SOUTH DAKOTA BOARD OF PHARMACY NONRESIDENT PHARMACY LICENSES, ACTIVE…doh.sd.gov/documents/boards/pharmacy/nonresident... · 2013-03-19 · SOUTH DAKOTA BOARD OF PHARMACY NONRESIDENT

SOUTH DAKOTA BOARD OF PHARMACY

NONRESIDENT PHARMACY LICENSES, ACTIVE, IN GOOD STANDING AS OF 02/28/2013

Prefix LicenseNo PharmacyName Address1 Address2 City State ZIPCode Phone Fax TypeofPharmacy Issued Expires

400 0919 A & S DRUGS LLC dba A and S Drugs 101 WEST MAIN ST PIPESTONE MN 56164 507-825-3100 507-825-5810 INDEPENDENT RETAIL 05/05/2011 06/30/2013

400 1029 ABC MEDCARE 709 ROBERTSON AVE WORLAND WY 82401 307- 347-5478 307-347-3085

CLOSED PHARMACY FOR

EMPLOYEES OF ADM BEV CORP 10/10/2012 06/30/2013

400 0527 ACCREDO HEALTH GROUP INC 2415 HEINZ RD IOWA CITY IA 52240 319-354-7844 319-354-6808 SPECIALTY 08/18/2005 06/30/2013

400 0529 ACCREDO HEALTH GROUP INC

2915 WATERS RD, SUITE

109 EAGAN MN 55121 651-681-0885 651-681-0977 SPECIALTY 08/18/2005 06/30/2013


1620 CENTURY CENTER

PKWY STE 109 MEMPHIS TN 38134 901-385-3600 901-385-3780 RETAIL 08/18/2005 06/30/2013

400 0532 ACCREDO HEALTH GROUP INC 201 GREAT CIRCLE RD NASHVILLE TN 37228 615-352-2500 800-330-0756 RETAIL 08/18/2005 06/30/2013

400 1052 ACCREDO HEALTH GROUP INC 9307 KIRBY DR HOUSTON TX 77054 800- 878-7690 713-791-9411

RETAIL COMMUNITY/STERILE

COMPOUNDING 12/28/2012 06/30/2013


650 WEST GRAND

AVENUE SUITE 102 ELMHURST IL 60126 800- 753-5554 630-279-8464

RETAIL COMMUNITY / STERILE

COMPOUNDING 01/07/2013 06/30/2013

400 0536 ACCREDO HEALTH GROUP, INC

3000 ERICSSON DR STE

100 WARRENDALE PA 15086 724-772-6000 800-784-0592 SPECIALTY 09/07/2005 06/30/2013

400 0852

ACCURATE Rx PHARMACY CONSULTING

LLC dba ACCURATE Rx PHARMACY

103 CORPORATE LAKE

DR, SUITE B COLUMBIA MO 65203 573-256-4279 573-442-6429 RETAIL 04/20/2010 06/30/2013

400 0748 ADVANCED CARE SCRIPTS, INC

6251 CHANCELLOR DR

STE 101 ORLANDO FL 32809 877-985-6337 866-679-7131 COMMUNITY/SPECIALTY 06/25/2008 06/30/2013

400 0910 ADVANCED PHARMACY LLC 107 KIOWA LANE PIEDMONT SC 29673 877-707-9073 888-901-2030 RETAIL 04/04/2011 06/30/2013

400 1071 ADVANTAGE PHARMACY LLC

2175 BUSINESS CENTER

PARK DR, STE 6 MEMPHIS TN 38134 901- 881-9770 866-488-7820

INTERNET, VETERINARY, MAIL

ORDER, NON-RESIDENT 02/05/2013 06/30/2013

400 1041 AEROFLOW PHARMACY

3165 SWEETEN CREEK

RD, STE 101 ASHEVILLE NC 28803 866- 277-1401 800-249-1513 RETAIL 11/28/2012 06/30/2013

400 0538 AETNA RX HOME DELIVERY LLC

1600 SW 80TH TERRACE,

2ND FLOOR PLANTATION FL 33324 954- 693-2800 877-270-3317 NON RESIDENT MAIL ORDER 09/21/2005 06/30/2013

400 0339 AETNA RX HOME DELIVERY, LLC

10991 NW AIRWORLD

DR KANSAS CITY MO 64153 866-612-3862 816-410-9401 MAIL ORDER 03/05/2003 06/30/2013

400 0564 AETNA SPECIALTY PHARMACY, LLC 503 SUNPORT LANE ORLANDO FL 32809 407-513-6400 866-329-2779 MAIL ORDER 01/31/2006 06/30/2013

400 0591 ALLERGYCHOICES PHARMACY

2800 NATIONAL DRIVE

STE 100 ONALASKA WI 54650 608-793-1580 608-793-1571 RETAIL 05/10/2006 06/30/2013




400 0863 ALLIVET 480 W 83RD STREET dba AGROPEC TRADING HIALEAH FL 33014 305-500-9944 305-500-9955 ANIMAL MAIL ORDER 06/08/2010 06/30/2013

400 0841

ALMAC CLINICAL SERVICES LLC -- SEE

MELANIE FOR RENEWAL 4204 TECHNOLOGY DR DURHAM NC 27704 919-479-8850 919-471-2633 MAIL ORDER 01/27/2010 06/30/2013

400 0609 AMBER PHARMACY 10004 S 152ND ST STE A

AMBER ENTERPRISES

INC OMAHA NE 68138 888-370-1724 402-896-3774 RETAIL 07/21/2006 06/30/2013

400 0557 AMERICAN HOMECARE FEDERATION INC 31 MOODY RD PO BOX 985 ENFIELD CT 06082 860-763-7020 860-763-7022 SPECIALTY PHARMACY 12/27/2005 06/30/2013

400 0692 AMERICAN HOMEPATIENT PHARMACY

9220 PALM RIVER RD

SUITE 105 TAMPA FL 33619 813- 637-2600 866-784-9411 MAIL ORDER 09/14/2007 06/30/2013

400 0464

AMERICAN OUTCOMES MANAGEMENT

LP

5009 S HULEN ST STE

102 FT WORTH TX 76132 817- 361-7699 817-361-9671 HOME INFUSION 09/22/2004 06/30/2013

400 1015 AMERICAN SPECIALTY PHARMACY 2743 W 15TH ST PLANO TX 75075 214- 919-2090 214-919-2091 RETAIL 08/15/2012 06/30/2013

400 0683 AMERICA'S BEST CARE PLUS INC

1825 EVERETT DRIVE

WEST FORT PAYNE AL 35968 256-997-1770 800-638-0294 MAIL ORDER 07/25/2002 06/30/2013

400 1033 AMERICAS COMPOUNDING CENTER 153 CALIFORNIA ST NEWTON MA 02458 617- 527-1563 617-527-1565 RETAIL 10/24/2012 06/30/2013

400 0785 AMERIDOSE, LLC 201 FLANDERS RD WESTBOROUGH MA 01581 888-820-0622 508-898-0943 ADMIXTURE; REPACKAGING 02/23/2009 06/30/2013

400 0786 AMERIDOSE, LLC 205 FLANDERS RD WESTBOROUGH MA 01581 888-820-0622 508-475-0556 ADMIXTURE/REPACKAGING 02/23/2009 06/30/2013

400 0837 AMEX PHARMACY

1515 ELIZABETH ST,

SUITE J PACIFICO NATIONAL INC MELBOURNE FL 32901 800-644-9431 800-592-3303 RETAIL 12/30/2009 06/30/2013

400 0094 ANAZAOHEALTH CORPORATION 5710 HOOVER BLVD TAMPA FL 33634 813-882-4500 813-882-0201 MAIL ORDER 01/19/1999 06/30/2013

400 0681 ANAZAOHEALTH CORPORATION

6630 W ARBY AVE STE

102 LAS VEGAS NV 89118 702-873-8455 702-873-6845 MAIL ORDER 06/03/2007 06/30/2013

400 0840 ANEWrx 523 PARKWAY VIEW DR PITTSBURGH PA 15205 877-788-8908 877-788-8948 MAIL ORDER OCMPOUNDING 01/26/2010 06/30/2012

400 0647 ANIMAL HEALTH INTERNATIONAL INC 1117 WEST MAIN MANCHESTER IA 52057 563- 927-6068 563-927-2605 VETERINARY 02/13/2007 06/30/2013

400 0199 ANIMAL RX PHARMACY 2117 N ELDER ST NAMPA ID 83687 866-426-7415 866-245-3039

VETERINARY MAIL ORDER

PHARMACY 11/06/2000 06/30/2013

400 0744 ANIMAL RX PHARMACY 2450 MIDPOINT DR EDWARDSVILLE KS 66111 913- 422-3921 913-422-3932 VETERINARY MAIL ORDER 05/30/2008 06/30/2013




400 1045 ANIMAL RX PHARMACY 5655 ELEVENTH AVE E SHAKOPEE MN 55379 855- 562-4978 952-607-4889 VETERINARY MAIL ORDER 12/11/2012 06/30/2013

400 0354

APAC CUSTOMER SERVICE INC dba

MEDCO 250 E 90TH ST DAVENPORT IA 52806 563-285-2613 563-285-2655 CUSTOMER SERVICE 05/29/2003 06/30/2013

400 0437 APOTHECARE INC

2929 S WABASH AVE

#101

dba COLUMBIA

PHARMACY INC CHICAGO IL 60616 312-791-3334 312-791-3391 PCP 05/26/2004 06/30/2013

400 0790 APOTHECARY SHOP OF DEER VALLEY 23620 N 20TH DR STE 12 PHOENIX AZ 85085 877-792-7684 866-792-7684 MAIL ORDER 02/26/2009 06/30/2013

400 0711 APOTHECURE INC

4001 MCEWEN ROAD

#100 DALLAS TX 75244 972-960-6601 972-490-7438 CLASS A 11/20/2007 06/30/2013

400 0007

APRIA HEALTHCARE INC dba APRIA

PHARMACY NETWORK

2150 TRABAJO DR,

SUITE A OXNARD CA 93030 805-278-6700 805-278-6722 RETAIL 11/26/1997 06/30/2013

400 0441

APRIA HEALTHCARE INC dba STAR

MEDICAL RX 700 NW ARGOSY PKWY RIVERSIDE MO 64150 816-584-3600 866-739-1839 NON RESIDENT MAIL ORDER 06/15/2004 06/30/2013

400 0102 APRIA PHARMACY NETWORK

780 PRIMOS AVENUE,

SUITE D APRIA HEALTHCARE INC FOLCROFT PA 19032 610-583-7950 800-283-7364 RETAIL 04/01/1999 06/30/2013

400 0571 ARJ INFUSION SERVICES, INC 10049 LAKEVIEW AVE LENEXA KS 66219 913-451-8804 913-451-8914 HOME HEALTH 02/15/2006 06/30/2013

400 0738 ASCEND SPECIALTY Rx 53 DARLING AVE

PORTLAND

PROFESSIONAL

PHARMACY ASSOCIATES SOUTH PORTLAND ME 04106 207-874-6991 207-774-5142 SPECIALTY 04/18/2008 06/30/2013

400 0970 ASL PHARMACY

900 CALLE PLANO, SUITE

M CAMARILLO CA 93012 866- 552-7579 866-442-7579 RETAIL 12/05/2011 06/30/2013

400 0952 ASPIRE RX PHARMACY 949 E 12400 S, SUITE A-6 DRAPER UT 84020 877- 221-3464 866-711-3419 RETAIL 09/28/2011 06/30/2013

400 0951 AXELACARE HEALTH SOLUTIONS, LLC 9730 PFLUMM ROAD LENEXA KS 66215 877- 342-9352 877-542-9352 HOME INFUSION 09/28/2011 06/30/2013

400 0637 AXIUM HEALTHCARE PHARMACY INC

550 TECHNOLOGY PARK

STE 1000 LAKE MARY FL 32746 888-315-3395 888-315-3270

COMMUNITY SPECIAL

COMPOUNDING PHARMACY 12/21/2006 06/30/2013

400 0949

BALANCED SOLUTIONS COMPOUNDING

PHARMACY, LLC

550 TECHNOLOGY PARK,

SUITE 1008 LAKE MARY FL 32746 877- 811-6337 800-910-7195 SPECIALTY COMPOUNDING 09/28/2011 06/30/2013

400 0873 BASIC HOME INFUSION, INC

1401 VALLEY ROAD, 4TH

FLOOR WAYNE NJ 07470 201- 475-0500 201-475-9630 HOME INFUSION PHARMACY 08/13/2010 06/30/2013

400 0799 BAXTER HEALTHCARE CORPORATION

9000 109TH AVENUE

NORTH CHAMPLIN MN 55316 763-323-9666 763-421-2306 NON-TRADITIONAL/SPECIALTY 05/08/2009 06/30/2013

400 1070 BAXTER HEALTHCARE CORPORATION 4225 S 57TH STREET OMAHA NE 68117 402- 970-1438 402-970-1439 CLOSED DOOR PHARMACY 02/05/2013 06/30/2013




400 0792 BCP VETERINARY PHARMACY 1614 WEBSTER ST HOUSTON TX 77003 800-481-1729 713-771-1131 VETERINARY 03/18/2009 06/30/2013

400 1051 BELLA BRANDS LLC

9826 S JORDAN

GATEWAY SANDY UT 84070 855- 289-3552 480-707-4585 MAIL ORDER 12/28/2012 06/30/2013

400 0801 BENECARD CENTRAL FILL 5040 RITTER RD MECHANICSBURG PA 17055 888-907-0090 888-907-0040 MAIL ORDER 05/11/2009 06/30/2013

