South Dakota Board of Pharmacy Nonresident Pharmacies ...

[Pages:29]South Dakota Board of Pharmacy Nonresident Pharmacies; Active, in good standing as of October 5, 2018 This document may be used as a Primary Source Verification

License

No

Prefix

Pharmacy Name

1736

400

1ST CHOICE PRESCRIPTIONS

1877

400

360 PHARMACY CARE LLC

1787

400

A & K PHARMACY LLC

0919

400

A & S DRUGS LLC

1610

400

AB PHARMACY INC

0802

400

ABBVIE ENDOCRINOLOGY INC

1029

400

ABC MEDCARE

0831

400

ABITACARE LLC

1299

400

1525

400

ABSOLUTE PHARMACY LLC

ABSOLUTE VETERINARY COMPOUNDING PHARMACY LLC

1178

400

ACARIAHEALTH PHARMACY #11 INC

0529

400

ACCREDO HEALTH GROUP INC

0531

400

ACCREDO HEALTH GROUP INC

0532

400

ACCREDO HEALTH GROUP INC

0536

400

ACCREDO HEALTH GROUP INC

0652

400

ACCREDO HEALTH GROUP INC

1052

400

ACCREDO HEALTH GROUP INC

1056

400

ACCREDO HEALTH GROUP INC

1157

400

ACCREDO HEALTH GROUP INC

1164

400

ACCREDO HEALTH GROUP INC

1292

400

ACCREDO HEALTH GROUP INC

0852

400

ACCURATE Rx PHARMACY CONSULTING LLC

1745

400

ACHOR CARE PHARMACY INC

1361

400

ACRO PHARMACEUTICAL SERVICES LLC

0748

400

ADVANCED CARE SCRIPTS INC

1807

400

ADVANCED HEALTH TECHNOLOGIES, INC

0910

400

ADVANCED PHARMACY LLC

Address 2 dba 360 PHARMACY CARE dba BROADWAY CONTINENTAL DRUGS dba A AND S DRUGS dba ASPCARES dba PHARMACY SOLUTIONS dba VITAL CARE RX dba NEXGEN COMPOUNDING PHARMACY

dba ACCURATE RX PHARMACY dba ACS PHARMACY dba GEM EDWARDS PHARMACY

Address 1 8111 LBJ FWY STE 540 2441 PRODUCTION DR STE 101 7200 BROADWAY 101 W MAIN ST 1401 E RIDGE RD UNIT B 1 N WAUKEGAN RD AP5-NE 709 ROBERTSON AVE 1501 23RD AVE STE B 16011 N NEBRASKA AVE STE 103 2005 FT WORTH HWY STE 100 1311 W SAM HOUSTON PKWY N STE 130 2915 WATERS RD STE 109 1620 CENTURY CENTER PKWY STE 109 41 RACHEL DR STE 1 3000 ERICSSON DR STE 100 2 BOULDEN CR STE 1 9307 KIRBY DR 650 W GRAND AVE STE 102 6272 LEE VISTA BLDV STE 100 2825 W PERIMETER RD STE 112 19060 Q STREET STE 101 103 CORPORATE LAKE DR 12130 CENTRAL AVE 313 HENDERSON DR 6251 CHANCELLOR DR STE 101 5640 HUDSON INDUSTRIAL PKWY 350 FEASTER RD STE D

City DALLAS INDIANAPOLIS NORTH BERGEN PIPESTONE MCALLEN NORTH CHICAGO WORLAND MERIDIAN LUTZ WEATHERFORD HOUSTON EAGAN MEMPHIS NASHVILLE WARRENDALE NEW CASTLE HOUSTON ELMHURST ORLANDO INDIANAPOLIS OMAHA COLUMBIA MITCHELLVILLE SHARON HILL ORLANDO HUDSON GREENVILLE

Zip

State Code

Phone

Fax

Type of Pharmacy

TX 75251 972- 607-4978 281-783-2592 RETAIL

IN 46241 317- 669-1093 317-836-0305 RETAIL

NJ 07047 201- 854-4800 201-854-1518 RETAIL INDEPENDENT

MN 56164 507-825-3100 507-825-5810 RETAIL

TX 78503 956- 284-6687 956-284-6689 RETAIL

IL 60064 888-857-0668 847-937-3216 SPECIALTY/MAIL ORDER

WY 82401 307- 278-2719 307-347-3085 CLOSED DOOR

MS 39301 877-229-1724 877-229-1725 SPECIALTY

FL 33549 813- 999-2700 813-999-2701 COMPOUNDING/COMMUNITY

TX 76086 817- 599-7781 817-668-7651 COMPOUNDING

TX 77043 855- 422-2742 866-834-8523 RETAIL

MN 55121 651-681-0885 651-681-0977 SPECIALTY

TN 38134 901- 435-2388 901-385-3777 SPECIALTY

TN 37214 615- 352-2500 615-850-5100 SPECIALTY

PA 15086 724-772-6000 724-742-2450 SPECIALTY

DE 19720 302- 395-8937 866-844-6629 SPECIALTY

TX 77054 713- 791-1552 713-791-9411 SPECIALTY

IL 60126 630- 279-7390 630-279-8464 SPECIALTY PHARMACY

FL 32822 888- 773-7376 888-773-7386 MAIL ORDER

IN 46241 317- 240-8484 800-824-2642 MAIL ORDER

NE 68135 402- 597-2330 402-597-2333 SPECIALTY

MO 65203 573-256-4279 573-442-6429 RETAIL

MD 20721 301- 383-1502 301-383-1408 MAIL ORDER

PA 19079 800- 906-7798 877-381-3806

FL 32809 877-985-6337 866-679-7131 NONRESIDENT

RETAIL/CLOSED DOOR/ MAIL OH 44236 866- 552-5522 330-342-8400 ORDER

SC 29615 855- 240-9368 864-558-0085 MAIL ORDER

Issued

Expires

06/14/2017 06/30/2019

07/06/2018 06/30/2019

11/09/2017 06/30/2019

05/05/2011 06/30/2019

06/28/2016 06/30/2019

06/04/2009 06/30/2019

10/10/2012 06/30/2019

11/17/2009 06/30/2019

06/30/2014 06/30/2019

12/07/2015 06/30/2019

11/21/2013 06/30/2019

08/18/2005 06/30/2019

08/18/2005 06/30/2019

08/18/2005 06/30/2019

09/07/2005 06/30/2019

03/08/2007 06/30/2019

12/28/2012 06/30/2019

01/07/2013 06/30/2019

10/18/2013 06/30/2019

10/21/2013 06/30/2019

06/17/2014 06/30/2019

04/20/2010 06/30/2019

06/29/2017 06/30/2019

10/22/2014 06/30/2019

06/25/2008 06/30/2019

01/17/2018 06/30/2019

04/04/2011 06/30/2019

South Dakota Board of Pharmacy Nonresident Pharmacies; Active, in good standing as of October 5, 2018 This document may be used as a Primary Source Verification

