CVS-Advantage Pharmacy Network 08-2021.XLS

729209

Paramount-Advantage-Pharmacies
Paramount Advantage Pharmacy Listing
Effective 8/1/2021 for pharmacies in OH, MI, IN, KY, WV, and PA

To search this document for a specific pharmacy, follow these steps: 1. With the PDF open, click on the Edit menu, choose Find .
2. In the Find box (appears in the upper right corner), type the name or location of the pharmacy you want to find. 3. Click Find Next button until you find the pharmacy you're looking for.

NCPDP 1821289 1823651 1823978 1824425 1825530 1827887 1827926 1828257 1830959 1831583 1832484 1833234 1835238 1835721 2375980 2376071 2378291 2378734 2379433 2380816 2381553 2383317 2383343 2384597 3684885 3685724 3686788 1534127 1561061 1561174 1562051 2363214 2363935 2365179 2372439 2374279 3616161 3634094 3635856 3641277 3643295 3643889 3649463 3649665 3652624 3654440 1533199 1535167 1535422 1561580 1562241 1562544 1563899 1564156 2363175 2363632 2367046 2368947 2370283 2370839 2372869 2374243 3617454 3628394 3637468 3640136 3640251 3640287

NPI 1770595407 1467485037 1386747038 1518991330 1265535330 1770598922 1215009006 1538236898 1538305149 1477888766 1922391739 1528315918 1174981062 1568913994 1497030670 1316220155 1164856936 1912328170 1669884524 1326420357 1003272436 1467997239 1194265389 1285131896 1841735800 1386152783 1649736190 1366515884 1376563965 1407943343 1801072251 1679519581 1902823123 1174540397 1033142948 1386956860 1295740124 1033212683 1902909658 1376646034 1366545022 1275636938 1164468252 1679615249 1316087729 1952488108 1093888513 1124035126 1508963091 1689879074 1689838419 1881831147 1932479730 1073883880 1437183290 1205841343 1144376781 1356429971 1497947758 1326216797 1437385143 1841502705 1245314491 1316994734 1366545014 1821191586 1740214543 1558464214

PHARMACY NAME SPRINGHILL PHARMACY PHARMERICA CVS PHARMACY KROGER PHARMACY NOBLE'S PHARMACY WALGREENS MEDICINE SHOPPE PHARMACY KNIGHTS PHARMACY C&C PHARMACY KROGER PHARMACY BLUEGRASS DRUG CENTER ELY DRUG OF BOWLING GREEN WOODFORD FAMILY PHARMACY BAPTIST HLTH RICHMOND PROF PHY TOTAL COMMUNITY PHARM IDM PHARMACY CENTRAL PHARMACY - MT. HOPE KROGER PHARMACY PREMIUM PHARMACY LLC LIVONIA FAMILY PHARMACY LAKEVIEW PHARMACY LITTLE RIVER BAND OF OTTAWA INDIANS MIDMICHIGAN MED CNTR MT PLEASANT GRACE HEALTH PHARMACY SHRIVERS PHARMACY THE UROLOGY GROUP SAND RUN PHARMACY OWENS PHARMACY WALGREENS WALGREENS WALMART PHARMACY MERCY HEALTH PHCY CATHEDRAL SQ SAM'S CLUB PHARMACY WALMART PHARMACY HEALTHY LIVING PHARMACY WALGREENS ACME PHARMACY CVS PHARMACY CVS PHARMACY CVS PHARMACY CVS PHARMACY CVS PHARMACY DISCOUNT DRUG MART GATES PHARMACY MEIJER PHARMACY BOLWELL PHARMACY KROGER PHARMACY WALGREENS CVS PHARMACY SCOTTS PHARMACY CVS PHARMACY WALGREENS MEIJER PHARMACY MEIJER PHARMACY KROGER PHARMACY WALGREENS MEIJER PHARMACY CVS PHARMACY WALGREENS CVS PHARMACY WALGREENS EHARDT'S PHARMACY INC PRICE HILL HEALTH CTR PHARMACY MERCY TIFFIN OUTPATIENT PHARMACY CVS PHARMACY CVS PHARMACY KROGER SAV-ON CVS PHARMACY

ADDRESS 2305 RUSSELLVILLE RD 301 INDUSTRIAL DR 1021 W MAIN ST 4009 POPLAR LEVEL RD 162 GARRISON LN 3001 PINK PIGEON PKWY 238 E MAIN ST 191 GLADES RD 3122 MAPLELEAF DR 234 EASTBROOKE PKWY 325 HIGHWAY 42 E 4863 SCOTTSVILLE RD 453 LEXINGTON RD 793 EASTERN BYPASS STE G1 8623 N TELEGRAPH RD STE 2 26541 PLYMOUTH RD 1001 E MT HOPE AVE 14945 23 MILE RD 3808 MONROE ST 15983 MIDDLEBELT RD 3901 HIGHLAND RD STE D2 2608 GOVERNMENT CENTER DR 4851 E PICKARD ST 181 W EMMETT STREET 21 HOCKING MALL 2000 JOSEPH E SANKER BLVD #210 40 SAND RUN ROAD 2211 E CENTER ST 512 GREEN BLVD 1010 E STATE ROAD 44 10105 LIMA RD 360 DIVISION AVE S STE 1A 2401 US 31 S 5650 BAY RD 1401 VERMONT ST STE 110 571 S MAIN ST 3235 MANCHESTER RD 10380 NORTHFIELD RD 755 ASHLAND RD 8372 VINE ST 4801 W BROAD ST 28700 CHARDON RD 655 PORTAGE TRL 125 E BROAD ST STE 109 1500 HILLCREST AVE 11100 EUCLID AVE 930 W MAIN ST 11020 PENDLETON PIKE 610 W MARKLAND AVE 1125 W STATE BLVD 705 TRAFALGAR POINTE PL 4620 LINCOLNWAY E 5020 GRAPE ROAD 3820 S WESTERN AVE 21555 21 MILE RD 6331 E JEFFERSON AVE 1801 MARKETPLACE DR SE 1249 DEXTER ST 3284 COLBY RD 44300 5 MILE RD 1115 W WASHINGTON ST 6002 N LAPEER RD 2136 W 8TH ST 45 ST LAWRENCE DR 201 W MAIN ST 9546 MONTGOMERY RD 6235 MONROE ST 143 E SANDUSKY AVE

CITY BOWLING GREEN GLASGOW PRINCETON LOUISVILLE GARRISON LEXINGTON RICHMOND BEREA LEXINGTON MT WASHINGTON BEDFORD BOWLING GREEN VERSAILLES RICHMOND DEARBORN HEIGHTS REDFORD LANSING SHELBY TOWNSHIP DEARBORN LIVONIA WATERFORD MANISTEE MT PLEASANT BATTLE CREEK LOGAN CINCINNATI AKRON WARSAW AURORA SHELBYVILLE FORT WAYNE GRAND RAPIDS TRAVERSE CITY SAGINAW DETROIT LAPEER AKRON NORTHFIELD MANSFIELD CINCINNATI COLUMBUS WILLOUGHBY HILLS CUYAHOGA FALLS ELYRIA SPRINGFIELD CLEVELAND PERU INDIANAPOLIS KOKOMO FORT WAYNE TRAFALGAR MISHAWAKA MISHAWAKA MARION MACOMB DETROIT CALEDONIA MILAN WHITEHALL NORTHVILLE MARQUETTE NORTH BRANCH CINCINNATI TIFFIN BELLEVUE MONTGOMERY SYLVANIA BELLEFONTAINE

