TEXAS MAIL PHARMACY LLC dba CVS CAREMARK 7034 ALAMO DOWNS PKWY SAN ANTONIO TX 78238 210-706-2200 210-706-2658 MAIL ORDER 06/24/2008 06/30/2019

0663 400

CAREMARKPCS PENNSYLVANIA MAIL

PHARMACY LLC dba CVS CAREMARK ONE GREAT VALLEY BLVD WILKES-BARRE PA 18706 570-820-2700 570-820-2504 MAIL ORDER 06/24/2008 06/30/2019

1894 400 CAREMETX HEALTH, LLC 704 QUINCE ORCHARD RD, STE 150 GAITHERSBURG MD 20878 877- 885-1101 877-885-1103 MAIL ORDER 08/24/2018 06/30/2019

1088 400 CAREPOINT HEALTHCARE dba CAREPOINT PHARMACY 9 E COMMERCE DR SCHAUMBURG IL 60173 855- 237-9112 855-237-9113 MAIL ORDER 05/01/2013 06/30/2019

1729 400 CAREZONE PHARMACY LLC 800 AIRPARK CENTER DR STE 809 NASHVILLE TN 37217 615- 645-1892 844-734-6207 RETAIL 05/24/2017 06/30/2019

1014 400 CARIE BOYD'S PRESCRIPTION SHOP 122 GRAPEVINE HWY HURST TX 76054 817- 282-9376 817-282-1709 COMPOUNDING 08/15/2012 06/30/2019

1013 400 CARLISLE MEDICAL INC 509 BOULEVARD PARK E MOBILE AL 36609 251- 344-7988 251-343-7682 MAIL ORDER 08/09/2012 06/30/2019

1340 400 CCN AMERICA LP dba COORDINATED CARE NETWORK PHARMACY 300 PENN CENTER BLVD STE 405 PITTSBURGH PA 15235 412- 349-6300 412-349-6724 RETAIL 09/23/2014 06/30/2019

1697 400 CEDRA PHARMACY INC 3027 3RD AVE BRONX NY 10455 917- 473-7788 917-473-7789 SPECIALTY 03/15/2017 06/30/2019

1497 400 CENTER CITY PHARMACY INC 416 CLEMATIS ST WEST PALM BEACH FL 33401 561- 805-7135 561-805-7138 INDEPENDENT RETAIL 10/06/2015 06/30/2019

1003 400 CENTRAL ADMIXTURE PHARMACY SERVICES INC 821 N LESSING ST CHICAGO IL 60622 312- 829-1330 312-829-1514 OUT OF STATE INFUSION 06/06/2012 06/30/2019

1786 400 CENTRO PEDIATRIC PHARMACY LLC dba NRH PHARMACY 7200 GLENVIEW DR STE 1 N RICHLAND HILLS TX 76180 817- 369-8988 817-369-8991 RETAIL 11/09/2017 06/30/2019




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1351 400 CGS PHARMACY LLC 1701 ROCKVILLE PIKE A12 ROCKVILLE MD 20852 240- 430-2501 240-430-2504 RETAIL 10/07/2014 06/30/2019

1580 400 CHEMISTRY RX 829 SPRUCE ST STE 100 PHILADELPHIA PA 19107 855- 790-0100 267-861-0862 RETAIL 05/09/2016 06/30/2019

0891 400 CHEWY PHARMACY KY LLC 2815 WATTERSON TR LOUISVILLE KY 40299 502- 716-7301 866-253-0274 MAIL ORDER 10/29/2010 06/30/2019

1664 400 CHI HEALTH SPECIALTY PHARMACY 7710 MERCY RD STE 102 OMAHA NE 68124 402- 398-5503 402-398-5506 SPECIALTY/RETAIL 01/11/2017 06/30/2019

0499 400 CIVIC CENTER PHARMACY 7331 E OSBORN DR STE 208 SCOTTSDALE AZ 85251 480-945-9519 480-275-7812 RETAIL/COMPOUNDING 03/17/2005 06/30/2019

1854 400 CLERMONT COMMUNITY PHARMACY INC dba CLERMONT COMMUNITY PHARMACY 290 CITRUS TOWER BLVD STE106 CLERMONT FL 34711 888- 416-3775 888-416-4770 LTC 05/21/2018 06/30/2019

1578 400 CLINICAL SOLUTIONS LLC 416 MARY LINDSAY POLK DR STE 515 FRANKLIN TN 37067 877- 826-5488 866-920-1597 CLOSED DOOR 05/09/2016 06/30/2019

1363 400 COAST QUALITY PHARMACY LLC dba ANAZAOHEALTH 5710 HOOVER BLVD TAMPA FL 33634 800- 995-4363 800-985-4363 MAIL ORDER/COMPOUNDING 10/22/2014 06/30/2019

1522 400 COAST TO COAST PHARMACY INC dba DIABETIC SUPPORT PHARMACY 3361 FAIRLANE FARMS RD WELLINGTON FL 33414 561- 472-7088 561-422-2914 RETAIL 12/07/2015 06/30/2019

1748 400 COASTLINE PHARMACY 2107 S US HWY 1 JUPITER FL 33477 866- 758-1957 561-529-3117 RETAIL 07/27/2017 06/30/2019

1872 400 CODELL RX LLC 2573 RICHMOND RD STE 300 LEXINGTON KY 40509 859- 429-6943 859-201-1439 NONRESIDENT 06/28/2018 06/30/2019

0720 400 COLLEGE PHARMACY INCORPORATED dba COLLEGE PHARMACY 3505 AUSTIN BLUFFS PKWY STE 101 COLORADO SPRINGS CO 80918 719-262-0022 719-955-1480 RETAIL 12/28/2007 06/30/2019

0773 400 COMMCARE PHARMACY-FTL LLC dba COMMCARE SPECIALTY PHARMACY 855 SW 78TH AVE STE C100 PLANTATION FL 33324 888- 203-7973 888-203-7980 SPECIALTY 12/10/2008 06/30/2019

0882 400 COMMUNITY HEALTHCARE SERVICES INC 24747 REDLANDS BLVD STE D LOMA LINDA CA 92354 877- 616-1247 877-616-2247 RETAIL INDEPENDENT 08/20/2010 06/30/2019

1874 400 COMPOUND CARE PLUS dba COMPOUND CARE PLUS LLC 1410 HWY 98 UNIT G DAPHNE AL 36526 866- 832-2263 866-832-2264 RETAIL/MAIL ORDER 03/20/2013 06/30/2019

0005 400 CORAM ALTERNATE SITE SERVICES INC dba CORAM CVS/SPECIALTY INFUSION SERVICES 11111 MILL VALLEY RD OMAHA NE 68154 402-330-5482 402-330-2697 SPECIALTY INFUSION THERAPY 11/26/1997 06/30/2019

0013 400 CORAM ALTERNATE SITE SERVICES INC dba CORAM CVS/SPECIALTY INFUSION SERVICES 2345 WATERS DR MENDOTA HEIGHTS MN 55120 651-452-5600 651-452-6273 SPECIALTY INFUSION THERAPY 12/09/1997 06/30/2019

0125 400 CORAM ALTERNATE SITE SERVICES INC dba CORAM CVS/SPECIALTY INFUSION SERVICES 2901 FRONTAGE RD S, 10 HWY EAST MOORHEAD MN 56560 218-233-2210 218-233-8098 SPECIALTY INFUSION THERAPY 09/09/1999 06/30/2019

1568 400 CORAM ALTERNATE SITE SERVICES INC dba CORAM CVS/SPECIALTY INFUSION SERVICES 136 S MCKINLEY ST CASPER WY 82601 307- 237-0757 307-237-3213 SPECIALTY INFUSION THERAPY 03/09/2016 06/30/2019

1574 400 CORAM ALTERNATE SITE SERVICES INC dba CORAM CVS/SPECIALTY INFUSION SERVICES 8013 FLINT ST LENEXA KS 66214 913- 850-6700 913-495-4383 SPECIALTY INFUSION THERAPY 03/29/2016 06/30/2019

0787 400 CORPORATE PHARMACY SERVICES INC 319 BROAD ST GADSDEN AL 35901 256-543-9000 256-543-9005 MAIL ORDER 02/23/2009 06/30/2019

0392 400 CORRECT RX PHARMACY SERVICES INC 1352 CHARWOOD RD STE C HANOVER MD 21076 443- 557-0100 443-557-0333 INSTITUTIONAL/CLOSED DOOR 10/22/2003 06/30/2019

0133 400 COSTCO WHOLESALE CORPORATION dba COSTCO PHARMACY #581 802 134TH ST SW STE 140 EVERETT WA 98204 800-607-6861 800-633-0334 MAIL ORDER 11/09/1999 06/30/2019

0812 400 COSTCO WHOLESALE CORPORATION dba COSTCO PHARMACY #562/1032 215 DEININGER CR CORONA CA 92880 951- 493-2357 888-545-4615 CENTRAL FILL / MAIL ORDER 07/16/2009 06/30/2019

0829 400 COSTCO WHOLESALE CORPORATION dba COSTCO PHARMACY #570 215 DEININGER CR STE A CORONA CA 92880 866-443-0060 866-443-0066 MAIL ORDER SPECIALTY 11/09/2009 06/30/2019

1791 400 COSTCO WHOLESALE CORPORATION dba COSTCO PHARMACY #583-CENTRAL FILL 802 134TH ST SW STE 140 EVERETT WA 98204 425- 835-5833 425-835-5805 CENTRAL FILL DEPOT 01/10/2018 06/30/2019

1480 400 COTTRILL'S PHARMACY INC 4919 ELLICOTT RD ORCHARD PARK NY 14127 716- 508-8481 716-508-8482 SPECIALTY 07/27/2015 06/30/2019




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0810 400 COVANCE SPECIALTY PHARMACY LLC 100 TECHNOLOGY PARK #158 LAKE MARY FL 32746 866- 842-2147 866-842-1509 MAIL ORDER 07/02/2009 06/30/2019

1548 400 CREDENA HEALTH LLC 6348 NE HALSEY ST STE A PORTLAND OR 97213 503- 962-1700 503-962-1750 SPECIALTY-CLOSED DOOR 02/09/2016 06/30/2019

0698 400 CRESCENT HEALTHCARE INC dba CRESCENT HEALTHCARE 11980 TELEGRAPH RD STE 102 SANTA FE SPRINGS CA 90670 562- 347-2800 866-872-4844 HOME INFUSION 09/18/2007 06/30/2019

1156 400 CRESTVIEW PHARMACY INC dba CRESTVIEW PHARMACY 1116 N FERDON BLVD CRESTVIEW FL 32536 850- 683-1111 850-683-1753 RETAIL 10/10/2013 06/30/2019

1896 400 CRESTVIEW PHARMACY SERVICES LLC 3225 S HARDY DR STE 100 TEMPE AZ 85282 480- 485-1366 480-718-7573 CENTRAL PROCESSING 08/24/2018 06/30/2019

1893 400 CRX PHARMACY 206 W COUNTY LINE RD STE 100 HIGHLANDS RANCH CO 80129 720- 328-5767 720-328-3957 INDEPENDENT RETAIL 08/24/2018 06/30/2019

1498 400 CSR COMPANY INC 11701 CENTENNIAL RD STE 2 & 3 LA VISTA NE 68128 402- 738-4435 888-809-6040 COMMUNITY VET ONLY 10/06/2015 06/30/2019

1892 400 CTCA RX LLC dba CTCA/Rx 610 CELEBRATE LIFE PKWY NEWNAN GA 30265 678- 552-2013 678-552-2014 RETAIL / COMMUNITY 08/15/2018 06/30/2019

1280 400 CURANT HEALTH FLORIDA LLC 11001 ROOSEVELT BLVD STE 1400 ST PETERSBURG FL 33716 866- 448-8040 866-461-8411 RETAIL 05/14/2014 06/30/2019

1246 400 CURANT HEALTH GEORGIA LLC 200 TECHNOLOGY CT SE STE B SMYRNA GA 30082 866- 437-8040 866-437-8411 RETAIL HOME DELIVERY 03/24/2014 06/30/2019

1565 400 CUSTOM RX LLC

dba CUSTOM RX PHARMACY AND WELLNESS

CONCEPTS 3510 N RIDGE RD STE 900 WICHITA KS 67205 316- 721-2626 316-721-4823 RETAIL 03/09/2016 06/30/2019

1019 400

CVS CAREMARK ADVANCED TECHNOLOGY

PHARMACY LLC dba CVS CAREMARK 1780 WALL ST MT PROSPECT IL 60056 874- 264-7100 847-264-7300 MAIL ORDER 09/05/2012 06/30/2019

1151 400 CVS PHARMACY INC

dba CVS/PHARMACY CENTRAL PHARMACY

SERVICES 25 BLACKSTONE VALLEY PL STE 310 LINCOLN RI 02865 401- 770-7361 401-652-1078 CALL CENTER 10/02/2013 06/30/2019

1038 400 CVS RX SERVICES INC

dba RETAIL PHARMACY CUSTOMER CARE

CENTER 2100 HIGHLAND CORPORATE DR CUMBERLAND RI 02864 401- 770-8323 401-287-0314 NON-DISPENSING CALL CENTER 11/05/2012 06/30/2019

1553 400 CYSTIC FIBROSIS PHARMACY INC 3901 E COLONIAL DR ORLANDO FL 32803 407- 898-4427 407-897-2108 RETAIL/SPECIALTY 02/19/2016 06/30/2019

0506 400 CYSTIC FIBROSIS SERVICES LLC dba ALLIANCERX WALGREENS PRIME #16280 10530 JOHN W ELLIOTT DR STE 200 FRISCO TX 75033 800- 541-4959 866-574-1418 NONRESIDENT 03/23/2005 06/30/2019

1400 400 CYSTIC FIBROSIS SERVICES LLC dba ALLIANCERX WALGREENS PRIME #15663 6931 ARLINGTON RD BETHESDA MD 20814 800- 541-4959 800-263-0251 CALL CENTER 02/10/2015 06/30/2019

1462 400 CZ SERVICES INC dba CAREZONE PHARMACY 860 HARBOUR WAY S STE E RICHMOND CA 94804 844- 792-2739 888-960-2661 RETAIL 06/07/2015 06/30/2019

1725 400 D&D PHARMA LLC dba MEDSCRIPT LONG TERM CARE PHARMACY 14460 GETZ RD STE 200 NOBLESVILLE IN 46060 800- 947-2711 800-880-0052 LTC 05/16/2017 06/30/2019

1017 400 DAKOTA PRECISIONRX INC 705 E MAIN AVE STE 200 BISMARCK ND 58501 701- 222-3360 701-222-7506 STERILE COMPOUNDING 09/05/2012 06/30/2019

1890 400 DANIA DISCOUNT DRUG INC dba DANIA REXALL PART B SPECIALISTS 16 S FEDERAL HWY DANIA BEACH FL 33004 954- 921-4661 954-921-0484 MAIL ORDER/RETAIL 08/15/2018 06/30/2019

1166 400 DARJEN INC dba ALLMEDRX SPECIALTY PHARMACY 10358 RIVERSIDE DR

PALM BEACH

GARDENS FL 33410 561- 557-1645 561-557-1649 COMMUNITY 10/31/2013 06/30/2019

1457 400 DAVIDSON DISCOUNT PHARMACY INC dba DAVIDSON PHARMACY INC 203 N SECOND ST BOONEVILLE MS 38829 662- 728-4401 662-728-9553 RETAIL 06/09/2015 06/30/2019

0576 400 DAVITA RX LLC dba DAVITA RX 2252 COMMERCE PARK DR STE 350 ORLANDO FL 32819 407- 587-4800 407-354-1585 RETAIL/COMMUNITY 03/03/2006 06/30/2019

0626 400 DAVITA RX LLC dba DAVITA RX 1234 LAKESHORE DR STE 200 COPPELL TX 75019 972- 538-8100 866-627-0791 RETAIL/COMMUNITY 09/26/2006 06/30/2019

1483 400 DEERFIELD HEALTHCARE LLC dba BLX SPECIALTY PHARMACY 4733 SHAVANO OAK STE 101A SAN ANTONIO TX 78249 210- 714-0130 210-634-2818 08/05/2015 06/30/2019

0567 400 DEGC ENTERPRISES (US) INC dba CCS MEDICAL 14255 49TH ST N STE 301 CLEARWATER FL 33762 888-308-8882 877-355-9855 MAIL ORDER 02/14/2006 06/30/2019




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0568 400 DEGC ENTERPRISES (US) INC dba CCS MEDICAL 3601 THIRLANE RD NW STE 4 ROANOKE VA 24019 866- 359-9641 800-540-2259 MAIL ORDER 02/14/2006 06/30/2019

1537 400 DELIVERCARERX PHARMACY LLC 1471 E BUSINESS CENTER DR STE 200 MT PROSPECT IL 60056 855- 965-1600 855-965-1611 COMMUNITY/ MAIL ORDER 01/20/2016 06/30/2019

1085 400 DENTON PRESCRIPTION SHOP 2501 W OAK ST STE 100 DENTON TX 76201 940- 382-6758 940-382-2694 COMPOUNDING 03/26/2013 06/30/2019

0997 400 DERMATRAN HEALTH SOLUTIONS LLC 85 TECHNOLOGY PKWY NW ROME GA 30165 855- 675-5210 855-675-5212 RETAIL 04/27/2012 06/30/2019

1025 400 DIABETIC CARE RX LLC dba PATIENT CARE AMERICA/DCRX INFUSION 3890 PARK CENTRAL BLVD N POMPANO BEACH FL 33064 866- 348-0441 888-443-5034 STERILE COMPOUNDING 10/05/2012 06/30/2019

0425 400 DIAMOND PHARMACY SERVICES 645 KOLTER DR INDIANA PA 15701 724-349-1111 724-349-2604

CLOSED DOOR MAIL

ORDER(CORRERCTION FACILITIES) 05/04/2011 06/30/2019

0726 400

DIPLOMAT SPECIALTY PHARMACY GREAT LAKES

DISTRIBUTION CENTER LLC dba DIPLOMAT SPECIALTY PHARMACY 4100 S SAGINAW ST STE D FLINT MI 48507 877-977-9118 810-281-0158 RETAIL 02/06/2008 06/30/2019

0902 400

DIPLOMAT SPECIALTY PHARMACY OF CHICAGO

LLC dba DIPLOMAT SPECIALTY PHARMACY 1370 BUSCH PKWY BUFFALO GROVE IL 60089 847-229-4141 866-700-6500 RETAIL 02/16/2011 06/30/2019