License

No

Prefix

Pharmacy Name

1705

400

ADVANCED RX

1698

400

AE PHARMACY LLC

0339

400

AETNA RX HOME DELIVERY LLC

0538

400

AETNA RX HOME DELIVERY LLC

0564

400

AETNA SPECIALTY PHARMACY LLC

0863

400

AGROPEC TRADING LLC

1452

400

ALBERTSON PHARMACY INC

1213

400

ALIXA RX LLC

1270

400

ALIXA RX LLC

1601

400

ALLCARE PHARMACY INC

1284

400

ALLCARE PLUS PHARMACY INC

1582

400

ALLCARE SPECIALTY PHARMACY LLC

0591

400

ALLERGYCHOICES PHARMACY

1810

400

ALLIANCE MEDICATION SERVICES LLC

1711

400

ALLYSCRIPTS LLC

1635

400

ALPHA-OMEGA PHARMACY LLC

1846

400

ALTA RX LLC

1549

400

ALTRU HEALTH SYSTEM

1286

400

AMBER ENTERPRISES INC

1186

400

AMERICAN HOMECARE FEDERATION INC

0464

400

AMERICAN OUTCOMES MANAGEMENT LP

1849

400

AMERICAN SERVICE AND PRODUCT INC

1703

400

AMERICAN SPECIALTY PHARMACY INC

1845

400

AMERICAN TRADING LLC

0683

400

AMERICA'S BEST CARE PLUS INC

1322

400

AMERIPHARM INC

1133

400

AMOP PHARMACY

Address 2

Address 1

5205 MILITIA HILL RD STE 200

dba PILLPACK AUSTIN

220 INDUSTRIAL BLVD STE 100

10991 NW AIRWORLD DR

1600 SW 80TH TERRACE 2ND FLR

503 SUNPORT LN

dba ALLIVET

480 W 83RD ST

dba ALBERTSON PHARMACY

1028 WILLIS AVE

dba ALIXARX

10132 W 76TH ST

dba ALIXARX

11286 RENNER BLVD

12 PLYMOUTH ST STE 100

50 BEARFOOT RD

dba ALLCARE SPECIALTY PHARMACY

10620 COLONEL GLENN RD STE 300

2731 NATIONAL DR

dba ALLIANCE MEDS & MSA MEDS

88 MAHANOY AVE

dba ALLYSCRIPTS

201 LONNIE CRAWFORD BLVD STE B

dba ALPHA OMGEA-PHARMACY

4625 E BAY DR STE 313

9883 S 500 WEST

dba ALTRU RETAIL PHARMACY

1200 S COLUMBIA RD

dba AMBER PHARMACY

10004 S 152ND ST STE A

dba DIPLOMAT SPECIALTY INFUSION GROUP 31 MOODY RD

6310 SOUTHWEST BLVD STE 204

dba AMERICAN SERVICE AND PRODUCT

16612 107TH COURT

dba ASPCARES

3405 NW EXYWY

dba GEORGETOWN RX LLC

10401 OLD GEORGETOWN RD STE 205

1825 EVERETT DR W

dba MEDVANTX SPECIALTY PHARMACY

1860 OUTER LOOP STE 348

23290 SCHOENHERR

Zip

City

State Code

Phone

Fax

Type of Pharmacy

PLYMOUTH MEETING PA 19462 484- 681-5756 610-397-1899 INDEPENDENT/COMPOUNDING

AUSTIN

TX 78745 512- 537-3205 512-677-6267 RETAIL

KANSAS CITY

MO 64153 959- 299-2900 860-975-3701 NONRESIDENT

PLANTATION

FL 33324 888- 792-3862 877-270-3317 NONRESIDENT

ORLANDO

FL 32809 866- 782-2779 866-329-2779 NONRESIDENT

HIALEAH

FL 33014 877- 500-9944 877-500-9950 VETERINARY PHARMACY

ALBERTSON

NY 11507 516- 246-9900 516-621-1329 RETAIL

EDEN PRAIRIE

MN 55344 877- 322-4292 952-944-2909 LONG TERM CARE

LENEXA

KS 66219 877- 655-9157 913-541-1459 LONG TERM CARE

WORCESTER

MA 01608 508- 459-3514 508-393-0762 RETAIL

NORTHBOROUGH

MA 01532 508- 459-3535 508-393-0762 MAIL ORDER

LITTLE ROCK

AR 72204 501- 217-8880 501-217-8885 SPECIALTY

ONALASKA

WI 54650 608-793-1580 608-793-1571 INDEPENDENT

TAMAQUA

PA 18252 866- 929-8590 570-668-8825 MAIL ORDER

SCOTTSBORO

AL 35769 844- 309-7171 844-309-7173 SPECIALTY

CLEARWATER

FL 33764 844- 557-0835 800-563-2710 RETAIL/COMMUNITY

SANDY

UT 84070 801- 716-7200 801-716-7202 COMMUNITY

GRAND FORKS

ND 58201 701- 780-3443 701-780-3441 HOSPITAL/CLINIC

OMAHA

NE 68138 402- 896-5000 402-896-3774 RETAIL

ENFIELD

CT 06083 860- 763-7020 860-763-7022 RETAIL

FT WORTH

TX 67109 817- 361-7699 817-361-9671 HOME INFUSION

ORLAND PARK

IL 60467 708- 671-1200 708-448-8598 RETAIL

OKLAHOMA CITY

OK 73112 405- 607-3995 405-607-3998 RETAIL

BETHESDA

MD 20814 301- 571-0850 301-571-0840 MAIL ORDER

FT PAYNE

AL 35968 800- 638-6305 800-638-0294 MAIL ORDER

LOUISVILLE

KY 40219 844- 877-8444 866-345-2757 SPECIALTY

WARREN

MI 48089 586- 772-6872 586-772-6873 RETAIL/MAIL ORDER

Issued

Expires

05/01/2017 06/30/2019

03/15/2017 06/30/2019

03/05/2003 06/30/2019

09/21/2005 06/30/2019

01/31/2006 06/30/2019

06/08/2010 06/30/2019

05/27/2015 06/30/2019

01/27/2014 06/30/2019

05/06/2014 06/30/2019

06/13/2016 06/30/2019

05/28/2014 06/30/2019

05/09/2016 06/30/2019

05/10/2006 06/30/2019

01/17/2018 06/30/2019

04/12/2017 06/30/2019

09/13/2016 06/30/2019

04/25/2018 06/30/2019

02/09/2016 06/30/2019

06/03/2014 06/30/2019

12/17/2013 06/30/2019

09/22/2004 06/30/2019

05/02/2018 06/30/2019

05/01/2017 06/30/2019

04/25/2018 06/30/2019

07/25/2002 06/30/2019

08/18/2014 06/30/2019

08/06/2013 06/30/2019

South Dakota Board of Pharmacy Nonresident Pharmacies; Active, in good standing as of October 5, 2018 This document may be used as a Primary Source Verification