400 0478 BET PHARM LLC

1501 BULL LEA ROAD,

STE 102B LEXINGTON KY 40511 877-377-2271 859-273-2860 RETAIL COMPOUNDING 11/15/2004 06/30/2013

400 0573 BIOLOGICS INC

120 WESTON OAKS

COURT CARY NC 27513 800-850-4306 800-823-4506 ONCOLOGY MGMT 02/28/2006 06/30/2013

400 0737 BIOMED PHARMACEUTICALS

950 CALCON HOOK RD

STE 15 SHARON HILL PA 19079 610-586-2340 610-586-3320 RETAIL 04/07/2008 06/30/2013

400 0526 BIOPARTNERS IN CARE INC 11411 STRANG LINE RD LENEXA KS 66215 913-451-2919 913-451-2939 SPECIALTY 08/18/2005 06/30/2013

400 0604

BIOPLUS SPECIALTY PHARMACY

SERVICES INC

376 S NORTHLAKE BLVD

STE 1008

ALTAMONTE

SPRINGS FL 32701 407- 830-8820 800-269-5493 SPECIALTY 06/19/2006 06/30/2013

400 0505 BIORX 10828 KENWOOD RD CINCINNATI OH 45242 513-792-7080 513-792-3838 MAIL ORDER/SPECIALTY 03/23/2005 06/30/2013

400 0778 BIORX LLC IOWA 3821 71ST ST STE C URBANDALE IA 50322 515-727-7937 515-727-7938 SPECIALTY 01/23/2009 06/30/2013

400 0936 BIORX, LLC

9045 E PIMA CENTER

PKY SCOTTSDALE AZ 85258 480-745-3200 480-699-5635 SPECIALTY 07/11/2011 06/30/2013

400 0756 BIOSCRIP INFUSION SERVICES

320 SOUTH FLOWER

STREET BURBANK CA 91505 818-830-5335 800-584-0635 RETAIL/ INFUSION 07/29/2008 06/30/2013

400 0295 BIOSCRIP INFUSION SERVICES, LLC

102 THE AMERICAN

ROAD MORRIS PLAINS NJ 07950 973-597-0444 973-867-2301 INFUSION 06/04/2002 06/30/2013

400 0033 BIOSCRIP PHARMACY SERVICES, INC 2787 CHARTER ST COLUMBUS OH 43228 614-850-6700 614-850-6950 MAIL ORDER 01/07/1998 06/30/2013

400 0876 BOND PHARMACY INC 132 FAIRMONT ST STE B

dba ADVANCED

INFUSION SOLUTIONS CLINTON MS 39056 877-443-4006 888-298-2220 HOME INFUSION 08/13/2010 06/30/2013

400 0856 BOSWELL PHARMACY SERVICES LLC PO BOX 266 131 SCHOOLHOUSE RD JENNERSTOWN PA 15547 814-629-1397 814-629-7644 MAIL ORDER 05/06/2010 06/30/2013

400 1020 BRIGHTON PHARMACY

1403 W 10TH PLACE, ST

119 TEMPE AZ 85281 866- 226-0057 888-789-4573 RETAIL OUT OF STATE 09/05/2012 06/30/2013

400 0971 BRIGHTSKY

23247 PINEWOOD ST;

SUITE 100 WARREN MI 48091 866- 576-5040 866-395-6427 COMMUNITY 12/05/2011 06/30/2013




400 1072 BRYCE RX LABORATORIES

30 BUXTON FARMS RD

SUITE 110 STAMFORD CT 06905 203- 359-6323 203-359-6448 COMPOUNDING PHARMACY 02/11/2013 06/30/2013

400 0597

BURNHAM-MCKINNEY PHARMACY #3,

LLC 2525 HWY 90, STE 7 GAUTIER MS 39553 866-614-1650 228-497-4490 INDEPENDENT 05/10/2006 06/30/2013

400 0947 BUTLER ANIMAL HEALTH SUPPLY, LLC

5200 ANTHONY ROAD,

SUITE C

dba BUTLER SCHEIN

ANIMAL HEALTH SUPPLY SANDSTON VA 23150 866- 345-5338 804-743-5509 ONLINE VETERINARIAN 09/28/2011 06/30/2013

400 1059 BYRAM HEALTHCARE CENTERS INC 5302 RANCHO ROAD

HUNTINGTON

BEACH CA 92647 714- 799-1222 714-890-3810 CLOSED-DOOR RETAIL 01/15/2013 06/30/2013

400 0893 CALIFORNIA PET PHARMACY 3250 ARDEN RD HAYWARD CA 94545 877- 554-4797 877-554-4795 RETAIL 11/15/2010 06/30/2013

400 0824

CALIFORNIA PHARMACY &

COMPOUNDING CENTER

4000 BIRCH STREET, STE

120 NEWPORT BEACH CA 92660 949-642-8057 949-642-0725 RETAIL COMPOUNDING 10/29/2009 06/30/2013

400 1044 CALIFORNIA SPECIALTY PHARMACY

12466 E WASHINGTON

BLVD WHITTIER CA 90602 877- 602-7779 866-853-6555

RETAIL/COMPOUNDING/SPECIAL

TY 12/06/2012 06/30/2013

400 0472 CARDINAL HEALTH

1933 WEST COUNTY

ROAD C2 ROSEVILLE MN 55113 651- 363-3177 651-636-4386 NUCLEAR 11/02/2004 06/30/2013

400 1002 CARDINAL HEALTH

1610 30TH AVENE

SOUTH MOORHEAD MN 56560 218- 233-2294 218-236-1468 NUCLEAR 05/23/2012 06/30/2013

400 0333 CARDINAL HEALTH 414 LLC 5840 F STREET OMAHA NE 68117 402-734-8045 402-553-8517 NUCLEAR 02/07/2003 06/30/2013

400 1048 CARDINAL HEALTH 414 LLC 10400 E 48TH AVENUE DENVER CO 80238 303- 373-0579 720-374-7354 NUCLEAR 12/21/2012 06/30/2013

400 0861

CARDINAL HEALTH PHARMACY

SERVICES, LLC

770 PASQUINELLI DR

STE 418 WESTMONT IL 60559 877-851-2560 877-851-2573

REMOTE ORDER ENTRY -

HOSPITAL 05/18/2010 06/30/2013

400 0944

CARDINAL HEALTH PHARMACY

SERVICES, LLC

184 TECHNOLOGY DRIVE

SUITE 100 IRVINE CA 92618 949- 727-7480 949-453-8690 REMOTE ORDER ENTRY 09/06/2011 06/30/2013

400 0729 CARE PLUS CVS/PHARMACY #2831

1926 W HARRISON

STREET

PROCARE PHARMACY

LLC CHICAGO IL 60612 800-890-1865 800-257-1304 MAIL ORDER 02/15/2008 06/30/2013

400 0669

CAREMARK KANSAS SPECIALTY

PHARMACY LLC 11162 RENNER BLVD dba CVS CAREMARK LENEXA KS 66219 800-360-0520 800-571-3995 SPECIALTY PHARMACY 04/30/2007 06/30/2013

400 0889

CAREMARK NEW JERSEY SPECIALTY

PHARMACY LLC dba CVS CAREMARK 180 PASSAIC AVE FAIRFIELD NJ 07004 800- 447-4791 800-266-1644 MAIL ORDER 10/22/2010 06/30/2013

400 0668 CAREMARK THERAPEUTICS SERVICES

1127 BRYN MAWR

AVENUE, SUITE A REDLANDS CA 92374 909-799-4200 909-799-6462 SPECIALTY PHARMACY 04/30/2007 06/30/2013

400 0815 CAREPLUS CVS/PHARMACY #2751

426 S HENDERSON

STREET

PROCARE PHARMACY

LLC FORT WORTH TX 76104 866-566-1548 866-320-8853 MAIL ORDER 07/16/2009 06/30/2013





8607 SANTA MONICA

BLVD

PROCARE PHARMACY

LLC WEST HOLLYWOOD CA 90069 800- 300-1199 800-824-5170 MAIL ORDER 07/16/2009 06/30/2013

400 0814 CAREPLUS CVS/PHARMACY #2924 218 20TH AVE NORTH

PROCARE PHARMACY

LLC NASHVILLE TN 37203 800-351-7696 800-765-0844 MAIL ORDER 07/16/2009 06/30/2013


1002 EAST MCDOWELL

ROAD

PROCARE PHARMACY

LLC PHOENIX AZ 85006 800-351-5552 800-258-9185 MAIL ORDER 07/16/2009 06/30/2013

400 1014 CARIE BOYD'S PRESCRIPTION SHOP 122 GRAPEVINE HWY HURST TX 76054 817- 282-9376 817-282-1709 INDEPENDENT/COMPOUNDING 08/15/2012 06/30/2013

400 1013 CARLISLE MEDICAL INC 509 BOULEVARD PARK E MOBILE AL 36609 351- 344-7988 251-343-5587 MAIL ORDER 08/09/2012 06/30/2013

400 0896 CATAMARAN HOME DELIVERY

6225 ANNIE OAKLEY DR

STE 400 LAS VEGAS NV 89120 877-524-8952 702-436-8452 NON RESIDENT MAIL ORDER 12/28/2010 06/30/2013

400 0897 CATAMARAN HOME DELIVERY 255 PHILLIPI RD STE 400 COLUMBUS OH 43228 800-225-9178 614-278-5548 MAIL ORDER 01/05/2011 06/30/2013

400 0372

CATAMARAN HOME DELIVERY OF

FLORIDA INC

9994 PREMIERE

PARKWAY MIRIMAR FL 33025 800-251-3883 954-443-9654 MAIL ORDER 08/15/2003 06/30/2013

400 0567 CCS MEDICAL

14255 49th STREET N

STE 301

DEGC ENTERPRISES (US)

INC CLEARWATER FL 33762 888-308-8882 877-355-9855 MAIL ORDER 02/14/2006 06/30/2013

400 0568 CCS MEDICAL

3601 THIRLANE RD NW

STE 4

DEGC ENTERPRISES (US)

INC ROANOKE VA 24019 866-359-9641 800-248-9505 MAIL ORDER 02/14/2006 06/30/2013

400 0899 CDF Rx

6900 N DALLAS PKWY

STE 125 PLANO TX 75024 972- 608-7156 214-570-3659 SPECIALTY MAIL ORDER 01/05/2011 06/30/2013

400 0807 CENTER PET PHARMACY 7616 STANDISH PLACE ROCKVILLE MD 20855 301- 806-8634 202-363-4312 RETAIL 07/02/2009 06/30/2013

400 1003

CENTRAL ADMIXTURE PHARMACY

SERVICES, INC 821 N LESSING ST CHICAGO IL 60622 312- 829-1330 312-829-1356 OUT OF STATE INFUSION 06/06/2012 06/30/2013

400 0572 CENTRIC HEALTH RESOURCES INC

17877 CHESTERFIELD

AIRPORT RD CHESTERFIELD MO 63005 636-519-2400 866-862-8818 PPP 02/28/2006 06/30/2013

400 0955

CHRONISCRIPT, A WALGREENS

PHARMACY

1250 NW 7TH STREET,

SUITE 205 MIAMI FL 33125 305- 547-4790 RETAIL 09/29/2011 06/30/2013

400 0149 CIGNA HOME DELIVERY PHARMACY 206 WELSH ROAD HORSHAM PA

19044-

2297 215-706-5100 215-706-5101 HOME DELIVERY/MAIL ORDER 02/01/2000 06/30/2013

400 0499 CIVIC CENTER PHARMACY

7331 E OSBORN DR STE

208 SCOTTSDALE AZ 85251 480-945-9519 480-945-9854 RETAIL/COMPOUNDING 03/17/2005 06/30/2013

400 1061 COLBERT PHARMACY

400 S MONTGOMERY

AVE SUITE 108

dba MYHAN ENTERPRISE

INC SHEFFIELD AL 35660 256- 389-9900 256-389-9096

MAIL-ORDER, INDEPENDENT,

COMPOUNDING 01/22/2013 06/30/2013




400 0720 COLLEGE PHARMACY

3505 AUSTIN BLUFFS

PKWY STE 101 COLORADO SPRINGS CO 80918 719-262-0022 719-262-0035 RETAIL/COMPOUNDING 12/28/2007 06/30/2013

400 0773 COMMCARE PHARMACY-FTL

2817 EAST OAKLAND

PARK BLVD STE 303 FORT LAUDERDALE FL 33306 888-203-7973 888-203-7980 SPECIALTY 12/10/2008 06/30/2013

400 0882

COMMUNITY HEALTHCARE SERVICES,

INC

24747 REDLANDS BLVD,

STE D LOMA LINDA CA 92354 877-616-1247 909-796-7942 SPECIALTY 08/20/2010 06/30/2013

400 0761

COMMUNITY, A WALGREENS

PHARMACY

2100 LYNDALE AVENUE

SOUTH, SUITE A MINNEAPOLIS MN 55405 612-872-7808 612-874-1084 MAIL ORDER 09/04/2008 06/30/2013

400 0937

COMPOUND PHARMACEUTICAL

TECHNOLOGIES, INC

1048 STANTON RD,

SUITE B DAPHNE AL 36526- 866- 591-6337 866-684-6337 COMPOUNDING 07/14/2011 06/30/2013

400 0783 CONTRACT PHARMACY SERVICES

4465 NORTHPARK DR

STE 303 COLORADO SPRINGS CO 80907 719-471-7810 719-471-7804

SPECIALY/CLOSED

DOOR/COMPOUNDING/IV/ALF 02/02/2009 06/30/2013

400 0013 CORAM ALTERNATE SITE SERVICES INC 2345 WATERS DR

dba CORAM SPECIALTY

INFUSION SVCS, an

APRIA HEALTHCARE CO MENDOTA HEIGHTS MN

55120-

1163 651-452-5600 651-452-6273 SPECIALTY INFUSION 12/09/1997 06/30/2013

400 0005

CORAM ALTERNATE SITE SERVICES, INC

dba CORAM SPECIALTY INFUSION SVCS

11111 MILL VALLEY

ROAD

an APRIA HEALTHCARE

COMPANY OMAHA NE 68154 402-330-5482 402-330-8896 SPECIALTY INFUSION THERAPY 11/26/1997 06/30/2013

400 0125

CORAM SPECIALTY INFUSION SERVICES

an APRIA HEALTHCARE CO

2901 FRONTAGE ROAD

S, 10 HWY EAST STE 7

CORAM ALTHERNATE

SITE SERVICES INC MOORHEAD MN

56560-

2572 218-233-2210 218-233-8098 SPECIALTY INFUSION THERAPY 09/09/1999 06/30/2013

400 0575 CORAMRx, LLC 4 SPRING MILL DR MALVERN PA 19355 484-615-1000 877-513-7847 SPECIALTY INFUSION THERAPY 03/03/2006 06/30/2013