STATE

COUNTY

KY WARREN

KY BARREN

KY CALDWELL

KY JEFFERSON

KY LEWIS

KY FAYETTE

KY MADISON

KY MADISON

KY FAYETTE

KY BULLITT

KY TRIMBLE

KY WARREN

KY WOODFORD

KY MADISON

MI WAYNE

MI WAYNE

MI INGHAM

MI MACOMB

MI WAYNE

MI WAYNE

MI OAKLAND

MI MANISTEE

MI ISABELLA

MI CALHOUN

OH HOCKING

OH HAMILTON

OH SUMMIT

IN KOSCIUSKO

IN DEARBORN

IN SHELBY

IN ALLEN

MI KENT

MI GRAND TRAVERSE

MI SAGINAW

MI WAYNE

MI LAPEER

OH SUMMIT

OH SUMMIT

OH RICHLAND

OH HAMILTON

OH FRANKLIN

OH LAKE

OH SUMMIT

OH LORAIN

OH CLARK

OH CUYAHOGA

IN

MIAMI

IN

MARION

IN

HOWARD

IN

ALLEN

IN

JOHNSON

IN

ST. JOSEPH

IN

ST. JOSEPH

IN

GRANT

MI MACOMB

MI WAYNE

MI KENT

MI WASHTENAW

MI MUSKEGON

MI WAYNE

MI MARQUETTE

MI LAPEER

OH HAMILTON

OH SENECA

OH SANDUSKY

OH HAMILTON

OH LUCAS

OH LOGAN

ZIP

PHONE

42101 (270)-796-3909

42141 (270)-659-0424

42445 (270)-365-4568

40213 (502)-454-4106

41141 (606)-757-3535

40509 (859)-543-8665

40475 (859)-623-8900

40403 (859)-986-0500

40509 (859)-263-1220

40047 (502)-538-1241

40006 (502)-255-3540

42104 (270)-467-5225

40383 (859)-879-3784

40475 (859)-626-0076

48127 (313)-277-4546

48239 (313)-543-3414

48910 (517)-316-0711

48315 (586)-930-7020

48124 (313)-209-3339

48154 (734)-744-7636

48328 (248)-681-5252

49660 (231)-398-6853

48858 (989)-775-1629

49037 (269)-441-6774

43138 (740)-216-4496

45212 (513)-841-7508

44313 (330)-864-2138

46580 (574)-269-6674

47001 (812)-926-3424

46176 (317)-398-8495

46818 (260)-490-6522

49503 (616)-685-1147

49684 (231)-995-0207

48604 (989)-790-7431

48216 (866)-779-8512

48446 (810)-538-0014

44319 (330)-644-0350

44067 (330)-468-0132

44905 (419)-589-2030

45216 (513)-821-7206

43228 (614)-878-7565

44092 (440)-944-0038

44221 (330)-923-8332

44035 (440)-329-7300

45504 (937)-327-2010

44106 (216)-844-7270

46970 (765)-473-2076

46236 (317)-826-3903

46901 (765)-457-4407

46808 (260)-426-4487

46181 (317)-878-5245

46544 (574)-257-0438

46545 (574)-273-3510

46953 (765)-677-6810

48044 (586)-421-9877

48207 (313)-567-4239

49316 (616)-656-6110

48160 (734)-439-3000

49461 (231)-893-1361

48168 (734)-416-1883

49855 (906)-226-1046

48461 (810)-793-5006

45204 (513)-357-2705

44883 (419)-455-7146

44811 (419)-483-2455

45242 (513)-793-4451

43560 (419)-885-4738

43311 (937)-593-1040

NCPDP 3641506 3641948 3642306 3644413 3647623 1836785 1838462 2348034 2350572 2350902 2351790 2352425 2353251 2354378 2354570 2355798 2356447 2358489 2358617 2358629 2359025 2359568 2362351 3660203 3662334 3662841 1533567 1534569 1535535 1560451 1532729 1533769 1534557 1535509 1536284 1536943 1537173 1560831 1562619 1566213 1566782 2362969 2363911 2364280 2365030 2367109 2367349 2372554 2374522 3627570 3628344 1822077 1823322 1825655 1826722 1826924 1828601 1829069 1830632 1835240 1835480 2375156 2377073 2377225 2380830 2381628 2382137 2385070 3681295 3682475 3684330 3685217 3685368 3688073 3688150 1836266 1822736

NPI 1720012958 1619982527 1174630461 1992808653 1538278874 1306369822 1841833977 1548202112 1255440715 1912924127 1558388769 1396827705 1528160801 1396809596 1619085081 1902955321 1578573424 1295799708 1235152513 1629090394 1386661502 1083764054 1447284294 1558464388 1447353271 1437183134 1720151244 1073535795 1346255486 1073571642 1922101658 1114948437 1043225188 1104999416 1063434785 1922025394 1689696304 1588607881 1346481546 1730571258 1114300340 1174622476 1548277569 1164521464 1306904032 1548287915 1891898847 1619117405 1508197419 1811090558 1164490041 1730257973 1902975568 1053415901 1962436725 1376648287 1134165152 1457378937 1609048206 1558720136 1386099661 1447556469 1356699888 1346592920 1972985943 1477913937 1568818391 1366472169 1154755247 1063816601 1043664808 1205363777 1285158667 1699397646 1629696802 1023520434 1710911532

PHARMACY NAME C & B MAIN DISC DRUG CTR INC GIANT EAGLE PHARMACY SCHWIETERMAN PHARMACY CVS PHARMACY RITE AID PHARMACY WALGREENS SAV RITE PHARMACY RICHMOND MODERN PHARMACY RITE AID PHARMACY WALMART PHARMACY WALMART PHARMACY HAMILTON FAMILY PHARMACY CVS PHARMACY MEIJER PHARMACY CVS PHARMACY MEIJER PHARMACY RITE AID PHARMACY BRADY DRUGS CVS PHARMACY CVS PHARMACY WALMART PHARMACY MEIJER PHARMACY KROGER PHARMACY CVS PHARMACY CVS PHARMACY KROGER PHARMACY KROGER PHARMACY CVS PHARMACY WALGREENS GENOA HEALTHCARE LLC CVS PHARMACY CVS PHARMACY WALGREENS KROGER PHARMACY CVS PHARMACY WALMART PHARMACY CVS PHARMACY CVS PHARMACY WALGREENS BENZER PHARMACY FRANCISCAN OP PHCY LAFAYETTE CVS PHARMACY WALGREENS CVS PHARMACY INDIAN VILLAGE PHARMACY WALMART PHARMACY MUSKEGON FAMILY CARE PHARMACY RITE AID PHARMACY KEC PHARMACY CVS PHARMACY BELLAIRE HEALTH CENTER PHARMACY CENTURY MEDICINES FRENCHBURG PHARMACY CVS PHARMACY KROGER PHARMACY MED CARE PHARMACY SHELBY VALLEY CLINIC PHARMACY FOOD CITY PHARMACY WALGREENS MED-SAVE GRAYSON COSTCO PHARMACY SPECIALTY MEDS DEARBORN HILLS PHARMACY JEFFERSON PHARMACY PALM PHARMACY CENTRAL PHARMACY - WESTSIDE MEIJER PHARMACY ONCOLOGY HEMATOLOGY ASSOCIATES OF S DECILLION HEALTHCARE NORD CENTER'S PHARMACY COSTCO PHARMACY OPTUM INFUSION SERVICES SHIFFA PHARMACY LIFELINE PHARMACY OHIOHEALTH MANSFIELD RETAIL PHCY BAPTIST HLTH PADUCAH PCY & WELLNESS KROGER PHARMACY