License

No

Prefix

Pharmacy Name

0681

400

ANAZAOHEALTH CORPORATION

1182

400

ANDERSON COMPOUNDING PHARMACY

1559

400

ANIMAL HEALTH INTERNATIONAL INC

0744

400

ANIMAL RX PHARMACY

1045

400

ANIMAL RX PHARMACY

1751

400

ANIMART LLC

1146

400

ANOVORX GROUP LLC

1395

400

APOGEE BIO-PHARM LLC

0437

400

APOTHECARE INC

0441

400

APRIA HEALTHCARE LLC

1258

400

ARDON HEALTH LLC

1561

400

ARISTACARE HEALTH INC

0996

400

ARIZONA BOARD OF REGENTS

1681

400

ARIZONA BOARD OF REGENTS

1542

400

ARJ INFUSION SERVICES

0571

400

ARJ INFUSION SERVICES INC

1838

400

ARJ INFUSION SERVICES INC

1090

400

ARROW PHARMACY HOLDINGS LLC

1237

400

ASSURED RX LLC

1127

400

ATLANTIC MEDICAL LLC

1310

400

AVACARE INC

0790

400

AVELLA OF DEER VALLEY INC

1655

400

AVELLA OF DEER VALLEY INC #38

1759

400

AVELLA OF DENVER INC

1390

400

AVELLA OF ORLANDO INC

1097

400

AVELLA OF SACRAMENTO INC

1733

400

AVELLA PATIENT ACCESS PROGRAM INC

Address 2

Address 1

7465 W SUNSET RD STE 1200

310 BLUFF CITY HWY

1117 W MAIN

2450 MIDPOINT DR

5655 11TH AVE E

dba ANIMART LIVESTOCK PHARMACY

1240 GREEN VALLEY RD

1710 N SHELBY OAKS DR STE 1

180 RARITAN CENTER PKWY STE 101

dba COLUMBIA PHARMACY INC

2929 S WABASH AVE #101

dba STAR MEDICAL RX

2612 NE INDUSTRIAL DR

11835 NE GLENN WIDING DR

1056 W GOLF RD

dba THE UNIVERSITY OF ARIZONA

dba U OF A MEDICATION MANAGEMENT CENTER #2

220 W 6TH ST RM B113 2001 W CAMELBACK RD STE 290

3730 S 149TH ST STE 102

7930 MARSHALL DR

1847 1ST AVE SE STE 100

dba ARROW PHARMACY & NUTRITION CENTER 461 COOKE ST

13555 AUTOMOBILE BLVD STE 230

dba A1 PHARMACY SERVICES

915 FERNCLIFF COVE STE 1-A

7355 W FRIENDLY AVE STE E

23620 N 20TH DR STE 12

24416 N 19TH AVE

1245 E COLFAX AVE STE 102

100 TECHNOLOGY PARK STE 155

2288 AUBURN BLVD STE 102

100 TECHNOLOGY PARK STE 157

Zip

City

State Code

Phone

Fax

Type of Pharmacy

Issued

Expires

LAS VEGAS

NV 89113 800- 995-4363 800-238-8239 MAIL ORDER

06/03/2007 06/30/2019

BRISTOL

TN 37620 423- 764-4136 423-764-5167 INDEPENDENT RETAIL

12/09/2013 06/30/2019

MANCHESTER

IA 52057 970- 347-3149 970-347-3649 VET /MAIL ORDER

02/19/2016 06/30/2019

EDWARDSVILLE

KS 66111 877- 495-1303 855-380-3683 VETERINARY MAIL ORDER

05/30/2008 06/30/2019

SHAKOPEE

MN 55379 855- 562-4978 888-936-8860 VETERINARY

12/11/2012 06/30/2019

BEAVER DAM

WI 53916 920- 319-4362 920-569-0112 LIVESTOCK

08/10/2017 06/30/2019

MEMPHIS

TN 38134 901- 201-5470 901-201-5465 SPECIALTY

09/20/2013 06/30/2019

EDISON

NJ 08837 732- 902-6575 609-534-5693 MAIL ORDER/RETAIL

02/05/2015 06/30/2019

CHICAGO

IL 60616 866- 311-3334 312-791-3391 RETAIL

05/26/2004 06/30/2019

KANSAS CITY

MO 64117 816- 584-3600 816-842-6600 RETAIL

06/15/2004 06/30/2019

PORTLAND

OR 97220 855- 425-4085 855-425-4096 RETAIL

05/01/2014 06/30/2019

HOFFMAN ESTATES TUCSON

IL 60169 855- 767-5644 888-510-5220 RETAIL/HOME INFUSION

LIMITED SERVICE-GOVERNMENT AZ 85721 844- 866-3730 520-626-0626 OWNED

02/29/2016 06/30/2019 04/23/2012 06/30/2019

PHOENIX

AZ 85015 866- 218-6646 602-314-6027 MTM/CLINICAL

02/09/2017 06/30/2019

OMAHA

NE 68144 866- 451-8804 402-991-3199 MAIL ORDER

01/28/2016 06/30/2019

LENEXA

KS 66214 913-451-8804 913-451-8914 HOME HEALTH

02/15/2006 06/30/2019

CEDAR RAPIDS

IA 52402 866- 451-8804 877-451-8955 SPECIALTY

04/11/2018 06/30/2019

FARMINGTON

CT 06032 888- 787-2800 860-676-1339 ONLINE

05/01/2013 06/30/2019

CLEARWATER

FL 33762 888- 987-9977 888-209-4962 RETAIL/MAIL ORDER

03/10/2014 06/30/2019

SOUTHAVEN

MS 38671 855- 722-8526 888-891-3929 MAIL ORDER

07/22/2013 06/30/2019

GREENSBORO

NC 27410 866- 794-1044 866-794-5661 MAIL ORDER

07/24/2014 06/30/2019

PHOENIX

AZ 85085 877- 546-5779 877-546-5780 MAIL ORDER

02/26/2009 06/30/2019

PHOENIX

AZ 85085 877- 719-6349 877-719-6362 MAIL ORDER

01/09/2017 06/30/2019

DENVER

CO 80218 877- 470-7603 877-470-7604 MAIL ORDER

08/29/2017 06/30/2019

LAKE MARY

FL 32746 877- 296-3177 877-296-3179 MAIL ORDER

01/21/2015 06/30/2019

SACRAMENTO

CA 95821 916- 564-9888 888-554-3299 MAIL ORDER

05/10/2013 06/30/2019

LAKE MARY

FL 32746 877- 719-6360 877-719-6361 MAIL ORDER

06/14/2017 06/30/2019

South Dakota Board of Pharmacy Nonresident Pharmacies; Active, in good standing as of October 5, 2018 This document may be used as a Primary Source Verification