0909 400 DIPLOMAT SPECIALTY PHARMACY OF FLINT LLC dba DIPLOMAT SPECIALTY PHARMACY G-3320 BEECHER RD FLINT MI 48532 810-732-8720 810-732-2580 RETAIL 04/04/2011 06/30/2019

1114 400

DIPLOMAT SPECIALTY PHARMACY OF LOS

ANGELES COUNTY INC dba DIPLOMAT SPECIALTY PHARMACY 15211 VANOWEN ST STE 301 VAN NUYS CA 91405 877- 849-9591 855-356-1096 RETAIL 06/27/2013 06/30/2019

0169 400 DIRECT MEDS INC 345 GRAND AVE LEONIA NJ 07605 201- 585-0616 201-585-2119 RETAIL 06/01/2000 06/30/2019

0978 400 DIRECT PHARMACY SOURCE INC 4574 N HIATUS RD SUNRISE FL 33351 954- 233-0100 888-819-7488 RETAIL 01/10/2012 06/30/2019

0968 400 DIRECT SUCCESS PHARMACY DEPT 1710 HWY 34 FARMINGDALE NJ 07727 732- 919-1234 732-280-1350 RETAIL 11/28/2011 06/30/2019

1868 400 DISCOVER PHARMACY 6730 BUSTLETON AVE PHILADELPHIA PA 19149 215- 332-1111 215-332-4444 MAIL ORDER / RETAIL 06/22/2018 06/30/2019

1461 400 DIVYYMED LLC dba DIVVYDOSE 4300 44TH AVE MOLINE IL 61265 844- 693-4889 309-807-2462 RETAIL/COMMUNITY 06/15/2015 06/30/2019

1418 400 DOGWOOD PHARMACY INC dba MEDSCRIPTS MEDICAL PHARMACY 1325 MILLER RD STE K GREENVILLE SC 29607 866- 840-4067 866-514-8299 RETAIL/SPECIALTY 03/12/2015 06/30/2019

1828 400 DOHMEN LIFE SCIENCE SERVICES LLC 17877 CHESTERFIELD AIRPORT RD CHESTERFIELD MO 63005 636- 519-2418 877-473-3172 RETAIL 02/20/2018 06/30/2019

0805 400 DRG PHARMACY LLC dba HUENEME FAMILY PHARMACY 261 E PORT HUENEME RD PORT HUENEME CA 93041 805-488-8200 805-488-8211 RETAIL/SPECIALTY PHARMACY 02/20/2013 06/30/2019

1470 400 DRUG DEPOT INC dba APS PHARMACY 34911 US HWY 19 N STE #600 PALM HARBOR FL 34684 855- 787-4137 727-781-7361 COMMUNITY 07/01/2015 06/30/2019

1848 400 DRUG HUT 10831 LANHAM SEVERN RD GLENN DALE MD 20769 240- 929-4934 240-929-6914 RETAIL/MAIL ORDER 05/02/2018 06/30/2019

1662 400 DRUGPLACE OF TN 617 AIRPARK CENTER DR NASHVILLE TN 37217 615- 620-4438 615-620-4439 RETAIL INDEPENDENT/COMMUNITY 01/11/2017 06/30/2019

0062 400 DRUGSOURCE INC 2020 LUNT AVE ELK GROVE VILLAGE IL 60007 847-258-1920 847-258-1913 MAIL ORDER/INTERNET 04/20/1998 06/30/2019

1695 400 DUNCAN SPECIALTY PHARMACY 317 W BROADWAY MAYFIELD KY 42066 270- 247-3725 270-247-6033 MAIL ORDER 03/15/2017 06/30/2019

1884 400 DUNKLAU PHARMACY HOLDINGS LLC dba MIDTOWN EXPRESS PHARMACY 300 20TH AVE N #105 NASHVILLE TN 37203 615- 320-8410 615-284-3573 MAIL ORDER/ COMMUNITY 07/23/2018 06/30/2019

1444 400 DUNN MEADOW LLC dba DUNN MEADOW PHARMACY 1555 CENTER AVE 1ST FLR FORT LEE NJ 07024 201- 949-3400 201-949-3455 SPECIALTY 05/13/2015 06/30/2019

1752 400 E S DRUGS INC dba MATLOCK SPECIALTY PHARMACY 3295 S COOPER ST #107 ARLINGTON TX 76015 817- 701-2535 972-573-6787 COMMUNITY RETAIL 08/10/2017 06/30/2019

1859 400 EAGLE LAKE PHARMACY 5245 US HWY 98 N STE A LAKELAND FL 33809 863- 279-0871 863-274-3695 COMMUNITY 05/25/2018 06/30/2019




License


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1054 400 EAGLE PHARMACY LLC 350 EAGLES LANDING DR LAKELAND FL 33810 863- 825-4180 863-393-0079 NONRESIDENT 01/07/2013 06/30/2019

1667 400 EAST RIDGE RX LLC 12176 S 1000 E STE 2 DRAPER UT 84020 801- 355-5176 801-606-7358 CLASS A PHARMACY 01/17/2017 06/30/2019

1451 400 EDPHARMALLC 123 COLUMBIA DR STE E PO 1399 MARSHALLS CREEK PA 18335 570- 338-6815 877-856-4692 RETAIL 05/22/2015 06/30/2019

1364 400 EGYPTIAN INC dba TRUCARE PHARMACY 1875 CALIFORNIA AVE CORONA CA 92881 951- 817-1005 951-817-1020

CLOSED DOOR PHARMACY/NON-

STERILE/STERILE COMP 10/29/2014 06/30/2019

1064 400 EHT PHARMACY LLC dba CUREXA 3007 OCEAN HEIGHTS AVE

EGG HARBOR

TOWNSHIP NJ 08234 609- 927-0390 609-927-0392 RETAIL 01/22/2013 06/30/2019

1512 400 EMERALD PHARMACY LLC 12863 GULF FREEWAY HOUSTON TX 77034 844- 693-6372 281-484-2600 NONRESIDENT 11/04/2015 06/30/2019

1256 400 EMPOWER PHARMACY 5980 W SAM HOUSTON PKWY N STE 300 HOUSTON TX 77041 832- 678-4417 832-678-4419 COMMUNITY 05/01/2014 06/30/2019

0539 400 ENCLARA PHARMACIA INC 2525 HORIZON LAKE DR STE 101 MEMPHIS TN 38133 901- 248-3747 215-282-1587 MAIL ORDER 09/21/2005 06/30/2019

0555 400 ENCLARA PHARMACIA INC 512 ELMWOOD AVE SHARON HILL PA 19079 484- 953-1838 267-514-6489 MAIL ORDER 12/15/2005 06/30/2019

0865 400 ENCLARA PHARMACIA INC 1601 CHERRY ST STE 1800 PHILADELPHIA PA 19102 215- 282-1652 215-282-1587 CALL CENTER PHARMACY 06/08/2010 06/30/2019

1126 400 ENTIRELYPETS PHARMACY LLC 34571 7th ST UNION CITY CA 94587 800- 738-7209 888-419-0772 MAIL ORDER VETERINARY 07/19/2013 06/30/2019

0941 400 ENVOY HEALTH MANAGEMENT LLC 325 W ATHERTON RD FLINT MI 48507 855- 768-9727 866-991-9929 RETAIL 08/18/2011 06/30/2019

0175 400 ESI MAIL PHARMACY SERVICE INC dba EXPRESS SCRIPTS 4600 N HANLEY RD ST LOUIS MO 63134 800- 332-5455 800-521-5779 MAIL ORDER 06/29/2000 06/30/2019

0342 400 ESI MAIL PHARMACY SERVICE INC dba EXPRESS SCRIPTS 7909 S HARDY DR STE 106 TEMPE AZ 85284 800- 995-1171 866-635-5309 MAIL ORDER 03/19/2003 06/30/2019

1347 400 ESI MAIL PHARMACY SERVICE INC dba EXPRESS SCRIPTS 4700 N HANLEY RD STE C ST LOUIS MO 63134 314- 475-7015 800-376-8936 MAIL ORDER 10/03/2014 06/30/2019

1350 400 ESI MAIL PHARMACY SERVICE INC dba EXPRESS SCRIPTS 433 RIVER ST STE 800 TROY NY 12180 518- 266-2125 866-347-3516 MAIL ORDER 10/07/2014 06/30/2019

1357 400 ESI MAIL PHARMACY SERVICE INC dba EXPRESS SCRIPTS 4500 ALEXANDER BLVD NE ALBUQUERQUE NM 87107 505- 761-6124 505-761-8030 MAIL ORDER 10/17/2014 06/30/2019

1359 400 ESI MAIL PHARMACY SERVICE INC dba EXPRESS-SCRIPTS 3001 S PRIEST DR TEMPE AZ 85282 480- 281-8897 480-403-3651 MAIL ORDER 10/17/2014 06/30/2019

1371 400 EXACT CARE PHARMACY LLC 8333 ROCKSIDE RD VALLEY VIEW OH 44125 216- 369-2200 216-369-2201 MAIL ORDER 11/17/2014 06/30/2019

0691 400 EXACTUS PHARMACY SOLUTIONS INC 4110 GEORGE RD STE 100 TAMPA FL 33634 866- 458-9246 866-458-9245 SPECIALTY 09/14/2007 06/30/2019

1708 400 EXECUTIVE BUSINESS SOLUTIONS LLC dba FORTBEND RX PHARMACY 1100 FM 1092 STE D MISSOURI CITY TX 77459 281- 969-7611 281-969-7711 RETAIL 05/01/2017 06/30/2019

1831 400 EXECUTIVE ENTERPRISES LLC dba THE WOODLANDS APOTHECARY 8360 LBJ FWY STE A215 DALLAS TX 75243 346- 224-2125 346-224-2143 RETAIL / INDEPENDENT 02/20/2018 06/30/2019

1442 400 EXPRESS PHARMACY SERVICES OF PA LLC dba CVS CAREMARK #1638 620 EPSILON DR PITTSBURGH PA 15238 412- 967-2360 412-717-9974 NON-DISPENSING MAIL ORDER 05/04/2015 06/30/2019

1194 400 EXPRESS SCRIPTS PHARMACY INC dba EXPRESS SCRIPTS 4750 E 450 SOUTH WHITESTOWN IN 46075 800- 722-7071 317-768-7001 MAIL ORDER 01/03/2014 06/30/2019

1196 400 EXPRESS SCRIPTS PHARMACY INC dba EXPRESS SCRIPTS 5151 BLAZER PKWY STE B DUBLIN OH 43017 614- 822-2202 614-822-2096 MAIL ORDER 01/03/2014 06/30/2019

1203 400 EXPRESS SCRIPTS PHARMACY INC dba EXPRESS SCRIPTS 4865 DIXIE HWY FAIRFIELD OH 45014 513- 858-4054 513-858-4818 MAIL ORDER 01/15/2014 06/30/2019

1205 400 EXPRESS SCRIPTS PHARMACY INC dba EXPRESS SCRIPTS 501 RONDA CT NORTH HUNTINGDON PA 15642 724- 765-3000 724-765-3123 MAIL ORDER 01/15/2014 06/30/2019




License


Zip


1208 400 EXPRESS SCRIPTS PHARMACY INC dba EXPRESS SCRIPTS 13051 N TELECOM PKWY STE 150 TEMPLE TERRACE FL 33637 813- 317-2900 813-317-2901 01/15/2014 06/30/2019

1296 400 EXPRESS SCRIPTS PHARMACY INC dba EXPRESS SCRIPTS 2040 RTE 130 N BURLINGTON NJ 08016 800- 283-8609 609-880-2317 MAIL ORDER 06/25/2014 06/30/2019

0201 400

EXPRESS SCRIPTS SPECIALTY DISTRIBUTION

SERVICES INC 8931 SPRINGDALE AVE STE A ST LOUIS MO 63134 314- 587-4050 877-304-9042 MAIL ORDER 11/14/2000 06/30/2019

1360 400

EXPRESS SCRIPTS SPECIALTY DISTRIBUTION

SERVICES INC 4700 N HANLEY RD STE A ST LOUIS MO 63134 314- 587-4050 877-304-9042 MAIL ORDER 10/17/2014 06/30/2019

1775 400 EXPRESS VETERINARY PHARMACY dba EXPRESS VET PHARMACY 833 N COOPER RD STE 104 GILBERT AZ 85233 480- 892-0761 480-892-0707 VET ONLINE/MAIL ORDER 11/03/2017 06/30/2019

1474 400 FACTOR ONE SOURCE PHARMACY LLC dba FACTOR ONE SOURCE PHARMACY 217 GLENN ST STE 300 CUMBERLAND MD 21502 844- 773-6779 844-533-1131 SPECIALTY/RETAIL/COMMUNITY 07/07/2015 06/30/2019

0843 400 FACTOR SUPPORT NETWORK PHARMACY INC 900 AVENIDA ACASO STE A CAMARILLO CA 93012 877- 376-4968 805-482-6324 SPECIALTY 02/04/2010 06/30/2019

1675 400 FAIRVIEW COMPOUNDING PHARMACY 711C KASOTA AVE SE MINNEAPOLIS MN 55414 612- 672-5737 612-672-5738 COMMUNITY/RETAIL 01/26/2017 06/30/2019

0470 400 FAIRVIEW HOME INFUSION 711B KASOTA AVE SE MINNEAPOLIS MN 55414 612- 672-2233 612-672-2234 HOME INFUSION 10/28/2004 06/30/2019

1819 400 FAIRVIEW PHARMACY CBCD 2512 S 7TH ST STE 105 MINNEAPOLIS MN 55454 612- 273-5006 612-273-5010 COMMUNITY/RETAIL 02/20/2018 06/30/2019

1181 400 FAIRVIEW RIVERSIDE PHARMACY 606 24TH AVE S MINNEAPOLIS MN 55454 612- 672-7507 612-672-7501 COMMUNITY/RETAIL 12/03/2013 06/30/2019

0611 400 FAIRVIEW SPECIALTY SERVICES PHARMACY 711 KASOTA AVE SE STE A MINNEAPOLIS MN 55414 866- 377-6245 612-672-5330 COMMUNITY / RETAIL 08/08/2006 06/30/2019

1162 400 FAIRVIEW UNIVERSITY CLINIC PHARMACY 909 FULTON ST SE, 1ST FLR MC-2121AA MINNEAPOLIS MN 55455 612- 676-4100 612-676-4131 COMMUNITY/RETAIL 10/21/2013 06/30/2019

1180 400 FAIRVIEW UNIVERSITY DISCHARGE PHARMACY 500 HARVARD ST MMC 812 MINNEAPOLIS MN 55455 612- 273-2121 612-273-8156 COMMUNITY/RETAIL 12/03/2013 06/30/2019

1684 400 FAMILY FARE PHARMACY #115 2275 HEALTH DR SW WYOMING MI 49519 616- 249-9161 616-281-7608 MAIL ORDER 02/09/2017 06/30/2019

1742 400 FAMILY PHARMACY LLC dba FAMILY PHARMACY 31952 DEL OBISPO ST #240

SAN JUAN

CAPISTRANO CA 92675 949- 388-9007 949-388-9785 RETAIL/COMMUNITY 06/19/2017 06/30/2019

1674 400 FARMA PHARMACEUTICALS INC dba FARMA PHARMACY 5240 SAN FERNANDO RD GLENDALE CA 91203 818- 649-3690 818-638-3136 RETAIL 01/17/2017 06/30/2019

1663 400 FARMACIA LIBERTAD LLC dba FARMACIA LIBERTAD 9414 PARKFIELD DR UNIT A AUSTIN TX 78758 737- 292-4753 512-284-7694 RETAIL 01/11/2017 06/30/2019

0763 400 FARMVET.COM INC 1254 OLD HILLSBORO RD FRANKLIN TN 37069 615- 277-5602 615-370-8502 VETERINARY/MAIL ORDER 09/04/2008 06/30/2019

1000 400 FFP ACQUISITION II LLC dba MEDEX BIOCARE 8024 STAGE HILLS BLVD #107 BARTLETT TN 38133 800- 962-6339 866-755-6559 SPECIALTY 02/14/2006 06/30/2019

0249 400 FFP LLC dba MATRIX HEALTH 3300 CORPORATE AVE STE 104 WESTON FL 33331 954-385-7322 954-385-7324 SPECIALTY 09/12/2001 06/30/2019

0308 400 FIRST CALL PHARMACY LLC 1500 VETERANS BLVD KENNER LA 70062 800-877-5705 866-472-5205 HOME CARE INFUSION 08/21/2002 06/30/2019

0554 400 FISHER BIOSERVICES INC 14665 ROTHGEB DR ROCKVILLE MD 20850 301-315-8426 301-294-4795 MAIL ORDER/SPECIALTY 12/15/2005 06/30/2019

1755 400 FLTX HOLDINGS LLC dba DMG HEALTH PHARMACY 3163 S CHURCH ST STE A MURFREESBORO TN 37127 615- 225-8870 877-501-4225 RETAIL COMMUNITY 08/22/2017 06/30/2019

0331 400 FOCUS EXPRESS MAIL PHARMACY INC dba FOCUS MEDICAL SUPPLY PHARMACY 1250 EASTON RD STE S-101 HORSHAM PA 19044 866-403-6287 866-413-6287 NONRESIDENT 02/04/2003 06/30/2019

1229 400 FOCUS RX PHARMACY SERVICES INC 2805 VETERANS MEMORIAL HWY STE 19-22 RONKONKOMA NY 11779 631- 319-1920 631-319-1921 HOME INFUSION 02/20/2014 06/30/2019

1818 400 FOCUSED CARE PHARMACY INC 6040 TARBELL RD STE 106 SYRACUSE NY 13206 844- 807-3730 315-433-2372 RETAIL/MAIL ORDER 02/20/2018 06/30/2019




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1799 400 FOOTHILLS PROFESSIONAL PHARMACY 4545 E CHANDLER BLVD #100 PHOENIX AZ 85048 480- 496-4444 480-496-4450 RETAIL 01/17/2018 06/30/2019

0582 400 FOUNDATION CARE LLC 4010 WEDGEWAY CT EARTH CITY MO 63045 314-291-1122 314-291-1133 RETAIL 03/23/2006 06/30/2019

1767 400 FOUNTAIN PLAZA PHARMACY dba FOUNTAINRX 2825 W ANDREW JOHNSON HWY MORRISTOWN TN 37814 423- 307-5757 423-307-5241 RETAIL 11/03/2017 06/30/2019

1840 400 FRANAKO PHARMACY INC dba LAKE WORTH PHARMACY 400 S DIXIE HWY STE 17 LAKE WORTH FL 33460 561- 588-0707 561-588-0747 RETAIL 04/11/2018 06/30/2019