400 0787 CORPORATE PHARMACY SERVICES INC 319 BROAD ST GADSDEN AL 35901 256-543-9000 256-543-9005 MAIL ORDER 02/23/2009 06/30/2013

400 0392 CORRECT RX PHARMACY SERVICES INC

803 A BARKWOOD

COURT LINTHICUM MD 21090 800-636-0501 800-636-9752 INSTITUTIONAL/CLOSED DOOR 10/22/2003 06/30/2013

400 0812 COSTCO PHARMACY #1032 / #562 215 DEININGER CIRCLE

COSTCO WHOLESALE

CORPORATION CORONA CA 92880 800-607-6861 888-545-4615 CENTRAL FILL / MAIL ORDER 07/16/2009 06/30/2013

400 0829 COSTCO PHARMACY #570

215 DEININGER CIRCLE

STE A

COSTCO WHOLESALE

CORPORATION CORONA CA 92880 866-443-0060 877-445-1415

MAIL ORDER SPECIALTY

PHARMACY 11/09/2009 06/30/2013

400 0133 COSTCO PHARMACY #581

802 134TH ST SW, BLDG

C, SUITE 140

COSTCO WHOLESALE

CORPORATION EVERETT WA 98204 800-607-6861 800-633-0334 MAIL ORDER/INTERNET 11/09/1999 06/30/2013

400 0810 COVANCE SPECIALTY PHARMACY, LLC

500 EAGLES LANDING

DR STE A LAKELAND FL 33810 866-842-2147 866-842-1509 MAIL ORDER 07/02/2009 06/30/2013

400 0698 CRESCENT HEALTHCARE INC

11980 TELEGRAPH RD

#102 SANTA FE SPRINGS CA 90670 877- 872-4844 866-872-4844 HOME INFUSION 09/18/2007 06/30/2013

400 0885

CURASCRIPT INC dba CURASCRIPT SP

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400 0652 CURASCRIPT SP SPECIALTY PHARMACY

2 BOULDEN CIRCLE, STE

1 CURASCRIPT INC NEW CASTLE DE 19720 866-848-9870 302-395-8944 MAIL ORDER 03/08/2007 06/30/2013

400 0440 CURASCRIPT, INC

6272 LEE VISTA BLVD

STE 100

dba CURASCRIPT SP

SPECIALTY PHARMACY ORLANDO FL 32822 407-852-4903 407-852-4926 MAIL ORDER 06/11/2004 06/30/2013

400 0845 CUSTOM COMPOUNDING CENTERS, LLC 10525 HUMBOLT ST LOS ALAMITOS CA 90720 714-894-2120 714-894-2150 RETAIL 03/09/2010 06/30/2013

400 0931 CUSTOM PHARMACY SOLUTIONS 2637 VALLEYDALE ROAD BIRMINGHAM AL 35244 205-988-3383 205-988-3553 RETAIL 06/03/2011 06/30/2013

400 0271 CUSTOM SCRIPTS PHARMACY

27732 CASHFORD

CIRCLE WESLEY CHAPEL FL 33544 800- 226-7094 813-876-9095 MAIL ORDER 01/22/2002 06/30/2013

400 0661 CVS CAREMARK

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PKWY

CAREMARK TEXAS MAIL

PHARMACY LLC SAN ANTONIO TX 78238 210-706-2200 480-862-1388 MAIL ORDER 06/24/2008 06/30/2013


ONE GREAT VALLEY

BLVD

CAREMARK PCS

PENNSYLVANIA MAIL

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400 0665 CVS CAREMARK 15800 SW 25TH ST

CAREMARK FLORIDA

MAIL PHARMACY LLC MIRAMAR FL 33027 954-364-9000 480-862-1388 MAIL ORDER 06/24/2008 06/30/2013

400 0670 CVS CAREMARK 800 BIERMANN CT STE B

CAREMARK ILLINOIS

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800 BIERMANN CT,

SUITE A

CAREMARK ILLINOIS

MAIL PHARMACY LLC MOUNT PROSPECT IL 60056 847-634-7900 847-634-7832 MAIL ORDER 06/24/2008 06/30/2013

400 0749 CVS CAREMARK #2921 105 MALL BLVD

PROCARE PHARMACY

DIRECT LLC MONROEVILLE PA 15146 412-824-2487 480-862-1388 SPECIALY MAIL SERVICE 07/08/2008 06/30/2013

400 1019

CVS CAREMARK ADVANCED

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400 0234 CVS PHARMACY #6570

2800 ENTERPRISE SUITE

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400 1038 CVS RX SERVICES INC

2100 HIGHLAND

CORPORATE PARK

DRIVE

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CENTER CUMBERLAND RI 02864 866- 908-2343

NONRESIDENT MAIL ORDER CALL

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7472 S TUCSON WAY,

SUITE 100D CENTENNIAL CO

80112-

3964 800-541-4959 800-233-3504 MAIL ORDER 06/29/2000 06/30/2013

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78214-

2707 800-541-4959 866-574-1418 MAIL ORDER 03/23/2005 06/30/2013

400 1017 DAKOTA PRECISIONRX, INC

705 E MAIN AVE, SUITE

200 BISMARCK ND 58501 701- 222-3360 701-222-7506 STERILE COMPOUNDING 09/05/2012 06/30/2013

400 0576 DAVITA RX, LLC

2616 COMMERCE PARK

DRIVE, #500 ORLANDO FL 32819 407-264-5100 407-264-5123 RETAIL 03/03/2006 06/30/2013




400 0626 DAVITA RX, LLC

1234 LAKESHORE DRIVE

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400 0346 dba NATIONSHEALTH

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UNITED STATES

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GROUP LLC WESTON FL 33331 800-246-1169 800-296-1836 MAIL ORDER 04/23/2003 06/30/2013

400 0679 dba ONCOMED PHARMACEUTICAL

225 COMMUNITY DR

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400 0481 dba POSTAL PRESCRIPTION SERVICES 3500 SE 26TH AVE HEALTHY OPTIONS INC PORTLAND OR

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2900 503-797-2110 503-797-2150 MAIL ORDER 11/22/2004 06/30/2013

400 0794 DCRX INFUSION 5371 HIATUS RD DIABETIC CARE RX LLC SUNRISE FL 33351 954-473-4717 954-473-9519

STERILE

PARENTERAL/COMMUNITY 03/26/2009 06/30/2013

400 0685 DEPOT DRUG 1040 N 2200 W STE 200 SALT LAKE CITY UT 84116 800- 547-0421 801-595-4440 MAIL ORDER 04/25/2007 06/30/2013

400 0997 DERMATRAN HEALTH SOLUTIONS 85 TECHNOLOGY PKWY ROME GA 30165 855- 782-4846 855-782-4800 LLC 04/27/2012 06/30/2013

400 1010 DERMATRAN HEALTH SOLUTIONS

2700 STANLEY GAULT

PKWY, STE 103 LOUISVILLE KY 40223 855- 675-5240 855-675-5242 COMMUNITY 07/12/2012 06/30/2013

400 1025 DIABETIC CARE RX LLC 5371 HIATUS ROAD dba DCRX INFUSION SUNRISE FL 33351 954- 473-4717 954-473-9519 STERILE COMPOUNDING/RETAIL 10/05/2012 06/30/2013

400 0974 DIABETIC CARE RX-dba DCRX INFUSION 37-15 23RD AVENUE ASTORIA NY 11105 718- 777-0896 718-777-0897 INFUSION 12/21/2011 06/30/2013

400 0425 DIAMOND PHARMACY SERVICES 645 KOLTER DR INDIANA PA

15701-

3570 724-349-1111 724-349-2604 MAIL ORDER 05/04/2011 06/30/2013

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400 0941 DIPLOMAT PHARMACY SERVICES 325 W ATHERON ROAD FLINT MI 48507 855- 695-4748 866-410-3762 RETAIL 08/18/2011 06/30/2013

400 0726 DIPLOMAT SPECIALTY PHARMACY

4100 S SAGINAW ST STE

D FLINT MI 48507 877-977-9118 866-410-3762 MAIL ORDER 02/06/2008 06/30/2013

400 0902 DIPLOMAT SPECIALTY PHARMACY 1370 BUSCH PARKWAY BUFFALO GROVE IL 60089 847-229-4141 866-700-6500

SPECIALTY

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400 0909 DIPLOMAT SPECIALTY PHARMACY 3320 BEECHER RD FLINT MI 48532 810-732-8720 810-732-2580 RETAIL/MAIL ORDER 04/04/2011 06/30/2013

400 0169 DIRECT MEDS INC 345 GRAND AVE LEONIA NJ 07605 800-216-0421 201-585-2119 RETAIL 06/01/2000 06/30/2013

400 0978 DIRECT PHARMACY SOURCE, INC 4574 N HIATUS RD SUNRISE FL 33351 954- 233-0100 888-879-7488 RETAIL 01/10/2012 06/30/2013




400 0968 DIRECT SUCCESS PHARMACY DEPT 1710 HIGHWAY 34 FARMINGDALE NJ 07727 877- 404-3338 732-280-1350 MAIL ORDER 11/28/2011 06/30/2013

400 0805 DRG PHARMACY LLC 248 EAST SCOTT STREET

dba HUENEME FAMILY

PHARMACY PORT HUENEME CA 93041 805-488-8200 805-488-8211 RETAIL/SPECIALTY PHARMACY 02/20/2013 06/30/2013

400 0343 DRS FOSTER & SMITH PHARMACY 2253 AIR PARK ROAD RHINELANDER WI 54501 800-447-3021 800-447-2404

MAIL ORDER/INTERNET

VETERINARY PRODUCTS 04/03/2003 06/30/2013

400 1026 DRUG DEPOT INC 34911 US HWY 19N dba APS PHARMACY PALM HARBOR FL 34684 727- 547-2654 727-541-6444 SPECIALTY COMPOUNDING 10/05/2012 06/30/2013

400 0146 DRUG PLACE INC

2201 W SAMPLE RD,

BLDG 9, STE 3A POMPANO BEACH FL 33073 800- 602-4017 800-602-4018 COMMUNITY/RETAIL 06/22/2000 06/30/2013

400 0062 DRUGSOURCE, INC 2020 LUNT AVE ELK GROVE VILLAGE IL 60007 847-258-1920 847-258-1913 MAIL ORDER/INTERNET 04/20/1998 06/30/2013

400 0484 DS PHARMACY INC 407A HERON DR SWEDESBORO NJ 08085 856-241-5212 856-241-5574 MAIL ORDER 12/16/2004 06/30/2013

400 1054 EAGLE PHARMACY LLC

500 EAGLE LANDING

DRIVE SUITE C LAKELAND FL 33810 855- 748-2663 877-283-9171 COMMUNITY 01/07/2013 06/30/2013

400 0874 EASY SCRIPTS INC

2307 S MOUNT

PROSPECT RD DES PLAINES IL 60018 847- 768-1385 847-768-1386 MAIL ORDER 08/13/2010 06/30/2013

400 0972 ENCLARA HEALTH 1480 IMPERIAL WAY WEST DEPTFORD NJ 08066 856- 879-2600 609-784-7951

HOSPICE MAIL ORDER

PHARMACY 12/08/2011 06/30/2013

400 0342

ESI MAIL PHARMACY SERVICE dba

EXPRESS SCRIPTS 7909 S HARDY, STE 106 TEMPE AZ 85284 480-403-3600 480-281-8932 MAIL ORDER 03/19/2003 06/30/2013

400 0833 ESI MAIL PHARMACY SERVICE INC

4610 E COTTON CTR

BLVD STE 105 dba EXPRESS SCRIPTS PHOENIX AZ 85040 800- 355-1171 877-512-5977 MAIL ORDER PHARMACY 11/19/2009 06/30/2013

400 0175

ESI MAIL PHARMACY SERVICE INC dba

EXPRESS SCRIPTS 4600 N HANLEY RD ST LOUIS MO 63134 800-451-6245 800-522-5718 MAIL ORDER 06/29/2000 06/30/2013

400 0178

ESI MAIL PHARMACY SERVICE INC dba

EXPRESS SCRIPTS 3684 MARSHALL LANE BENSALEM PA

19020-

5914 800- 304-5060 215-633-5621 MAIL ORDER 06/29/2000 06/30/2013

400 0485 ESSENTIAL PHARMACY COMPOUNDING 620 NORTH 114TH ST OMAHA NE 68154 402-408-0015 402-408-0020 RETAIL/COMPOUNDING 12/22/2004 06/30/2013

400 0954 EVEREST PHARMACY 588 WEST 8360 SOUTH SANDY UT 84070 877- 217-3768 888-520-8838 RETAIL 09/29/2011 06/30/2013

400 0691 EXACTUS PHARMACY SOLUTIONS INC 4110 GEORGE ROAD

f/k/a WELLCARE

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400 0539 EXCELLERX INC

2525 HORIZON LAKE DR

STE 101 MEMPHIS TN 38133 901-248-3700 901-384-8002 MAIL ORDER 09/21/2005 06/30/2013




400 0865 EXCELLERx INC

1601 CHERRY ST, SUITE

1700 PHILADELPHIA PA 19102 877-882-7822 215-282-1587 CLOSED DOOR CALL CENTER 06/08/2010 06/30/2013

400 1030 EXPRESS PLUS PHARMACY LLC 6692 STIRLING ROAD DAVIE FL 33024 888- 817-1485 954-416-6132 MAIL ORDER 10/17/2012 06/30/2013