ADDRESS 8507 MAIN ST 8202 E MARKET ST 1302 DEFIANCE ST 4110 HARRISON AVE 304 HARDING WAY W 426 VILLAGE LANE 2002 MERCHANT DR 127 N MAIN ST 2838 E COURT ST 4313 CORUNNA RD 555 E GENESEE ST 3416 LINCOLN RD 7250 N VENOY RD 1555 DEMILLE RD 444 MAIN ST 49900 GRAND RIVER AVE 3 S TELEGRAPH RD 7835 GRATIOT RD 5120 28TH ST SE 43670 FORD RD 1618 W M 43 HWY 15000 US 31 2058 25 MILE RD 170 E MAIN ST 118 W GARFIELD RD 1045 HILL RD N 970 N MORTON ST 10202 E WASHINGTON ST 700 US HIGHWAY 31 S 645 S ROGERS ST 7935 S EMERSON AVE 1195 E RIDGE RD 20 S MORTON ST 8745 S EMERSON AVE 6625 E LLOYD EXPY 3430 TAYLOR AVE 8005 CALUMET AVE 4501 LINCOLNWAY E 1915 W BROADWAY ST 9150 E 109TH AVE STE 2B 1701 S CREASY LANE, RM 1K71 13580 GRAND RIVER AVE 9100 TELEGRAPH RD 52950 GRATIOT AVE 8415 E JEFFERSON AVE 10772 W CARSON CITY RD 2201 S GETTY ST 63033 VAN DYKE RD 1000 WALL ST RM 4114 6301 HARVARD AVE 3000 GUERNSEY ST 1608 OLD LEBANON RD 732 HIGHWAY 36 3001 LONE OAK RD 9812 LINN STATION RD 350 ARISTOCRAT DR STE B 178 DOUGLAS PKWY 2138 S MAYO TRL 485 W 4TH ST 601 N CAROL MALONE BLVD STE A 3408 BARDSTOWN RD 29930 W 12 MILE RD STE 2 24755 FORD RD 8656 WYOMING ST 6650 GREENFIELD RD 4801 W SAGINAW HWY 8455 HAGGERTY ROAD 5400 MACKINAW RD STE 4300 270 CRAMER CREEK CT 6140 S BROADWAY 7300 STATE ROUTE 161 E 2182 DIVIDEND DRIVE 2330 MORSE RD UNIT D 7623 E MAIN ST 335 GLESSNER AVE 2601 KY AVE MED PRK 1 STE 101 381 MARKET SQUARE DR

CITY KINSMAN WARREN WAPAKONETA CHEVIOT GALION HAZARD RICHMOND CHEBOYGAN FLINT FLINT LAPEER HAMILTON WESTLAND LAPEER BELLEVILLE WIXOM PONTIAC SAGINAW GRAND RAPIDS CANTON HASTINGS GRAND HAVEN SHELBY TOWNSHIP GENEVA AURORA PICKERINGTON FRANKLIN INDIANAPOLIS GREENWOOD BLOOMINGTON INDIANAPOLIS GRIFFITH FRANKLIN INDIANAPOLIS EVANSVILLE EVANSVILLE MUNSTER MISHAWAKA PRINCETON CROWN POINT LAFAYETTE DETROIT TAYLOR CHESTERFIELD DETROIT GREENVILLE MUSKEGON WASHINGTON ANN ARBOR CLEVELAND BELLAIRE CAMPBELLSVILLE FRENCHBURG PADUCAH LOUISVILLE FLORENCE PIKEVILLE PIKEVILLE RUSSELLVILLE GRAYSON LOUISVILLE FARMINGTON HILLS DEARBORN DETROIT DEARBORN LANSING BELLEVILLE SAGINAW DUBLIN LORAIN PLAIN CITY COLUMBUS COLUMBUS REYNOLDSBURG MANSFIELD PADUCAH MAYSVILLE

STATE

COUNTY

OH TRUMBULL

OH TRUMBULL

OH AUGLAIZE

OH HAMILTON

OH CRAWFORD

KY PERRY

KY MADISON

MI CHEBOYGAN

MI GENESEE

MI GENESEE

MI LAPEER

MI ALLEGAN

MI WAYNE

MI LAPEER

MI WAYNE

MI OAKLAND

MI OAKLAND

MI SAGINAW

MI KENT

MI WAYNE

MI BARRY

MI OTTAWA

MI MACOMB

OH ASHTABULA

OH PORTAGE

OH FAIRFIELD

IN JOHNSON

IN MARION

IN JOHNSON

IN MONROE

IN MARION

IN LAKE

IN JOHNSON

IN MARION

IN VANDERBURGH

IN VANDERBURGH

IN LAKE

IN ST. JOSEPH

IN GIBSON

IN LAKE

IN TIPPECANOE

MI WAYNE

MI WAYNE

MI MACOMB

MI WAYNE

MI MONTCALM

MI MUSKEGON

MI MACOMB

MI WASHTENAW

OH CUYAHOGA

OH BELMONT

KY TAYLOR

KY MENIFEE

KY MCCRACKEN

KY JEFFERSON

KY BOONE

KY PIKE

KY PIKE

KY LOGAN

KY CARTER

KY JEFFERSON

MI OAKLAND

MI WAYNE

MI WAYNE

MI WAYNE

MI EATON

MI WAYNE

MI SAGINAW

OH FRANKLIN

OH LORAIN

OH MADISON

OH FRANKLIN

OH FRANKLIN

OH FRANKLIN

OH RICHLAND

KY MCCRACKEN

KY MASON

ZIP

PHONE

44428 (330)-876-1228

44484 (330)-856-1324

45895 (419)-738-5959

45211 (513)-574-1770

44833 (419)-468-5340

41701 (606)-436-2117

40475 (859)-353-6652

49721 (231)-627-9949

48506 (810)-767-3059

48532 (810)-733-3355

48446 (810)-664-8360

49419 (269)-751-8482

48185 (734)-422-5150

48446 (810)-667-8110

48111 (734)-699-2075

48393 (248)-449-8510

48341 (248)-338-2665

48609 (989)-781-2370

49512 (616)-222-4890

48187 (734)-454-2507

49058 (269)-948-0481

49417 (616)-847-8010

48316 (248)-651-9752

44041 (440)-466-4133

44202 (330)-562-7032

43147 (614)-759-2765

46131 (317)-736-9574

46229 (317)-899-3793

46143 (317)-883-0567

47403 (812)-355-6340

46237 (317)-865-7593

46319 (219)-923-7907

46131 (317)-736-8089

46237 (317)-884-3325

47715 (812)-402-8509

47714 (812)-471-4968

46321 (219)-836-2697

46544 (574)-255-4729

47670 (812)-385-3296

46307 (219)-488-1461

47905 (765)-428-3550

48227 (313)-653-3427

48180 (313)-299-4475

48051 (586)-598-2328

48214 (313)-331-2000

48838 (616)-754-5203

49444 (231)-737-1706

48095 (586)-752-8905

48105 (734)-232-8224

44105 (216)-271-0970

43906 (740)-676-4062

42718 (270)-789-4734

40322 (606)-768-6610

42003 (270)-554-0480

40223 (502)-327-0456

41042 (859)-689-7130

41501 (606)-639-3135

41501 (606)-432-2044

42276 (270)-726-1881

41143 (606)-475-0232

40218 (502)-912-9879

48334 (248)-281-3636

48128 (313)-915-5455

48204 (313)-331-1200

48126 (313)-436-0156

48917 (517)-833-4629

48111 (734)-391-2310

48604 (989)-791-2330

43017 (614)-389-8371

44053 (440)-204-4307

43064 (614)-733-5012

43228 (614)-219-2222

43229 (614)-532-0511

43068 (614)-845-5463

44903 (419)-526-0108

42003 (270)-575-5870

41056 (606)-759-7973

NCPDP 1824831 1561441 1562277 1563902 1564055 1565300 2363745 2366676 2367022 2369088 2370827 2371110 2372364 2372592 2373431 3622962 1821772 1823841 1824829 1827053 1827128 1827332 1831230 1835187 1835327 1835478 1835567 2375409 2377718 2377946 2379457 2379558 2379659 2380260 2381060 2381971 2382808 2382822 2386084 3681459 3682007 3682273 3682514 1531715 1531830 1532034 1532058 1532717 1533303 1826215 1827697 1829273 1835466 2375649 2383230 2384206 2384422 2385436 3682259 3682300 3682312 3684823 3686447 1533290 1535686 1537111 1560526 1561263 1561427 1561821 1563748 1566415 2362604 2363377 2363442 2367440 2367894