1075 400

FRESENIUS MEDICAL CARE PHARMACY SERVICES

INC 11001 DANKA WAY N STE 2 ST PETERSBURG FL 33716 727- 954-1300 727-568-0514 INDEPENDENT RETAIL 02/26/2013 06/30/2019

0803 400 FRESENIUS MEDICAL CARE RX 1000 CORPORATE CTR DR, 1 MERIDIAN STE 400 FRANKLIN TN 37067 615- 764-6500 615-764-6559 INDEPENDENT RETAIL 06/04/2009 06/30/2019

0330 400 FRESENIUS USA MANUFACTURING INC dba FRESENIUS MEDICAL CARE NORTH AMERICA 2865 DAVE LYLE BLVD STE 101 ROCK HILL SC 29730 803-323-6300 803-323-6301 CLOSED DOOR 02/04/2003 06/30/2019

0428 400 FRESENIUS USA MANUFACTURING INC dba FRESENIUS MEDICAL CARE NORTH AMERICA 5300 95TH AVE STE A KENOSHA WI 53144 262-605-8326 262-605-8360 CLOSED DOOR 04/09/2004 06/30/2019

0640 400 FRESENIUS USA MANUFACTURING INC dba FRESENIUS MEDICAL CARE NORTH AMERICA 375 NORTH DEPOT DR STE 110 OGDEN UT 84404 801-393-0609 801-393-0647 CLOSED DOOR 01/19/2007 06/30/2019

0950 400 FRESENIUS USA MANUFACTURING INC dba FRESENIUS MEDICAL CARE NORTH AMERICA 549 SAND SAGE RD NW STE A LOS LUNAS NM 87031 505- 565-8450 505-565-8430 CLOSED DOOR 09/28/2011 06/30/2019

1570 400 FRESENIUS USA MANUFACTURING INC dba FRESENIUS MEDICAL CARE NORTH AMERICA 371 S ROYAL LN DFW AIRPORT TX 75261 972- 393-4000 971-393-4087 CLOSED DOOR 03/17/2016 06/30/2019

1820 400 FRESENIUS USA MARKETING INC dba FRESENIUS MEDICAL CARE NORTH AMERICA 101 WAUKEGAN RD STE 100 LAKE BLUFF IL 60044 847- 473-0855 781-466-0682 REMOTE ORDER PROCESSING 02/20/2018 06/30/2019

1529 400 GABECARE DIRECT RX INC dba DIRECTRX INC 830 KIRTS BLVD STE 300 TROY MI 48084 855- 362-3397 248-280-6405 RETAIL 12/15/2015 06/30/2019

1454 400 GARDENS PHARMACY 1019 GOVERNMENT ST STE F & D OCEAN SPRINGS MS 39564 228- 818-5111 228-818-5113 RETAIL 06/03/2015 06/30/2019

1771 400 GATEWAY HEALTH MART PHARMACY MANDAN 500 BURLINGTON ST SE STE 2 MANDAN ND 58554 701- 667-1843 701-667-4352 RETAIL 11/03/2017 06/30/2019

1770 400 GATEWAY HEALTH MART PHARMACY NORTH 3101 N 11TH ST STE 2 BISMARCK ND 58503 701- 224-9521 701-224-1360 RETAIL 11/03/2017 06/30/2019

1769 400 GATEWAY HEALTH MART PHARMACY SOUTH 835 S WASHINGTON ST STE 2 BISMARCK ND 58504 701- 223-1656 701-223-9628 RETAIL 11/03/2017 06/30/2019

1704 400 GATEWAY HEALTHMART PHARMACY SUNRISE 3103 YORKTOWN DR STE 2 BISMARCK ND 58503 701- 425-0789 701-751-6180 RETAIL 05/01/2017 06/30/2019

1591 400 GENRX CORP dba GENRX PHARMACY 17250 N HARTFORD DR STE 115 SCOTTSDALE AZ 85255 602- 892-4250 800-530-0665 RETAIL 05/23/2016 06/30/2019

1312 400 GENTRY HEALTH SERVICES INC 33381 WALKER RD STE A AVON LAKE OH 44012 844- 443-6879 844-329-2447 MAIL ORDER 07/29/2014 06/30/2019

1287 400 GIANT EAGLE PHARMACY #0221 20160 CENTER RIDGE RD STE 201 ROCKY RIVER OH 44116 888- 792-1552 888-216-2510 RETAIL, MAIL-ORDER, SPECIALITY 06/03/2014 06/30/2019

1876 400 GO LIVE WELL PHARMACY 13035 OLIVE BLVD STE 210 ST LOUIS MO 63141 844- 896-2456 844-896-7466 RETAIL 07/06/2018 06/30/2019

1421 400 GOOD HEALTH INC dba PREMIER PHARMACY SERVICES 410 CLOVERLEAF DR BALDWIN PARK CA 91706 626- 626-9400 626-626-9840 RETAIL 03/23/2015 06/30/2019

1867 400 GOOD HEALTH INC dba PREMIER PHARMACY SERVICES 711 ANDERSON AVE CLIFFSIDE PARK NJ 07010 201- 313-9797 201-313-9798 MAIL ORDER 06/22/2018 06/30/2019

1870 400 GOOD LIFE HEALTH SERVICES, INC dba GOOD LIFE DISCOUNT PHARMACY 125 S 16TH ST ORD NE 68862 308- 728-3295 308-728-3296

RETAIL, NON-STERILE

COMPOUNDING 06/27/2018 06/30/2019

1103 400 GOOT NURSING HOME PHARMACY INC dba PHARMERICA 8826 N 23RD AVE C-2 PHOENIX AZ 85021 800- 246-1843 602-995-9114

CLOSED DOOR/AFTER HOURS CALL

CENTER 05/24/2013 06/30/2019

1679 400 GORDIAN MEDICAL II INC dba BETTER BALANCE PHARMACY 5834 LOUETTA RD STE D SPRING TX 77379 281- 205-7091 281-205-7093 RETAIL 01/26/2017 06/30/2019




License


Zip


1768 400 GRASSO ENTERPRISES LLC dba ANNIE'S APOTHECARY 31007 IH 10 WEST #108 BOERNE TX 78006 830- 981-4774 830-981-4775 RETAIL 11/03/2017 06/30/2019

1083 400 GREER PHARMACY 639 NUWAY CR LENOIR NC 28645 828- 759-7312 828-759-7434 SPECIALTY ALLERGY 03/22/2013 06/30/2019

1602 400 GRM PHARMACY LLC dba GLEN ROCK MEDICAL PHARMACY 210 ROCK RD GLEN ROCK NJ 07452 201- 444-3200 201-444-5792 SPECIALTY 06/14/2016 06/30/2019

1685 400 GULF COAST SCRIPT LLC 761 SHAMROCK BLVD VENICE FL 34293 941- 584-4061 941-584-4062 COMMUNITY/RETAIL/MAIL ORDER 02/09/2017 06/30/2019

1866 400 HAMILTON RX LLC 3320 TYLERSVILLE RD HAMILTON OH 45011 513- 299-7964 513-285-3147 COMMUNITY 06/22/2018 06/30/2019

1398 400 HAN SAM CORPORATION dba RIVER'S EDGE PHARMACY 36919 COOK ST STE 102 PALM DESERT CA 92211 760- 340-3248 760-340-3258 RETAIL 02/09/2015 06/30/2019

1494 400 HANKINSON DRUG 323 S MAIN AVE HANKINSON ND 58041 701- 242-7414 701-242-7173 RETAIL 09/04/2015 06/30/2019

0945 400 HARTLEY MEDICAL CENTER PHARMACY INC dba HARTLEY MEDICAL CENTER PHARMACY 113 W VICTORIA ST LONG BEACH CA 90805 562- 595-7548 562-595-9855 COMPOUNDING 09/06/2011 06/30/2019

1764 400 HCP PHARMACY LLC dba STEEPLECHASE EXPRESS RX 10694 JONES RD STE 115 HOUSTON TX 77065 844- 500-7379 281-894-9912 MAIL ORDER/COMMUNITY 11/03/2017 06/30/2019

1534 400

HEALTHCARE SPECIALTY TRANSACTION

SERVICES LLC dba HST PHARMACY 1267 PROFESSIONAL PKWY STE 200 GAINSVILLE GA 30507 844- 375-3003 844-375-3004 COMMUNITY, MAIL ORDER 01/04/2016 06/30/2019

0707 400 HEALTHPARTNERS REFILL CENTER PHARMACY 9700 W 76TH ST EDEN PRAIRIE MN 55344 952- 833-1702 952-833-0486

MAIL ORDER/may included MTM

srvcs 11/01/2007 06/30/2019

1555 400 HEALTHY LIVING MEDICAL SUPPLY LLC dba HEALTHY LIVING PHARMACY 1095 CROOKS RD STE 400 TROY MI 48084 866- 779-8512 866-779-8511 RETAIL 02/19/2016 06/30/2019

0481 400 HEALTHY OPTIONS INC dba POSTAL PRESCRIPTION SERVICES 3500 SE 26TH AVE PORTLAND OR 97202 800- 552-6694 503-797-2150 MAIL ORDER 11/22/2004 06/30/2019

1715 400 HEART OF AMERICA PHARMACY LLC 4338 E 142ND ST GRANDVIEW MO 64030 844- 780-4279 844-781-4279 RETAIL/MAIL ORDER 05/01/2017 06/30/2019

1016 400 HEARTLAND HOME INFUSIONS INC dba HHI INFUSION SERVICES 901 MCCLINTOCK DR STE 106 BURR RIDGE IL 60527 800- 836-1147 630-986-4390 COMMUNITY 08/22/2012 06/30/2019

1432 400 HEARTLAND VETERINARY PHARMACY 401 W 33RD ST HASTINGS NE 68901 402- 463-2090 402-463-2015 VETERINARY MAIL ORDER 05/01/2015 06/30/2019

1202 400

HENRY FORD PHARMACY ADVANTAGE

SOUTHFIELD 1191 SOUTH BLVD E ROCHESTER HILLS MI 48307 800- 456-2112 888-400-0100 MAIL ORDER / SPECIALTY 01/13/2014 06/30/2019

1861 400 HEPZIBAH INC dba SRX PHARMACY 1 3500 E FLETCHER AVE STE 120 TAMPA FL 33613 813- 632-9032 813-632-9035 COMMUNITY 06/14/2018 06/30/2019

1564 400 HERITAGE BIOLOGICS INC 255 NW VICTORIA DR LEE'S SUMMIT MO 64086 844- 878-6793 844-402-3945 SPECIALTY / HOME INFUSION 03/08/2016 06/30/2019

1554 400 HHCS PHARMACY INC dba FREEDOM PHARMACY 3901 E COLONIAL DR STE D ORLANDO FL 32803 407- 898-4427 407-897-2108 SPECIALTY/RETAIL 02/19/2016 06/30/2019

1337 400 HIGHLAND SPECIALTY PHARMACY LLC dba HIGHLAND SPECIALTY PHARMACY 23 TOWN CENTER SQ HATTIESBURG MS 39402 601- 268-6033 601-268-6690 COMMUNITY/RETAIL 09/23/2014 06/30/2019

1851 400 HILLCREST PHARMACY LLC dba HILLCREST PHARMACY 781 E FORT UNION BLVD MIDVALE UT 84047 385- 900-1400 385-900-1990 RETAIL/MAIL SERVICE 05/02/2018 06/30/2019

0675 400 HOMEMED PHARMACY 6210 TECHNOLOGY CENTER DR STE 300 INDIANAPOLIS IN 46278 31- 761-6450 866-243-5900 MAIL ORDER 05/15/2007 06/30/2019

1465 400 HOMESCRIPTS.COM LLC dba HOMESCRIPTS 500 KIRTS BLVD STE 300 TROY MI 48084 248- 824-6300 877-291-1122 06/23/2015 06/30/2019

1141 400 HOMETECH ADVANCED THERAPIES INC 505 ELMWOOD AVE SHARON HILL PA 19079 484- 494-3121 484-494-3506 RETAIL/SPECIALTY 09/04/2013 06/30/2019

1822 400 HONEYBEE HEALTH INC dba HONEYBEE HEALTH 3515 HELMS AVE CULVER CITY CA 90232 310- 559-5903 310-599-5933 RETAIL 02/20/2018 06/30/2019

0234 400 HOOK-SUPERx LLC dba CVS PHARMACY #6570 2800 ENTERPRISE ST STE 5 INDIANAPOLIS IN 46219 317- 352-8400 317-353-6386 NONRESIDENT 08/01/2001 06/30/2019




License


Zip


1487 400 HOPKINTON DRUG INC 52 MAIN ST HOPKINTON MA 01748 508- 435-4441 508-435-5983 RETAIL 08/27/2015 06/30/2019

0469 400 HOTZE PHARMACY LP 20214 BRAIDWOOD DR STE 140 KATY TX 77450 281-828-9088 281-828-9669 NON-STERILE COMPOUNDING 10/28/2004 06/30/2019

1841 400 HPC LLC dba HPC SPECIALTY PHARMACY 63 S ROYAL ST STE 800 MOBILE AL 36602 251- 441-1990 855-813-0583 SPECIALTY MAIL-ORDER 04/16/2018 06/30/2019

1856 400 HRX PHARMACY LLC 4227 S HIGHLAND DR STE 6 HOLLADAY UT 84124 877- 401-4317 801-553-2540 RETAIL 05/21/2018 06/30/2019

1803 400 HUDGINS PHARMACY INC 256 MAIN ST MATHEWS VA 23109 866- 643-3292 804-725-2783 MAIL ORDER 01/17/2018 06/30/2019

0590 400 HUMANA PHARMACY INC 4302 W BUCKEYE RD STE 109 PHOENIX AZ 85043 602- 477-5373 602-278-9552 NON RESIDENT 05/10/2006 06/30/2019

0764 400 HUMANA PHARMACY INC 9843 WINDISCH RD WEST CHESTER OH 45069 513- 672-5131 513-442-7272 NONRESIDENT 09/04/2008 06/30/2019

1719 400 HUNTS MILL RX LLC dba HUNTS MILL PHARMACY 14 MAIN ST STE 1 CLINTON NJ 08809 908- 323-2020 908-323-2017 MAIL ORDER/RETAIL 05/04/2017 06/30/2019

0753 400 HWAREH.COM INC dba HEALTHWAREHOUSE.COM 7107 INDUSTRIAL RD FLORENCE KY 41042 800- 748-7001 888-870-2808 RETAIL INTERNET MAIL ORDER 07/15/2008 06/30/2019

0842 400 HYVACS LLC dba HY-VEE PHARMACY SOLUTIONS 10004 S 152ND ST STE C OMAHA NE 68138 402- 861-4938 402-861-4941 RETAIL 02/02/2010 06/30/2019

1869 400 HYVACS, LLC dba HY-VEE PHARMACY SOLUTIONS 215 10TH ST, STE 110 DES MOINES IA 50309 877- 794-9833 402-861-4941 INDEPENDENT, RETAIL, SPECIALTY 06/27/2018 06/30/2019

1150 400 HY-VEE INC

dba HY-VEE PHARMACY FULFILLMENT CENTER

(4016) 4707 FLEUR DR DES MOINES IA 50321 515- 953-7413 515-559-2497 CENTRAL FILL 10/02/2013 06/30/2019

0639 400 IgG AMERICA INC dba US BIOSERVICES 514 PROGRESS DR STE X LINTHICUM MD 21090 877-674-9700 877-402-4042

MAIL ORDER/INFUSION/CLOSED

DOOR/STERILE CPDING 01/08/2007 06/30/2019

1431 400 IHC HEALTH SERVICES INC

dba INTERMOUNTAIN HOME DELIVERY

PHARMACY 7268 S BINGHAM JUNCTION BLVD STE B1 MIDVALE UT 84047 801- 442-4660 801-442-4179 MAIL ORDER/COMMUNITY 05/01/2015 06/30/2019

1096 400 IHS ACQUISITION XXX INC dba THERACOM 345 INTERNATIONAL BLVD STE 200 BROOKS KY 40109 877- 654-7812 877-654-7813 MAIL ORDER/CLOSED DOOR 05/01/2013 06/30/2019

1191 400 IMPERIAL POINT PHARMACY CENTER INC 6310 N FEDERAL HWY FT LAUDERDALE FL 33308 954- 210-7350 954-736-4321 RETAIL 12/30/2013 06/30/2019

1857 400 IMPERIAL RX LLC 182 ROCKINGHAM RD UNIT 2 LONDONDERRY NH 03053 603- 552-3452 603-218-6441 COMMUNITY 05/21/2018 06/30/2019

1241 400 IMPRIMISRX NJ LLC dba IMPRIMISRX 1705 ROUTE 46 STE 6A LEDGEWOOD NJ 07852 844- 446-6979 855-405-4669

STERILE & NON-STERILE

COMPOUNDING 03/14/2014 06/30/2019

1352 400 INDEPENDENCE HOLDING COMPANY LLC dba COMPLETE CARE PHARMACY 14 E WASHINGTON ST STE C CHAMPAIGN IL 61820 217- 355-6607 217-355-6639 RETAIL 10/14/2014 06/30/2019

1490 400 INDEPENDENT HEALTH SERVICES dba IHS PHARMACY 504 MCCURDY AVE S STE 7 RAINSVILLE AL 35986 800- 638-3104 800-638-9459 MAIL ORDER/CORRECTIONAL 08/27/2015 06/30/2019

1035 400 INFINITY COMPOUNDING SOLUTIONS LLC dba INFINITY CARE SOLUTIONS 1204 SE 28TH ST STE 2 BENTONVILLE AR 72712 888- 414-5805 855-422-2400

RETAIL/NON-STERILE

COMPOUNDING 10/24/2012 06/30/2019

0777 400 INFUSCIENCE INC dba BIOSCRIP INFUSION SERVICES 2915 WATERS RD STE 110 EAGAN MN 55121 612- 486-1960 612-486-1961 INFUSION THERAPY 01/23/2009 06/30/2019

1066 400 INFUSERVE AMERICA INC dba INFUSERVE AMERICA 11880 28TH ST N STE 200 ST PETERSBURG FL 33716 800- 886-9222 800-886-9229 MAIL ORDER/COMPOUNDING 01/25/2013 06/30/2019

1069 400 INFUSION THERAPY SPECIALISTS INC dba BIOSCRIP INFUSION SERVICES 8710 F ST STE 118 OMAHA NE 68127 402- 397-8330 402-331-2207 INFUSION THERAPY 01/30/2013 06/30/2019

1012 400 INJECTABLE THERAPY SERVICE, INC dba BIOLOGICTX 1057 GAYLEY AVE LOS ANGELES CA 90024 800- 404-1963 800-404-4595 HOME INFUSION 07/18/2012 06/30/2019