400 0201

EXPRESS SCRIPTS SPECIALTY

DISTRIBUTION SERVICES INC

8931 SPRINGDALE AVE,

SUITE A ST LOUIS MO 63134 314-919-4677 314-918-6908 NON RESIDENT MAIL ORDER 11/14/2000 06/30/2013

400 0843

FACTOR SUPPORT NETWORK

PHARMACY INC

900 AVENIDA ACASO,

SUITE A CAMARILLO CA

93012-

8749 805-388-9336 805-482-6324 RETAIL 02/04/2010 06/30/2013

400 0470 FAIRVIEW HOME INFUSION 711B KASOTA AVE SE MINNEAPOLIS MN 55414 612-672-2233 612-672-2234 RETAIL/INFUSION 10/28/2004 06/30/2013

400 0611

FAIRVIEW SPECIALTY SERVICES

PHARMACY 711 KASOTA AVE SE MINNEAPOLIS MN 55414 612-672-5260 612-672-5262 RETAIL/MAIL ORDER 08/08/2006 06/30/2013

400 1049 FALCON COMPOUNDING

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NW STE 121

dba ST PETER

PHARMACY LLC NEW BRIGHTON MN 55112 800- 603-8196 855-887-4478 COMPOUNDING - MAIL ORDER 12/21/2012 06/30/2013

400 1053 FALLON WELLNESS PHARMACY LLC

1057 TROY

SCHENECTADY RD LATHAM NY 12110 518- 220-2005 518-220-5004 RETAIL, COMPOUNDING 01/02/2013 06/30/2013

400 0763 FARMVET.COM 1254 OLD HILLBORO RD FRANKLIN TN 37069 615-277-5602 615-574-6057 VETERINARY 09/04/2008 06/30/2013

400 1000

FFP ACQUISITION II, LLC dba MEDEX

BIOCARE

8024 STAGE HILLS BLVD,

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400 0946 FH INVESTMENTS

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dba INVERNESS

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RETAIL/MAIL ORDER (NON-

INTERNET) 09/09/2011 06/30/2013

400 0308 FIRST CALL PHARMACY 1500 VETERANS BLVD KENNER LA 70062 800-877-5705 866-581-7143 HOME CARE/MAIL ORDER 08/21/2002 06/30/2013

400 0554 FISHER BIOSERVICES INC 14665 ROTHGEB DRIVE ROCKVILLE MD 20850 301-315-8426 301-294-4795 MAIL ORDER/SPECIALTY 12/15/2005 06/30/2013

400 0331 FOCUS EXPRESS MAIL PHARMACY INC

1250 EASTON RD, STE S-

101 HORSHAM PA 19044 866-403-6287 866-413-6287 MAIL ORDER RETAIL 02/04/2003 06/30/2013

400 1028

FOOTHILLS PROFESSIONAL PHARMACY

LTD

4545 E CHANDLER BLVD,

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400 0582 FOUNDATION CARE

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400 0917 FRANKLIN PHARMACY LLC 361 MUSTANG DR RUSSELVILLE AL 35654 256-398-8501 256-332-0488 RETAIL 04/04/2011 06/30/2013

400 1075

FRESENIUS MEDICAL CARE PHARMACY

SERVICES INC

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SUITE 2 ST PETERSBURG FL 33716 877- 801-8780 727-568-0514 COMMUNITY AND MAIL SERVICE 02/26/2013 06/30/2013




400 0803 FRESENIUS MEDICAL CARE RX

220 ATHENS WAY SUITE

150 NASHVILLE TN 37228 800-947-3131 800-952-4488 RETAIL 06/04/2009 06/30/2013

400 0330 FRESENIUS USA MANUFACTURING INC 2865 DAVE LYLE BLVD

dba FRESENIUS

MEDICAL CARE NORTH

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400 0428 FRESENIUS USA MANUFACTURING INC 5300 95TH AVE

dba FRESENIUS

MEDICAL CARE NORTH

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400 0640 FRESENIUS USA MANUFACTURING INC

375 NORTH DEPOT

DRIVE

dba FRESENIUS

MEDICAL CARE NORTH

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400 0950 FRESENIUS USA MANUFACTURING, INC

549 SAND SAGE ROAD

NW

dba FRESENIUS

MEDICAL CARE NORTH

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400 0645 GENOA HEALTHCARE LLC

4508 AUBURN WAY

NORTH STE A-104 AUBURN WA 98002 253- 373-9944 253-373-9946

LTC FOR MENTAL HEALTH

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400 1057 GOODLIFE PHARMACY INC

8903 GLADES ROAD

SUITE G13 BOCA RATON FL 33434 561- 999-8855 561-948-0860 MAIL ORDER PHARMACY 01/10/2013 06/30/2013

400 0923 GREEN VALLEY DRUGS

1850 WHITNEY MESA

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400 0751 GREER PHARMACY 639 NUWAY CIR LENOIR NC 28645 800-378-3906 828-759-8929

MAIL ORDER/STERILE

COMPOUNDING 07/15/2008 06/30/2013

400 0911 GRIFF'S COMPOUNDING CENTER 3210 AVENUE B STE A SCOTTSBLUFF NE 69361 308-635-9800 308-635-9899 COMPOUNDING 04/04/2011 06/30/2013

400 1060 H2Rx

98 N MAIN STREET STE

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400 0574 HAGYARD PHARMACY LLC 4250 IRON WORKS PIKE

dba HDM PHARMACY

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400 0945 HARTLEY MEDICAL CENTER PHARMACY

113 W VICTORIA

STREEET LONG BEACH CA 90805 562- 595-7548 562-595-9855 RETAIL/STERILE COMPOUNDING 09/06/2011 06/30/2013

400 0707

HEALTHPARTNERS REFILL CENTER

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400 0753 HEALTHWAREHOUSE.COM 7107 INDUSTRIAL ROAD FLORENCE KY 41042 800- 748-7001 888-870-2808 MAIL ORDER 07/15/2008 06/30/2013

400 1016 HEARTLAND HOME INFUSIONS

901 MCCLINTOCK DR,

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dba HHI INFUSION

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400 0860 HEARTLAND VETERINARY PHARMACY 401 W 33RD ST HASTINGS NE 68901 800-934-9398 402-463-2115 ON LINE RETAIL 05/18/2010 06/30/2013

400 0961 HELLERTOWN PHARMACY 11 MAIN STREET HELLERTOWN PA 18055 610- 838-3555 610-838-3550 INDEPENDENT 11/08/2011 06/30/2013




400 0757 HOME CARE SOLUTIONS INC

630 WYMORE RD STE

370 MAITLAND FL 32751 888- 273-9820 877-644-3895 HOME CARE SPECIALTY 07/29/2008 06/30/2013

400 0615 HOME HEALTHCARE RESOURCES, INC 800 CLARMONT AVE BENSALEM PA 19020 215-245-1888 215-245-7333 SPECIALTY 08/16/2006 06/30/2013

400 0675 HOMEMED PHARMACY

6210 TECHNOLOGY

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400 0994 HOMETECH ADVANCED THERAPIES, INC 505 ELMWOOD AVENUE SHARON HILL PA 19079 484- 494-3121 484-494-3506 RETAIL 04/23/2012 06/30/2013

400 0903 HOMETECH THERAPIES INC

3200 CONCORD RD,

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400 0239 HOPEWELL PHARMACY 1 WEST BROAD ST HOPEWELL NJ 08525 609-466-1960 609-466-8222 COMPOUNDING 08/08/2001 06/30/2013

400 0868 HORSEPHARM, LLC 140 VENTURE CT STE 1 LEXINGTON KY 40511 877-256-2339 859-253-9669 EQUINE MAIL ORDER 06/25/2010 06/30/2013

400 0555 HOSPICE PHARMACIA 512 ELMWOOD AVENUE EXCELLERX PA SHARON HILL PA 19079 484-953-1803 484-953-1822 MAIL ORDER/HOSPICE 12/15/2005 06/30/2013

400 0469 HOTZE PHARMACY, LP

20214 BRAIDWOOD DR

STE 140

PREMIER PHARMACY

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400 0804 HPC, LLC

63 S ROYAL STREET

SUITE 710 MOBILE AL 36602 251- 441-1990 251-441-1986 SPECIALTY 06/04/2009 06/30/2013

400 0590 HUMANA PHARMACY INC 4302 W BUCKEYE RD dba RIGHTSOURCE PHOENIX AZ 85043 605- 477-5005 210-582-3620 MAIL ORDER 05/10/2006 06/30/2013

400 0764 HUMANA PHARMACY INC 9843 WINDISCH RD dba RIGHTSOURCE WEST CHESTER OH 45069 513-483-8005 513-755-3907 MAIL ORDER 09/04/2008 06/30/2013

400 0842

HYVACS LLC dba HY-VEE PHARMACY

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400 1076 IBA MOLECULAR NORTH AMERICA INC

8614 NW 107TH

TERRACE KANSAS CITY MO 64153 816- 801-8544 816-801-8545 NUCLEAR PHARMACY 02/27/2013 06/30/2013

400 0592 ICORE HEALTHCARE, LLC

855 SW 78TH AVE, STE

110 PLANTATION FL 33324 866-554-2673 866-364-2673 SPECIALTY MAIL ORDER 05/10/2006 06/30/2013

400 0639 IgG OF AMERICA

514 PROGRESS DR,

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400 0768

IMMEDIATE PHARMACEUTICAL

SERVICES, INC 33381 WALKER RD AVON LAKE OH 44012 800-233-3872 440-930-5540 MAIL ORDER 09/17/2008 06/30/2013

400 1035

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LLC

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3 FAYETTEVILLE AR 72703 888- 414-5805 855-422-2400 RETAIL/COMPOUNDING 10/24/2012 06/30/2013




400 0999 INFUPHARMA, LLC 2013 HARDING ST

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400 0777 INFUSCIENCE

2915 WATERS RD STE

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400 1066 INFUSERVE AMERICA

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400 1069 INFUSION THERAPY SPECIALISTS INC

8710 F STREET SUITE

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400 1012 INJECTABLE THERAPY SERVICES

1057 GAYLEY AVENUE,

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400 0962 INJURED WORKERS PHARMACY LLC 300 FEDERAL STREET ANDOVER MA 01810 888- 321-7945 800-497-4276 MAIL ORDER 11/08/2011 06/30/2013

400 1023 INSTITUTIONAL PHARMACY SOLUTIONS

6520 N IRWINDALE, STE

228 IRWINDALE CA 91702 855- 297-9799 877-327-0708 RETAIL/COMPOUNDING 09/19/2012 06/30/2013

400 0420 INTEGRATED HMO PHARMACY 13660 CALIFORNIA ST OMAHA NE 68154 800-633-7928 402-493-2707 MAIL ORDER 03/09/2004 06/30/2013

400 0298 IOWA HEALTH HOME CARE 11333 AURORA AVE INTRUST URBANDALE IA 50322 515-557-3120 515-557-3125

HOME INFUSION (GENERAL

PHARM LIC), MAIL ORDER 06/24/2002 06/30/2013

400 0524

IOWA HEALTH SYSTEM PHARMACY @ ST

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OUTPATIENT HOSPITAL/MAIL

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400 1006 IRSFELD PHARMACY PC 33 9TH ST W DICKINSON ND 58601 701- 483-4858 701-483-4926 RETAIL 06/28/2012 06/30/2013

400 1050

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400 0993 IVESCO HOLDINGS, LLC

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400 0895 JAT PHARMACY, LLC 5374 MALY RD SUN PRAIRIE WI 53590 608-834-2815 608-834-2019 VETERINARY MAIL ORDER 11/15/2010 06/30/2013

400 0510 JCB LABORATORIES LLC

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NORTH WICHITA KS 67205 316-773-0405 316-773-0406 STERILE COMPOUNDING 05/13/2005 06/30/2013

400 1064 JERSEY SHORE PHARMACY

3007 OCEAN HEIGHTS

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EGG HARBOR

TOWNSHIP NJ 08234 855- 927-0390 855-927-0392 COMPOUNDING 01/22/2013 06/30/2013

400 0831 KCC, INC 1501 23RD AVE STE B MERIDIAN MS 39301 877-229-1724 877-229-1725 RETAIL/COMMUNITY 11/17/2009 06/30/2013

400 0883 KENNEL VACCINE VET SUPPLY COMPANY PO BOX 245 3190 N RD DAVID CITY NE 68632 800-423-8211 800-269-0093

WHOLESALE/MAIL

ORDER/INTERNET 08/20/2010 06/30/2013




400 1039 KERR HEALTH LLC - UNIT 801

8431 GARVEY DRIVE -

SUITE 121 RALEIGH NC 27616 919- 534-1385 919-534-1450 CLOSED PHARMACY 11/19/2012 06/30/2013

400 0732 KEY COMPOUNDING PHARMACY 530 S 336TH ST FEDERAL WAY WA 98003 800- 878-1322 206-878-1114 COMPOUNDING 03/26/2008 06/30/2013

400 0725 KMART PHARMACY #7071 500 ATLANTIC BLVD NEPTUNE BEACH FL 32266 904-249-3128 904-249-9354 CHAIN 02/01/2008 06/30/2013

400 0385 KOHLL/RX MPSS 5110 L ST OMAHA NE 68117 800-438-2014 402-342-4425 RETAIL 10/09/2003 06/30/2013

400 0915 KOHLL'S PHARMACY & HOMECARE 622 N 114TH ST OMAHA NE 68154 402-408-0012 402-408-0020 RETAIL MAIL ORDER 04/04/2011 06/30/2013