License

No

Prefix

Pharmacy Name

Address 2

Address 1

1092

400

AXTELL RITE VALUE PHARMACY INC

304 1/2 CHARLIE DR

0873

400

BASIC HOME INFUSION PHARMACY INC

dba BASIC HOME INFUSION

1401 VALLEY RD 4TH FLR

0799

400

BAXTER HEALTHCARE CORPORATION

9000 109TH AVE N

1070

400

BAXTER HEALTHCARE CORPORATION

4225 S 57TH ST

1334

400

BAXTER HEALTHCARE CORPORATION

3595 W TECHNOLOGY DR STE 100

1596

400

BAYTREE PHARMACY LLC

18005 SKY PARK CR STE E

0792

400

BCP VETERINARY PHARMACY

1614 WEBSTER ST

1051

400

BELLA BRANDS LLC

9826 S JORDAN GATEWAY

1489

400

BELMAR PHARMACY

231 VIOLET ST STE 140

0801

400

BENECARD CENTRAL FILL OF PA

5040 RITTER RD

1646

400

BENZER FL 13 LLC

dba BENZER PHARMACY

5908 BRECKENRIDGE PKWY

1450

400

BEST CARE PHARMACY INC

dba ASPCARES

2657 NW 20TH ST

0478

400

1738

400

BET PHARM LLC

BETA DISCOUNT PHARMACY & HEALTH SERVICES LLC

1501 BULL LEA RD STE 102B 776 SAND TOWN RD

1728

400

BIG BEND PHARMACY LLC

5724 STAGE RD STE B

0573

400

BIOLOGICS INC

13000 WESTON PKWY STE 105

1784

400

BIOLOGICS INC

11800 WESTON PKWY

0526

400

BIOPARTNERS IN CARE INC

11411 STRANG LINE RD

0604

400

BIOPLUS SPECIALTY PHARMACY SERVICES INC

376 NORTHLAKE BLVD

0505

400

BIORX LLC

dba DIPLOMAT SPECIALTY INFUSION GROUP 7167 E KEMPER RD

0778

400

BIORX LLC

dba DIPLOMAT SPECIALTY INFUSION GROUP 10607 & 10611 AURORA AVE

0936

400

BIORX LLC

dba DIPLOMAT SPECIALTY INFUSION GROUP 9045 E PIMA CENTER PKWY STE 1

1140

400

BIORX LLC

dba DIPLOMAT SPECIALTY INFUSION GROUP 1819 ASTON AVE STE 102

0756

400

BIOSCRIP INFUSION SERVICES INC

dba BIOSCRIP INFUSION SERVICES

320 S FLOWER ST STE A

0295

400

BIOSCRIP INFUSION SERVICES LLC

dba BIOSCRIP INFUSION SERVICES

102 THE AMERICAN RD

0033

400

BIOSCRIP PHARMACY SERVICES INC

dba BIOSCRIP PHARMACY SERVICES

5700 PERIMETER DR STE B

1788

400

BIOTEK REMEDYS

2 PENNS WAY STE 404

Zip

City

State Code

Phone

Fax

Type of Pharmacy

WHITESBORO

TX 76273 903- 564-3216 903-564-7261 COMMUNITY

WAYNE CHAMPLIN OMAHA SALT LAKE CITY

NJ 07470 888- 822-7428 973-706-8009 HOME INFUSION

RENAL DIALYSIS ONLY/CLOSED MN 55316 763-323-9666 763-323-0644 DOOR

RENAL DIALYSIS ONLY/CLOSED NE 68117 402- 970-1438 402-970-1439 DOOR

RENAL CIALYSIS ONLY CLOSED UT 84119 801- 956-1114 614-652-0282 DOOR PHARMACY

IRVINE

CA 92614 949- 344-2624 949-344-2625 NONRESIDENT

HOUSTON

TX 77003 713- 771-1144 713-771-1131 VETERINARY COMPOUNDING

SANDY

UT 84070 855- 289-3552 801-566-5596 MAIL ORDER

GOLDEN

CO 80401 303- 763-5533 303-763-9712 RETAIL

MECHANICSBURG

PA 17055 888-907-0090 888-907-0040 MAIL ORDER

TAMPA

FL 33610 813- 644-7277 813-875-4000 COMMUNITY

MIAMI

FL 33142 305- 856-0070 305-856-0072 COMMUNITY RETAIL

LEXINGTON

KY 40511 859- 273-2930 859-273-2860 RETAIL COMPOUNDING

MARIETTA

GA 30008 888- 885-0887 888-892-1827 RETAIL, MAIL ORDER

BARTLETT

TN 38134 844- 646-2279 888-881-5570 RETAIL/MAIL ORDER

CARY

NC 27513 800- 850-4306 800-823-4506 SPECIALTY ONCOLOGY

CARY

NC 27513 800- 850-4306 800-823-4506 NON DISPENSING

LENEXA

KS 66215 800- 662-2922 913-451-2919 SPECIALTY

ALTAMONTE SPRINGS FL 32701 407- 830-8820 407-571-2515 SPECIALTY/RETAIL

CINCINNATI

OH 45249 513-792-7080 513-792-3838 SPECIALTY HOME INFUSION

URBANDALE

IA 50322 515-727-7937 515-727-7938 SPECIALTY/INFUSION

SCOTTSDALE

AZ 85258 480-745-3200 480-699-5635 SPECIALTY/HOME INFUSION

CARLSBAD

CA 92008 760- 707-1486 760-931-0516 SPECIALTY/HOME INFUSION

BURBANK

CA 91502 818- 830-5335 818-891-4184 INFUSION THERAPY

MORRIS PLAINS

NJ 07950 973- 597-0444 877-304-5516 INFUSION THERAPY

DUBLIN

OH 43017 614-850-6700 855-265-2342 INFUSION THERAPY

NEW CASTLE

DE 19720 302- 544-5138 302-544-5018 SPECIALTY

Issued

Expires

05/01/2013 06/30/2019

08/02/2010 06/30/2019

05/08/2009 06/30/2019

02/05/2013 06/30/2019

09/12/2014 06/30/2019

05/23/2016 06/30/2019

03/18/2009 06/30/2019

12/28/2012 06/30/2019

08/27/2015 06/30/2019

05/11/2009 06/30/2019

11/15/2016 06/30/2019

05/22/2015 06/30/2019

11/15/2004 06/30/2019

06/19/2017 06/30/2019

05/24/2017 06/30/2019

02/28/2006 06/30/2019

11/03/2017 06/30/2019

08/18/2005 06/30/2019

06/19/2006 06/30/2019

03/23/2005 06/30/2019

01/23/2009 06/30/2019

07/11/2011 06/30/2019

09/04/2013 06/30/2019

07/29/2008 06/30/2019

06/04/2002 06/30/2019

01/07/1998 06/30/2019

11/09/2017 06/30/2019

South Dakota Board of Pharmacy Nonresident Pharmacies; Active, in good standing as of October 5, 2018 This document may be used as a Primary Source Verification