0962 400 INJURED WORKERS PHARMACY LLC 300 FEDERAL ST ANDOVER MA 01810 888- 321-7945 800-497-4276 MAIL ORDER 11/08/2011 06/30/2019

1707 400 INNOVASCRIPT 641 KOLTER DR INDIANA PA 15701 724- 599-2510 724-599-3999 CLOSED DOOR MAIL ORDER 05/01/2017 06/30/2019




License


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1281 400 INNOVATION COMPOUNDING INC 6095 PINE MOUNTAIN RD NW STE 108 KENNESAW GA 30152 800- 457-1399 866-635-2329 COMPOUNDING ONLY 05/14/2014 06/30/2019

1134 400 INTEGRATED HEALTH CONCEPTS INC dba CONVERSIO HEALTH 720 AEROVISTA PL STE D SAN LUIS OBISPO CA 93401 866- 239-3784 800-977-9255 MAIL ORDER 08/12/2013 06/30/2019

1795 400 INTOUCH PHARMACY LLC 75 ELLIOTT RD STE 200 DAWSONVILLE GA 30534 706- 400-6180 706-534-6722 SPECIALTY 01/10/2018 06/30/2019

1639 400 INTRATHECAL COMPOUNDING SPECIALISTS INC dba INTRATHECAL COMPOUNDING SPECIALISTS 206A JACOBS RUN SCOTT LA 70583 337- 237-6077 337-237-8841 CMTY RETAIL 11/10/2016 06/30/2019

1211 400 INVERNESS APOTHECARY TRINITY LLC dba INVERNESS APOTHECARY TRINITY 24333 GORDON TERRY PKWY STE B TRINITY AL 35673 855- 708-7464 855-700-6337 INPDEPENDENT 01/17/2014 06/30/2019

1860 400 ISA MANAGEMENT SERVICES LLC dba GASTON PHARMACY #2 712 N WASHINGTON AVE STE 500 DALLAS TX 75246 469- 466-1243 844-413-2040 RETAIL 06/05/2018 06/30/2019

1050 400

ITC COMPOUNDING AND NATURAL WELLNESS

PHARMACY 651 TOPEKA WAY # 600 CASTLE ROCK CO 80109 303- 663-4224 303-663-4263 RETAIL 12/21/2012 06/30/2019

1680 400 IV & HOME HEALTH SERVICES OF TEXAS LLC dba PHARMACY SPECIALISTS 697 S STEMMONS FREEWAY STE 100 LEWISVILLE TX 75067 877- 217-3619 877-223-5265 HOME INFUSION/SPECIALTY 01/26/2017 06/30/2019

0895 400 JAT PHARMACY LLC 5374 MALY RD SUN PRAIRIE WI 53590 877- 490-3577 877-490-3576 RETAIL 11/15/2010 06/30/2019

0871 400 JHC ACQUISITION LLC dba OMNICARE OF NORTHERN ILLINOIS 2313 S MOUNT PROSPECT RD DES PLAINES IL 60018 847- 635-3000 800-369-6512 RETAIL 07/29/2010 06/30/2019

1843 400 JOHN'S PHARMACY IN ALBANY LLC dba JOHN'S PHARMACY 29148 MONTPELIER ALBANY LA 70711 225- 567-1921 225-567-1931 RETAIL 04/25/2018 06/30/2019

1825 400 JSPLTC LLC dba CUREXA 236 E JIMMIE LEEDS RD UNITS C & D GALLOWAY NJ 08205 855- 927-0390 855-927-0392 NONRESIDENT 02/20/2018 06/30/2019

1332 400 K & K RX SERVICES LP dba ELWYN SPECIALTY CARE 3070 MCCANN FARM DR STE 101 GARNET VALLEY PA 19060 610- 545-6040 610-545-6030 SPECIALTY 09/09/2014 06/30/2019

1839 400 K&C PHARMACY DEPOT INC dba CHESAPEAKE BAY PHARMACY 5686 SILVER HILL RD DISTRICT HEIGHTS MD 20747 301- 456-7349 301-576-3850 RETAIL 04/11/2018 06/30/2019

1809 400 KAPLAN GROUP LLC dba MEDICAL HOME PHARMACY 828 N OLDEN AVE TRENTON NJ 08638 609- 989-1400 609-482-4996 DEPARTMENT 01/17/2018 06/30/2019

1847 400 KB EMPIRE LLC dba AFFINITY RX 11003 ANTOINE DR STE F HOUSTON TX 77086 218- 444-5200 281-444-5204 RETAIL 05/02/2018 06/30/2019

1145 400 KEDO LLC dba VALUMED PHARMACY 4105 WESTCOR CT STE 1 CORALVILLE IA 52241 319- 545-5100 319-545-5103 LONG TERM CARE 09/20/2013 06/30/2019

0732 400 KEY COMPOUNDING PHARMACY 530 S 336TH ST FEDERAL WAY WA 98003 800- 878-1322 888-878-1118 RETAIL 03/26/2008 06/30/2019

1500 400 KEYSTONE CHOICE PHARMACY LLC 432 CEDARVILLE RD EASTON PA 18042 800- 517-3797 844-230-9314 NONRESDIENT 10/06/2015 06/30/2019

1777 400 KNIPPERX INC 1250 PATROL RD CHARLESTOWN IN 47111 855- 647-7379 732-886-9205 SPECIALTY 11/03/2017 06/30/2019

1239 400 KROGER COLUMBUS CENTRAL FILL 2270 RICKENBACKER PKWY W COLUMBUS OH 43217 614- 333-5017 614-333-5029 NONRESIDENT 03/14/2014 06/30/2019

1154 400 KROGER SPECIALTY INFUSION CA LLC dba KROGER SPECIALTY INFUSION CA 19110 VAN NESS AVE TORRANCE CA 90501 866- 202-9552 866-794-4844 HOME INFUSION/SPECIALTY 10/02/2013 06/30/2019

0973 400 KROGER SPECIALTY PHARMACY FL 2 LLC dba KROGER SPECIALTY PHARMACY FL 2 6435 HAZELTINE NATIONAL DR STE 140 ORLANDO FL 32822 855- 274-1694 855-819-6922 SPECIALTY 12/16/2011 06/30/2019

0637 400 KROGER SPECIALTY PHARMACY INC dba KROGER SPECIALTY PHARMACY FL 3200 LAKE EMMA RD STE 1000 LAKE MARY FL 32746 855- 733-3126 888-315-3270 SPECIALTY 12/21/2006 06/30/2019

0806 400 KRS GLOBAL BIOTECHNOLOGY INC 791 PARK OF COMMERCE BLVD BOCA RATON FL 33487 888-242-7996 866-480-3322 COMPOUNDING 06/16/2009 06/30/2019

0808 400 KUBAT CUSTOM HEALTH CARE INC 4924 CENTER ST STE 1A OMAHA NE 68106 402- 558-2474 402-561-1252 COMPOUNDING 07/02/2009 06/30/2019

1609 400 KUBAT PHARMACY INC 4924 CENTER ST OMAHA NE 68106 402- 315-1936 402-561-1252 RETAIL 06/28/2016 06/30/2019




License


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1763 400 L & M PHARMACY CARE 22 1ST ST NE STE A LE MARS IA 51031 712- 546-8005 712-546-8009 LTC 10/23/2017 06/30/2019

1509 400 L&S PHARMACY INC dba ONE HEALTH PHARMACY 2 2698 N GALLOWAY AVE STE 108 MESQUITE TX 75150 972- 270-5600 877-719-4674 RETAIL 10/23/2015 06/30/2019

1737 400 LAKE CITY PHARMACY LLC 33389 VAN DYKE STERLING HEIGHTS MI 48312 866- 902-3973 866-902-3901 MAIL ORDER/COMMUNITY 06/14/2017 06/30/2019

1676 400 LAKE SIDE PHARMACY 10005 AL HWY 9 N CEDAR BLUFF AL 35959 844- 236-5360 866-609-4582 RETAIL 01/26/2017 06/30/2019

1455 400 LATO DRUG COMPANY INC dba POST HASTE PHARMACY 4401 SHERIDAN ST HOLLYWOOD FL 33021 954- 989-6524 866-892-3432 RETAIL 06/03/2015 06/30/2019

0822 400 LEE SILSBY COMPOUNDING PHARMACY 3216 SILSBY RD CLEVELAND HEIGHTS OH 44118 216- 321-4300 216-321-4303 09/22/2009 06/30/2019

0171 400 LEEDSTONE INC 222 E COUNTY RD 173 SE MELROSE MN 56352 320-256-3303 320-256-4014 RETAIL VETERINARY 06/09/2000 06/30/2019

0745 400 LEEHAR DISTRIBUTORS LLC dba CASTIARX PHARMACY 701 EMERSON RD CREVE COEUR MO 63141 314- 652-1121 314-652-1126 MAIL ORDER 06/23/2008 06/30/2019

1412 400 LEEHAR DISTRIBUTORS LLC dba CASTIARX SPECIALTY PHARMACY 701 EMERSON RD STE 332 CREVE COEUR MO 63141 314- 652-4121 866-516-1121 RETAIL 03/02/2015 06/30/2019

1864 400 LEGACYRX PHARMACY LLC dba LEGACYRX PHARMACY 16051 ADDISON RD STE 305 ADDISON TX 75001 972- 485-4443 214-594-7454 RETAIL 06/14/2018 06/30/2019

1308 400 LEHIGH PHARMACY & SUPPLIES INC dba CAPE PHARMACY & SUPPLIES 307 DEL PRADO BLVD N STE 3 CAPE CORAL FL 33909 239- 424-8512 239-673-8104 RETAIL/MAIL ORDER 07/18/2014 06/30/2019

1252 400 LEITER'S ENTERPRISES INC dba LEITER'S 17 GREAT OAKS BLVD SAN JOSE CA 95119 800- 292-6772 408-288-8252 COMPOUNDING 03/25/2014 06/30/2019

1645 400 LENOX HILL PHARMACY INC dba NEW DRUG LOFT PHARMACY 1103 LEXINGTON AVE NEW YORK NY 10075 212- 879-0910 212-879-2335

RETAIL/NON STERILE CMPDG/OTC

PRODUCTS 11/15/2016 06/30/2019

1812 400 LEVEL CARE PHARMACY I LLC 212 CARPENTERS UNION WAY STE 500 LAS VEGAS NV 89119 844- 370-6205 866-268-5209 RETAIL/SPECIALTY 01/17/2018 06/30/2019

1504 400 LEWIS FAMILY DRUG LLC dba LEWIS FAMILY DRUG #34 332 BROADWAY BROWNS VALLEY MN 56219 320- 695-2331 320-695-2518 RETAIL/LTC 10/15/2015 06/30/2019

1815 400 LEWIS FAMILY DRUG LLC dba LEWIS FAMILY DRUG #35 146 NW SECOND ST ORTONVILLE MN 56278 320- 839-3825 320-839-2508 RETAIL/LTC 01/29/2018 06/30/2019

1816 400 LEWIS FAMILY DRUG LLC dba LEWIS FAMILY DRUG #61 106 N BOONE ST ROCK RAPIDS IA 51246 712- 472-4044 712-472-9617 RETAIL 01/29/2018 06/30/2019

1817 400 LEWIS FAMILY DRUG LLC dba LEWIS FAMILY DRUG #69 1319 10TH ST ROCK VALLEY IA 51247 712- 476-5171 712-476-2254 RETAIL 01/29/2018 06/30/2019

1430 400 LIBERTY MEDICAL LLC dba LIBERTY MEDICAL SUPPLY 8881 LIBERTY LN PORT ST LUCIE FL 34952 772- 398-2122 772-398-4952 RETAIL 05/01/2015 06/30/2019

1832 400 LIFELINE RX LLC 5408 PARK AVE WEST NEW YORK NJ 07093 201- 624-8015 201-624-8016 RETAIL 02/20/2018 06/30/2019

0115 400 LINCARE PHARMACY SERVICES INC dba RELIANT PHARMACY SERVICE 1235 MAIN ST SOUTHAVEN MS 38671 662- 342-5757 662-342-5512 MAIL ORDER 06/25/1999 06/30/2019

0319 400 LINCARE PHARMACY SERVICES INC dba RELIANT PHARMACY SERVICE 2335 CAMINO VIDA ROBLE STE B CARLSBAD CA 92011 760- 929-9199 800-758-9099 MAIL ORDER 10/29/2002 06/30/2019

0376 400 LINCARE PHARMACY SERVICES INC dba RELIANT PHARMACY SERVICES 4825 140TH AVE N STE A CLEARWATER FL 33762 727-523-8232 727-523-8862 MAIL ORDER 08/22/2003 06/30/2019

1198 400

LINTON SQUARE PHARMACY & MEDICAL

SUPPLIES INC 1601 S CONGRESS AVE DELRAY BEACH FL 33445 866- 293-0601 561-272-3059 RETAIL 01/07/2014 06/30/2019

1476 400 LLC PATIENT SERVICES INC 1829 W DRAKE DR STE 101 TEMPE AZ 85283 866- 889-5489 888-885-1938 RETAIL 07/15/2015 06/30/2019

1173 400 LMC MEDICAL SUPPLIES INC dba LMC PHARMACY 950 PENINSULA CORPORATE CR #1022 BOCA RATON FL 33487 877- 855-6655 888-886-4235 RETAIL 11/12/2013 06/30/2019

1533 400

LONG'S DRUGS OF LEXINGTON SOUTH

CAROLINA INC dba LONG'S DRUGS OF LEXINGTON 1216 W MAIN ST LEXINGTON SC 29072 803- 358-3030 803-358-3034 RETAIL 01/04/2016 06/30/2019




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1271 400 LUMICERA HEALTH SERVICES LLC 2601 W BELTLINE HWY STE 302 MADISON WI 53713 855- 847-3553 855-847-3558 RETAIL 05/06/2014 06/30/2019

1844 400 LYNCHBURG DRUG STORE LLC dba LYNCHBURG DRUG STORE 47 MECHANIC ST LYNCHBURG TN 37352 866- 323-7966 931-208-1159 RETAIL 04/25/2018 06/30/2019

0577 400 LYNNFIELD COMPOUNDING CENTER INC dba FREEDOM FP FERTILITY PHARMACY 12 KENT WAY STE 120E BYFIELD MA 01922 978- 499-1400 888-660-4283 MAIL ORDER 03/03/2006 06/30/2019

0578 400 LYNNFIELD DRUG INC dba FREEDOM FERTILITY PHARMACY 12 KENT WAY STE 120F BYFIELD MA 01922 978- 499-1400 888-660-4283 MAIL ORDER 03/03/2006 06/30/2019

1811 400 M.N. PHARMACY LLC dba PILLPACK MIAMI 8725 NW 13TH TERRACE MIAMI FL 33172 305- 907-7947 305-908-8571 COMMUNITY / RETIAL 01/17/2018 06/30/2019

1888 400 MACE RX PHARMACY LLC dba MACE RX PHARMACY 8775 S GESSNER RD HOUSTON TX 77074 832- 917-5550 832-917-5354 RETAIL 07/31/2018 06/30/2019

0592 400 MAGELLAN RX PHARMACY LLC 6870 SHADOWRIDGE DR STE 111 ORLANDO FL 32812 866-554-2673 866-364-2673 SPECIALTY 05/10/2006 06/30/2019

1802 400 MAGELLAN RX PHARMACY LLC 2256 S 3600 W STE A WEST VALLEY CITY UT 84119 855- 271-4810 888-656-7776 MAIL ORDER 01/17/2018 06/30/2019

1130 400 MAGNOLIA SPECIALTY PHARMACY INC 16 KEYSTONE DR STE B HATTIESBURG MS 39402 877- 871-3935 888-990-0575 RETAIL/SPECIALTY COMPOUNDING 07/30/2013 06/30/2019

0963 400 MAH PHARMACY LLC dba CHD PHARMACY 4867 DIXIE HWY FAIRFIELD OH 45014 513- 858-4061 513-858-4818 MAIL ORDER 11/16/2011 06/30/2019

1850 400 MAH PHARMACY LLC dba CHD PHARMACY 4600 N HANLEY RD STE C ST LOUIS MO 63134 314- 522-5817 314-522-5818 MAIL ORDER 05/02/2018 06/30/2019

1735 400 MAILMYPRESCRIPTIONS.COM 622 BANYAN TRL STE 614 BOCA RATON FL 33431 800- 964-9654 844-862-6121 RETAIL/MAIL ORDER 06/14/2017 06/30/2019

1067 400 MALANDA INC dba MANDELL'S CLINICAL PHARMACY 7 CEDAR GROVE LN STE 24B SOMERSET NJ 08873 732- 907-6780 732-412-7091 SPECIALTY 01/25/2013 06/30/2019

1690 400 MALL PHARMACY INC dba SCRIPTS RX PHARMACY 1333 W BELMONT AVE STE 320 CHICAGO IL 60657 800- 266-4907 877-992-3831 RETAIL 02/24/2017 06/30/2019

1034 400 MANIFEST PHARMACY LLC 1018 S BATESVILLE RD BLDG 4-A GREER SC 29650 888- 614-0119 866-995-7895 MAIL ORDER 10/24/2012 06/30/2019

1829 400 MARIAN RESPIRATORY CARE dba MARIAN PHARMACEUTICALS 28691 US HWY 98 STE D1 DAPHNE AL 36526 251- 473-2222 251-473-1064 MAIL ORDER 02/20/2018 06/30/2019

1396 400 MARLEY DRUG INC 5008 PETERS CREEK PKWY WINSTON SALEM NC 27127 800- 286-6781 336-771-9921 INDEPENDENT RETAIL 02/05/2015 06/30/2019

0959 400 MASTERPHARM LLC 115-02 LIBERTY AVE STE 200 S RICHMOND HILL NY 11419 718- 529-5500 718-529-2780 MAIL ORDER 10/19/2011 06/30/2019

0379 400 MAXOR NATIONAL PHARMACY SERVICES LLC dba MAXOR PHARMACIES 216 S POLK ST AMARILLO TX 79101 866- 629-6779 866-217-8034 MAIL ORDER 09/16/2003 06/30/2019

1453 400 MAXOR NATIONAL PHARMACY SERVICES LLC dba IV SOLUTIONS OF LUBBOCK 6101 43RD ST STE C LUBBOCK TX 79407 800- 658-6046 800-791-7851 COMMUNITY PHARMACY 05/28/2015 06/30/2019

0608 400

MAYO FOUNDATION FOR MEDICAL EDUCATION

AND RESEARCH dba MAYO CLINIC PHARMACY 21 SECOND ST SW ROCHESTER MN 55902 800-445-6326 507-284-5227 COMMUNITY/OUTPATIENT 07/21/2006 06/30/2019