400 0806 KRS GLOBAL BIOTECHNOLOGY

791 PARK OF

COMMERCE BLVD BOCA RATON FL 33487 888-242-7996 866-480-3322

STERILE COMPOUNDING, MAIL

ORDER OUT-OF-STATE 06/16/2009 06/30/2013

400 0808 KUBAT CUSTOM HEALTH CARE, INC 4924 CENTER ST OMAHA NE 68106 402-558-2474 402-561-1252 COMPOUNDING 07/02/2009 06/30/2013

400 0745 LDI PHARMACY

701 EMERSON ROAD,

SUITE 343 CREVE COEUR MO 63141 314-652-2121 314-652-2126 MAIL ORDER 06/23/2008 06/30/2013

400 0822 LEE SILSBY COMPOUNDING PHARMACY 3216 SILSBY ROAD CLEVELAND HEIGHTS OH 44118 716-321-4300 216-321-4303 RETAIL 09/22/2009 06/30/2013

400 0973 LEGACY RX, LLC

6435 HAZELTINE

NATIONAL DRIVE, SUITE

140 ORLANDO FL 32822 407- 404-7113 855-819-6922 COMMUNITY 12/16/2011 06/30/2013

400 0928 LEIGHTON PHARMACY, INC

400 S MONTGOMERY

AVE, STE 108

dba SHEFFIELD

PHARMACY AND

HOMECARE SHEFFIELD AL 35660 256-389-9900 256-389-9096 RETAIL/INDEPENDENT 05/16/2011 06/30/2013

400 0796 LEITERS CAMBRIAN PARK DRUGS, INC 1700 PARK AVE STE 30 SAN JOSE CA 95126 408-292-6772 408-288-8252 INDEPENDENT/COMPOUNDING 04/07/2009 06/30/2013

400 0118 LIBERTY MEDICAL SUPPLY INC

10400 S US HWY 1, STE

200 PORT ST LUCIE FL 34952 866-907-0835 877-592-8466 MAIL ORDER 07/13/1999 06/30/2013

400 0631 LIBERTY MEDICAL SUPPLY INC 2157 APPERSON DRIVE SALEM VA 24153 540-777-0000 540-777-0015 RETAIL 11/09/2006 06/30/2013

400 0635 LIFE EXTENSION PHARMACY, INC

5990 N FEDERAL

HIGHWAY FORT LAUDERDALE FL 33308 877-877-9700 877-877-9708 MAIL ORDER/RETAIL 12/20/2006 06/30/2013

400 0115

LINCARE PHARMACY SVC INC dba

RELIANT PHARMACY SERVICE 1235 MAIN ST SOUTHAVEN MS 38671 662-342-5757 662-393-7861 MAIL ORDER 06/25/1999 06/30/2013

400 0376

LINCARE PHARMACY SVCS INC dba

RELIANT PHARMACY SERVICE

4825 140TH AVENUE

NORTH SUITE A CLEARWATER FL 33762 727-523-8232 727-523-8862 MAIL ORDER 08/22/2003 06/30/2013

400 1055 LINDEN CARE LLC 123 EILEEN WAY SYOSSET NY 11791 516- 221-7600 516-308-4339 RETAIL 01/07/2013 06/30/2013




400 0577 LYNNFIELD COMPOUNDING CENTER INC 12 KENT WAY STE 120E

dba FREEDOM FP

FERTILITY PHARMACY BYFIELD MA 01922 978-499-1400 978-499-1500

NONRESIDENT PHARMACY/MAIL

ORDER 03/03/2006 06/30/2013

400 0578 LYNNFIELD DRUG INC 12 KENT WAY #120F

dba FREEDOM FERTILITY

PHARMACY BYFIELD MA 01922 978-499-1400 978-499-1500

NONRESIDENT PHARMACY/MAIL

ORDER 03/03/2006 06/30/2013

400 1067 MANDELL'S CLINICAL PHARMACY

7 CEDAR GROVE LN,

SUITE 24 SOMERSET NJ 08873 877- 252-0553 732-412-7091 SPECIALTY 01/25/2013 06/30/2013

400 1034 MANIFEST PHARMACY LLC

319 GARLINGTON ROAD

D4 GREENVILLE SC 29615 888- 614-0119 888-285-9585 COMMUNITY 10/24/2012 06/30/2013

400 0959 MASTERPHARM, LLC 11502 LIBERTY AVE

SOUTH RICHMOND

HILL NY 11419 718- 529-5500 718-529-2780 COMPOUNDING 10/19/2011 06/30/2013

400 0249 MATRIX HEALTH

3300 CORPORATE

AVENUE STE 104 FFP LLC WESTON FL 33331 954-385-7322 954-385-7324 COMMUNITY 09/12/2001 06/30/2013

400 0755 MATRIX PHARMACY

5706 BENJAMIN CENTER

DR #103 dba myMATRIXX TAMPA FL 33634 800-784-0882 813-514-0512 MAIL ORDER 07/29/2008 06/30/2013

400 0680

MAXOR CORRECTIONAL PHARMACY

SERVICES

416 MARY LINDSAY

POLK DRIVE, SUITE 515

MAXOR NATIONAL

PHARMACY SERVICES

CORPORATION FRANKLIN TN 37067 800-833-2510 800-641-2444 CLOSED DOOR MAIL ORDER 06/28/2007 06/30/2013

400 0379 MAXOR PHARMACIES 216 S POLK ST AMARILLO TX 79101 806-324-5582 866-589-7656 MAIL ORDER/RETAIL 09/16/2003 06/30/2013

400 0608 MAYO CLINIC PHARMACY 21 SECOND ST SW

BRACKENRIDGE BLDG

LOWER LEVEL ROCHESTER MN 55902 800-445-6326 507-538-1314 PPP 07/21/2006 06/30/2013

400 0189

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 06/30/2013

400 0651 MCS ENTERPRISES, INC

3796 HOWELL BRANCH

RD

dba: MEDICINE SHOPPE

XUBEX PHARMACY WINTER PARK FL 32792 407-671-8070 407-671-7960 COMMUNITY 03/08/2007 06/30/2013

400 0263 MED 4 HOME INC

10800 NORTH

CONGRESS AVE

dba MED 4 HOME

PHARMACY KANSAS CITY MO 64153 816-801-7500 816-801-7300 MAIL ORDER 12/06/2001 06/30/2013

400 0929 MED SHOP TOTAL CARE INC 470 E LOOP 281 LONGVIEW TX 75605 903-234-0080 903-247-1090 INDEPENDENT RETAIL 05/16/2011 06/30/2013

400 0250 MEDAUS, INC

6801 CAHABA VALLEY

RD STE 116 BIRMINGHAM AL 35242 205-981-2352 800-526-9184 MAIL ORDER 09/12/2001 06/30/2013

400 0894

MED-CARE DIABETIC & MEDICAL

SUPPLIES, INC 933 CLINT MOORE RD BOCA RATON FL 33487 800-407-0109 501-997-8205 MAIL ORDER 11/15/2010 06/30/2013

400 0709 MED-CARE PHARMACY INC 1052 S POWERLINE RD DEERFIELD BEACH FL 33442 800-899-4852 877-823-7505 COMMUNITY PHARMACY 11/20/2007 06/30/2013

400 1077 MEDCART SPECIALTY PHARMACY

32131 INDUSTRIAL

ROAD LIVONIA MI 48150 734- 762-6600 734-762-6601 02/28/2013 06/30/2013




400 0924 MEDCO AT HOME LLC 14811 N KIERLAND BLVD

dba MEDCO HEALTH

SOLUTIONS OF

SCOTTSDALE SCOTTSDALE AZ 85254 480-368-5005 480-368-5040

FRONT END

(RETAIL/MAILORDER) 05/16/2011 06/30/2013

400 0853

MEDCO CENTER FOR

PHARMACOTHERAPEUTIC RESEARCH

ONE MILLENIUM DR STE

101 WILLINGBORO NJ 08046 877-807-0947 609-880-2221 NON RESIDENT 04/20/2010 06/30/2013

400 0197

MEDCO HEALTH SOLUTIONS OF

COLUMBUS NORTH LLC

5151 BLAZER PARKWAY

STE B DUBLIN OH 43017 614-822-2000 614-822-2176 NON RESIDENT 10/17/2000 06/30/2013

400 0041


COLUMBUS WEST LLC 255 PHILLIPI RD COLUMBUS OH 43228 614-272-1985 614-278-5575 NON RESIDENT 01/07/1998 06/30/2013

400 0906


FAIRFIELD LLC 4865 DIXIE HIGHWAY FAIRFIELD OH 45014 513-858-4700 513-858-4850 NON RESIDENT 03/11/2011 06/30/2013

400 0925


FRANKLIN LAKES LLC

100 PARSONS POND

DRIVE FRANKLIN LAKES NJ 07417 201-269-2824 800-335-5549

FRONT END (RETAIL/MAIL

ORDER) 05/16/2011 06/30/2013

400 0289

MEDCO HEALTH SOLUTIONS OF HIDDEN

RIVER LC

8800 HIDDEN RIVER

PARKWAY

MEDCO HEALTH

SOLUTIONS TAMPA FL 33637 800- 446-1756 813-903-4302 CALL CENTER PHARMACY 04/24/2002 06/30/2013

400 0821


INDIANA LLC 4750 E 450TH SOUTH WHITESTOWN IN 46075 800- 722-7071 317-768-7001 MAIL ORDER 09/22/2009 06/30/2013

400 0901

MEDCO HEALTH SOLUTIONS OF IRVING,

LLC

8111 ROYAL RIDGE

PARKWAY IRVING TX 75063 972-915-2737 972-915-6607 RETAIL/MAIL ORDER 02/07/2011 06/30/2013

400 0037

MEDCO HEALTH SOLUTIONS OF LAS

VEGAS, LLC 6225 ANNIE OAKLEY DR LAS VEGAS NV 89120 702-436-8800 702-436-8828 NON RESIDENT 01/07/1998 06/30/2013

400 0908


NETPARK LLC

5701 E HILLSBOROUGH

AVE STE 1300 TAMPA FL 33610 813-317-2000 813-317-2190 CALL CENTER PHARMACY 03/11/2011 06/30/2013

400 0927

MEDCO HEALTH SOLUTIONS OF NORTH

VERSAILLES LLC 1810 LINCOLN HWY NORTH VERSAILLES PA 15137 412-829-3200 412-829-3286


ORDER) 05/16/2011 06/30/2013

400 0905


RICHMOND LLC

9210 FOREST HILL AVE

STE B2 RICHMOND VA 23235 804-330-0070 804-560-7426 FRONT END 03/11/2011 06/30/2013

400 0907


SPOKANE LLC

23102 E APPLEWAY

AVENUE LIBERTY LAKE WA 99019 509-928-8738 509-926-0733 FRONT END 03/11/2011 06/30/2013

400 0926

MEDCO HEALTH SOLUTIONS OF TEXAS,

LLC

15001 TRINITY BLVD STE

300 FORT WORTH TX 76155 817-685-0861 817-571-0895


ORDER) 05/16/2011 06/30/2013

400 0264


WILLINGBORO LLC ONE MILLENNIUM DR WILLINGBORO NJ 08046 609-880-2000 609-880-2945 NON RESIDENT 12/10/2001 06/30/2013

400 0625 MEDFUSION RX, LLC

1897 GENERAL GEORGE

PATTON DR #112 FRANKLIN TN 37067 615-791-8679 615-791-7666 SPECIALTY 09/20/2006 06/30/2013

400 0243

MEDICAL INITIATIVES INC dba

ONCOLOGY SUPPLY PHARMACY

SERVICES

2811 HORACE SHEPARD

DR SUITE A DOTHAN AL 36303 888-890-7717 334-983-4460 MAIL ORDER 09/04/2001 06/30/2013




400 0976

MEDICATION ADHERENCE SOLUTIONS,

LLC

9320 PRIORITY WAY

WEST DRIVE

dba DAILYMED

PHARMACY INDIANAPOLIS IN 46240 317- 575-0045 317-573-0206 MAIL SERVICE PHARMACY 01/10/2012 06/30/2013

400 0497

MEDISTAR HEALTHCARE CONNECTIONS

CORP

3300 N CENTRAL AVE,

STE 2300 PHOENIX AZ 85012 602-337-5700 602-337-5701 REMOTE ORDER PHARMACY 03/17/2005 06/30/2013

400 0367 MEDQUEST PHARMACY INC 669 W 900 NORTH

NORTH SALT LAKE

CITY UT 84054 801- 294-1400 801-294-1401 NONRESIDENT 07/15/2005 06/30/2013

400 0956 MEDS AT HOME

6225 ANNIE OAKLEY

DRIVE; SUITE 300 LAS VEGAS NV 89120 702- 436-8802 702-436-8766 MAIL ORDER 10/07/2011 06/30/2013

400 0963 MEDS AT HOME

255 PHILLIPI ROAD,

SUITE 300 COLUMBUS OH 43228 614- 278-5683 MAIL ORDER 11/16/2011 06/30/2013

400 0788 MEDS FOR VETS 585 W 9400 S, STE 100 SANDY UT 84070 801-255-7666 801-255-7690 COMPOUNDING 02/23/2009 06/30/2013

400 0872 MEDSOURCE Rx PHARMACY 9883 SOUTH 500 WEST SANDY UT 84070 877-577-7767 801-727-0092 RETAIL 07/30/2010 06/30/2013

400 0071 MERCY CARE PHARMACY

801 FIFTH ST SUITE

2211

MERCY MEDICAL CTR -

SIOUX CITY RX

SATELLITE #1 SIOUX CITY IA 51101 712-279-5880 712-279-5888 HOME INFUSION/SPECIALTY 08/28/1998 06/30/2013

400 1007 MIAMI EXECUTIVE PHARMACY, INC

7400 NORTH KENDALL

DRIVE, SUITE 100 MIAMI FL 33156 305- 670-5253 305-670-5253 RETAIL/COMMUNITY PHARMACY 07/01/2012 06/30/2013

400 1037 MILLERS OF WYCKOFF INC 678 WYCKOFF AVENUE WYCKOFF NJ 07481 201- 891-3333 201-891-0258

RETAIL/COMPOUNDING/MAIL

ORDER 11/05/2012 06/30/2013

400 0580 MMS SOLUTIONS

202 CUMBERLAND

BEND NASHVILLE TN 37228 615-467-6009 866-750-0823 NON RESIDENT CLOSED DOOR 03/03/2006 06/30/2013

400 1032 NEIGHBORHOOD DIABETES INC

15 COMMONWEALTH

AVENUE

dba NEIGHBORHOOD

PHARMACY WOBURN MA 01801 888- 637-4276 866-587-4276 MAIL SERVICE 10/19/2012 06/30/2013

400

0402

REVOKED

NEW ENGLAND COMPOUNDING

PHARMACY, INC 697 WAVERLY ST

dba NEW ENGLAND

COMPOUNDING CENTER FRAMINGHAM MA 01702 508-820-0606 508-820-1616 PPP 12/23/2003 06/30/2013

400 0746

NEW ENGLAND MAIL ORDER

PHARMACY 111 MAPLE ST MIDDLEBURY VT 05753 802-388-1684 802-388-1688 MAIL ORDER 06/23/2008 06/30/2013

400 0942 NOVIXUS PHARMACY SERVICES 43159 W NINE MILE RD NOVI MI 48376 248- 380-2111 877-395-4836 MAIL ORDER 08/22/2011 06/30/2013