NPI 1316960453 1912029877 1093971319 1003186800 1528338332 1912313552 1306870175 1457366759 1790840635 1669531661 1740466176 1790950327 1720225618 1790925360 1417285404 1225254121 1366476186 1548231293 1972537793 1497810824 1518984848 1295760817 1831323914 1861857617 1326409475 1326495094 1962957431 1134419583 1144567843 1851634232 1275676066 1265848162 1861804676 1588054944 1902275928 1750741757 1962946186 1093258915 1043789431 1215365325 1396060620 1427489467 1821497306 1144235284 1003989526 1295838928 1104929835 1720182777 1518054725 1508881285 1851325617 1821030636 1245688035 1528352978 1619408424 1184136889 1457852642 1972086981 1679988398 1730588955 1942213087 1942743729 1033694013 1407861545 1336156371 1619040136 1437183456 1154480523 1558497032 1720260458 1346513942 1093102162 1053402867 1831208321 1841355716 1184641557 1336154640

PHARMACY NAME APOTHECARE PHCY OF ELIZ-TOWN WALGREENS CVS PHARMACY MEIJER PHARMACY MEIJER PHARMACY WALMART PHARMACY KROGER PHARMACY WALGREENS MEIJER PHARMACY FAMILY FARE PHARMACY WALMART PHARMACY D AND W PHARMACY WALGREENS MEIJER PHARMACY FARMINGTON DRUGS AND MED SUPPLIES SHRIVERS PHARMACY KROGER PHARMACY PCA PHARMACY KROGER PHARMACY CORBIN PHARMACY SAM'S CLUB PHARMACY THOMPSON DRUG SADDLEBROOK WALGREENS OWENSBORO FAMILY PHCY AND WELLNESS DIXIE PHARMACY STRAWBERRY HILLS PHCY SOUTHSID TOTAL PHARMACY CARE RYAN PHARMACY MEDPOINTE PHARMACY MEIJER PHARMACY MERCY PRIMARY CARE CENTER PHCY GENOA HEALTHCARE LLC WALGREENS HEALTHSOURCE PHARMACY CENTRAL PHARMACY MLK CVS PHARMACY WRIGLEY'S PHARMACY LLC PCS PHARMACY PHARMASOURCE LTC GIANT EAGLE PHARMACY CHARITABLE PHCY OF CENTRAL OH INC HAPPY DRUGGIST PHARMACY METROHLTH MIDDLEBRG HGHTS PHCY WALGREENS KROGER SAVON PHCY CVS PHARMACY CVS PHARMACY IU HEALTH YORKTOWN PHARMACY ST MARGARETS PHCY AT ESKENAZI KROGER PHARMACY KROGER PHARMACY PHARMACY ALTERNATIVES LLC FAMILY HLTH CTRS PHCY PHOENIX PHARMACARE PHARMACY PENINSULA PHARMACY ESCANABA KNIGHT DRUGS MCNICHOLS SINGH RX CANADIAN LAKES PHARMACY COSTCO PHARMACY CLV CLINIC MANSFIELD CANCER CTR ORION CANCER CARE COMMUNITY, A WALGREENS PHCY MEDX PHARMACY WALGREENS WALGREENS OWENS PHARMACY MED-PHARM PHARMACY KROGER PHARMACY CVS PHARMACY GENOA HEALTHCARE LLC COMMUNITY, A WALGREENS PHARMACY ST JOSEPH REG MEDICAL CENTER SUTTONS DRUG INC RITE AID PHARMACY MEIJER PHARMACY WALMART PHARMACY WALGREENS

ADDRESS 1239 WOODLAND DR STE 102 501 E NATIONAL AVE 5865 PROMENADE SHOPS BLVD 5349 W PIKE PLAZA RD 5150 FRANKLIN ST 900 W MAIN ST 20903 HARPER AVE 1420 W WASHINGTON ST 3320 W SHORE DR 1965 BALDWIN ST 10305 COUNTRY CLUB RD 151 W GRAND RIVER AVE 848 S KALAMAZOO ST 250 MEIJER DRIVE 20434 FARMINGTON RD 530 N MARKET ST 311 BOONE STATION RD 2701 CHESTNUT STATION CT 2549 HIGHWAY 227 14 MOONBOW PLAZA STE 1 1063 E NEW CIRCLE RD 575 W LAUREL RD 635 S 6TH ST 720 W BYERS AVE 1311 RING RD STE 107 3837 CLARKS RIVER RD 263 KY RT 122 23421 RYAN RD 22640 KELLY RD 4141 MORRISH RD 5555 CONNER ST STE 2691 9327 TELEGRAPH RD 32910 MIDDLEBELT RD 15044 MICHIGAN AVE STE B 3500 S MARTIN L KING JR BLVD 2600 W MICHIGAN AVE 14100 WOODWARD AVE 801 S ADAMS RD SUITE 204 31620 GRAND RIVER AVE 20160 CENTER RIDGE RD 200 E LIVINGSTON AVE 487 W MAIN ST 7800 PEARL RD 2400 BEAM RD 621 COUNTRY SIDE DR 1233 N STATE ST 4721 E 126TH ST 1420 S PILGRIM BLVD 720 ESKENAZI AVENUE 1019 CUMBERLAND FALLS HWY 4303 WINSTON AVE 11401 BLUEGRASS PKWY 712 E MUHAMMAD ALI BLVD 1460 WALTON BLVD SUITE 90 2500 7TH AVE S STE 200 4321 E MCNICHOLS 3412 W 13 MILE RD 10075 BUCHANAN RD 5300 CORNERSTONE NORTH BLVD 1125 ASPIRA CT 3949 N MAIN ST STE C 1200 BROWN ST STE 160 3021 NAVARRE AVE 9280 WICKER AVE 720 S STATE ROAD 135 2718 GUILFORD ST 2723 S 7TH ST STE N 150 W 161ST ST 1703 CARROLL RD 8555 TAFT ST 335 MASSACHUSETTS AVE 1915 LAKE AVE 13336 E JEFFERSON AVE 11801 N SAGINAW ST 3434 CENTURY CENTER ST SW 655 W SANILAC RD 8364 BYRON CENTER AVE SW

CITY ELIZABETHTOWN BRAZIL NOBLESVILLE INDIANAPOLIS MICHIGAN CITY PLAINFIELD HARPER WOODS GREENVILLE HOLLAND JENISON IRONWOOD WILLIAMSTON PAW PAW GAYLORD LIVONIA MC ARTHUR SHELBYVILLE LOUISVILLE CARROLLTON CORBIN LEXINGTON LONDON MAYFIELD OWENSBORO ELIZABETHTOWN PADUCAH MARTIN WARREN EASTPOINTE SWARTZ CREEK DETROIT REDFORD FARMINGTON HILLS DEARBORN LANSING KALAMAZOO HIGHLAND PARK BIRMINGHAM FARMINGTON ROCKY RIVER COLUMBUS W JEFFERSON MIDDLEBURG HEIGHTS COLUMBUS COLUMBIA CITY GREENFIELD CARMEL YORKTOWN INDIANAPOLIS CORBIN COVINGTON LOUISVILLE LOUISVILLE ROCHESTER HILLS ESCANABA DETROIT ROYAL OAK CANADIAN LAKES CENTERVILLE MANSFIELD FINDLAY DAYTON OREGON SAINT JOHN GREENWOOD HUNTINGTON TERRE HAUTE WESTFIELD FORT WAYNE MERRILLVILLE INDIANAPOLIS PLYMOUTH DETROIT MOUNT MORRIS GRANDVILLE SANDUSKY BYRON CENTER