1824 400 MCCLURE'S COMPOUNDING PHARMACY LLC dba MCCLURE'S COMPOUNDING PHARMACY 105 WILDWOOD DR STE 101 GEORGETOWN TX 78633 512- 688-5524 512-532-7100 RETAIL 02/20/2018 06/30/2019

0189 400

MCGUFF COMPOUNDING PHARMACY SERVICES

INC 2921 W MACARTHUR BLVD STE 142 SANTA ANA CA 92704 877-444-1133 877-444-1155 RETAIL/COMPOUNDING 06/24/2002 06/30/2019

1765 400 MCHUGH DRUG STORE LLC 70 S MADISON ST CARTHAGE IL 62321 217- 357-2623 217-357-9515 RETAIL-INDEPENDENT 11/03/2017 06/30/2019

0586 400 MCKESSON PATIENT CARE SOLUTIONS INC 2 TWOSOME DR MOORESTOWN NJ 08057 888-216-5500 856-273-9987 RETAIL 05/10/2006 06/30/2019

0612 400 MCKESSON SPECIALTY PHARMACY LP 845 REGENT BLVD STE 100A IRVING TX 75063 888- 479-6337 866-423-2979 NONRESIDENT 08/14/2006 06/30/2019

0263 400 MED 4 HOME INC dba MED 4 HOME 10800 N CONGRESS AVE KANSAS CITY MO 64153 816- 801-7511 816-895-6862 MAIL ORDER 12/06/2001 06/30/2019




License


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0929 400 MED SHOP TOTAL CARE INC 470 E LOOP 281 LONGVIEW TX 75605 903- 234-0080 903-247-1090 RETAIL INDEPENDENT 05/16/2011 06/30/2019

1313 400 MEDARBOR LLC dba MEDARBOR PHARMACY 200 RITTENHOUSE CR E BLDG UNIT 3 BRISTOL PA 19007 888- 590-0808 866-740-4689 INDEPENDENT RETAIL 08/04/2014 06/30/2019

1077 400 MEDCART SPECIALTY CARE LLC dba MEDCART SPECIALTY PHARMACY 32131 INDUSTRIAL RD LIVONIA MI 48150 877- 770-4633 877-771-4633 MAIL ORDER 02/28/2013 06/30/2019

1858 400 MEDCRAFTERS RX PHARMACY LLC dba MEDCRAFTERS RS PHARMACY 3348 2 12 MILE RD BERKLEY MI 48072 248- 607-3812 248-607-3834 RETAIL/CMTY 05/25/2018 06/30/2019

1611 400 MEDICATION MANAGEMENT PROGRAM 921 CHATHAM LN STE 100 COLUMBUS OH 43221 614- 292-1126 614-688-2460 CONSULTING PHARMACY 06/29/2016 06/30/2019

1317 400 MEDIMPACT DIRECT LLC 8150 S KYRENE RD STE #205 TEMPE AZ 85284 855- 873-8739 888-783-1773 MAIL ORDER 08/06/2014 06/30/2019

1766 400 MEDMINDER SYSTEMS INC dba MEDMINDER PHARMACY 30 WEXFORD ST NEEDHAM MA 02494 888- 633-6463 888-647-8595 RETAIL/MAIL ORDER 11/03/2017 06/30/2019

1254 400 MEDONE PHARMACY SERVICES 1580 UNIVERSITY AVE DUBUQUE IA 52001 877- 896-0919 563-588-0173 MAIL ORDER 04/08/2014 06/30/2019

1805 400 MEDPHARMA LLC 1701 WELSH RD #5 PHILADELPHIA PA 19115 844- 413-2005 844-413-2010 RETAIL 01/17/2018 06/30/2019

0367 400 MEDQUEST PHARMACY INC 669 W 900 N

NORTH SALT LAKE

CITY UT 84054 801- 294-1400 866-373-2979 MAIL ORDER 07/15/2005 06/30/2019

0788 400 MEDS FOR VETS LLC 9550 S STATE ST SANDY UT 84070 801-255-7666 801-255-7690 RETAIL 02/23/2009 06/30/2019

0272 400 MEERA INC dba GIANNOTTO'S PHARMACY 195 1ST AVE W NEWARK NJ 07107 973-482-8220 973-482-0615 RETAIL/SPECIALTY 07/21/2017 06/30/2019

1524 400 MEIJER STORES LIMITED PARTNERSHIP dba MEIJER PHARMACY #463 1515 PROFIT DR FT WAYNE IN 46808 844- 754-3340 260-471-5189 CENTRAL FILL FACILITY 12/07/2015 06/30/2019

1706 400 MEIJER STORES LIMITED PARTNERSHIP dba MEIJER SPECIALTY PHARMACY 8455 HAGGERTY RD BELLEVILLE MI 48111 877- 460-8303 734-391-2365 SPECIALTY CLOSED DOOR 05/01/2017 06/30/2019

0071 400 MERCY CARE PHARMACY

dba MERCY MEDICAL CTR - SIOUX CITY RX

SATELLITE #1 801 5TH ST STE 2211 SIOUX CITY IA 51101 71- 279-5884 712-279-5888 RETAIL/HOME INFUSION 08/28/1998 06/30/2019

1562 400 MIDLAND VET SERVICES PHARMACY 11722 STONEGATE CR OMAHA NE 68164 402- 330-9483 866-420-1589 RETAIL VETERINARY 02/29/2016 06/30/2019

1037 400 MILLERS OF WYCKOFF INC 678 WYCKOFF AVE WYCKOFF NJ 07481 888- 891-3334 866-891-3334 RETAIL 11/05/2012 06/30/2019

1535 400 miRX PHARMACY 993 S 24TH ST W STE A BILLINGS MT 59102 406- 869-6551 406-869-6552 MAIL ORDER 01/14/2016 06/30/2019

1794 400 MOBIMEDS dba THE PILL CLUB 969 INDUSTRIAL RD STE G SAN CARLOS CA 94070 650- 562-7271 888-873-6994 COMMUNITY RETAIL 01/10/2018 06/30/2019

1492 400 MSLS LLC dba THE MEDICINE SHOPPE 1405 NE DOUGLAS LEES SUMMIT MO 64086 816- 524-8444 816-246-5493 RETAIL 09/04/2015 06/30/2019

1837 400 MXP PHARMACY 416 S TYLER AMARILLO TX 79101 800- 687-8629 866-589-7656 MAIL ORDER 04/11/2018 06/30/2019

1599 400 NANOBOTS HEALTHCARE LLC dba ASSURANCE INFUSION 2626 S LOOP WEST STE 555 HOUSTON TX 77054 713- 533-8800 713-533-8802 INFUSION 06/13/2016 06/30/2019

1583 400 NATIONAL SPECIALTY PHARMACY LLC 2970 ST ROSE PKWY #120 HENDERSON NV 89052 702- 832-3320 702-425-9784 RETAIL 05/11/2016 06/30/2019

1873 400 NATURA PHARMACY INC 3825 3825 BECK BLVD STE 701 NAPLES FL 34114 239- 231-1003 239-261-1004 COMMUNITY/RETAIL 06/28/2018 06/30/2019

1183 400 NOBLE HEALTH SERVICES INC 6040 TARBELL RD SYRACUSE NY 13206 888- 843-2040 888-842-3977 SPECIALTY 12/10/2013 06/30/2019

1826 400 NOBLE HEALTH SERVICES INC dba TRANSCRIPT PHARMACY 2506 LAKELAND DR STE 201 FLOWOOD MS 39232 866- 420-4041 601-420-4040 SPECIALTY 02/20/2018 06/30/2019

1496 400 NORTH COAST MEDICAL SUPPLY dba ADVANCED DIABETES SUPPLY 2544 CAMPBELL PL STE 150 CARLSBAD CA 92009 760- 579-7240 760-517-8998 RETAIL 10/06/2015 06/30/2019




License


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1188 400 NORTHLAND NUCLEAR MEDICINE 2124 E THAYER AVE BISMARCK ND 58501 701- 425-0866 701-751-0574 NUCLEAR 12/30/2013 06/30/2019

0942 400 NOVIXUS PHARMACY SERVICES 43159 W NINE MILE RD NOVI MI 48375 248- 380-2104 248-564-0944 MAIL ORDER 08/22/2011 06/30/2019

1689 400 NUCARA PHARMACY #28 dba NUDAK VENTURES LLC 3600 UNIVERSITY BLVD STE 103 AMES IA 50010 515- 292-3604 515-292-3645 RETAIL 02/24/2017 06/30/2019

1375 400 NUDAK VENTURES LLC dba NUCARA COMPOUNDING PHARMACY 105 W MAIN ST OTTUMWA IA 52501 641- 683-8168 641-684-4309 NON-STERILE COMPOUNDING 11/20/2014 06/30/2019

0700 400 NUFACTOR INC 44900 WINCHESTER RD TEMECULA CA 92590 800- 323-6832 855-270-7347 RETAIL 09/25/2007 06/30/2019

1419 400 NUFACTOR INC 1601 OLD GREENSBORO RD STE B KERNERSVILLE NC 27284 844- 871-4773 844-871-4776 SPECIALTY HOME INFUSION 03/16/2015 06/30/2019

1005 400 NUTRISHARE INC 9850 KENT ST ELK GROVE CA 95624 800- 466-3876 888-626-3344 HOME INFUSION 06/20/2012 06/30/2019

0932 400 OCEAN BREEZE HEALTHCARE 235 DONGAN HILLS AVE STE 2B STATEN ISLAND NY 10305 800-219-5920 800-219-5921 NONRESIDENT 06/20/2011 06/30/2019

1592 400 OCEAN DRUG INC

dba ENCINO PHARMACY_AKA MDR

PHARMACEUTICAL CARE 17071 VENTURA BLVD STE 100 ENCINO CA 91316 800- 515-3784 888-939-2020 SPECIALTY 05/23/2016 06/30/2019

1416 400 OHM PHARMACY SERVICES INC dba BENZER PHARMACY 301 HAVENDALE BLVD AUBURNDALE FL 33823 863- 875-5700 863-875-5619 RETAIL/COMMUNITY 03/10/2015 06/30/2019

1886 400 ONCOLOGY HEMATOLOGY WEST PC dba NCS OUTPATIENT PHARMACY 17201 WRIGHT ST STE 200 OMAHA NE 68130 402- 691-5102 402-691-1683 COMMUNITY/RETAIL 07/31/2018 06/30/2019

1594 400 ONE POINT PATIENT CARE LLC 3006 S PRIEST DR TEMPE AZ 85282 480- 240-1100 480-240-1102 RETAIL 05/23/2016 06/30/2019

1723 400

ONE SOURCE PHARMACY AND MEDICAL

SUPPLIES LLC 15727 SAN PEDRO AVE SAN ANTONIO TX 78232 844- 320-6779 844-321-6779 COMMUNITY/RETAIL/MAIL ORDER 05/16/2017 06/30/2019

1283 400 ONE STOP RX LLC 10106 S SHERIDAN RD TULSA OK 74133 918- 528-3700 918-528-3701 RETTAIL 05/20/2014 06/30/2019

1776 400 ONE WAY DRUG LLC dba PARTELL SPECIALTY PHARMACY 5835 S EASTERN AVE LAS VEGAS NV 89119 702- 791-3800 702-791-3630 RETAIL 11/03/2017 06/30/2019

1546 400 OPS INTERNATIONAL INCORPORATED dba OLYMPIA PHARMACY 6700 CONROY RD STE 155 ORLANDO FL 32835 407- 673-2222 407-673-1234 COMMUNITY 02/05/2016 06/30/2019

1587 400 OPTIME CARE INC 4060 WEDGEWAY CT EARTH CITY MO 63045 314- 731-6900 314-731-6901 RETAIL/COMMUNITY 05/11/2016 06/30/2019

1557 400 OPTIMED SPECIALTY PHARMACY dba OPTIMED HEALTH PARTNERS 6480 TECHNOLOGY DR STE A KALAMAZOO MI 49009 269- 250-8000 269-250-8020 RETAIL 02/19/2016 06/30/2019

0337 400 OPTION CARE ENTERPRISE INC dba OPTION CARE 2750 ARTHUR ST ROSEVILLE MN 55113 877- 360-9272 651-305-0242 HOME INFUSION 03/03/2003 06/30/2019

0188 400 OPTION CARE ENTERPRISES INC dba OPTION CARE 10924 JOHN GALT BLVD OMAHA NE

68137-

2309 402- 331-0980 402-331-3534 HOME INFUSION 09/07/2000 06/30/2019

1624 400 OPTION CARE ENTERPRISES INC dba OPTION CARE 4401 S 70TH ST STE 2 LINCOLN NE 68516 800- 820-1333 402-858-6091 CLOSED DOOR 08/02/2016 06/30/2019

1627 400 OPTION CARE ENTERPRISES INC dba OPTION CARE 2050 S FINLEY RD STE 20 LOMBARD IL 60148 630- 495-2899 877-974-4845 HOME INFUSION 08/24/2016 06/30/2019

0236 400 OPTUMRX INC dba OPTUMRX 2858 E LOKER AVE STE 100 CARLSBAD CA 92010 800-562-6223 760-804-2292 RETAILNONRESIDENT 08/08/2001 06/30/2019

0606 400 OPTUMRX INC dba OPTUMRX 6800 W 115TH ST STE 600 OVERLAND PARK KS 66211 800- 562-6223 913-256-0643 NONRESIDENT 06/23/2006 06/30/2019

0772 400 ORCHARD PHARMACEUTICAL SERVICES LLC dba ENVISIONPHARMACIES 7835 FREEDOM AVE NW NORTH CANTON OH 44720 866- 909-5170 866-909-5171 MAIL ORDER 10/24/2008 06/30/2019

1781 400 ORPHAN PHARMACY SERVICES LLC 125 MICHAEL DR STE 106 SYOSSET NY 11791 516- 753-9950 516-299-8788 INDEPENDENT 11/03/2017 06/30/2019

0844 400 ORSINI PHARMACEUTICAL SERVICES INC 1107 NICHOLAS BLVD ELK GROVE VILLAGE IL 60007 847-879-9550 847-734-1822 COMMUNITY 02/25/2010 06/30/2019




License


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1636 400 P&M PHARMA CORPORATION dba GEESONS PHARMACY 5201 S COOPER ST STE #117 ARLINGTON TX 76017 817- 419-2688 817-419-2690 RETAIL 09/13/2016 06/30/2019

0837 400 PACIFICO NATIONAL INC dba AMEX PHARMACY 1515 ELIZABETH ST STE J MELBOURNE FL 32901 800-644-9431 800-592-3303

COMMUNITY/STERILE

COMPOUNDING 12/30/2009 06/30/2019

1348 400 PAGOSA P&C INC dba PAGOSA SPECIALTY PHARMACY 426 PAGOSA ST; PO BOX 120 PAGOSA SPRINGS CO 81147 970- 264-4166 970-264-3289 RETAIL PHARMACY 10/07/2014 06/30/2019

0776 400 PALM BEACH PHARMACEUTICALS INC 8409 N MILITARY TR STE 125

PALM BEACH

GARDENS FL 33410 561- 775-6430 561-625-2498 RETAIL/COMPOUNDING 12/23/2008 06/30/2019

1080 400 PANTHERX SPECIALTY PHARMACY 24 SUMMIT PARK DR STE 101 PITTSBURGH PA 15275 855- 726-8479 855-246-3986 SPECIALTY 03/14/2013 06/30/2019

1362 400 PARADIGM HEALTHCARE SOLUTIONS LLC dba ATHENA PHARMACY 2025 N MT JULIET RD STE 100 MT JULIET TN 37122 615- 288-4037 615-288-4061 RETAIL 10/22/2014 06/30/2019

1648 400 PARAGON HEALTHCARE SPECIALTY dba PARAGON HEMOPHILIA SOLUTIONS 17111 PRESTON RD STE 150 DALLAS TX 75248 833- 862-4559 855-862-4373 RETAIL 11/15/2016 06/30/2019

1424 400 PARAGON INFUSION CARE DENVER 8811 AMERICAN WAY STE 150 ENGLEWOOD CO 80112 303- 770-5065 303-770-8652 HOME INFUSION 03/23/2015 06/30/2019

1295 400 PARAMOUNT PHARMACY LLC dba PARAMOUNT PHARMACY 7200 S 180TH ST STE 104 TUKWILA WA 98188 855- 301-7677 855-301-7678 COMMUNITY 06/25/2014 06/30/2019

1417 400 PARK COMPOUNDING 9257 RESEARCH DR IRVINE CA 92618 844- 446-6979 949-551-1950

COMPOUNDING STERILE & NON-

STERILE 03/12/2015 06/30/2019

1739 400 PARKWAY PHARMACY LP 3502 US HWY 9 HOWELL NJ 07731 866- 355-7797 888-551-6289 SPECIALTY 06/19/2017 06/30/2019

1677 400 PATIENT DIRECT RX 159 GIBRALTAR RD HORSHAM PA 19044 866- 567-1642 215-323-4106 RETAIL/HOME DELIVERY 01/26/2017 06/30/2019

1081 400 PATIENT SERVICES AND SOLUTIONS INC dba SHARED SOLUTIONS PHARMACY 4500 W 107TH ST OVERLAND PARK KS 66207 866- 930-4146 866-930-4147 MAIL ORDER 03/20/2013 06/30/2019

0614 400 PCM VENTURE I LLC dba KWIKMED 9836 S JORDAN GATEWAY SANDY UT 84070 801-262-6601 801-561-5115 MAIL ORDER 08/16/2006 06/30/2019

0600 400 PENTEC HEALTH INC 4 CREEK PARKWAY STE A BOOTHWYN PA 19061 800- 223-4376 484-480-2254 NONRESIDENT 05/26/2006 06/30/2019

1552 400 PERFORMSPECIALTY LLC 2416 LAKE ORANGE DR STE 190 ORLANDO FL 32837 855- 287-7888 844-489-9565 SPECIALTY 02/19/2016 06/30/2019

0400 400

PET HEALTH PHARMACY, A DIVISION OF

WOMEN'S INTERNATIONAL PHARMACY INC 12012 N 111TH AVE YOUNGTOWN AZ 85363 800-742-0516 866-373-0030 RETAIL 12/17/2003 06/30/2019

1273 400 PET RESCUE RX INC 13760 INDIAN FALLS RD AKRON NY 14001 855- 307-7940 855-692-0213 MAIL ORDER PET MEDS 05/06/2014 06/30/2019