License

No

Prefix

Pharmacy Name

1750

400

BLONDELL RX CORP

1381

400

BOCA RATON PHARMACY INC

0876

400

BOND PHARMACY INC

0856

400

BOSWELL PHARMACY SERVICES LLC

1008

400

BRIAN W TRUAX

1773

400

BRILLIANT PHARMACY INC

0934

400

BRIOVARX INFUSION SERVICES 103 LLC

0951

400

BRIOVARX INFUSION SERVICES 305 LLC

0625

400

BRIOVARX LLC

1806

400

BRIOVARX LLC

0372

400

BRIOVARX OF FLORIDA INC

1192

400

BRIOVARX OF INDIANA LLC

0738

400

BRIOVARX OF MAINE INC

1388

400

BRIOVARX OF NEVADA LLC

0957

400

BRIOVARX OF TEXAS INC

1801

400

BSB VETERINARY CORP

1878

400

BUX HEALTHCARE INC

1059

400

BYRAM HEALTHCARE CENTERS INC

1730

400

BYRAM HEALTHCARE CENTERS INC

0893

400

CALIFORNIA PET PHARMACY

1895

400

CARDINAL CARE PHARMACY, INC

0580

400

CARDINAL HEALTH 128 LLC

0333

400

CARDINAL HEALTH 414 LLC

0472

400

CARDINAL HEALTH 414 LLC

1002

400

CARDINAL HEALTH 414 LLC

1048

400

CARDINAL HEALTH 414 LLC

1217

400

CARDINAL HEALTH 414 LLC

Address 2 dba QUICK RX SPECIALTY PHARMACY dba SPECIALTY CARE PHARMACY dba ADVANCED INFUSION SOLUTIONS 131 SCHOOLHOUSE RD dba TRUAX PATIENT SERVICES dba RITE CARE PHARMACY

dba BRIOVARX dba BRIOVARX dba BRIOVARX OF FLORIDA dba BRIOVARX dba BRIOVARX dba BRIOVARX dba BRIOVARX OF TEXAS dba PET VALUE MART dba FAMILY PHARMACY

dba CPP PET CARE dba CARDINAL CARE PHARMACY dba MMS SOLUTIONS

Address 1

Zip

City

State Code

Phone

Fax

Type of Pharmacy

Issued

Expires

1642 EASTCHESTER RD

BRONX

NY 10461 347- 691-3494 347-691-3496 SPECIALTY

08/10/2017 06/30/2019

4802 NW 2 AVENUE

BOCA RATON

FL 33431 561- 241-7711 561-241-7717 COMMUNITY

12/16/2014 06/30/2019

623 HIGHLAND COLONY PKWY STE 100

RIDGELAND

MS 39157 877-443-4006 888-298-2220 INFUSION/STERILE COMPOUNDING 08/13/2010 06/30/2019

PO BOX 266

JENNERSTOWN

PA 15547 814-629-1397 814-629-7644 MAIL ORDER

05/06/2010 06/30/2019

1112 RAILROAD ST SE STE #4

BEMIDJI

MN 56601 218- 444-8217 218-444-2267 MAIL ORDER/SPECIALTY

07/06/2012 06/30/2019

15271 SOUTHWEST FREEWAY

SUGAR LAND

TX 77478 713- 955-5700 713-955-6970 RETAIL

11/03/2017 06/30/2019

9204 BERGER RD STE A

COLUMBIA

MD 21046 800- 715-6650 866-715-6651 HOME INFUSION

06/22/2011 06/30/2019

15529 COLLEGE BLVD

LENEXA

KS 66219 877- 342-9352 877-542-9352 RETAIL

09/28/2011 06/30/2019

1897 GENERAL GEORGE PATTON DR STE 112 FRANKLIN

TN 37067 615- 791-8679 615-791-7666 SPECIALTY

09/20/2006 06/30/2019

1100 LEE BRANCH LN

BIRMINGHAM

AL 35242 205- 995-8388 205-995-8897 SPECIALTY/MAIL ORDER/RETAIL 01/17/2018 06/30/2019

9994 PREMIER PKWY

MIRAMAR

FL 33025 957- 988-5088 954-443-9854 SPECIALTY

08/15/2003 06/30/2019

1050 PATROL RD

JEFFERSONVILLE

IN 47130 812- 924-4091 812-256-8700 NONRESIDENT

12/30/2013 06/30/2019

53 DARLING AVE

SOUTH PORTLAND

ME 04106 207- 747-6867 800-218-3221 SPECIALTY

04/18/2008 06/30/2019

8350 BRIOVA DR

LAS VEGAS

NV 89113 702- 954-8666 702-634-5502 NONRESIDENT

01/21/2015 06/30/2019

4590 LOCKHILL SELMA

SAN ANTONIO

TX 78249 210- 446-2119 210-564-2289 NONRESIDENT

10/19/2011 06/30/2019

2465 SALVIO ST STE B

CONCORD

CA 94520 415- 507-7347

NONRESIDENT

01/17/2018 06/30/2019

3644 WEBBER ST

SARASOTA

FL 34232 941- 921-6645 941-923-7558 COMMUNITY/RETAIL

07/12/2018 06/30/2019

5302 RANCHO RD

HUNTINGTON BEACH CA 92647 714- 933-2121 714-933-2321 RETAIL

01/15/2013 06/30/2019

3793 S STATE ST

SALT LAKE CITY

UT 84115 801- 268-9699 866-855-6335 RETAIL

05/25/2017 06/30/2019

3157 CORPORATE PL

HAYWARD

CA 94545 877- 554-4797 877-554-4795 RETAIL

11/15/2010 06/30/2019

2319 WELDON PARKWAY

SAINT LOUIS

MO 63146 800- 984-4432 314-552-7297 RETAIL

08/24/2018 06/30/2019

202 CUMBERLAND BEND

NASHVILLE

TN 37228 866- 716-5486 614-652-0282 MAIL ORDER

03/03/2006 06/30/2019

5840 F ST

OMAHA

NE 68117 402-734-8045 402-553-8517 NUCLEAR

02/07/2003 06/30/2019

1933 W CTY RD C2

ROSEVILLE

MN 55113 651- 363-3177 651-636-4386 NUCLEAR

11/02/2004 06/30/2019

1610 30TH AVE S

MOORHEAD

MN 56560 218- 233-2294 218-236-1468 NUCLEAR

05/23/2012 06/30/2019

10400 E 48TH AVE

DENVER

CO 80238 303- 373-0579 720-374-7354 NUCLEAR

12/21/2012 06/30/2019

7920 GEORGETOWN RD STE 100

INDIANAPOLIS

IN 46268 317- 872-3301 317-872-3371 NUCLEAR

02/03/2014 06/30/2019

South Dakota Board of Pharmacy Nonresident Pharmacies; Active, in good standing as of October 5, 2018 This document may be used as a Primary Source Verification