STATE

COUNTY

KY HARDIN

IN

CLAY

IN

HAMILTON

IN

MARION

IN

LAPORTE

IN

HENDRICKS

MI WAYNE

MI MONTCALM

MI OTTAWA

MI OTTAWA

MI GOGEBIC

MI INGHAM

MI VAN BUREN

MI OTSEGO

MI WAYNE

OH VINTON

KY SHELBY

KY JEFFERSON

KY CARROLL

KY WHITLEY

KY FAYETTE

KY LAUREL

KY GRAVES

KY DAVIESS

KY HARDIN

KY MCCRACKEN

KY FLOYD

MI MACOMB

MI MACOMB

MI GENESEE

MI WAYNE

MI WAYNE

MI OAKLAND

MI WAYNE

MI INGHAM

MI KALAMAZOO

MI WAYNE

MI OAKLAND

MI OAKLAND

OH CUYAHOGA

OH FRANKLIN

OH MADISON

OH CUYAHOGA

IN

BARTHOLOMEW

IN WHITLEY

IN HANCOCK

IN HAMILTON

IN DELAWARE

IN MARION

KY WHITLEY

KY KENTON

KY JEFFERSON

KY JEFFERSON

MI OAKLAND

MI DELTA

MI WAYNE

MI OAKLAND

MI MECOSTA

OH GREENE

OH RICHLAND

OH HANCOCK

OH MONTGOMERY

OH LUCAS

IN

LAKE

IN

JOHNSON

IN

HUNTINGTON

IN

VIGO

IN

HAMILTON

IN

ALLEN

IN

LAKE

IN

MARION

IN

MARSHALL

MI WAYNE

MI GENESEE

MI KENT

MI SANILAC

MI KENT

ZIP

PHONE

42701 (270)-739-0303

47834 (812)-442-1705

46062 (317)-776-1175

46254 (317)-387-2410

46360 (219)-877-2410

46168 (317)-204-1386

48225 (313)-642-0942

48838 (616)-754-3255

49424 (616)-994-1110

49428 (616)-457-9630

49938 (906)-932-4191

48895 (517)-655-1372

49079 (269)-657-4984

49735 (989)-731-9010

48152 (248)-478-3922

45651 (740)-596-2566

40065 (502)-633-5331

40299 (502)-266-2549

41008 (502)-732-5008

40701 (606)-523-5585

40505 (859)-281-6615

40741 (606)-862-6261

42066 (270)-247-2272

42303 (270)-683-2400

42701 (270)-872-0588

42003 (270)-408-3784

41649 (606)-949-1555

48091 (586)-755-0040

48021 (586)-533-2835

48473 (810)-635-1410

48213 (313)-692-8405

48239 (313)-486-2579

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48910 (517)-574-5015

49006 (269)-343-4232

48203 (313)-867-5000

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48336 (734)-261-4100

44116 (888)-792-1552

43215 (614)-227-0301

43162 (614)-879-8500

44130 (216)-957-6337

47203 (812)-378-4701

46725 (260)-248-4572

46140 (317)-462-7713

46033 (317)-848-2824

47396 (765)-759-4064

46202 (317)-880-4525

40701 (606)-526-0755

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40299 (502)-245-4239

40212 (502)-569-1673

48309 (248)-601-7000

49829 (906)-384-5900

48212 (313)-334-6717

48073 (248)-607-3110

49346 (231)-359-1661

45440 (937)-640-6010

44906 (419)-774-3121

45840 (419)-429-1300

45409 (937)-648-0312

43616 (419)-214-9065

46373 (219)-365-9847

46143 (317)-888-6917

46750 (260)-358-1506

47802 (812)-232-2086

46074 (317)-867-4187

46845 (260)-338-0834

46410 (219)-769-8171

46204 (317)-631-6000

46563 (952)-653-2568

48215 (313)-822-4085

48458 (810)-686-7106

49418 (616)-724-2810

48471 (810)-648-4247

49315 (616)-878-0497

NCPDP 2370346 2372693 2373695 2374875 3615981 3635274 3638410 3640580 3642546 3643675 3647926 3651254 3652143 1836761 1838816 2348781 1535357 1536335 1536931 1537096 1560401 1821037 1822623 1825237 1825275 1825352 1825679 1828904 1829362 1831278 1832888 1834743 2375346 2377415 2377530 2377617 2380979 2384155 2384256 2386248 1533555 1534761 1562253 1562330 2363288 2364836 2366563 2370029 2370081 2370637 2371653 2372112 2372732 3615929 3632747 3637088 3637331 3638092 3640794 3645136 3645453 3654349 1836569 1838361 1838842 2350825 2351043 2351093 1531525 1534189 1562075 2363783 2365357 2365559 2366121 2366208 2366626

NPI 1447446711 1467696096 1700118361 1619272457 1184727810 1376646026 1538224332 1649204447 1457454118 1801801766 1023028701 1205945540 1639288988 1518480649 1578187209 1760492334 1124033261 1487621553 1235151952 1831116201 1346319290 1013069582 1528085842 1164554192 1962509455 1578505350 1346274180 1497852230 1568496321 1295969863 1356616007 1477944890 1265721955 1427392190 1598002479 1508105883 1093181943 1730691437 1932611639 1033677836 1578636882 1457442626 1831355668 1366693665 1427166891 1104850973 1982770632 1215137146 1023218138 1891970265 1396992814 1962647669 1073747127 1356366280 1184639049 1376545657 1922014232 1346285350 1376577171 1619901410 1598770596 1396779195 1467975722 1952956070 1912523614 1174538284 1427150853 1760428783 1679591531 1831116052 1043485568 1396824116 1245324656 1740207232 1093732463 1811902109 1508974973

PHARMACY NAME WALGREENS BENZER PHARMACY MILLS PHCY & APOTHECARY EAGLE PHARMACY CVS PHARMACY CVS PHARMACY MEIJER PHARMACY KROGER SAV-ON CVS PHARMACY GROUP HEALTH PHARMACY RITE AID PHARMACY RITE AID PHARMACY RITE AID PHARMACY WALGREENS ST ELIZABETH HEALTHCARE CANCER CARE RITE AID PHARMACY WALGREENS WILLIAMS BROS HEALTH CARE PHCY CVS PHARMACY WALMART PHARMACY MARTINS PHARMACY FORCHT PHARMACY WALMART PHARMACY PHARMACY ARTS CVS PHARMACY MEDZONE PHARMACY KROGER PHARMACY MEDICAL ARTS PHARMACY KROGER PHARMACY BOWLING FAMILY PHARMACY SAVE MORE DRUGS WALMART PHARMACY MEDINA PHARMACY MARTIN PHARMACY LLC MEDPLEX PHARMACY MEDPLUS CARE PHARMACY LLC CVS PHARMACY KNIGHT DRUGS GREENFIELD FAMILY REXALL RX GREAT LAKES PHARMACY OF MIDLAND KROGER PHARMACY LINCOLN PLAZA PHARMACY LLC CVS PHARMACY MARTINS PHARMACY PHARMAX DRUGS KROGER PHARMACY WELLPOINTE PHARMACY KROGER PHARMACY HARDINGS PHARMACY LTC MED EX DIRECT WALGREENS VG'S PHARMACY REDFORD DISCOUNT PHARMACY TROUTMAN DRUG COMPANY GROUP HEALTH PHARMACY REMEDI SENIORCARE RITE AID PHARMACY DISCOUNT DRUG MART KROGER SAV-ON KROGER PHARMACY WALGREENS KROGER SAV-ON WALGREENS GENOA HEALTHCARE LLC MED SAVE LAGRANGE WALGREENS SCHEURER FAMILY PHARMACY GRICE'S PHARMACY WALMART PHARMACY SAM'S CLUB PHARMACY WALGREENS MARTIN'S PHARMACY MED RX WALMART PHARMACY SAM'S CLUB PHARMACY WALGREENS PINE KNOB SAVMOR PHARMACY #6