0240 400 PETCARE RX INC 52 MERTON AVE LYNBROOK NY 11563 516- 998-7014 888-295-5216 MAIL ORDER 05/04/2000 06/30/2019

1384 400 PETCO WELLNESS LLC dba DOCTORS FOSTER AND SMITH PHARMACY 2253 AIR PARK RD RHINELANDER WI 54501 800- 447-3021 800-447-2404

INTERNET VETERINARY/ MAIL

ORDER 12/22/2014 06/30/2019

0966 400 PETMART PHARMACY LLC dba PETMART PHARMACY 2404 E BROADWAY AVE MARYVILLE TN 37804 877- 220-6337 888-908-0198 ONLINE PET PHARMACY 11/23/2011 06/30/2019

0172 400 PETMED EXPRESS INC dba 1-800-PETMEDS 420 S CONGRESS AVE DELRAY BEACH FL 33445 888-738-6331 888-925-8285 MAIL ORDER VET 06/19/2000 06/30/2019

0509 400 PETNET SOLUTIONS INC 2021 6TH ST SE MINNEAPOLIS MN 55455 612-624-1204 612-624-1324 NUCLEAR 05/13/2005 06/30/2019

0930 400 PET'S CHOICE PHARMACY LLC 814 K ST BELLEVILLE KS 66935 877-347-7387 866-787-1177 VETERINARY 05/31/2011 06/30/2019

1682 400 PHARMABUDDIES CORP dba ROSEMONT SPECIALTY PHARMACY 5860 N ORANGE BLOSSOM TRL ORLANDO FL 32810 407- 822-1121 407-822-1921 02/09/2017 06/30/2019

0677 400 PHARMACARE INC dba INHEALTH SPECIALTY PHARMACY 2345 25TH ST S FARGO ND 58103 701-365-6050 701-365-6051 RETAIL 06/08/2007 06/30/2019

1741 400 PHARMACENA LABS LLC 516 MINEOLA AVE CARLE PLACE NY 11514 888-315-7741 RETAIL 06/19/2017 06/30/2019




License


Zip


1756 400 PHARMACEUTICAL SPECIALTIES INC dba HOYE'S PHARMACY 4330 S MANHATTAN AVE TAMPA FL 33611 813- 839-8861 COMPOUNDING 08/29/2017 06/30/2019

1232 400 PHARMACEUTICAL SPECIALTIES LLC dba PHARMACEUTICAL SPECIALTIES EXPRESS 150 CLEVELAND RD STE B BOGART GA 30622 800- 818-6486 800-818-6490 MAIL ORDER / SPECIALTY 02/24/2014 06/30/2019

1800 400 PHARMACEUTICAL TECHNOLOGIES INC dba INTEGRATED HMO PHARMACY 13660 CALIFORNIA ST OMAHA NE 68154 402- 965-8035 402-493-2707 MAIL ORDER 01/17/2018 06/30/2019

1740 400 PHARMACORD 11001 BLUEGRASS PKWY STE 200 LOUISVILLE KY 40299 502- 805-3530 502-805-3535 RETAIL 06/19/2017 06/30/2019

0998 400 PHARMACORR LLC 6705 CAMILLE AVE OKLAHOMA CITY OK 73149 405- 670-1400 405-670-0353 NONRESIDENT 05/01/2012 06/30/2019

1813 400 PHARMACY ACQUISITION CO LLC dba NEW ERA PHARMACY 1286 SE HOLGATE BLVD STE C-2 PORTLAND OR 97202 503- 222-4822 503-222-4868 RETAIL 01/29/2018 06/30/2019

0676 400 PHARMACY CORPORATION OF AMERICA dba PHARMERICA 6330 E 75TH ST STE 322 INDIANAPOLIS IN 46250 800- 678-7575 CLOSED DOOR 05/17/2007 06/30/2019

1031 400 PHARMACY INNOVATIONS 2936 W 17TH ST ERIE PA 16505 814- 838-2102 814-838-2103 COMMUNITY 10/17/2012 06/30/2019

1772 400 PHARMACY INNOVATIONS LLC dba TUPELO DRUGS 715 GARFIELD ST TUPELO MS 38801 662- 350-3272 662-350-3672 MAIL ORDER 11/03/2017 06/30/2019

1796 400 PHARMACY OF TAMPA dba HOPE & PACIFIC 4433 GUNN HWY TAMPA FL 33618 813- 559-9761 813-559-9763 RETAIL 01/10/2018 06/30/2019

1189 400 PHARMACY RX SOLUTIONS HOLDING LLC dba SUNCOAST RADIO PHARMACY SERVICES INC 3102 CHERRY PALM DR STE 120 TAMPA FL 33619 813- 662-0693 813-662-2814 RETAIL/SPECIALTY 12/30/2013 06/30/2019

1538 400 PHARMAMEDRX LLC dba MINT PHARMACY AND SKIN CLINIC 1201 US HWY 1 STE #305 C NORTH PALM BEACH FL 33408 866- 855-6468 561-619-5169 MAIL ORDER 01/20/2016 06/30/2019

1634 400 PHARMASCRIPT INC 5437 N BROADWAY AVE CHICAGO IL 60640 844- 635-3221 774-396-8907 INFUSION/SPECIALTY 09/08/2016 06/30/2019

1125 400 PHARMBLUE LLC 40 PENNWOOD PL STE 300 WARRENDALE PA 15086 724- 779-4720 724-779-4721 RETAIL 07/19/2013 06/30/2019

1836 400 PHARMCO INC 381 VAN NESS AVE STE 1506, 1509 TORRANCE CA 90501 301- 783-7450 310-783-7459 RETAIL 03/06/2018 06/30/2019

1365 400 PHYSICIAN SPECIALTY PHARMACY LLC dba PHYSICIAN SPECIALTY PHARMACY 6258 NORTH W ST PENSACOLA FL 32505 850- 462-9555 850-462-9554

MAIL ORDER/NON STERILE

COMPOUNDING 10/31/2014 06/30/2019

1135 400 PILLPACK INC 250 COMMERCIAL ST STE 2012 MANCHESTER NH 03101 855- 745-5725 603-935-9108 RETAIL 08/13/2013 06/30/2019

1862 400 PINELAND PHARMACY LLC dba PINELAND PHARMACY 502 BUSINESS PKWY RICHARDSON TX 75081 214- 579-9967 409-420-3101 RETAIL 06/14/2018 06/30/2019

1606 400 PINNACLE PHARMACY INC dba PINNACLE PHARMACY 17255 N 82ND ST STE 130 SCOTTSDALE AZ 85255 877- 509-5050 800-530-0665 RETAIL 06/22/2016 06/30/2019

1621 400 PIONEER PHARMACEUTICALS LLC 5101 AVE H #18 ROSENBERG TX 77471 832- 759-5114 832-759-5115 COMMUNITY/RETAIL 07/19/2016 06/30/2019

1749 400 PIPELINE HEALTH HOLDINGS LLC dba PIPELINERX 7455 ARROYO CROSSING PKWY #220 LAS VEGAS NV 89113 847- 696-9101 847-696-1349

REMOTE ORDER ENTRY & REVIEW

ONLY 08/10/2017 06/30/2019

1652 400 PMOA INC 676 S UNIVERSITY BLVD MOBILE AL 36609 800- 486-8792 800-486-8078 MAIL ORDER 11/15/2016 06/30/2019

0653 400 POSITUDES INC dba THE ALLIANCE PHARMACY 44 BOND ST WESTBURY NY 11590 516-876-0100 516-876-0200 501©3 NONPROFIT PHARMACY 03/09/2007 06/30/2019

1833 400 POSTMEDS INC 3121 DIABLO AVE HAYWARD CA 94545 650- 353-5495 650-435-5932 RETAIL / MAIL ORDER 03/06/2018 06/30/2019

1297 400 PRAXIS SPECIALTY PHARMACY LLC dba PRAXIS RX PHARMACY 5455 W WATERS AVE STE 214 TAMPA FL 33634 888- 903-7453 888-958-2831 MAIL ORDER 06/25/2014 06/30/2019

1778 400 PRECISION COMPOUNDING PHARMACY INC 15722 W CENTER RD OMAHA NE 68130 402- 932-6373 402-932-6068 COMPOUNDING 11/03/2017 06/30/2019

0839 400 PRECISION PHARMACY 5301 YOUNG ST BAKERSFIELD CA 93311 661-377-3333 661-377-3334

RETAIL VETERINARY

COMPOUNDING 01/04/2010 06/30/2019




License


Zip


1593 400 PREMIER HEALTH PHARMACY INC 20-07 127TH ST #G33 COLLEGE POINT NY 11365 718- 661-0812 718-661-0873 NONRESIDENT 05/23/2016 06/30/2019

0628 400 PREMIER KIDS CARE INC dba PREMIER CARE 221 PLAZA DR MONROE GA 30655 888- 892-9001 866-810-4021 NON RESIDENT PHARMACY 10/19/2006 06/30/2019

0724 400 PREMIER KIDS CARE INC dba PREMIER CARE 601 N 21ST AVE HOLLYWOOD FL 33020 954-987-5253 954-987-3739 NON-RESIDENT PHARMACY 02/01/2008 06/30/2019

1320 400 PREMIER PHARMACY LABS INC 8265 COMMERCIAL WAY WEEKI WACHEE FL 34613 352- 597-4950 352-597-1078 RETAIL 08/18/2014 06/30/2019

0605 400 PRESCRIPTION DISPENSING LABORATORIES INC 101 COMMERCIAL PKWY CEDAR PARK TX 78613 800- 687-9014 866-687-2217 RETAIL 06/21/2006 06/30/2019

1004 400

PRIME THERAPEUTICS SPECIALTY PHARMACY

LLC dba ALLIANCERX WALGREENS PRIME #16568 2354 COMMERCE PARK DR STE 100 ORLANDO FL 32819 877- 627-6337 407-591-4076 MAIL ORDER 06/11/2012 06/30/2019

1717 400


LLC dba ALLIANCERX WALGREENS PRIME #16567 2901 KINWEST PKWY STE 250 IRVING TX 75063 877- 357-7463 972-630-1449 MAIL ORDER 05/01/2017 06/30/2019

1718 400


LLC dba ALLIANCERX WALGREENS PRIME #20579 2901 KINWEST PKWY STE 350 IRVING TX 75063 888- 282-4801 972-630-1449 CENTRAL PROCESSING / CALL CTR 05/01/2017 06/30/2019

1226 400 PRN RX LLC 17755 W LIBERTY LN NEW BERLIN WI 53146 262- 784-9600 262-784-9605 MAIL ORDER/RETAIL 02/12/2014 06/30/2019

1177 400 PROACT PHARMACY SERVICES INC 1226 US HWY 11 GOUVERNEUR NY 13642 866- 287-9885 315-287-3330 MAIL ORDER 11/19/2013 06/30/2019

1531 400 PROCARE PHARMACY CARE LLC dba PROCARE RX 7660 S DEAN MARTIN DR STE 203 LAS VEGAS NV 89139 844- 375-3001 844-375-3002 COMMUNITY 01/04/2016 06/30/2019

1540 400 PROCARE PHARMACY CARE LLC dba PROCARE RX 3891 COMMERCE PKWY MIRAMAR FL 33025 800- 662-0586 800-662-0590 MAIL ORDER 01/28/2016 06/30/2019

0749 400 PROCARE PHARMACY DIRECT LLC dba CVS/SPECIALTY 105 MALL BLVD MONROEVILLE PA 15146 800- 238-7828 800-567-8000 SPECIALTY MAIL ORDER 07/08/2008 06/30/2019

0815 400 PROCARE PHARMACY LLC dba CVS/PHARMACY #2751 426 S HENDERSON ST FT WORTH TX 76104 817- 336-7281 817-335-2028 SPECIALTY 07/16/2009 06/30/2019

0816 400 PROCARE PHARMACY LLC dba CVS/PHARMACY #3129 1002 E MCDOWELL RD PHOENIX AZ 85006 602- 258-7051 602-258-7073 SPECIALTY 07/16/2009 06/30/2019

0881 400 PROCARE PHARMACY LLC dba CVS PHARMACY #102 2101 N URSULA ST UNIT 35 AURORA CO 80045 866- 813-4547 866-353-7034 MAIL ORDER 08/20/2010 06/30/2019

1853 400 PROCARE PHARMACY LLC dba CVS/pharmacy #10762 9555 KINGS CHARTER DR STE D ASHLAND VA 23005 804- 550-2028 888-550-0017 RETAIL 05/08/2018 06/30/2019

1891 400 PROFESSIONAL PHARMACY RESOURCES LLC dba PROFESSIONAL PHARMACY RESOURCES 4854 WOODBINE RD UNIT 5 PACE FL 32571 866- 236-5040 866-685-7608 COMMUNITY/VETERINARY 08/15/2018 06/30/2019

0914 400 PROLAB PHARMACY dba PETSCRIPT INC 3020 LAMAR AVE PARIS TX 75460 877- 785-8750 903-785-1357 COMMUNITY 04/04/2011 06/30/2019

0846 400 PROMESA HEALTH INC dba PROMESA HEALTH PHARMACY 10815 OLD MILL RD OMAHA NE 68154 877-234-4409 877-234-4429 MAIL ORDER 03/15/2010 06/30/2019

1834 400 PROMISE PHARMACY LLC dba PROMISE PHARMACY 31818 US HWY 19 N PALM HARBOR FL 34684 727- 772-0500 727-772-0511 COMMUNITY / RETAIL 03/06/2018 06/30/2019

1600 400 PSG OF SARASOTA LLC dba ADVANCED RX PHARMACY 063 5315 AVION PARK DR STE 120 TAMPA FL 33607 727- 209-5722 844-277-0049 RETAIL 06/13/2016 06/30/2019

1724 400 PUBLIX SUPER MARKETS INC dba PUBLIX SPECIALTY PHARMACY #3212 7616 SOUTHLAND BLVD STE 112 ORLANDO FL 32809 877- 253-8949 407-965-4390 CHAIN, MAIL ORDER 05/16/2017 06/30/2019

1871 400 PUBLIX SUPER MARKETS, INC dba PUBLIX PHARMACY #3213 1950 SAND LAKE RD, BLDG 5 ORLANDO FL 32809 855- 797-8254 863-413-5723 CHAIN 06/27/2018 06/30/2019

0975 400 PYLANT VILLAGE PHARMACY INC dba VILLAGE COMPOUNDING PHARMACY 975 CORBINDALE RD STE 100 HOUSTON TX 77024 713- 464-5069 713-464-5099

COMMUNITY/COMPOUNDING

INDEPENDENT 01/04/2012 06/30/2019

1720 400 QUAKER COMMUNITY PHARMACY LLC 304 VILLAGE AT STONES CROSSING EASTON PA 18045 844- 716-4727 844-840-4727 RETAIL/MAIL ORDER 05/04/2017 06/30/2019

1378 400 QUALITY SPECIALTY PHARMACY INC dba QUALITY SPECIALTY PHARMACY 2233 W LOMITA BLVD LOMITA CA 90717 888- 631-6982 888-316-3735 RETAIL/COMMUNITY PHARMACY 12/03/2014 06/30/2019




License


Zip


1544 400 QUICK CARE PHARMACY INC 9397 HAVEN AVE

RANCHO

CUCAMONGA CA 91730 866- 393-8116 866-393-5258 RETAIL 02/05/2016 06/30/2019

1754 400 RAINA RX LLC dba ROUTE 300 PHARMACY 1208 ROUTE 300 STE 103 NEWBURGH NY 12550 800- 810-9274 844-358-4962 RETAIL 08/22/2017 06/30/2019

1882 400 RAINWOOD RX LLC 20513 NICHOLAS CR STE 3 ELKHORN NE 68022 402- 281-1919 402-718-9421 COMMUNITY 07/23/2018 06/30/2019

1632 400 RANDAL RIVERSIDE CORPORATION dba MATLOCK PHARMACY 3360 MATLOCK RD #100 ARLINGTON TX 76015 817- 557-3900 817-557-3903 COMMUNITY RETAIL 08/26/2016 06/30/2019

1163 400 RAPID EQUINE SOLUTIONS LLC 31-A MOUNT PLEASANT DR ASTON PA 19014 610- 361-1447 610-361-8065 NONRESIDENT COMPOUNDING 10/21/2013 06/30/2019

1852 400 RARX II LLC 1911 CHRUCH ST STE 206 NASHVILLE TN 37203 844- 319-2259 844-319-2260 MAIL ORDER 05/08/2018 06/30/2019

1757 400 RARX LP 1911 CHURCH ST STE 202 NASHVILLE TN 37203 844- 319-2259 844-319-2260 MAIL ORDER/CLOSED DOOR 08/29/2017 06/30/2019

1499 400 REAL VALUE PRODUCTS CORP dba HOSPITAL PHARMACEUTICAL CONSULTING 4742 DODGE ST SAN ANTONIO TX 78217 844- 870-5146 844-328-4816 RETAIL 10/06/2015 06/30/2019

1696 400 RECEPT PHARMACY #101 4011 CRESCENT PARK DR RIVERVIEW FL 33578 813- 330-2329 813-330-2330 CENTRAL FILL 03/15/2017 06/30/2019

1660 400 RECEPT PHARMACY LP dba RECEPT PHARMACY #1 800 8TH AVE STE 130 FT WORTH TX 76104 866- 326-1425 866-326-9731 COMMUNITY RETAIL 01/11/2017 06/30/2019

1387 400 RED CHIP OF NEVADA 18009 SKY PARK CR STE F IRVINE CA 92614 888- 989-2462 855-856-8433 SPECIALTY 01/21/2015 06/30/2019

1119 400 REDLINE PHARMACY SOLUTIONS LLC 2415 OSBORNE DR E STE 100 HASTINGS NE 68901 402- 462-2929 402-462-2932 COMPOUNDING 07/02/2013 06/30/2019

1018 400 RESTORE RX INC 5169 BRUNSWICK RD BOX 305 BRUNSWICK TN 38014 877- 388-0507 901-388-0407 NONRESIDENT 09/05/2012 06/30/2019

0887 400 REVIVAL ANIMAL HEALTH 1700 ALBANY PL SE ORANGE CITY IA 51041 712- 737-5555 877-335-2680 MAIL ORDER/PET SUPPLY 10/05/2010 06/30/2019

0703 400 RIDGEWAY PHARMACY CLOSED DOOR 2824 US HWY 93N VICTOR MT 59875 406-642-6040 406-642-6050 MAIL ORDER 10/11/2007 06/30/2019

1467 400 RIVER MEDICAL PHARMACY INC 4752 RESEARCH DR SAN ANTONIO TX 78240 210- 877-6180 210-877-6202 RETAIL 06/23/2015 06/30/2019