400 0700 NUFACTOR INC

41093 COUNTY CENTER

DR, SUITE B TEMECULA CA

92591-

6025 800- 323-6832 877-432-6258 MAIL ORDER/SPECIALTY 09/25/2007 06/30/2013

400 1062 NURO PHARMA INC

6380 POLARIS AVE UNIT

B LAS VEGAS NV 89118 702- 269-2005 702-269-4428

CLOSED DOOR/RETAIL/MAIL

ORDER 01/22/2103 06/30/2013

400 1005 NUTRISHARE, INC 9850 KENT STREET ELK GROVE CA 95624 916- 685-5034 916-685-5588 CLOSED DOOR HOME INFUSION 06/20/2012 06/30/2013




400 0939 NUVISION PHARMACY INC

4001 MCEWEN ROAD,

SUITE 110 DALLAS TX 75244 214- 347-4008 214-296-0243

CLOSED COMPOUNDING

PHARMACY 08/08/2011 06/30/2013

400 0932 OCEAN BREEZE HEALTHCARE

235 DONGAN HILLS

AVENUE, STE 2B STATEN ISLAND NY 10305 800-219-5920 800-219-5921 SPECIALTY/MAIL ORDER 06/20/2011 06/30/2013

400 0871 OMNICARE OF NORTHERN ILLINOIS 2313 S MT PROSPECT RD JHC ACQUISITION LLC DES PLAINES IL 60018 847- 635-3000 800-369-6512 NON RESIDENT 07/29/2010 06/30/2013

400 0862 ONCO SOURCE RX LLC

7172 COLUMBIA

GATEWAY DR COLUMBIA MD 21046 888-662-6779 877-800-4790 RETAIL 06/08/2010 06/30/2013

400 0612 ONCOLOGY RX CARE ADVANTAGE LP

13501 PARK VISTA BLVD,

STE 150 FORT WORTH TX 76177 888-479-6337 866-423-2979 ONCOLOGY SPECIALTY RETAIL 08/14/2006 06/30/2013

400 1021

OPO, INC OBAGI PHARMACY

OPERATIONS

9856 SOUTH JORDAN

GATEWAY, SUITE B SOUTH JORDAN UT 84095 888- 997-6224 801-649-0760 CLOSED DOOR/INTERNET 09/05/2012 06/30/2013

400 0188

OPTION CARE ENTERPRISES INC dba

WALGREENS INFUSION SERVICES 10924 JOHN GALT BLVD OMAHA NE

68137-

2309 402-331-0980 402-331-3534 HOME INFUSION 09/07/2000 06/30/2013

400 0236 OPTUMRX

2858 LOKER AVENE

EAST, SUITE 100 CARLSBAD CA 92010 800-562-6223 760-804-2293 MAIL ORDER 08/08/2001 06/30/2013

400 0606 OPTUMRX

6800 WEST 115TH

STREET, SUITE 600 OVERLAND PARK KS 66211 800- 562-6223 913-253-0643 MAIL ORDER 06/23/2006 06/30/2013

400 0772

ORCHARD PHARMACEUTICAL SERVICES

INC 7835 FREEDOM AVE NW NORTH CANTON OH 44720 866- 909-5170 866-909-5171 MAIL ORDER 10/24/2008 06/30/2013

400 0844 ORSINI PHARMACEUTICAL SERVICES INC 1107 NICHOLAS BLVD ELK GROVE VILLAGE IL 60007 847-879-9550 847-879-9551 RETAIL 02/25/2010 06/30/2013

400 0776 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 06/30/2013

400 0967 PALMER PHARMACY & MUCH MORE 3769 NICHOLAS ST EASTON PA 18045 610- 438-4000 610-438-5670 INDEPENDENT RETAIL 11/28/2011 06/30/2013

400 0594 PBM PLUS MAIL SERVICE PHARMACY

300 TECHNECENTER DR

SUITE C MILFORD OH 45150 800-736-0403 888-868-2854 MAIL ORDER 05/10/2006 06/30/2013

400 0614 PCM VENTURE I, LLC

9836 S JORDAN

GATEWAY SANDY UT 84070 801-262-6601 801-262-6636 MAIL ORDER/INTERNET 08/16/2006 06/30/2013

400 0600 PENTEC HEALTH, INC

4 CREEK PARKWAY STE

A BOOTHWYN PA 19061 610-494-8700 484-480-2254 INFUSION 05/26/2006 06/30/2013

400 0400 PET HEALTH PHARMACY 12012 N 111TH AVE YOUNGTOWN AZ 85363 800-742-0516 866-373-0030 RETAIL 12/17/2003 06/30/2013

400 0172 PET MED PHARMACY, INC 1441 SW 29TH AVE POMPANO BEACH FL 33069 888-738-6331 954-971-0544 MAIL ORDER 06/19/2000 06/30/2013




400 0891 PET360, INC dba PETSCRIPTIONS 2815 WATTERSON TR LOUISVILLE KY 40299 877-977-3879 866-253-0274 MAIL ORDER PET PHARMACY 10/29/2010 06/30/2013

400 0240 PETCARE RX 52 MERTON AVE LYNBROOK NY 11563 516-988-7015 516-593-0979 NON RESIDENT MAIL ORDER 05/04/2000 06/30/2013

400 0966 PETMART PHARMACY

2207 EAST BROADWAY

AVENUE MARYVILLE TN 37804 877- 220-6337 888-908-0198 INTERNET PET PHARMACY 11/23/2011 06/30/2013

400 0854 PETMEDSNMORE INC 6914 CANBY AVE #111 RESEDA CA 91335 877-815-6337 310-775-9707 MAIL ORDER 04/21/2010 06/30/2013

400 0436 PETNET SOLUTIONS INC 901 DORCAS ST OMAHA NE 68108 402-346-4181 402-346-4115 NUCLEAR 05/19/2004 06/30/2013

400 0509 PETNET SOLUTIONS INC 2021 6TH ST SE MINNEAPOLIS MN 55455 612-624-1204 612-624-1324 NUCLEAR 05/13/2005 06/30/2013

400 0930 PET'S CHOICE PHARMACY LLC 814 K ST BELLEVILLE KS 66935 877-347-7387 866-787-1177 MAIL ORDER 05/31/2011 06/30/2013

400 0677

PHARMACARE INC dba INHEALTH

SPECIALTY PHARMACY 2345 25TH ST S STE C FARGO ND 58103 701-365-6050 701-365-6051 RETAIL 06/08/2007 06/30/2013

400 0998 PHARMACORR, LLC 6705 CAMILLE OKLAHOMA CITY OK 73149 888- 321-7774 888-200-7774 MAIL ORDER 05/01/2012 06/30/2013

400 1009

PHARMACY HOLDING COMPANY OF

WISCONSIN LLC

1256 OLD HWY 51

SOUTH ARBOR VITAE WI 54568 715- 358-4070 715-358-4072

MAIL ORDER/VETERINARY ONLY

COMPOUNDING 07/09/2012 06/30/2013

400 1031 PHARMACY INNOVATIONS 2936 W 17TH STREET ERIE PA 16505 814- 838-2102 814-838-2103 RETAIL 10/17/2012 06/30/2013

400 0884 PHARMACY RESOURCES INC

5290 E YALE CIRCLE,

SUITE 101 DENVER CO 80222 800- 250-7521 303-691-3378 INDEPENDENT 09/02/2010 06/30/2013

400 0879 PHARMACY SERVICES, INC 212 MILLWELL DR STE A ST LOUIS MO 63043 314-727-8787 314-880-5532

INDEPENDENT/COMPOUNDING/

STERILE COMPOUNDING 08/13/2010 06/30/2013

400 0802 PHARMACY SOLUTIONS

100 ABBOTT PARK RD

AP5 NE

ABBOTT

ENDOCRINOLOGY INC ABBOTT PARK IL 60064 888-857-0668 847-937-3216

SPECIALTY INJECTABLE/MAIL

ORDER 06/04/2009 06/30/2013

400 0849 PHARMAHEALTH LONG TERM CARE INC 132 ALDEN RD FAIRHAVEN MA 02719 508-998-8000 508-998-1136 SPECIALTY/LONG TERM CARE 03/15/2010 06/30/2013

400 0922 PHARMALOGIC WYOMING, INC 3480 TRIGOOD DRIVE CASPER WY 82609 307-261-7000 307-261-9813 NUCLEAR 05/16/2011 06/30/2013

400 0411 PHARMEDIUM SERVICES LLC 913 NORTH DAVIS AVE CLEVELAND MS 38732 662-846-5969 662-846-2614 COMPOUNDING 01/22/2004 06/30/2013

400 0412 PHARMEDIUM SERVICES LLC 43 DISTRIBUTION BLVD EDISON NJ 08817 732-287-8655 732-287-4125 COMPOUNDING 01/22/2004 06/30/2013




400 0413 PHARMEDIUM SERVICES LLC

12620 W AIRPORT BLVD

STE 130 SUGARLAND TX 77478 281-491-1900 281-491-1902 COMPOUNDING 01/22/2004 06/30/2013

400 0767 PHARMEDIUM SERVICES LLC 6100 GLOBAL DRIVE MEMPHIS TN 38141 901-547-3900 901-367-6896 COMPOUNDING 09/17/2008 06/30/2013

400 0676

PHARMERICA CORPORATION OF

AMERICA

6330 E 75TH ST SUITE

322 INDIANAPOLIS IN 46250 317-678-7575 800-978-9595 NON-RESIDENT 05/17/2007 06/30/2013

400 1043 PHYSICIAN CHOICE PHARMACY

4529 N PINE ISLAND

ROAD SUNRISE FL 33351 888- 389-2014 941-460-5631 RETAIL 12/06/2012 06/30/2013

400 1001 PHYSICIAN PREFERRED PHARMACY, INC

5221 COCONUT CREEK

PARKWAY MARGARE FL 33063 954- 960-7360 954-960-8085 RETAIL COMMUNITY 05/14/2012 06/30/2013

400 1058 PLAZA PHARMACY INC 4399 NW 12TH AVENUE CORAL SPRINGS FL 33065 877- 606-3443 866-817-9335 RETAIL/MAIL ORDER 01/14/2013 06/30/2013

400 0762 PMSI INC

4502 WOODLAND

CORPORATE BLVD STE

105 TAMPA FL 33614 800-237-7676 813-627-2502 MAIL ORDER 09/04/2008 06/30/2013

400 0653 POSITUDES INC 44 BOND STREET

dba THE ALLIANCE

PHARMACY WESTBURY NY 11590 516-876-0100 516-876-0200

SPECIALTY - NONPROFIT 501© 3

PUBLIC CHARITY 03/09/2007 06/30/2013

400 0839 PRECISION PHARMACY 5301 YOUNG STREET BAKERSFIELD CA 93311 661-377-3333 661-377-3334 VETERINARY COMPOUNDING 01/04/2010 06/30/2013

400 0795 PREFERRED Rx LLC

1221 CORPORATE DR

EAST ARLINGTON TX 76006 817-385-4707 800-951-0866 CLOSED DOOR 03/27/2009 06/30/2013

400 0724 PREMIER KIDS CARE 3868-A SHERIDAN ST HOLLYWOOD FL 33021 954-987-5253 954-987-3739 RETAIL/SPECIALTY 02/01/2008 06/30/2013

400 0628 PREMIER KIDS CARE, INC 221 PLAZA DRIVE MONROE GA 30655 770-207-9001 770-207-8987 NON RESIDENT 10/19/2006 06/30/2013