ADDRESS 6840 LAKE MICHIGAN DR G3333 BEECHER RD STE B 1744 W MAPLE RD STE A 109 W MAIN ST 1225 CANTON RD 463 TIFFIN AVE 2153 MARION MOUNT GILEAD RD 2120 BEECHMONT AVE 3086 MADISON RD 8240 NORTHCREEK DR 3700 N DIXIE DR 506 W MARKET ST 7844 STATE ROUTE 45 31 BIG HILL DR 1 MEDICAL VILLAGE DR 603 E SAVIDGE ST 400 E MEMORIAL DR 574 S LANDMARK AVE 2966 E 3RD ST 3805 S KEYSTONE AVE 1527 BASHOR RD 108 E 6TH ST 112 OSBOURNE WAY 31 BURNLEY RD 101 W SHOWALTER DR 5291 KY RTE 321 810 INDIAN MOUND DR 300 S 8TH ST 520 N 35TH ST 315 HOSPITAL DR STE 6 2208 FT CAMPBELL BLVD 545 CONESTOGA PKWY LOT 1 8744 W WARREN AVE 4130 CLIO RD STE B 6318 DIXIE HWY 14071 E 7 MILE RD 2506 NILES AVE 19141 GREENFIELD RD 202 W. BROAD ST 1120 EASTMAN AVE 5025 W 71ST ST 629 LINCOLN AVE 7935 BROOKVILLE RD 314 N IRONWOOD DR 10501 TELEGRAPH RD 3838 RICHFIELD RD 1701 SOUTH BLVD E 23849 WEST RD 139 N GRAND ST 13201 STEPHENS RD STE C 1500 BRIDGE ST 710 S MILL ST 25850 GRAND RIVER AVE 501 ROBBINS AVE 379 DIXMYTH AVE 962 S DORSET RD 2450 S REYNOLDS RD 2253 COLORADO AVE 4656 CEMETERY RD 6306 COUNTY ROAD 107 4605 MONTGOMERY RD 1955 HENDERSON RD 110 RICHMOND RD 7459 BURLINGTON PIKE BLDG2 114 1000 CHERRYWOOD PL STE 100 425 FULLER AVE NE 168 N CASEVILLE RD 6 SOUTH MAIN ST 333 BOYD BLVD 120 INDIAN RIDGE BLVD 3551 CASSOPOLIS ST 2121 S CLEVELAND AVE 15101 SOUTHFIELD RD STE 101 501 N 9TH ST 5450 CARPENTER RD 1314 N WEST AVE 1701 BALDWIN AVE SUITE 100

CITY ALLENDALE FLINT BIRMINGHAM FARWELL AKRON FINDLAY MARION CINCINNATI CINCINNATI CINCINNATI DAYTON LIMA LISBON BEATTYVILLE EDGEWOOD SPRING LAKE MUNCIE BLOOMINGTON BLOOMINGTON INDIANAPOLIS GOSHEN CORBIN GEORGETOWN SCOTTSVILLE GEORGETOWN PRESTONSBURG MOUNT STERLING MURRAY LOUISVILLE BARBOURVILLE HOPKINSVILLE SHEPHERDSVILLE DEARBORN FLINT BRIDGEPORT DETROIT SAINT JOSEPH DETROIT CHESANING MIDLAND INDIANAPOLIS BEDFORD INDIANAPOLIS MISHAWAKA TAYLOR FLINT ROCHESTER HILLS FLAT ROCK SCHOOLCRAFT WARREN CHARLEVOIX CLIO REDFORD NILES CINCINNATI TROY TOLEDO LORAIN HILLIARD PROCTORVILLE NORWOOD UPPER ARLNGTN IRVINE FLORENCE LA GRANGE GRAND RAPIDS PIGEON KENT CITY LA PORTE MISHAWAKA ELKHART SAINT JOSEPH ALLEN PARK KALAMAZOO YPSILANTI JACKSON PONTIAC

STATE

COUNTY

MI OTTAWA

MI GENESEE

MI OAKLAND

MI CLARE

OH SUMMIT

OH HANCOCK

OH MARION

OH HAMILTON

OH HAMILTON

OH HAMILTON

OH MONTGOMERY

OH ALLEN

OH COLUMBIANA

KY LEE

KY KENTON

MI OTTAWA

IN

DELAWARE

IN

MONROE

IN

MONROE

IN

MARION

IN

ELKHART

KY WHITLEY

KY SCOTT

KY ALLEN

KY SCOTT

KY FLOYD

KY MONTGOMERY

KY CALLOWAY

KY JEFFERSON

KY KNOX

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KY BULLITT

MI WAYNE

MI GENESEE

MI SAGINAW

MI WAYNE

MI BERRIEN

MI WAYNE

MI SAGINAW

MI MIDLAND

IN MARION

IN LAWRENCE

IN MARION

IN ST. JOSEPH

MI WAYNE

MI GENESEE

MI OAKLAND

MI WAYNE

MI KALAMAZOO

MI MACOMB

MI CHARLEVOIX

MI GENESEE

MI WAYNE

OH TRUMBULL

OH HAMILTON

OH MIAMI

OH LUCAS

OH LORAIN

OH FRANKLIN

OH LAWRENCE

OH HAMILTON

OH FRANKLIN

KY ESTILL

KY BOONE

KY OLDHAM

MI KENT

MI HURON

MI KENT

IN

LAPORTE

IN

ST. JOSEPH

IN

ELKHART

MI BERRIEN

MI WAYNE

MI KALAMAZOO

MI WASHTENAW

MI JACKSON

MI OAKLAND

ZIP

PHONE

49401 (616)-895-2200

48532 (810)-230-9900

48009 (248)-644-5060

48622 (989)-588-2900

44312 (330)-798-7701

45840 (419)-423-3236

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45236 (513)-745-4777

45414 (937)-275-7032

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44432 (330)-424-7743

41311 (606)-464-2581

41017 (859)-301-4510

49456 (616)-842-1461

47302 (765)-284-3933

47403 (812)-335-0000

47401 (812)-336-4101

46227 (317)-786-3820

46528 (574)-533-5600

40701 (606)-528-4380

40324 (502)-867-1935

42164 (270)-618-4444

40324 (502)-868-6101

41653 (606)-889-9003

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42071 (270)-753-2011

40212 (502)-776-3765

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42240 (270)-885-5515

40165 (502)-281-5006

48126 (313)-397-6919

48504 (810)-785-1000

48722 (989)-746-9500

48205 (313)-371-9000

49085 (269)-982-0034

48235 (313)-915-3635

48616 (989)-865-0316

48640 (989)-835-7911

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47421 (812)-277-1702

46239 (317)-353-0783

46544 (574)-254-2323

48180 (313)-357-2700

48506 (810)-736-9913

48307 (248)-852-9355

48134 (734)-561-1210

49087 (269)-679-2008

48089 (877)-899-6337

49720 (231)-547-1356

48420 (810)-686-0004

48240 (313)-533-7920

44446 (330)-652-1435

45220 (513)-872-2006

45373 (937)-573-3600

43614 (419)-865-3130

44052 (440)-288-0191

43026 (614)-876-1248

45669 (740)-886-5579

45212 (513)-731-0062

43220 (614)-457-1939

40336 (606)-723-2146

41042 (859)-795-0472

40031 (502)-465-5500

49503 (616)-776-9925

48755 (989)-453-2535

49330 (616)-678-5380

46350 (219)-325-3426

46545 (574)-243-8419

46514 (574)-206-0285

49085 (269)-983-5847

48101 (313)-928-4922

49009 (269)-544-2943

48197 (734)-434-2587

49202 (517)-783-1803

48340 (248)-253-0521

NCPDP 2367236 2368000 2369850 2370308 2372061 2372326 1823079 1823637 1823827 1825263 1828144 1828815 1829158 1829641 1829944 1830769 1831949 1835113 1835769 2377883 2377984 2378823 2379192 2382086 2382101 2382339 2382416 2382531 2382656 2383305 2386628 3682083 3682437 3683340 1533240 1535915 1537147 1537197 1537248 1561302 1562188 1535179 1535472 1535939 1560398 1561124 1561477 1561770 1563750 1563990 1564500 2364204 2364266 2367743 2368593 2371451 2374990 3636012 1822964 1823029 1823613 1824552 1827077 1827154 1828295 1828877 1828942 1829083 1831153 2377112 2378455 2379281 2379611 2382202 2384244 2385703 3682463