1605 400 RIVERSIDE PHARMACY ASSOCIATES LLC dba APEX SPECIALTY PHARMACY 616 NW PLATTE VALLEY DR RIVERSIDE MO 64150 855- 257-2584 866-680-3539 RETAIL 06/22/2016 06/30/2019

1692 400 RIVERSIDE SCRIPTS PHARMACY LLC PO BOX 89 60 BRIDGE ST STE A MILFORD NJ 08848 844- 907-4837 888-866-5939 MAIL ORDER 02/24/2017 06/30/2019

1391 400 ROADRUNNER PHARMACY 711 E CAREFREE HWY STE 140 PHOENIX AZ 85085 877- 518-4589 623-434-1181 VETERINARY COMPOUNDING ONLY 01/21/2015 06/30/2019

1345 400 ROCHESTER HOME INFUSION INC 221 FIRST AVE SW STE 105 ROCHESTER MN 55902 507- 316-0001 507-258-5522 HOME INFUSION 09/30/2014 06/30/2019

1863 400 ROMAN HEALTH PHARMACY LLC 900 BROADWAY ST STE 706 NEW YORK NY 10003 347- 749-1438 TELEMEDICINE 06/14/2018 06/30/2019

0654 400 ROOD AND RIDDLE VETERINARY PHARMACY 2150 GEORGETOWN RD LEXINGTON KY 40511 859-246-0112 859-406-1200

RETAIL/VETERINARY

COMPOUNDING 03/14/2007 06/30/2019

1761 400 ROYAL PHARMACY 12002 SHADOW CREEK PKWY #106 PEARLAND TX 77584 346- 207-8588 346-207-8660 RETAIL/COMMUNITY 08/29/2017 06/30/2019

1403 400 RPH PARTNERS LLC dba PRESCRIPTION MART 6388 FOLSOM DR BEAUMONT TX 77706 409- 866-6271 409-866-1317 RETAIL / MAIL ORDER 02/12/2015 06/30/2019

1629 400 RTS AMERCIAS INC ONE BAXTER PKWY BLDG DF4-1 DEERFIELD IL 60015 800- 417-1434 224-948-3354 REMOTE ORDER PROCESSING 08/26/2016 06/30/2019

1463 400 RX CARE OF LADY LAKE INC dba BENZER PHARMACY 725 CTY RD 466 LADY LAKE FL 32159 352- 633-2105 352-633-2205 RETAIL/COMMUNITY 06/18/2015 06/30/2019

1633 400 RX COMPOUNDING SOLUTIONS LLC dba PHARMA CARE PLUS 6720 SANDS POINT DR #105 HOUSTON TX 77074 832- 269-5348 832-767-5372 NONRESIDENT/RETAIL 09/08/2016 06/30/2019




License


Zip


0890 400 RX OUTREACH INC 3171 RIVERPORT TECH CENTER DR MARYLAND HEIGHTS MO 63043 314- 627-6157 314-209-9416 MAIL ORDER NON PROFIT 10/22/2010 06/30/2019

1327 400 RX TO GO LLC 4371 VERONICA S SHOEMAKER BLVD FORT MYERS FL 33916 239- 275-8646 239-275-4691 RETAIL 08/27/2014 06/30/2019

0492 400 RX.COM INC dba RX.COM COMMUNITY PHARMACY 401 S JIM WRIGHT FWY STE 102 FT WORTH TX 76108 866- 361-0300 866-361-5900 COMMUNITY/RETAIL 01/28/2005 06/30/2019

1798 400 RXC ACQUISITION COMPANY dba RXCROSSROADS 5101 JEFF COMMERCE DR STE A LOUISVILLE KY 40219 502- 318-1200 502-753-8393 MAIL ORDER 01/10/2018 06/30/2019

1641 400 SAFEWAY INC dba ALBERTSONS-SAFEWAY PHARMACY #4705 12874 E FLORENCE AVE SANTA FE SPRINGS CA 90670 800- 834-8778 888-834-4333 MAIL ORDER 11/15/2016 06/30/2019

0819 400 SANFORD CLINIC NORTH dba SANFORD PHARMACY BROADWAY 737 BROADWAY FARGO ND 58102 701- 234-2416 RETAIL/COLLECTOR 08/28/2009 06/30/2019

1328 400 SANFORD PHARMACY dba SANFORD RETAIL PHARMACY 300 N 7TH ST BISMARCK ND 58501 701- 323-6099 701-323-5713 RETAIL 08/27/2014 06/30/2019

0847 400

SANFORD PHARMACY MEDICAL CENTER

BROADWAY 801 BROADWAY NORTH FARGO ND 58102 701-234-5604 701-234-5090 HOSPITAL 03/15/2010 06/30/2019

1835 400 SANFORD PHARMACY MEDICAL CENTER FARGO dba SANFORD PHARMACY I94 5225 23RD AVE S FARGO ND 58104 701- 417-2340 701-417-2343 HOSPITAL/CLINIC-COLLECTOR 03/06/2018 06/30/2019

0848 400 SANFORD PHARMACY SOUTH UNIVERSITY 1720 S UNIVERSITY DR FARGO ND 58103 701- 280-4469 701-280-4643 HOSPITAL 03/15/2010 06/30/2019

1147 400 SANTA CRUZ RX 3600 DRY CREEK RD STE E-3 PASO ROBLES CA 93446 800- 457-3801 855-457-3819

VETERINARY MAIL ORDER

PHARMACY 09/20/2013 06/30/2019

0743 400 SAV-RX PHARMACY 224 N PARK AVE FREMONT NE 68025 402- 753-2800 888-810-1394 MAIL ORDER 05/28/2008 06/30/2019

1693 400 SCHRAFT'S 2.0 LLC 3 WINGS DR STE 102 CEDAR KNOLLS NJ 07927 855- 724-7238 844-876-4545 RETAIL 02/24/2017 06/30/2019

0988 400 SENDERRA RX PARTNERS LLC dba SENDERRA 1301 E ARAPAHO RD STE 101 RICHARDSON TX 75081 888- 777-5547 888-777-5645 SPECIALTY PHARMACY 03/14/2012 06/30/2019

1586 400 SENDERRA RX PARTNERS LLC dba SENDERRA RX PHARMACY 9330 LBJ FWY STE 1300 DALLAS TX 75243 888- 777-5547 888-777-5645 CENTRAL PROCESSING 05/11/2016 06/30/2019

0053 400 SERVE YOU RX 10201 INNOVATION DR STE 600 MILWAUKEE WI 53226 800-759-3203 866-494-0364 MAIL ORDER 02/02/1998 06/30/2019

1325 400 SHAPA INC dba RITE CARE PHARMACY 7560 GREENVILLE AVE DALLAS TX 75231 214- 421-2210 214-631-5800 RETAIL 08/22/2014 06/30/2019

1464 400 SIMPLE MEDS LLC dba SIMPLE MEDS 6862 HILLSDALE CT INDIANAPOLIS IN 46250 844- 275-6337 317-913-0930 CLOSED-DOOR 06/19/2015 06/30/2019

1171 400 SINA DRUG LLC dba ONCO360 225 COMMUNITY DRIVE STE 100 GREAT NECK NY 11021 877- 662-6633 877-662-6355 SPECIALTY 11/12/2013 06/30/2019

1508 400 SINA DRUG LLC dba ONCO360 13410 EASTPOINT CENTRE DR STE 101 LOUISVILLE KY 40223 877- 662-6633 877-662-6355 SPECIALTY 10/23/2015 06/30/2019

1879 400 SINFONIARX INC 2815 NW 13TH ST STE 204 GAINESVILLE FL 32609 352- 204-5643 352-204-5647

MEDICATION THERAPY MGMT

SRVCS 07/12/2018 06/30/2019

1830 400 SKYLINE PHARMACY INC 2123 2ND AVE NEW YORK NY 10029 212- 996-5929 212-996-5901 RETAIL INDEPENDENT 02/20/2018 06/30/2019

1238 400 SMARTPRACTICE ALLERGEN BANK LLC 3400 E MCDOWELL RD PHOENIX AZ 85008 800- 344-5341 800-344-6709 LIMITED SERVCE/MAIL ORDER 03/10/2014 06/30/2019

1714 400 SMARTSCRIPTS 1010 W MADISON ST WASHINGTON IA 52353 844- 597-6278 855-971-4052 RETAIL 05/01/2017 06/30/2019

1880 400 SOLARA MEDICAL SUPPLIES LLC 720 HWY 75 IMPERIAL BEACH CA 91932 800- 999-7516 800-999-7021 RETAIL 08/12/2014 06/30/2019

1653 400 SOLEO HEALTH INC 655 W GRAND AVE UNIT 240 ELMHURST IL 60126 630- 478-8240 630-333-9771 SPECIALTY HOME INFUSION 11/15/2016 06/30/2019

1734 400 SOLEO HEALTH INC 415 S 48TH ST STE 101 TEMPE AZ 85281 480- 296-0222 602-910-4801 RETAIL/SPECIALTY 06/14/2017 06/30/2019




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1571 400 SOLERA SPECIALTY PHARMACY LLC dba SOLERA SPECIALTY PHARMACY 2100 PARK CENTRAL BLVD N STE 300 POMPANO BEACH FL 33064 954- 615-1840 954-634-3939 RETAIL 03/17/2016 06/30/2019

1152 400 SONEXUS HEALTH PHARMACY SERVICES LLC 2730 S EDMONDS LN STE 400 LEWISVILLE TX 75067 972- 350-0571 866-781-4998 MAIL ORDER 10/02/2013 06/30/2019

0979 400 SORKIN'S RX LTD dba CAREMED PHARMACEUTICAL SERVICES 1981 MARCUS AVE STE 225 NEW HYDE PARK NY 11042 877- 227-3405 SPECIALTY 02/07/2012 06/30/2019

1551 400 SOUTH MIAMI PHARMACY II LLC dba SMP PHARMACY SOLUTIONS #2 7425 SW 42 ST MIAMI FL 33155 305- 740-9744 866-301-1364 INDEPENDENT RETAIL 02/11/2016 06/30/2019

1694 400 SOUTHSIDE PHARMACY 3 7700 MAIN ST STE 260 HOUSTON TX 77030 832- 553-1374 713-661-4828 COMMUNITY, RETAIL 03/15/2017 06/30/2019

1588 400 SP2 LLC dba SMART PHARMACY 3740 ST JOHNS BLUFF RD S STE 19 JACKSONVILLE FL 32224 904- 361-3861 904-361-3866 COMMUNITY 05/11/2016 06/30/2019

1760 400

SPECIALTY CARE RX LIMITED LIABILITY

COMPANY dba CUREXA 5310 N SHERIDAN RD CHICAGO IL 60640 773- 769-6200 773-769-6201 RETAIL 08/29/2017 06/30/2019

1558 400 SPECIALTY MEDICAL DRUGSTORE dba GOGOMEDS 525 ALEXANDRIA PIKE STE 100 SOUTHGATE KY 41071 888- 795-5826 888-978-7947 MAIL ORDER 02/19/2016 06/30/2019

0986 400 SPECIALTY PHARMACY MANAGEMENT LLC dba RELIANCE RX 45 EARHART DR STE 110 AMHERST NY 14221 716- 929-1000 716-532-7360 SPECIALTY 03/02/2012 06/30/2019

0933 400 SPECIALTY THERAPEUTIC CARE LP 1311 W SAM HOUSTON PKWY N STE 150 HOUSTON TX 77043 855- 422-2742 866-834-8523 RETAIL 06/22/2011 06/30/2019

0888 400 SPECIALTY VETERINARY PHARMACY 4159 BLUEBONNET DR STAFFORD TX 77477 877-673-3705 877-673-3706 RETAIL PHARMACY 10/22/2010 06/30/2019

1619 400 SPRX INC dba SMART WORKERS PHARMACY 3740 ST JOHNS BLUFF RD S STE 21 JACKSONVILLE FL 32224 904- 575-3571 844-904-2667 COMMUNITY 07/19/2016 06/30/2019

1049 400 ST PETER PHARMACY LLC dba FALCON COMPOUNDING 1801 OLD HWY 8 STE 121 NEW BRIGHTON MN 55112 800- 603-8196 855-887-4478 COMPOUNDING /RETAIL 12/21/2012 06/30/2019

1294 400 STARK PROFESSIONAL PHARMACY 5701 W 119TH ST OVERLAND PARK KS 66209 913- 345-3800 913-345-3803 RETAIL /COMPOUNDING 06/25/2014 06/30/2019

1683 400 STATE UNIVERSITY OF IOWA

dba U OF I HOSPITALS & CLINICS AMBULATORY

CARE PHARMACY

PHARMACY DEPT, 200 HAWKINS DR, RM CC101-

GH IOWA CITY IA 52242 319- 356-2577 319-353-8443 HOSPITAL/CLINIC--COLLECTOR 02/09/2017 06/30/2019

1670 400 STERLING #5 410 HOFFMAN DR OWATONNA MN 55060 507- 451-0240 507-451-5134 RETAIL 01/17/2017 06/30/2019

1585 400 STERLING DRUG #8 511 10TH ST WORTHINGTON MN 56187 507- 372-7533 507-372-7525 RETAIL 05/11/2016 06/30/2019

1628 400 STERLING LTC PHARMACY #32 607 10TH ST WORTHINGTON MN 56187 507- 372-4986 507-376-3211 LTC 08/24/2016 06/30/2019

1782 400 STERLING RX INC dba STERLING SPECIALTY PHARMACY 1312 NORTHLAND DR STE 500 MENDOTA HEIGHTS MN 55120 507- 519-2352 507-697-0082 SPECIALTY PHARMACY 11/03/2017 06/30/2019

0938 400 STOKES PHARMACY 8000 COMMERCE PKWY #600 MT LAUREL NJ 08054 800- 754-5222 856-505-5899 RETAIL/COMPOUNDING 07/18/2011 06/30/2019

0708 400 STRATEGIC PHARMACEUTICAL SOLUTIONS INC dba VETSOURCE HOME DELIVERY 17014 NE SANDY BLVD PORTLAND OR 97230 503- 802-7400 877-330-6337 VETERINARY 11/01/2007 06/30/2019

0958 400 SUMMIT PHARMACY INC 2320 W PEORIA STE D-132 PHOENIX AZ 85029 877- 678-5400 602-678-5401 MAIL ORDER 10/19/2011 06/30/2019

1657 400 TAILOR MADE COMPOUNDING LLC 200 MOORE DR NICHOLASVILLE KY 40356 859- 887-0013 859-406-1242 RETAIL 01/09/2017 06/30/2019

1726 400 TALCA PHARMACEUTICALS INC 768B CALLE PLANO CAMARILLO CA 93012 805- 482-0400 805-482-0117 RETAIL 05/24/2017 06/30/2019

1797 400 TAMPA FAMILY PHARMACY dba TFP WELLNESS SYSTEMS 2919 W SWANN AVE STE 101 TAMPA FL 33609 866- 871-5670 813-877-2479 RETAIL 01/10/2018 06/30/2019

1889 400 TARRYTOWN EXPOCARE LLC 8500 SHOAL CREEK BLVD BLDG 3 STE 200 AUSTIN TX 78757 512- 617-7312 512-617-7313 RETAIL 08/15/2018 06/30/2019

1855 400 TEE PHARMACY INC 3333 FRANCIS LEWIS BLVD FLUSHING NY 11358 718- 939-1001 718-939-1003 RETAIL 05/21/2018 06/30/2019




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0149 400 TEL-DRUG OF PENNSYLVANIA LLC dba CIGNA HOME DELIVERY PHARMACY 206 WELSH RD HORSHAM PA 19044 215- 706-5100 215-706-5101 HOME DELIVERY/MAIL ORDER 02/01/2000 06/30/2019

1673 400 THE DULUTH CLINIC LTD dba ESSENTIA HEALTH SPECIALTY PHARMACY 3500 TOWER AVE STE B SUPERIOR WI 54880 715- 817-7145 715-817-7144 COMMUNITY/RETAIL SPECIALTY 01/17/2017 06/30/2019

1721 400 THE DULUTH CLINIC LTD

dba ESSENTIA HEALTH PRESCRIPTION SERVICE

CENTER 3500 TOWER AVE STE C SUPERIOR WI 54880 844- 380-5642 715-817-7144 COMMUNITY/ RETAIL/ MAIL ORDER 05/04/2017 06/30/2019

1762 400

THE NEBRASKA MEDICAL CENTER BELLEVUE

PHARMACY 2510 BELLEVUE MEDICAL CENTER DR #100 BELLEVUE NE 68123 402- 595-1156 402-595-1029 RETAIL 10/05/2017 06/30/2019

1530 400

THE NEBRASKA MEDICAL CENTER CLINIC

PHARMACY 989200 NEBRASKA MEDICAL CENTER OMAHA NE 68198 402- 559-5215 402-559-8762 COMMUNITY 12/15/2015 06/30/2019

0943 400 THE WELLNESS CENTER PHARMACY INC dba DESIGNER DRUGS 7304 JARNIGAN RD CHATTANOOGA TN 37421 423- 954-2585 423-954-2460 NONRESIDENT 08/26/2011 06/30/2019

0271 400 TIBERIUS INC dba CUSTOM SCRIPTS PHARMACY 27732 CASHFORD CR WESLEY CHAPEL FL 33544 813- 871-6154 813-876-9095 RETAIL 01/22/2002 06/30/2019

1338 400 TOPICAL SOLUTIONS PHARMACY 20622 N CAVE CREEK RD, STE C-121 PHOENIX AZ 85024 480- 351-8278 480-357-8277 RETAIL 09/23/2014 06/30/2019

1123 400 TRANSITION PHARMACY 2540 METROPOLITAN DR STE 2546 TREVOSE PA 19053 866- 694-2553 866-694-2555 CLOSED DOOR RETAIL 07/17/2013 06/30/2019

1842 400 TRUSTEDMEDRX LLC dba TRUSTEDMEDRX 6971 N FEDERAL HWY STE 203A BOCA RATON FL 33487 855- 939-6337 561-206-6688 RETAIL/MAIL 04/16/2018 06/30/2019

1885 400 TWELVESTONE MEDICAL INC dba TWELVESTONE MEDICAL 352 W NORTHFIELD BLVD STE 3A MURFREESBORO TN 37129 844- 893-0012 615-278-3355 RETAIL 07/31/2018 06/30/2019

1865 400 U & I INC USA dba U & I PHARMACY 5236 W SENECA ST VERNON NY 13476 315- 829-4035 315-829-2708 RETAIL/SPECIALTY 06/14/2018 06/30/2019

1643 400 U&ME PHARMACY LLC dba ADVANCED RX PHARMACY 062 14444 W BELTWOOD PKWY STE 150 FARMERS BRANCH TX 75244 972- 677-7891 844-277-1995 RETAIL 11/15/2016 06/30/2019