License

No

Prefix

Pharmacy Name

Address 2

Address 1

0861

400

CARDINAL HEALTH PHARMACY SERVICES LLC

770 PASQUINELLE DR STE 406

0862

400

CARDINAL HEALTH SPECIALTY PHARMACY LLC

7172 COLUMBIA GATEWAY DR

1875

400

CAREDIRECT RX LLC

112-A CELTIC DR

1612

400

CAREKINESIS INC

228 STRAWBRIDGE DR STE 200

1614

400

CAREKINESIS INC

5303 SPINE RD STE 100

1441

400

CAREMARK ARIZONA MAIL PHARMACY LLC

dba CVS CAREMARK

4121 E COTTON CENTER BLVD

1517

400

1575

400

CAREMARK ARIZONA SPECIALTY PHARMACY LLC dba CVS/SPECIALTY

CAREMARK CALIFORNIA SPECIALTY PHARMACY

LLC

dba CVS SPECIALTY

2700 W FRYE RD STE 200 1110 RESEARCH DR STE B

0665

400

CAREMARK FLORIDA MAIL PHARMACY LLC

dba CVS CAREMARK

9310 SOUTH PARK CENTER LOOP STE 200

0671

400

CAREMARK ILLINOIS MAIL PHARMACY LLC

dba CVS CAREMARK

800 BIERMANN CT STE A

0670

400

CAREMARK ILLINOIS SPECIALTY PHARMACY LLC dba CVS/SPECIALTY

800 BIERMANN CT STE B

0669

400

CAREMARK KANSAS SPECIALTY PHARMACY LLC dba CVS SPECIALTY

11162 RENNER BLVD

0668

400

CAREMARK LLC

dba CVS/SPECIALTY

1127 BRYN MAWR AVE STE A

1814

400

0889

400

CAREMARK LLC

dba CVS/SPECIALTY #48604

CAREMARK NEW JERSEY SPECIALTY PHARMACY

LLC

dba CVS SPECIALTY

1001 SPINKS RD STE 280 180 PASSAIC AVE

0661

400

0663

400

CAREMARK TEXAS MAIL PHARMACY LLC

CAREMARKPCS PENNSYLVANIA MAIL PHARMACY LLC

dba CVS CAREMARK dba CVS CAREMARK

7034 ALAMO DOWNS PKWY ONE GREAT VALLEY BLVD

1894

400

CAREMETX HEALTH, LLC

704 QUINCE ORCHARD RD, STE 150

1088

400

CAREPOINT HEALTHCARE

dba CAREPOINT PHARMACY

9 E COMMERCE DR

1729

400

CAREZONE PHARMACY LLC

800 AIRPARK CENTER DR STE 809

1014

400

CARIE BOYD'S PRESCRIPTION SHOP

122 GRAPEVINE HWY

1013

400

CARLISLE MEDICAL INC

509 BOULEVARD PARK E

1340

400

CCN AMERICA LP

dba COORDINATED CARE NETWORK PHARMACY 300 PENN CENTER BLVD STE 405

1697

400

CEDRA PHARMACY INC

3027 3RD AVE

1497

400

CENTER CITY PHARMACY INC

416 CLEMATIS ST

1003

400

CENTRAL ADMIXTURE PHARMACY SERVICES INC

821 N LESSING ST

1786

400

CENTRO PEDIATRIC PHARMACY LLC

dba NRH PHARMACY

7200 GLENVIEW DR STE 1

Zip

City

State Code

Phone

Fax

Type of Pharmacy

Issued

Expires

WESTMONT

IL 60559 877-851-2560 877-851-2573 REMOTE ORDER ENTRY

05/18/2010 06/30/2019

COLUMBIA

MD 21046 443- 510-0587 877-800-4790 MAIL ORDER

05/20/2010 06/30/2019

MADISON

AL 35758 256- 464-9949 256-464-9950 MAIL ORDER

10/31/2013 06/30/2019

MOORETOWN

NJ 08057 888- 974-2763 856-273-3693 COMMUNITY

06/29/2016 06/30/2019

BOULDER PHOENIX

CO 80301 888- 974-2763 303-530-1346 RETAIL

NON-DISPENSING CENTRAL AZ 85040 602- 431-5000 602-431-5001 PROCESSING

06/29/2016 06/30/2019 05/04/2015 06/30/2019

CHANDLER REDLANDS

AZ 85224 480- 899-4488 480-899-4888 NON-DISPENSING SPECIALTY

NON-DISPENSING SPECIALTY CA 92374 909- 796-7171 909-799-6462 PHARMACY

11/24/2015 06/30/2019 03/29/2016 06/30/2019

ORLANDO

FL 32819 407- 845-6800 407-845-6799 NON-DISPENSING MAIL ORDER

06/24/2008 06/30/2019

MT PROSPECT

IL 60056 847- 634-7900 847-634-7832 NON-DISPENSING MAIL ORDER

06/24/2008 06/30/2019

MT PROSPECT

IL 60056 847- 634-7400 877-408-9743 SPECIALTY MAIL ORDER

04/30/2007 06/30/2019

LENEXA

KS 66219 913- 748-3200 800-571-3995 SPECIALTY MAIL ORDER PHARMACY 04/30/2007 06/30/2019

REDLANDS

CA 92374 909- 796-7171 909-799-4060 SPECIALTY MAIL ORDER

04/30/2007 06/30/2019

FLOWER MOUND

TX 75028 214- 607-3934 401-335-7592 MAIL ORDER

01/29/2018 06/30/2019

FAIRFIELD

NJ 07004 973- 461-1550 800-266-1644 SPECIALTY MAIL ORDER

10/22/2010 06/30/2019

SAN ANTONIO

TX 78238 210-706-2200 210-706-2658 MAIL ORDER

06/24/2008 06/30/2019

WILKES-BARRE

PA 18706 570-820-2700 570-820-2504 MAIL ORDER

06/24/2008 06/30/2019

GAITHERSBURG

MD 20878 877- 885-1101 877-885-1103 MAIL ORDER

08/24/2018 06/30/2019

SCHAUMBURG

IL 60173 855- 237-9112 855-237-9113 MAIL ORDER

05/01/2013 06/30/2019

NASHVILLE

TN 37217 615- 645-1892 844-734-6207 RETAIL

05/24/2017 06/30/2019

HURST

TX 76054 817- 282-9376 817-282-1709 COMPOUNDING

08/15/2012 06/30/2019

MOBILE

AL 36609 251- 344-7988 251-343-7682 MAIL ORDER

08/09/2012 06/30/2019

PITTSBURGH

PA 15235 412- 349-6300 412-349-6724 RETAIL

09/23/2014 06/30/2019

BRONX

NY 10455 917- 473-7788 917-473-7789 SPECIALTY

03/15/2017 06/30/2019

WEST PALM BEACH

FL 33401 561- 805-7135 561-805-7138 INDEPENDENT RETAIL

10/06/2015 06/30/2019

CHICAGO

IL 60622 312- 829-1330 312-829-1514 OUT OF STATE INFUSION

06/06/2012 06/30/2019

N RICHLAND HILLS

TX 76180 817- 369-8988 817-369-8991 RETAIL

11/09/2017 06/30/2019

South Dakota Board of Pharmacy Nonresident Pharmacies; Active, in good standing as of October 5, 2018 This document may be used as a Primary Source Verification