NPI 1366469736 1134199979 1053501577 1942497425 1417192113 1902043953 1265459598 1083648802 1851327290 1417051368 1659316859 1649389248 1891712139 1295830669 1891836524 1992970644 1720399306 1720468689 1336690122 1235478934 1255774592 1679996490 1578989489 1063860484 1962850248 1427402536 1437605326 1437600103 1861934903 1528593175 1669039590 1053727545 1720481195 1871973966 1437127305 1336161058 1952323677 1740207117 1598787228 1972664936 1700047891 1023035490 1790707412 1861502478 1851499693 1578576203 1326259136 1033301338 1164795696 1174893978 1689624264 1366469587 1124052998 1407956840 1659481596 1689820607 1487958120 1699878116 1629095955 1366460834 1891792057 1245264068 1952321713 1942236112 1063439396 1427075878 1033124284 1518015569 1730320326 1750639415 1114354164 1871913640 1033526959 1508212366 1588178834 1679041909 1366844284

PHARMACY NAME WALMART PHARMACY WEST VILLAGE PHARMACY WALGREENS GENOA HEALTHCARE LLC VG'S PHARMACY GENOA HEALTHCARE LLC WALMART PHARMACY KROGER PHARMACY IRVINE HEALTH CARE PHARMACY CVS PHARMACY HCTC PHARMACY MORTONS DISCOUNT DRUG WALMART PHARMACY GENOA HEALTHCARE LLC KING DRUG AND HOME CARE COMMONWEALTH PHARMACY SAM'S CLUB PHARMACY BARDWELL PHARMACY GRASSROOTS PHARMACY MAJESTIC PHARMACY WAYNE DRUGS CENTRAL PHARMACY LAINGSBURG DALCOMA SPECIALTY PHARMACY PARK FAMILY PHARMACY WESTERN WAYNE PHARMACY PLATINUM LIFE PHARMACY PLLC SPEEDSERVE PHARMACY BEAUMONT PHARMACY SOLUTIONS LIFE PHARMACY LLC THUNDER BAY PHARMACY ROGERS CITY CAREMOR COLDWATER PHARMACY LLC CLEVELAND LOWCOST PHARMACY ACME PHARMACY MVHC PHARMACY WILLIAMS BROS HEALTH CARE PHCY CVS PHARMACY CVS PHARMACY SAM'S CLUB PHARMACY CVS PHARMACY WALGREENS CVS PHARMACY SAM'S CLUB PHARMACY CVS PHARMACY COSTCO PHARMACY CVS PHARMACY WALMART PHARMACY WALGREENS MARTIN'S PHARMACY COMMUNITY, A WALGREENS PHARMACY MEIJER PHARMACY CANCER HEALTH TREATMENT CTR SAM'S CLUB PHARMACY KROGER PHARMACY CVS PHARMACY WALGREENS ZMC PHARMACY VICTORIA PHARMACY CVS PHARMACY WALMART PHARMACY WALMART PHARMACY RICKS PHARMACY INC KROGER PHARMACY TOTAL CARE PHARMACY WHITAKER PHARMACY SAM'S CLUB PHARMACY FOOD CITY PHARMACY WALGREENS RITE VALUE PHARMACY DUNCAN SPECIALTY PHARMACY CVS PHARMACY PHARMACARXE PHARMACY HOOVER DRUGS LLC WALGREENS PRIME CARE PHARMACY MEDPULSE PHARMACY CADIEUX DISCOUNT PHARMACY LLC LAKE HEALTH PHARMACY - TRIPOINT

ADDRESS 152 W SPRAGUE RD 2040 MONROE ST STE 201 3596 ALPINE AVE NW 420 W 5TH AVE 6764 S RIVER 1570 SUNCREST DR STE 300 1405 MIDDLE RD 808 N 12TH ST 1325 RICHMOND RD STE 1 2409 ARGILLITE RD 1009A DUPONT SQ N # A 1080 CUMBERLAND FALLS HWY 14800 FORT CAMPBELL BLVD 1351 NEWTOWN PIKE BLDG 5 255 WEST GL SMITH ST 5425 N MAYO TRL STE 102 103 BRYANT DR 178 US HIGHWAY 51 N 2304 SIR BARTON WAY STE 195 25861 LAHSER RD 34815 W MICHIGAN AVE STE B 209 E GRAND RIVER 43337 SCHOENHERR RD 28350 GRATIOT AVE 2700 HAMLIN BLVD STE C 30785 ANN ARBOR TRL 285 NORTH AVE 41965 ECORSE RD 4025 MAPLE ST 205 S BRADLEY HWY 407 E CHICAGO ST 14529 PURITAS AVE 3875 MASSILLON RD 716 ADAIR AVE 101 W BRUMFIELD AVE 10401 N MICHIGAN RD 1300 E 86TH ST STE 35 1301 VETERANS PKWY 6119 STELLHORN RD 3275 E STATE ROAD 32 6101 N KEYSTONE AVE 1101 WINDHORST WAY 2420 LAPORTE AVE 1310 E 79TH AVE 11591 OLIO RD 2025 MERCHANT MILE 3250 N MORRISON RD 3420 E MARKET ST 9002 N MERIDIAN ST STE 213 10301 SR 37 HWY 342 E 109TH AVE 39800 FORD RD 1771 E MICHIGAN AVE 53069 VAN DYKE AVE 2480 E HOUGHTON AVE 1041 S MAIN ST 29963 NORTHWESTERN HWY 13215 SHAKER SQ 1283 US HIGHWAY 27 N 351 RIVER HILL DR 3001 SCHNEIDMAN RD 9001 US HIGHWAY 42 700 VIOLET ROAD 570 INDIAN MOUND DR 3550 JAMES SANDERS BLVD 429 UNIVERSITY DR 1205 MAIN ST 2673 HIGHWAY 644 STE 1 317 W BROADWAY 2010 E APPLE AVE 4135 15 MILE RD 28675 HOOVER RD 126 N BROADWAY ST 3 HERITAGE DR # 3 37595 7 MILE RD 1ST FLOOR 17163 HARPER AVE 7580 AUBURN RD STE 2

CITY IONIA DEARBORN WALKER FLINT MARINE CITY LAPEER FULTON MURRAY IRVINE FLATWOODS LOUISVILLE CORBIN OAK GROVE LEXINGTON MORGANTOWN PIKEVILLE NICHOLASVILLE BARDWELL LEXINGTON SOUTHFIELD WAYNE LAINGSBURG STERLING HEIGHTS ROSEVILLE INKSTER WESTLAND BATTLE CREEK VAN BUREN TWP DEARBORN ROGERS CITY COLDWATER CLEVELAND GREEN ZANESVILLE PRINCETON CARMEL INDIANAPOLIS CLARKSVILLE FORT WAYNE WESTFIELD INDIANAPOLIS GREENWOOD VALPARAISO MERRILLVILLE FISHERS COLUMBUS MUNCIE LOGANSPORT INDIANAPOLIS FORT WAYNE CROWN POINT CANTON YPSILANTI SHELBY TOWNSHIP WEST BRANCH ROYAL OAK SOUTHFIELD CLEVELAND STANFORD ASHLAND PADUCAH UNION CRITTENDEN MOUNT STERLING PADUCAH PRESTONSBURG MURRAY LOUISA MAYFIELD MUSKEGON STERLING HEIGHTS WARREN HASTINGS SOUTHGATE LIVONIA DETROIT CONCORD TWP