400 0984

PRESCRIPTION CORPORATION OF

AMERICA

66 FORD ROAD, SUITE

230 DENVILLE NJ 07834 973- 983-6300 973-983-5684 MAIL ORDER PHARMACY 02/22/2012 06/30/2013

400 0605

PRESCRIPTION DISPENSING

LABORATORIES INC

19230 STONE OAK PKWY

STE 200 SAN ANTONIO TX 78258 210-494-1678 210-494-3010 COMPOUNDING 06/21/2006 06/30/2013

400 0535 PRESCRIPTIONS PLUS INC

3361 FAIRLANE FARMS

RD WELLINGTON FL 33414 800-870-6831 561-472-7957 COMMUNITY/MAIL ORDER 08/25/2005 06/30/2013

400 0517 PRIME THERAPEUTICS LLC

2901 KINWEST PKWY,

STES 250 / 350 IRVING TX 75063 972-630-1000 888-282-4801 MAIL ORDER 06/15/2005 06/30/2013

400 0648 PRIME THERAPEUTICS LLC

4580 PARADISE BLVD

NW ALBUQUERQUE NM 87114 888-548-3060 505-515-2490 MAIL ORDER 02/21/2007 06/30/2013

400 1004

PRIME THERAPEUTICS SPECIALTY

PHARMACY LLC

2354 COMMERCE PARK

DRIVE, SUITE 100 ORLANDO FL 32819 407- 591-4060 407-591-4076 SPECIALTY 06/11/2012 06/30/2013




400 1063 PRIMROSE PHARMACY LLC

8601 DUNWOODY

PLACE SUITE #146 SANDY SPRINGS GA 30350 404- 382-7064 770-998-7010 RETAIL 01/22/2013 06/30/2013

400 0881 PROCARE PHARMACY LLC 1604 E 17TH AVE

DBA CAREPLUS

CVS/PHARMACY #102 DENVER CO 80218 303-388-7504 303-388-7519 MAIL ORDER 08/20/2010 06/30/2013

400 0914 PROLAB PHARMACY 3020 LAMAR PARIS TX 75460 877-785-8750 903-785-1357 RETAIL/COMPOUNDING 04/04/2011 06/30/2013

400 0846 PROMESA PHARMACY 10815 OLD MILL RD OMAHA NE 68154 877-234-4409 877-234-4429 MAIL ORDER 03/15/2010 06/30/2013

400 0834 PROMISECARE PHARMACY, LLC 605 BAKERTOWN RD ANTIOCH TN 37013 877- 323-9067 877-323-9047 RETAIL/MAIL ORDER 09/05/2012 06/30/2013

400 0103 PULMO-DOSE PHARMACY 104 MAX HURT DRIVE PULMO-DOSE INC MURRAY KY 42071 270-759-8889 270-767-8682 MAIL ORDER 04/13/1999 06/30/2013

400 1065 QPHARxMACY

45 HORSEHILL ROAD

SUITE 103 KEDAR KNOLLS NJ 07927 877- 593-6910 973-656-2622 INDEPENDENT 01/23/2013 06/30/2013

400 0383 RED CROSS DRUG PO BOX 2090 301 NE 10TH BLANCHARD OK 73010 405-485-9311 405-485-9312 RETAIL 09/24/2003 06/30/2013

400 0319 RELIANT PHARMACY SERVICE

2335 CAMINO VIDA

ROBLE CARLSBAD CA 92011 760-929-9199 800-758-9099 MAIL ORDER 10/29/2002 06/30/2013

400 0065 RESTORE HEALTH PHARMACY LLC 1289 DEMING WAY MADISON WI 53717 608-833-7046 608-833-7412 RETAIL 05/27/1998 06/30/2013

400 1018 RESTORE RX, INC

5169 BRUNSWICK RD,

BOX 305 BRUNSWICK TN 38014 877- 388-0507 901-388-0407 RETAIL/SPECIALTY 09/05/2012 06/30/2013

400 0887 REVIVAL ANIMAL HEALTH 1700 ALBANY PLACE SE ORANGE CITY IA 51041 712-737-5555 877-335-2680 MAIL ORDER/PET SUPPLY 10/05/2010 06/30/2013

400 0703 RIDGEWAY PHARMACY CLOSED DOOR 2824 US HWY 93 N VICTOR MT 59875 406-642-6040 406-642-6050 MAIL ORDER 10/11/2007 06/30/2013

400 0921 RITE AID #6800

704 QUINCE ORCHARD

RD STE 150 GAITHERSBURG MD 20878 301-556-9278 877-273-1414

CLOSE DOOR MAIL ORD/CENT

FILL PHAR WO INT SALE 05/16/2011 06/30/2013

400 0560

ROCKWELL COMPOUNDING ASSOCIATES

INC

350 THEODORE FREMD

AVE RYE NY 10580 914-925-2304 914-925-2310 COMPOUNDING 01/18/2006 06/30/2013

400 0654

ROOD AND RIDDLE VETERINARY

PHARMACY

1517 BULL LEA RD STE

150 LEXINGTON KY 40511 859-246-0112 859-246-1760 RETAIL 03/14/2007 06/30/2013

400 0935 ROYAL PALM SPECIALTY PHARMACY LLC 118 MAIN STREET WEBSTER MA 01570 508-461-4045 508-461-4044

RETAIL/MAIL

ORDER/COMPOUNDING/MEDICA

L SUPPLY 06/27/2011 06/30/2013

400 0269 RX DIRECT INC 5001 C STATELINE AVE TEXARKANA TX 75503 800-785-4197 903-735-4011 MAIL ORDER 01/16/2002 06/30/2013




400 0890 Rx OUTREACH INC

3171-3183 RIVERPORT

TECH CENTER DR MARYLAND HEIGHTS MO 63043 800-769-3880 800-875-6591 MAIL ORDER 10/22/2010 06/30/2013

400 1047

RX PRO PHARMACY & COMPOUNDING

INC

936 W HALLANDALE

BEACH BLVD HALLANDALE BEACH FL 33009 954- 455-0004 888-562-0493 RETAIL/COMPOUNDING 12/13/2012 06/30/2013

400 0784 Rx STAT, INC 3251 TECH DR NORTH ST PETERSBURG FL 33716 888-648-7250 888-648-7020 RESPIRATORY RETAIL 02/10/2009 06/30/2013

400 0492 Rx.COM 4710 MERCANTILE DR FORT WORTH TX 76126 817-547-1000 817-547-1049 MAIL ORDER 01/28/2005 06/30/2013

400 0543 RxCROSSROADS

4500 PROGRESS

BOULEVARD RxC ACQUISITION CO LOUISVILLE KY 40218 502-454-9013 502-454-5588 MAIL ORDER 09/23/2005 06/30/2013

400 0445 RXUSAPBM INC 81 SEAVIEW BLVD PORT WASHINGTON NY 11050 516-467-2500 516-467-2542 MAIL ORDER/INTERNET 07/06/2004 06/30/2013

400 0940 SAFETY DRUGS

20612 N CAVE CREEK

ROAD, SUITE F-150 PHOENIX AZ 85024 855- 800-7233 855-700-7233 MAIL ORDER 08/16/2011 06/30/2013

400 0610 SAFEWAY PHARMACY #4702 4550-B ATLANTIC AVE LONG BEACH CA 90807 800-834-8778 888-834-4333 MAIL ORDER 07/21/2006 06/30/2013

400 0880 SANFORD HEALTH NETWORK 112 ST OLAF AVE S

DBA SANFORD CANBY

MEDICAL CENTER CANBY MN 56220 507-223-7277 507-223-5976 HOSPITAL 08/13/2010 06/30/2013

400 0819 SANFORD PHARMACY BROADWAY 737 BROADWAY FARGO ND 58122 701-234-2416 701-234-2433 RETAIL 08/28/2009 06/30/2013

400 0847

SANFORD PHARMACY MEDICAL CENTER

FARGO 801 BROADWAY NORTH FARGO ND 58102 701-234-5604 701-234-5090 HOSPITAL 03/15/2010 06/30/2013

400 0848

SANFORD PHARMACY SOUTH

UNIVERSITY

1720 SOUTH

UNIVERSITY DRIVE FARGO ND 58103 701-280-4468 701-280-4643 HOSPITAL 03/15/2010 06/30/2013

400 0957 SAVEDIRECTRX, INC 4590 LOCKHILL SELMA SAN ANTONIO TX 78249 888- 637-5121 888-637-5191 MAIL ORDER 10/19/2011 06/30/2013

400 0743 SAV-Rx PHARMACY 224 NORTH PARK AVE FREMONT NE 68025 800-228-3108 888-810-1394 MAIL ORDER 05/28/2008 06/30/2013

400 0988 SENDERRA RX PARTNERS LLC

1301 E ARAPAHO RD,

STE 101 RICHARDSON TX 75081 888- 777-5547 888-777-5645

RETAIL/COMMUNITY/MAIL

SERVICE 03/14/2012 06/30/2013

400 0934 SERQUINOX, LLC

3420 B CORPORATE

COURT

dba EQUINOX

HEALTHCARE ELLICOTT CITY MD 21042 410-203-1701 410-203-1702 HOME INFUSION 06/22/2011 06/30/2013

400 0053 SERVE YOU

10201 INNOVATION DR

STE 600 MILWAUKEE WI 53226 800-759-3203 866-494-0364 MAIL ORDER 02/02/1998 06/30/2013

400 0519 SHARED SOLUTIONS PHARMACY 901 E 104TH ST KANSAS CITY MO 64131 816-508-5425 816-508-5048 MAIL ORDER 06/23/2005 06/30/2013




400 1024 SINUS DYNAMICS PHARMACY

755 LAKEFIELD ROAD,

UNIT D WESTLAKE VILLAGE CA 91361 877- 477-4276 888-414-0666 RETAIL 10/05/2012 06/30/2013

400 0348 SMARTPAK EQUINE LLC 40 GRISSOM RD STE 500 PLYMOUTH MA 02360 800-431-4194 800-431-4179 MAIL ORDER 07/01/2004 06/30/2013

400 0979 SORKIN'S RX, LTD

1981 MARCUS AVENUE,

SUITE 225

dba CAREMED

PHARMACEUTICAL

SERVICES LAKE SUCCESS NY 11042 516- 355-2273 516-326-2273 RETAIL/COMMUNITY 02/07/2012 06/30/2013

400 0809 SPECIALTY COMPOUNDING, LLC 211 S BELL BLVD CEDAR PARK TX 78613 512-219-0724 512-219-0917 COMPOUNDING 07/02/2009 06/30/2013

400 0986

SPECIALTY PHARMACY MANAGEMENT,

LLC

45 EARHART DR, SUITE

110 dba RELIANCE RX AMHERST NY 14221 716- 929-1000 716-532-7360 MAIL ORDER SPECIALTY 03/02/2012 06/30/2013

400 0933 SPECIALTY THERAPEUTIC CARE LP

6610 W SAM HOUSTON

PKWY, #330 HOUSTON TX

77041-

5183 832-300-1200 877-541-1503 COMMUNITY 06/22/2011 06/30/2013

400 0888 SPECIALTY VETERINARY PHARMACY

4159 BLUEBONNET

DRIVE STAFFORD TX 77477 877-673-3705 877-329-7705 VETERINARY COMPOUNDING 10/22/2010 06/30/2013

400 0886

ST JUDE CHILDREN'S RESEARCH

HOSPITAL PHARMACY

262 DANNY THOMAS

PLACE MEMPHIS TN 38105 901-595-2237 901-595-3111 HOSPITAL 10/05/2010 06/30/2013

400 0171

STEARNS VETERINARY OUTLET STORE,

INC PO BOX 219 222 E COUNTY RD 173 MELROSE MN 56352 320-256-3303 320-256-4014 RETAIL (VET RX) 06/09/2000 06/30/2013

400 0990 STERILE COMPOUNDING OF AMERICA 8821 KNOEDL COURT LITTLE ROCK AR 72205 877- 550-5059 501-312-2805

RETAIL/COMPOUNDING STERILE

PRODUCTS/HOSPITALS 03/28/2012 06/30/2013

400 0586 STERLING MEDICAL SERVICES LLC 2 TWOSOME DRIVE MOORESTOWN NJ

08057-

1366 888-216-5500 856-273-9987 RETAIL 05/10/2006 06/30/2013

400 0818 STEVEN'S PHARMACY

1525 MESA VERDE DR

EAST #101 HARBOR DRUG CO INC COSTA MESA CA 92626 714-540-8911 714-242-6975 RETAIL 08/05/2009 06/30/2013

400 0938 STOKES PHARMACY

18000 HORIZON WAY

SUITE 700 MOUNT LAUREL NJ 08054 856- 505-5222 856-505-5899 RETAIL 07/18/2011 06/30/2013

400 0708

STRATEGIC PHARMACEUTICAL

SOLUTIONS INC 17014 NE SANDY BLVD dba VETSOURCE PORTLAND OR 97230 877-738-4443 877-684-3301 VETERINARY 11/01/2007 06/30/2013

400 0965 STROHECKERS PHARMACY

2855-A SW PATTON

ROAD PORTLAND OR 97201 503- 222-4822 503-222-4868

RETAIL /COMMUNITY

PHARMACY 11/16/2011 06/30/2013

400 1022

SUMMERTON DRUGS COMPOUNDING

AND DISPENSARY 115B MAIN STREET SUMMERTON SC 29148 803- 485-8586 803-488-0049

RETAIL/NON-STERILE

COMPOUNDING 09/07/2012 06/30/2013

400 0958 SUMMIT PHARMACY, INC

2320 W PEORIA

AVENUE, SUITE #D-132 PHOENIX AZ 85029 877- 678-5400 877-678-5401 MAIL ORDER 10/19/2011 06/30/2013

400 0442 SUNMART PHARMACY 2605 8TH ST S MOORHEAD MN 56560 218-291-0242 218-291-1293 RETAIL 07/11/2005 06/30/2013




400 0985 SUREPOINT MEDICAL 1918 E 23RD ST, SUITE A LAWRENCE KS 66046 866- 351-2636 866-235-7541 RETAIL/MAIL ORDER 02/24/2012 06/30/2013

400 0960 TAG PHARMACY 780 PRIMOS AVE UNIT E FOLCROFT PA 19032 888- 824-8100 610-522-9006 COMMUNITY PHARMACY 10/27/2011 06/30/2013