License

No

Prefix

Pharmacy Name

1351

400

CGS PHARMACY LLC

1580

400

CHEMISTRY RX

0891

400

CHEWY PHARMACY KY LLC

1664

400

CHI HEALTH SPECIALTY PHARMACY

0499

400

CIVIC CENTER PHARMACY

1854

400

CLERMONT COMMUNITY PHARMACY INC

1578

400

CLINICAL SOLUTIONS LLC

1363

400

COAST QUALITY PHARMACY LLC

1522

400

COAST TO COAST PHARMACY INC

1748

400

COASTLINE PHARMACY

1872

400

CODELL RX LLC

0720

400

COLLEGE PHARMACY INCORPORATED

0773

400

COMMCARE PHARMACY-FTL LLC

0882

400

COMMUNITY HEALTHCARE SERVICES INC

1874

400

COMPOUND CARE PLUS

0005

400

CORAM ALTERNATE SITE SERVICES INC

0013

400

CORAM ALTERNATE SITE SERVICES INC

0125

400

CORAM ALTERNATE SITE SERVICES INC

1568

400

CORAM ALTERNATE SITE SERVICES INC

1574

400

CORAM ALTERNATE SITE SERVICES INC

0787

400

CORPORATE PHARMACY SERVICES INC

0392

400

CORRECT RX PHARMACY SERVICES INC

0133

400

COSTCO WHOLESALE CORPORATION

0812

400

COSTCO WHOLESALE CORPORATION

0829

400

COSTCO WHOLESALE CORPORATION

1791

400

COSTCO WHOLESALE CORPORATION

1480

400

COTTRILL'S PHARMACY INC

Address 2

Address 1

1701 ROCKVILLE PIKE A12

829 SPRUCE ST STE 100

2815 WATTERSON TR

7710 MERCY RD STE 102

7331 E OSBORN DR STE 208

dba CLERMONT COMMUNITY PHARMACY

290 CITRUS TOWER BLVD STE106

416 MARY LINDSAY POLK DR STE 515

dba ANAZAOHEALTH

5710 HOOVER BLVD

dba DIABETIC SUPPORT PHARMACY

3361 FAIRLANE FARMS RD

2107 S US HWY 1

2573 RICHMOND RD STE 300

dba COLLEGE PHARMACY

3505 AUSTIN BLUFFS PKWY STE 101

dba COMMCARE SPECIALTY PHARMACY

855 SW 78TH AVE STE C100

24747 REDLANDS BLVD STE D

dba COMPOUND CARE PLUS LLC

1410 HWY 98 UNIT G

dba CORAM CVS/SPECIALTY INFUSION SERVICES 11111 MILL VALLEY RD

dba CORAM CVS/SPECIALTY INFUSION SERVICES 2345 WATERS DR

dba CORAM CVS/SPECIALTY INFUSION SERVICES 2901 FRONTAGE RD S, 10 HWY EAST

dba CORAM CVS/SPECIALTY INFUSION SERVICES 136 S MCKINLEY ST

dba CORAM CVS/SPECIALTY INFUSION SERVICES 8013 FLINT ST

319 BROAD ST

1352 CHARWOOD RD STE C

dba COSTCO PHARMACY #581

802 134TH ST SW STE 140

dba COSTCO PHARMACY #562/1032

215 DEININGER CR

dba COSTCO PHARMACY #570

215 DEININGER CR STE A

dba COSTCO PHARMACY #583-CENTRAL FILL 802 134TH ST SW STE 140

4919 ELLICOTT RD

Zip

City

State Code

Phone

Fax

Type of Pharmacy

ROCKVILLE

MD 20852 240- 430-2501 240-430-2504 RETAIL

PHILADELPHIA

PA 19107 855- 790-0100 267-861-0862 RETAIL

LOUISVILLE

KY 40299 502- 716-7301 866-253-0274 MAIL ORDER

OMAHA

NE 68124 402- 398-5503 402-398-5506 SPECIALTY/RETAIL

SCOTTSDALE

AZ 85251 480-945-9519 480-275-7812 RETAIL/COMPOUNDING

CLERMONT

FL 34711 888- 416-3775 888-416-4770 LTC

FRANKLIN

TN 37067 877- 826-5488 866-920-1597 CLOSED DOOR

TAMPA

FL 33634 800- 995-4363 800-985-4363 MAIL ORDER/COMPOUNDING

WELLINGTON

FL 33414 561- 472-7088 561-422-2914 RETAIL

JUPITER

FL 33477 866- 758-1957 561-529-3117 RETAIL

LEXINGTON

KY 40509 859- 429-6943 859-201-1439 NONRESIDENT

COLORADO SPRINGS CO 80918 719-262-0022 719-955-1480 RETAIL

PLANTATION

FL 33324 888- 203-7973 888-203-7980 SPECIALTY

LOMA LINDA

CA 92354 877- 616-1247 877-616-2247 RETAIL INDEPENDENT

DAPHNE

AL 36526 866- 832-2263 866-832-2264 RETAIL/MAIL ORDER

OMAHA

NE 68154 402-330-5482 402-330-2697 SPECIALTY INFUSION THERAPY

MENDOTA HEIGHTS MN 55120 651-452-5600 651-452-6273 SPECIALTY INFUSION THERAPY

MOORHEAD

MN 56560 218-233-2210 218-233-8098 SPECIALTY INFUSION THERAPY

CASPER

WY 82601 307- 237-0757 307-237-3213 SPECIALTY INFUSION THERAPY

LENEXA

KS 66214 913- 850-6700 913-495-4383 SPECIALTY INFUSION THERAPY

GADSDEN

AL 35901 256-543-9000 256-543-9005 MAIL ORDER

HANOVER

MD 21076 443- 557-0100 443-557-0333 INSTITUTIONAL/CLOSED DOOR

EVERETT

WA 98204 800-607-6861 800-633-0334 MAIL ORDER

CORONA

CA 92880 951- 493-2357 888-545-4615 CENTRAL FILL / MAIL ORDER

CORONA

CA 92880 866-443-0060 866-443-0066 MAIL ORDER SPECIALTY

EVERETT

WA 98204 425- 835-5833 425-835-5805 CENTRAL FILL DEPOT

ORCHARD PARK

NY 14127 716- 508-8481 716-508-8482 SPECIALTY

Issued

Expires

10/07/2014 06/30/2019

05/09/2016 06/30/2019

10/29/2010 06/30/2019

01/11/2017 06/30/2019

03/17/2005 06/30/2019

05/21/2018 06/30/2019

05/09/2016 06/30/2019

10/22/2014 06/30/2019

12/07/2015 06/30/2019

07/27/2017 06/30/2019

06/28/2018 06/30/2019

12/28/2007 06/30/2019

12/10/2008 06/30/2019

08/20/2010 06/30/2019

03/20/2013 06/30/2019

11/26/1997 06/30/2019

12/09/1997 06/30/2019

09/09/1999 06/30/2019

03/09/2016 06/30/2019

03/29/2016 06/30/2019

02/23/2009 06/30/2019

10/22/2003 06/30/2019

11/09/1999 06/30/2019

07/16/2009 06/30/2019

11/09/2009 06/30/2019

01/10/2018 06/30/2019

07/27/2015 06/30/2019

South Dakota Board of Pharmacy Nonresident Pharmacies; Active, in good standing as of October 5, 2018 This document may be used as a Primary Source Verification