1727 400 U.S. PHARMAMED LLC 3450 TARHEEL DR STE 101 BLDG 4 RALEIGH NC 27609 877- 270-6407 877-270-6468 MAIL ORDER/COMMUNITY 05/24/2017 06/30/2019

0685 400

UNION PACIFIC RAILROAD EMPLOYEES HEALTH

SYSTEMS dba DEPOT DRUG 1040 N 2200 WEST SALT LAKE CITY UT 84116 801- 595-4319 844-267-3587 RETAIL 04/25/2007 06/30/2019

1011 400 UNITED PHARMACY LLC 3951 HAVERHILL RD N STE 120-121 WEST PALM BEACH FL 33417 561- 616-9000 561-616-9087 NONRESIDENT 07/18/2012 06/30/2019

1556 400 UNITED SPECIALTY PHARMACY 425 WESTPARK WAY STE 2 EULESS TX 76040 817- 283-6060 972-767-0400 RETAIL / INDEPENDENT 02/19/2016 06/30/2019

0298 400 UNITYPOINT AT HOME 11333 AURORA AVE URBANDALE IA 50322 800- 368-5758 515-557-3125 HOME INFUSION/SPECIALTY 06/24/2002 06/30/2019

1302 400

UNIVERSITY OF COLORADO HEMOPHILIA

CENTER dba UNIV OF CO HEMOPHILIA CTR 13199 E MONTVIEW BLVD #100 AURORA CO 80045 303- 724-0168 303-724-0848 RETAIL 07/02/2014 06/30/2019

0552 400 UNIVERSITY PHARMACY 1320 E 200 S SALT LAKE CITY UT 84102 801-582-7624 801-582-7633 RETAIL 11/18/2005 06/30/2019

0870 400 UNIVERSITY RX SPECIALISTS dba UNIVERSITY COMPOUNDING PHARMACY 1875 THIRD AVE SAN DIEGO CA 92101 619-683-2005 619-683-2008 NONRESIDENT 07/21/2010 06/30/2019

1881 400 UPTOWN DRUGS PHARMACY 14737 CHAMPAIGN RD ALLEN PARK MI 48101 313- 383-8300 313-769-6889 RETAIL 07/17/2018 06/30/2019

0613 400 US BIOSERVICES 501 W 44TH AVE STE A DENVER CO 80216 800- 809-0647 877-817-2965 MAIL ORDER/CLOSED DOOR 08/14/2006 06/30/2019

0409 400 US BIOSERVICES CORPORATION 3200 INTERNET BLVD FRISCO TX 75034 888-518-7246 877-817-2965 MAIL ORDER 01/14/2004 06/30/2019

0627 400 US COMPOUNDING INC 1270 DON'S LN CONWAY AR 72032 501- 327-1222 501-499-8383 OUTSOURCING FACILITY 10/19/2006 06/30/2019

0766 400 US MED LLC 1480 NW 79TH AVE MIAMI FL 33126 877- 842-6767 866-223-7369 COMMUNITY/MAIL ORDER 09/16/2008 06/30/2019

1460 400 US SPECIALTY CARE LLC 500 EAGLES LANDING DR STE A LAKELAND FL 33810 800- 641-8475 800-530-8589 SPECIALTY 06/10/2015 06/30/2019




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1654 400 US SPECIALTY CARE LLC 7472 S TUCSON WAY STE 100-A CENTENNIAL CO 80112 800- 641-8475 800-530-8589 MAIL ORDER 11/15/2016 06/30/2019

1710 400 VALEDA RX LLC dba VALEDA RX 250 MT LEBANON BLVD STE 208 PITTSBURGH PA 15234 855- 698-2533 844-733-3779 COMMUNITY/RETAIL/MAIL ORDER 05/01/2017 06/30/2019

1887 400 VALISURERX LLC 5 SCIENCE PARK 1ST FLR NEW HAVEN CT 06511 203- 497-7370 203-497-7371 MAIL ORDER/COMMUNITY 07/31/2018 06/30/2019

0877 400 VALLEY VET PHARMACY 1118 PONY EXPRESS HWY MARYSVILLE KS 66508 785-562-5106 800-446-5597 VETERINARY 08/13/2010 06/30/2019

1785 400 VANDERBILT UNIVERSITY MEDICAL CENTER dba VANDERBILT INTEGRATED PHARMACY 726 MELROSE AVE NASHVILLE TN 37211 615- 875-6000 615-242-1151 HOSPITAL/CLINIC 11/09/2017 06/30/2019

1758 400 VC PHARMACY INC dba RITE CARE PHARMACY V 3403 LOUETTA RD STE D SPRING TX 77388 832- 514-3401 832-514-3401 RETAIL 08/29/2017 06/30/2019

1722 400 VENICE PHARMACY LLC 1229 US 41 BYPASS S VENICE FL 34285 844- 840-4879 844-841-4879 MAIL ORDER 05/08/2017 06/30/2019

0688 400 VETCARA LLC dba VETRXDIRECT 1900 JAMES ST STE 11 CORALVILLE IA 52241 319- 887-7052 319-887-7053 VET/INTERNET 09/14/2007 06/30/2019

1618 400 VETERINARY INTERNET COMPANY PHARMACY 9542-B UNION GROVE RD UNION GROVE AL 35175 877- 367-4486 877-365-0395 RETAIL VETERINARY 07/06/2016 06/30/2019

1713 400 VETERINARY PHARMACIES OF AMERICA LLC 4802 N SAM HOUSTON PKWY W STE 100 HOUSTON TX 77086 844- 582-0921 877-329-7979 RETAIL VETERINARY 05/01/2017 06/30/2019

0299 400 VETERINARY PHARMACY CORPORATION dba VET RX PHARMACY 2008 N SUNRISE DR ST PETER MN 56082 877- 931-8707 507-931-8716

CLOSED DOOR VETERINARY

COMPOUNDING 06/28/2002 06/30/2019

0991 400 VETS FIRST CHOICE 5013 S 110TH ST OMAHA NE 68137 866- 356-6214 INTERNET MAIL ORDER VET 04/18/2012 06/30/2019

1550 400 VILLAGE DRUG & COMPOUNDING INC dba SCIENCE PHARMACEUTICAL 7225 FULTON AVE STE H NORTH HOLLYWOOD CA 91605 818- 759-7223 866-486-3343 RETAIL 02/09/2016 06/30/2019

1128 400 VILLAGE FERTILITY PHARMACY LLC 335 BEAR HILL RD WALTHAM MA 02451 781- 810-4147 781-810-4148 RETAIL 07/26/2013 06/30/2019

0995 400 VIP PET MEDS dba VET APPROVED RX 14675 HWY 194 OAKLAND TN 38060 877- 847-7389 866-600-3265 MAIL ORDER VET PHARMACY 04/23/2012 06/30/2019

1747 400 VITACARE PRESCRIPTION SERVICES 6800 BROKEN SOUND PKWY NW STE 100 BOCA RATON FL 33487 800- 350-3819 888-708-8761 RETAIL 07/21/2017 06/30/2019

1613 400 VITAL CARE PHARMACY OF NORFOLK INC dba VITAL CARE PHARMACY OF NORFOLK 120 N 27TH ST STE 200 NORFOLK NE 68701 402- 371-3444 402-371-3566 RETAIL 06/29/2016 06/30/2019

1712 400 VITAL RX LLC 237 CAHABA VALLEY PKWY PELHAM AL 35124 866- 209-5540 800-878-4160 RETAIL 05/01/2017 06/30/2019

0989 400 VITALAB PHARMACY INC dba VASCO RX 4045 E BELL RD #163 PHOENIX AZ 85032 602- 971-6950 602-404-2504 RETAIL INDEPENDENT 03/15/2012 06/30/2019

0761 400 WALGREEN CO

dba COMMUNITY, A WALGREENS PHARMACY

#15309 2100 LYNDALE AVE S STE A MINNEAPOLIS MN 55405 612-872-7808 612-874-1084 RETAIL 09/04/2008 06/30/2019

0955 400 WALGREEN CO dba CHRONISCRIPT, A WALGREENS PHARMACY 1250 NW 7TH ST STE 205 MIAMI FL 33125 305- 547-4790 305-547-4796 RETAIL 09/29/2011 06/30/2019

1040 400 WALGREEN CO dba VERMEER FAMILY PHARMACY 1610 VERMEER RD E PLANT 3 & 1/2 PELLA IA 50219 641- 628-3783 641-628-3786 RETAIL ONSITE 11/20/2012 06/30/2019

1230 400 WALGREEN CO dba WALGREENS #15051 251 CTY RD 120 STE 101 ST CLOUD MN 56303 320- 251-5898 320-229-2291 RETAIL 02/20/2014 06/30/2019

1335 400 WALGREEN CO dba WALGREENS #16270 240 S 77TH ST OMAHA NE 68114 866- 716-7251 402-397-0211 RETAIL/MAIL ORDER 09/12/2014 06/30/2019

1397 400 WALGREEN CO dba WALGREENS #11448 13123 E 16TH AVE AURORA CO 80045 720- 262-4524 720-262-4537 RETAIL 02/09/2015 06/30/2019

1513 400 WALGREEN CO dba WALGREENS #11916 1221 W LAKE ST STE 200 MINNEAPOLIS MN 55408 612- 824-1036 612-824-7862 RETAIL 11/04/2015 06/30/2019

1686 400 WALGREEN CO dba COALITION FAMILY PHARMACY #13131 430 S MEDICAL ARTS CT GILETTE WY 82716 847- 527-4897 RETAIL 02/09/2017 06/30/2019




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1779 400 WALGREEN CO dba WALGREENS #16516 2608 E COLFAX AVE DENVER CO 80206 303- 305-5875 303-305-5877 RETAIL 11/03/2017 06/30/2019

1236 400 WALGREEN PHARMACY SERVICES MIDWEST LLC dba WALGREENS #1219-2 14901 NW 79TH CT MIAMI LAKES FL 33016 786- 362-8225 786-362-8207 NON-DISPENSING CALL CENTER 03/10/2014 06/30/2019

1249 400 WALGREEN PHARMACY SERVICES MIDWEST LLC dba WALGREENS #1261-2 8325 SOUTH PARK CR STE 201 ORLANDO FL 32819 407- 345-7192 407-345-1705 NONDISPENSING CALL CENTER 03/25/2014 06/30/2019

1250 400 WALGREEN PHARMACY SERVICES MIDWEST LLC dba WALGREENS #1109-2 521 W AVALON AVE MUSCLE SHOALS AL 35661 256- 389-3704 256-389-3601 NONDISPENSING CALL CENTER 03/25/2014 06/30/2019

0088 400 WALGREENS MAIL SERVICE INC LLC dba ALLIANCERX WALGREENS PRIME #03397 8350 S RIVER PKWY TEMPE AZ 85284 800- 345-1985 480-752-5271 MAIL ORDER 11/20/1998 06/30/2019

0332 400 WALGREENS SPECIALTY PHARMACY LLC dba ALLIANCERX WALGREENS PRIME #15438 41460 HAGGERTY CR S CANTON MI 48188 888- 282-5166 847-368-6690 MAIL ORDER 02/04/2003 06/30/2019

0607 400 WALGREENS SPECIALTY PHARMACY LLC dba ALLIANCERX WALGREENS PRIME #16287 130 ENTERPRISE DR PITTSBURGH PA 15275 412- 325-6500 NONRESIDENT 06/23/2006 06/30/2019

0716 400 WALGREENS SPECIALTY PHARMACY LLC dba ALLIANCERX WALGREENS PRIME #15443 10530 JOHN W ELLIOTT DR STE 100 FRISCO TX 75033 214- 387-3500 MAIL ORDER 12/05/2007 06/30/2019

0718 400 WALGREENS SPECIALTY PHARMACY LLC dba ALLIANCERX WALGREENS PRIME #12314 9775 SW GEMINI DR STE 1 BEAVERTON OR 97008 866- 202-4014 866-579-4546 MAIL ORDER 12/17/2007 06/30/2019

1532 400 WALGREENS SPECIALTY PHARMACY LLC dba ALLIANCERX WALGREENS PRIME #04566-2 9505 SW GEMINI DR BEAVERTON OR 97008 866- 202-4014 866-877-2370 CALL CENTER 01/04/2016 06/30/2019

0458 400 WALGREENS.COM INC dba WALGREENS #02445 8337 S PARK CR ORLANDO FL 32819 407- 351-6151 800-332-9581 NONRESIDENT 08/17/2004 06/30/2019

1672 400 WALGREENS.COM INC dba WALGREENS 2225 S PRICE RD CHANDLER AZ 85286 480- 752-5622 480-752-5271 MAIL ORDER 01/17/2017 06/30/2019

0338 400 WAL-MART STORES EAST LP dba WAL-MART PHARMACY 10-5315 9600 PARKSOUTH CT STE 120 ORLANDO FL 32837 877-453-4566 407-855-4752 SPECIALTY MAIL ORDER 03/05/2003 06/30/2019

1658 400 WAL-MART STORES INC dba WAL-MART PHARMACY 10-1332 1601 CORNHUSKER DR S SIOUX CITY IA 68776 402- 494-8850 402-494-8864 RETAIL CHAIN 01/09/2017 06/30/2019

0003 400 WAL-MART STORES TEXAS LLC dba WAL-MART PHARMACY 10-2625 1025 W TRINITY MILLS RD CARROLLTON TX 75006 800-273-3455 800-406-8976 RETAIL 11/26/1997 06/30/2019

1883 400 WALNUT CREEK RX LLC 11020 Q ST OMAHA NE 68137 402- 281-1958 402-403-4149 COMMUNITY 07/23/2018 06/30/2019

1569 400 WEDGEWOOD VILLAGE PHARMACY LLC 405 HERON DR STE 200 SWEDESBORO NJ 08085 800- 331-8272 856-832-1431 INDEPENDENT 03/09/2016 06/30/2019

1073 400 WEDGEWOOD VILLAGE PHARMACY, LLC dba DIAMONDBACK DRUGS 7631 E INDIAN SCHOOL RD STE 105 SCOTTSDALE AZ 85251 866- 646-2223 866-646-2235 INDEPENDENT RETAIL 02/12/2013 06/30/2019

1074 400 WEGMANS FOOD MARKETS INC 2851 BROADWAY CHEEKTOWAGA NY 14227 716- 894-2172 716-894-7047 RETAIL 02/12/2013 06/30/2019

1789 400 WELLDYNERX LLC 7472 S TUCSON WAY STE 100-B CENTENNIAL CO 80112 888-479-2000 855-618-4615 MAIL ORDER 11/03/2017 06/30/2019

0793 400 WELLDYNERX-FL 500 EAGLES LANDING DR LAKELAND FL 33810 888-479-2000 863-686-5682 MAIL ORDER 03/18/2009 06/30/2019

1036 400 WELLS PHARMACY NETWORK LLC 450 US HWY 51 BYPASS N DYERSBURG TN 38024 731- 882-7000 731-882-7100 RETAIL 10/24/2012 06/30/2019

1042 400 WELLS PHARMACY NETWORK LLC 1210 SW 33RD AVE OCALA FL 34474 352- 622-2913 352-401-5650 RETAIL 12/05/2012 06/30/2019

1616 400 WELLS SPECIALTY PHARMACY INC dba WELLS SPECIALTY PHARMACY 3796 HOWELL BRANCH RD WINTER PARK FL 32792 407- 478-2663 407-671-7960 RETAIL 03/08/2007 06/30/2019

0780 400 WHITE DRUG CO OF JAMESTOWN INC dba WHITE DRUG #61 706 38TH ST NW UNIT A FARGO ND 58102 701-893-9050 701-893-9053 CENTRAL FILL 01/23/2009 06/30/2019

1115 400 WHITE DRUG CO OF JAMESTOWN INC dba WHITE DRUG #52 706 38TH ST NW UNIT B FARGO ND 58102 701- 893-9217 701-893-9221 CENTRAL FILL LTC 06/28/2013 06/30/2019

1117 400 WHITE DRUG CO OF JAMESTOWN INC dba THRIFY WHITE PHARMACY #75 387 S 11TH ST S STE 2 WAHPETON ND 58075 701- 642-2336 701-642-1470 RETAIL 07/01/2013 06/30/2019




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1486 400 WHITE DRUG CO OF JAMESTOWN INC dba WHITE DRUG #55 112 S MAIN ST, PO BOX 750 HETTINGER ND 58639 701- 567-2533 701-567-4601 RETAIL 08/27/2015 06/30/2019

1518 400 WHITE DRUG CO OF JAMESTOWN INC dba WHITE DRUG #71 121 N BROADWAY ST, PO BOX 760 LINTON ND 58552 701- 254-5432 701-254-4876 RETAIL 11/24/2015 06/30/2019

1659 400 WHITEVILLE COMMUNITY PHARMACY PLLC 2060 HWY 64 STE G WHITEVILLE TN 38075 731- 859-5016 605-362-2738 MAIL ORDER 01/09/2017 06/30/2019

0828 400 WICKLIFFE PHARMACEUTICAL INC dba WICKLIFFE VETERINARY PHARMACY 4340 GEORGETOWN RD LEXINGTON KY 40511 859-389-7470 859-381-9252 INDEPENDENT /VETERINARY 10/29/2009 06/30/2019

0204 400 WOMEN'S INTERNATIONAL PHARMACY INC 2 MARSH CT MADISON WI 53718 800-279-5708 800-279-8011 RETAIL 12/27/2000 06/30/2019

1506 400 WOMEN'S INTERNATIONAL PHARMACY INC 12012 N 111TH AVE YOUNGTOWN AZ 85363 800- 279-5708 800-279-8011 RETAIL 10/23/2015 06/30/2019

1098 400

WORTHINGTON INDUSTRIES MEDICAL CENTER

INC 1250 DEARBORN DR COLUMBUS OH 43085 614- 840-3571 866-690-8967 MAIL ORDER 05/14/2013 06/30/2019

1406 400 Y MEDICAL ASSOCIATES INC 8840 N MACARTHUR BLVD IRVING TX 75063 516- 561-6480 516-561-6483 MAIL ORDER 02/20/2015 06/30/2019

0351 400 ZOOPHARM INC 3131 GRAND AVE STE B LARAMIE WY 82070 307-742-4587 307-721-3801 NONRESIDENT 05/05/2003 06/30/2019

1804 400 ZSZ ENTERPRISE dba RICHMOND PHARMACY 1601 MAIN ST STE 106 RICHMOND TX 77469 281- 762-7462 281-762-7465 COMPOUNDING 01/17/2018 06/30/2019

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