400 0159 TARGET MAIL ORDER PHARMACY

1717 OLENTANGY RIVER

RD STE 1899 COLUMBUS OH 43212 800-366-2690 800-366-2690 MAIL ORDER 04/20/2000 06/30/2013

400 0779 THE Rx CO 550 13TH AVE EAST WEST FARGO ND 58078 701-373-0685 701-3763-0686 MAIL ORDER 01/23/2009 06/30/2013

400 0996 THE UNIVERSITY OF ARIZONA 1295 N MARTIN AVE TUCSON AZ 85721 520- 626-2452 520-626-0626 LIMITED 04/23/2012 06/30/2013

400 0943 THE WELLNESS CENTER PHARMACY, INC 7304 JARNIGAN RD CHATTANOOGA TN 37421 423- 954-2585 423-954-2460 COMPOUNDING 08/26/2011 06/30/2013

400 0740 THERACOM, LLC 9717 KEY WEST AVE ROCKVILLE MD 20850 888- 843-7226 301-337-4135 SPECIALTY 05/01/2008 06/30/2013

400 1068 THRIFT PHARMACY INC 94 E MCNAB RD POMPANO BEACH FL 33060 866- 909-5829 954-366-6091

MAIL ORDER PHARMACY -

DIABETIC SUPPLIES 01/28/2013 06/30/2013

400 0977 TOWNE PHARMACY 2 WASHINGTON AVE DUNELLEN NJ 08812 732- 968-1481 732-968-0244 INDEPENDENT RETAIL 01/10/2012 06/30/2013

400 0992 TRANSCRIPT PHARMACY, INC

2506 LAKELAND DR,

SUITE 201 FLOWOOD MS 39232 866- 420-4041 601-420-4040 SPECIALTY/COMMUNITY 04/18/2012 06/30/2013

400 0969 TRI-COAST PHARMACY INC 14141 US HIGHWAY #1 JUNO BEACH FL 33408 561- 776-7510 561-776-5722

COMMUNITY/SPECIAL

PARENTERAL-ENTERAL 11/28/2011 06/30/2013

400 0858 TRIPLEFIN SPECIALTY SERVICES, LLC 6000 CREEK RD CINCINNATI OH 45242 877-854-3060 877-788-4942 MAIL ORDER 05/06/2010 06/30/2013

400 0953

TROY PHARMACY - NOT IN GOOD

STANDING 1612 LOWRIE STREET PITTSBURGH PA 15212 412- 904-2231 412-904-2605

RETAIL COMMUNITY

PHARMACY/MAIL ORDER 09/28/2011 06/30/2012

400 1008 TRUAX PATIENT SERVICES 602 BELTRAMI AVE NW BEMIDJI MN 56601 651- 587-0964 877-438-9759 MAIL ORDER 07/06/2012 06/30/2013

400 0336 UNIQUE PHARMACEUTICALS LTD

5920 S GENERAL BRUCE

DR TEMPLE TX 76502 254-933-0874 254-933-4445 COMPOUNDING PHARMACY 03/03/2003 06/30/2013

400 0501 UNITED PHARMACY SERVICES INC 5744 W IRVING PK RD CHICAGO IL 60634 847-677-5300 800-677-5068 MAIL ORDER 03/17/2005 06/30/2013

400 1011 UNITED PHARMACY, LLC

3951 HAVERHILL RD N

#120-121 WEST PALM BEACH FL 33417 561- 616-9000 561-616-9087 RETAIL/COMPOUNDING 07/18/2012 06/30/2013

400 0870

UNIVERSITY COMPOUNDING

PHARMACY 1875 THIRD AVE SAN DIEGO CA 92101 619-683-2005 619-683-2008 RETAIL 07/21/2010 06/30/2013




400 0552 UNIVERSITY PHARMACY 1320 EAST 200 SOUTH SALT LAKE CITY UT 84102 801-582-7624 801-582-7633 INDEPENDENT RETAIL 11/18/2005 06/30/2013

400 0326 US BIOSERVICES 109 CHELSEA PKWY BOOTHWYN PA 19061 800-400-9549 469-365-8274 SPECIALTY PHARMACY 01/07/2003 06/30/2013

400 0409 US BIOSERVICES 3200 INTERNET BLVD FRISCO TX 75034 888-518-7246 469-365-8274 SPECIALTY PHARMACY 01/14/2004 06/30/2013

400 0613 US BIOSERVICES

501 W 44TH AVE, SUITE

A DENVER CO

80216-

2611 303-706-0053 303-706-0059 NON RESIDENT 08/14/2006 06/30/2013

400 0627 US COMPOUNDING, INC 2515 COLLEGE CONWAY AR 72034 501-327-1222 501-327-2244 RETAIL 10/19/2006 06/30/2013

400 0766 US MED, INC 1480 NW 79TH AVE MIAMI FL 33126 305- 403-0739 305-470-1480 MAIL ORDER 09/16/2008 06/30/2013

400 0363 US SPECIALTY CARE

7472 S TUCSON WAY

#100B CENTENNIAL CO 80112 800-641-8475 800-530-8589 MAIL ORDER 06/30/2003 06/30/2013

400 0877 VALLEY VET PHARMACY

1118 PONY EXPRESS

HWY MARYSVILLE KS 66508 785-562-5106 800-531-2390 VETERINARY 08/13/2010 06/30/2013

400 0688 VET RX DIRECT 1150 5TH ST SUITE 146 CORALVILLE IA 52241 319-887-7052 319-887-7053 VET/INTERNET 09/14/2007 06/30/2013

400 0299 VET RX PHARMACY 2008 N SUNRISE DR

VETERINARY PHARMACY

CORP ST PETER MN 56082 507-931-8707 507-931-8716

CLOSED DOOR VETERINARY

COMPOUNDING 06/28/2002 06/30/2013

400 0995 VETAPPROVED RX 14677 HWY 194 OAKLAND TN 38060 901- 813-8079 877-310-4152 VETERINARY 04/23/2012 06/30/2013

400 0904 VETERINARY MART CORP 9500 NW 79TH AVE #6 HIALEAH FL 33016 877-421-8387 877-503-8387

COMMUNITY

PHARMACY/INTERNET

PHARMACY 03/11/2011 06/30/2013

400 0460 VETERINARY PHARMACIES OF AMERICA 2854 ANTOINE DR HOUSTON TX 77092 877-838-7979 877-329-7979

SPECIALTY COMPOUNDING FOR

SMALL ANIMALS 09/10/2004 06/30/2013

400 0991 VETS FIRST CHOICE 5013 S 110TH ST OMAHA NE 68137 866- 356-6104 866-256-8435

INTERNET MAIL ORDER VET

PHARMACY 04/18/2012 06/30/2013

400 0975 VILLAGE COMPOUNDING PHARMACY

975 CORBINDALE RD,

SUITE 100 HOUSTON TX 77024 713- 464-5069 713-464-5099 COMPOUNDING 01/04/2012 06/30/2013

400 0989

VITALAB PHARMACY INC, THE

COMPOUNDING CENTER 4045 EAST BELL RD #163 PHOENIX AZ 85032 602- 971-6950 602-404-2504 COMMUNITY 03/15/2012 06/30/2013

400 1040 WALGREEN CO.

1610 VERMEER ROAD

EAST PLANT 3 1/2

dba VERMEER FAMILY

PHARMACY 12947 PELLA IA 50219 641- 628-3783 641-628-3786 RETAIL PHARMACY 11/20/2012 06/30/2013

400 0981 WALGREENS #12765

825 SOUTH 8TH STREET,

SUITE SL 10 MINNEAPOLIS MN 55404 612- 332-8500 612-338-1454 MAIL ORDER 02/14/2012 06/30/2013




400 0337 WALGREENS INFUSION SERVICES 2750 ARTHUR STREET ROSEVILLE MN

55113-

1303 651-635-9272 651-635-9174 HOME INFUSION 03/03/2003 06/30/2013

400 0421 WALGREENS INFUSION SERVICES

2604 ST PATRICK AVE

STE 2

OPTION CARE

ENTERPRISES INC GRAND ISLAND NE

68803-

5208 308-384-9191 308-384-7049 HOME INFUSION 03/09/2004 06/30/2013

400 1027 WALGREENS INFUSION SERVICES

1000 SOUTH BENTON

DRIVE, SUITE #405 SAUK RAPIDS MN 56379 320- 252-5666 320-252-5073 HOME INFUSION 10/10/2012 06/30/2013

400 0964

WALGREENS INFUSION SERVICES dba

WALGREENS INFUSION SERVICES

9013 N 24th AVE, SUITE

6 PHOENIX AZ 85021 602- 426-1490 602-426-1517 HOME INFUSION PHARMACY 11/16/2011 06/30/2013

400 0088 WALGREENS MAIL SERVICE INC 8350 S RIVER PARKWAY TEMPE AZ 85284 480-752-5500 480-752-5271 MAIL ORDER 11/20/1998 06/30/2013

400 0458 WALGREENS MAIL SERVICE INC

8337 SOUTH PARK

CIRCLE ORLANDO FL 32819 407-351-6151 800-846-9772 MAIL ORDER 08/17/2004 06/30/2013

400 0607

WALGREENS SPECIALTY PHARMACY

#10997

500 NOBLESTOWN RD,

SUITE 200

WALGREENS SPECIALTY

PHARMACY LLC CARNEGIE PA 15106 412-325-6500 877-231-8302 MAIL ORDER 06/23/2006 06/30/2013

400 0332


#12201

1143 HIGHLAND DRIVE,

STE D

WALGREENS SPECIALTY

PHARMACY LLC ANN ARBOR MI 48108 734-477-9800 734-929-0342 MAIL ORDER 02/04/2003 06/30/2013

400 0718


#12314

9775 SW GEMINI DR,

SUITE 1

WALGREENS SPECIALTY

PHARMACY LLC BEAVERTON OR 97008 866-202-4014 866-877-2370 MAIL ORDER 12/17/2007 06/30/2013

400 0716


#13625

7164 TECHNOLOGY DR

STE 100 FRISCO TX 75033 214-387-3500 800-874-9179 MAIL ORDER 12/05/2007 06/30/2013

400 0338 WAL-MART PHARMACY #10-5315

9600 PARKSOUTH

COURT E, SUITE 120 ORLANDO FL 32837 877-453-4566 866-537-0877 SPECIALTY MAIL 03/05/2003 06/30/2013

400 0003 WAL-MART PHARMACY 10-2625

1025 W TRINITY MILLS

RD CARROLLTON TX 75006 800-273-3455 800-406-8976 MAIL ORDER 11/26/1997 06/30/2013

400 0459 WEDGEWOOD VILLAGE PHARMACY INC

405 HERON DRIVE STE

200 SWEDESBORO NJ 08085 856-832-1300 856-832-1411 RETAIL/MAIL ORDER 08/31/2004 06/30/2013

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

400 0296 WELLDYNE RX 7472 S TUCSON WAY CENTENNIAL CO 80112 888-479-2000 800-530-8589 MAIL ORDER 06/04/2002 06/30/2013

400 0793 WELLDYNERx - FL

500 EAGLES LANDING

DRIVE LAKELAND FL 33810 888-479-2000 863-686-4710 MAIL ORDER 03/18/2009 06/30/2013

400 0712 WELLNESS PHARMACY INC

3401 INDEPENDENCE

DRIVE STE 231 BIRMINGHAM AL 35209 205-879-6551 205-871-2568 COMPOUNDING 11/20/2007 06/30/2013

400 0866 WELLPARTNER INC

7216 SW DURHAM RD

STE 200 PORTLAND OR 97224 503- 718-5700 503-718-5701 MAIL ORDER 06/15/2010 06/30/2013




400 1036 WELLS PHARMACY NETWORK LLC

450 US HWY 51 BYPASS

N DYERSBURG TN 38024 731- 882-7000 731-882-7100

STERILE AND NON STERILE

COMPOUNDING 10/24/2012 06/30/2013

400 1042 WELLS PHARMACY NETWORK LLC 1210 SW 33 AVENUE OCALA FL 34474 352- 622-2913 352-690-6770 COMPOUNDING 12/05/2012 06/30/2013

400 0987 WELLS PHARMACY NETWORK, LLC

11120 S CROWN WAY,

SUITE 11 WELLINGTON FL 33414 561- 793-1568 561-793-1570

SPECIALTY COMPOUNDING

PHARMACY 03/08/2012 06/30/2013

400 0859 WELVISTA PHARMACY

2700 MIDDLEBURG

DRIVE, SUITE 108 COLUMBIA SC 29204 877- 258-1556 877-258-1557 RETAIL 05/18/2010 06/30/2013

400 0780 WHITE DRUG #61

706 38TH ST NW UNITS

D-E-F FARGO ND 58102 701-893-9050 701-893-9053 LTC / TELEPHARM 01/23/2009 06/30/2013

400 0828 WICKLIFFE PHARMACEUTICALS INC 4340 GEORGETOWN RD LEXINGTON KY 40511 859-389-7470 859-381-9252 COMPOUNDING VETERINARY 10/29/2009 06/30/2013

400 0204

WOMEN'S INTERNATIONAL PHARMACY,

INC 2 MARSH COURT MADISON WI 53718 800-279-5708 800-279-8011 RETAIL 12/27/2000 06/30/2013

400 1046 WORLD HEALTH INDUSTRIES INC 1485 LIVINGSTON LANE

dba RXPRO PHARMACY

& COMPOUNDING INC JACKSON MS 39213 601- 982-1137 601-982-1235 RETAIL/COMPOUNDING 12/13/2012 06/30/2013

400 0351 ZOOPHARM, INC 3131 GRAND AVE STE B LARAMIE WY 82070 307-742-4587 307-721-3801 COMPOUNDING - VETERINARY 05/05/2003 06/30/2013

Documents

SOUTH DAKOTA BOARD OF PHARMACY NONRESIDENT PHARMACY LICENSES, ACTIVE…doh.sd.gov/documents/boards/pharmacy/nonresident... · 2013-03-19 · SOUTH DAKOTA BOARD OF PHARMACY NONRESIDENT