License

No

Prefix

Pharmacy Name

0810

400

COVANCE SPECIALTY PHARMACY LLC

1548

400

CREDENA HEALTH LLC

0698

400

CRESCENT HEALTHCARE INC

1156

400

CRESTVIEW PHARMACY INC

1896

400

CRESTVIEW PHARMACY SERVICES LLC

1893

400

CRX PHARMACY

1498

400

CSR COMPANY INC

1892

400

CTCA RX LLC

1280

400

CURANT HEALTH FLORIDA LLC

1246

400

CURANT HEALTH GEORGIA LLC

1565

400

1019

400

CUSTOM RX LLC

CVS CAREMARK ADVANCED TECHNOLOGY PHARMACY LLC

1151

400

CVS PHARMACY INC

1038

400

CVS RX SERVICES INC

1553

400

CYSTIC FIBROSIS PHARMACY INC

0506

400

CYSTIC FIBROSIS SERVICES LLC

1400

400

CYSTIC FIBROSIS SERVICES LLC

1462

400

CZ SERVICES INC

1725

400

D&D PHARMA LLC

1017

400

DAKOTA PRECISIONRX INC

1890

400

DANIA DISCOUNT DRUG INC

1166

400

DARJEN INC

1457

400

DAVIDSON DISCOUNT PHARMACY INC

0576

400

DAVITA RX LLC

0626

400

DAVITA RX LLC

1483

400

DEERFIELD HEALTHCARE LLC

0567

400

DEGC ENTERPRISES (US) INC

Address 2

Address 1

100 TECHNOLOGY PARK #158

6348 NE HALSEY ST STE A

dba CRESCENT HEALTHCARE

11980 TELEGRAPH RD STE 102

dba CRESTVIEW PHARMACY

1116 N FERDON BLVD

3225 S HARDY DR STE 100

206 W COUNTY LINE RD STE 100

11701 CENTENNIAL RD STE 2 & 3

dba CTCA/Rx

610 CELEBRATE LIFE PKWY

11001 ROOSEVELT BLVD STE 1400

dba CUSTOM RX PHARMACY AND WELLNESS CONCEPTS

200 TECHNOLOGY CT SE STE B 3510 N RIDGE RD STE 900

dba CVS CAREMARK

dba CVS/PHARMACY CENTRAL PHARMACY SERVICES

dba RETAIL PHARMACY CUSTOMER CARE CENTER

1780 WALL ST 25 BLACKSTONE VALLEY PL STE 310 2100 HIGHLAND CORPORATE DR

3901 E COLONIAL DR

dba ALLIANCERX WALGREENS PRIME #16280 10530 JOHN W ELLIOTT DR STE 200

dba ALLIANCERX WALGREENS PRIME #15663 6931 ARLINGTON RD

dba CAREZONE PHARMACY

860 HARBOUR WAY S STE E

dba MEDSCRIPT LONG TERM CARE PHARMACY 14460 GETZ RD STE 200

705 E MAIN AVE STE 200

dba DANIA REXALL PART B SPECIALISTS

16 S FEDERAL HWY

dba ALLMEDRX SPECIALTY PHARMACY

10358 RIVERSIDE DR

dba DAVIDSON PHARMACY INC

203 N SECOND ST

dba DAVITA RX

2252 COMMERCE PARK DR STE 350

dba DAVITA RX

1234 LAKESHORE DR STE 200

dba BLX SPECIALTY PHARMACY

4733 SHAVANO OAK STE 101A

dba CCS MEDICAL

14255 49TH ST N STE 301

Zip

City

State Code

Phone

Fax

Type of Pharmacy

LAKE MARY

FL 32746 866- 842-2147 866-842-1509 MAIL ORDER

PORTLAND

OR 97213 503- 962-1700 503-962-1750 SPECIALTY-CLOSED DOOR

SANTA FE SPRINGS

CA 90670 562- 347-2800 866-872-4844 HOME INFUSION

CRESTVIEW

FL 32536 850- 683-1111 850-683-1753 RETAIL

TEMPE

AZ 85282 480- 485-1366 480-718-7573 CENTRAL PROCESSING

HIGHLANDS RANCH CO 80129 720- 328-5767 720-328-3957 INDEPENDENT RETAIL

LA VISTA

NE 68128 402- 738-4435 888-809-6040 COMMUNITY VET ONLY

NEWNAN

GA 30265 678- 552-2013 678-552-2014 RETAIL / COMMUNITY

ST PETERSBURG

FL 33716 866- 448-8040 866-461-8411 RETAIL

SMYRNA

GA 30082 866- 437-8040 866-437-8411 RETAIL HOME DELIVERY

WICHITA

KS 67205 316- 721-2626 316-721-4823 RETAIL

MT PROSPECT

IL 60056 874- 264-7100 847-264-7300 MAIL ORDER

LINCOLN

RI 02865 401- 770-7361 401-652-1078 CALL CENTER

CUMBERLAND

RI 02864 401- 770-8323 401-287-0314 NON-DISPENSING CALL CENTER

ORLANDO

FL 32803 407- 898-4427 407-897-2108 RETAIL/SPECIALTY

FRISCO

TX 75033 800- 541-4959 866-574-1418 NONRESIDENT

BETHESDA

MD 20814 800- 541-4959 800-263-0251 CALL CENTER

RICHMOND

CA 94804 844- 792-2739 888-960-2661 RETAIL

NOBLESVILLE

IN 46060 800- 947-2711 800-880-0052 LTC

BISMARCK

ND 58501 701- 222-3360 701-222-7506 STERILE COMPOUNDING

DANIA BEACH

PALM BEACH GARDENS

FL 33004 954- 921-4661 954-921-0484 MAIL ORDER/RETAIL FL 33410 561- 557-1645 561-557-1649 COMMUNITY

BOONEVILLE

MS 38829 662- 728-4401 662-728-9553 RETAIL

ORLANDO

FL 32819 407- 587-4800 407-354-1585 RETAIL/COMMUNITY

COPPELL

TX 75019 972- 538-8100 866-627-0791 RETAIL/COMMUNITY

SAN ANTONIO

TX 78249 210- 714-0130 210-634-2818

CLEARWATER

FL 33762 888-308-8882 877-355-9855 MAIL ORDER

Issued

Expires

07/02/2009 06/30/2019

02/09/2016 06/30/2019

09/18/2007 06/30/2019

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