STATE

COUNTY

MI IONIA

MI WAYNE

MI KENT

MI GENESEE

MI ST. CLAIR

MI LAPEER

KY FULTON

KY CALLOWAY

KY ESTILL

KY GREENUP

KY JEFFERSON

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KY CHRISTIAN

KY FAYETTE

KY BUTLER

KY PIKE

KY JESSAMINE

KY CARLISLE

KY FAYETTE

MI OAKLAND

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MI SHIAWASSEE

MI MACOMB

MI MACOMB

MI WAYNE

MI WAYNE

MI CALHOUN

MI WAYNE

MI WAYNE

MI PRESQUE ISLE

MI BRANCH

OH CUYAHOGA

OH SUMMIT

OH MUSKINGUM

IN GIBSON

IN HAMILTON

IN MARION

IN CLARK

IN ALLEN

IN HAMILTON

IN MARION

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IN PORTER

IN LAKE

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IN CASS

IN MARION

IN ALLEN

IN LAKE

MI WAYNE

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MI MACOMB

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OH CUYAHOGA

KY LINCOLN

KY BOYD

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KY BOONE

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KY CALLOWAY

KY LAWRENCE

KY GRAVES

MI MUSKEGON

MI MACOMB

MI MACOMB

MI BARRY

MI WAYNE

MI WAYNE

MI WAYNE

OH LAKE

ZIP

PHONE

48846 (616)-527-3904

48124 (313)-561-9700

49544 (616)-647-2260

48503 (810)-496-4876

48039 (810)-765-3585

48446 (810)-245-4590

42041 (270)-472-9802

42071 (270)-759-1288

40336 (606)-723-5446

41139 (606)-833-8027

40059 (502)-894-9950

40701 (606)-528-2121

42262 (270)-640-5848

40511 (859)-554-4187

42261 (270)-526-6980

41501 (606)-437-0701

40356 (859)-881-0431

42023 (270)-628-5445

40509 (859)-263-1382

48033 (248)-948-8800

48184 (734)-629-4336

48848 (517)-651-1777

48313 (586)-697-3877

48066 (586)-218-8181

48141 (313)-914-3434

48185 (734)-469-2424

49017 (269)-224-6334

48111 (586)-753-4180

48126 (313)-846-2000

49779 (989)-734-5071

49036 (517)-924-1999

44135 (216)-476-1400

44685 (330)-899-0653

43701 (740)-868-8171

47670 (812)-386-5194

46032 (317)-876-0921

46240 (317)-810-0045

47129 (812)-218-0447

46815 (260)-485-4697

46074 (317)-896-9019

46220 (317)-454-7505

46143 (317)-887-0093

46383 (219)-531-6628

46410 (219)-641-6402

46037 (317)-585-2702

47201 (812)-376-9385

47304 (765)-287-8330

46947 (574)-753-2518

46260 (317)-587-7400

46835 (260)-492-1310

46307 (219)-310-2550

48187 (734)-981-5104

48198 (734)-482-9342

48316 (586)-781-2655

48661 (989)-343-6921

48067 (248)-280-6401

48034 (248)-595-8701

44120 (216)-991-3904

40484 (606)-365-3535

41101 (606)-329-0477

42003 (270)-443-7200

41091 (859)-334-9420

41030 (859)-428-0900

40353 (859)-498-3141

42001 (270)-444-6992

41653 (606)-889-9572

42071 (270)-762-8991

41230 (606)-638-9627

42066 (270)-247-3725

49442 (231)-767-1122

48310 (586)-268-1888

48093 (586)-522-4334

49058 (269)-908-4067

48195 (734)-324-1290

48152 (734)-744-7174

48224 (313)-499-1110

44077 (440)-375-8791

NCPDP 3683732 1836406 2348072 2348250 2349290 2355748 2358605 2361892 1533024 1534177 1534355 1534812 1534898 1562405 1563988 2363973 2365294 2366436 2366981 2367438 2368416 2368884 2369329 2370170 2370788 2371247 2371576 2372097 2372275 2374433 3632901 3637432 1819537 1823928 1825100 1825465 1826239 1827469 1829627 2375574 2377299 2382810 2383711 2384357 3682691 3685318 3685344 3685762 3686435 3686459 1836824 1836963 1531777 1532666 1533101 1534913 1534949 1536208 1560920 1562695 1565538 1567138 1535105 1536753 1560691 1560867 1561871 1562063 1563394 1564043 1564714 2363670 2364103 2367375 2368240 2369862 2369963

NPI 1689044059 1912420944 1962436709 1538278098 1306948641 1255433546 1669584520 1649297862 1659474385 1922025147 1225043367 1982626602 1588681951 1093968448 1467722264 1932114071 1568496339 1902811201 1811921687 1477575140 1477570968 1235226424 1871641878 1861684821 1225215254 1437325636 1215183595 1144465840 1326292525 1669786257 1043221609 1942215884 1811914138 1790719516 1902982846 1407861651 1518991355 1437232519 1194736603 1811292246 1952657504 1255882981 1336664283 1720588825 1396780466 1942724448 1609306844 1336648112 1750869145 1730545229 1174046692 1760905798 1710070156 1598770638 1669545976 1881791374 1770598815 1578580940 1841231768 1497995815 1447655139 1811360100 1306851449 1417979139 1649211541 1831133297 1942482989 1952577173 1700174695 1366712168 1780022780 1609916212 1487745303 1538174834 1992746895 1811195993 1457551384

PHARMACY NAME GENOA HEALTHCARE LLC WALGREENS KROGER PHARMACY RITE AID PHARMACY CVS PHARMACY CVS PHARMACY CVS PHARMACY WALMART PHARMACY CVS PHARMACY WALMART PHARMACY WALGREENS CVS PHARMACY WALMART PHARMACY SKILLED CARE OF INDIANA LLC MEIJER PHARMACY WALGREENS KROGER PHARMACY WALGREENS KROGER PHARMACY CVS PHARMACY WALMART PHARMACY MERCY HEALTH PHCY SOUTHWEST ALLEGAN MEDICAL CENTER PHARMACY KROGER PHARMACY WALGREENS WALGREENS WALGREENS VG'S PHARMACY DORR COMMUNITY PHARMACY POKAGON BAND HEALTH SVCS PHCY SCARBROUGH PHARMACY MARCS WALMART PHARMACY KROGER PHARMACY CARE MORE PHARMACY WALGREENS KROGER PHARMACY CVS PHARMACY RIVERSIDE PHARMACY SALINE PHARMACY 7 VAN DRUGS PRINCING'S PHARMACY STAR PHARMACY SAULT COMMUNITY PHARMACY CENTRAL OHIO UROLOGY GROUP INC CVS PHARMACY THOMPSONS TOWN STREET PHARMACY MARY RULAN HSP HLTH CTR RET PHCY COMMUNITY FIRST PHARMACY CEDAR CARE VILLAGE PHARMACY WALGREENS WALGREENS MEDWORKS PHARMACY WALGREENS KROGER PHARMACY CVS PHARMACY WALGREENS WALMART PHARMACY CVS PHARMACY NORTHSHORE HEALTH CENTERS KAUP PHARMACY OPTIMUM WELLNESS PHARMACY WALGREENS CVS PHARMACY CVS PHARMACY CVS PHARMACY GENOA HEALTHCARE LLC GRANDVIEW HEALTHCARE #2 GENOA HEALTHCARE LLC MEIJER PHARMACY RUSCH'S SOUTHSIDE PHARMACY SAADS HEALTHY LIVING PHARMACY FAMILY DRUGS PHARMACY WALGREENS CVS PHARMACY CVS PHARMACY KROGER PHARMACY

ADDRESS 700 BROOKSEDGE BLVD STE 100 4101 TATES CREEK CTR DR #156 540 S MAIN ST 3521 CORUNNA RD 295 S LIVERNOIS RD 22060 OUTER DR 25762 VAN BORN RD 2001 W MAPLE RD 255 OLD CAPITAL PLZ NW 316 INDIAN RIDGE BLVD 10412 COLDWATER RD 3630 SOUTH ST 7325 N KEYSTONE AVE 9900 WESTPOINT DR STE 100 11351 E WASHINGTON ST 5100 E BELTLINE AVE NE 900 S US HIGHWAY 27 2450 S STATE RD 9700 CHILSON COMMONS 1925 MARKETPLACE DR SE 3285 HENRY ST 2373 64TH ST SW STE 1100 551 LINN ST STE 120 2105 SOUTH BLVD W 5575 BYRON CENTER AVE SW 7420 SECOR RD 1001 E M 21 18005 SILVER PKWY 1730 142ND AVE 32652 KNO DR 139 W MAIN ST 6849 SOUTHLAND DR 725 CAMPBELLSVILLE BYP 1670 STARLITE DR 151 DORTON JENKINS HWY 8300 WATTERSON TRL 5929 TIMBER RIDGE DR 1227 US 127 S 825 SECOND AVE E STE A1 75 E BENNETT 7701 E 7 MILE RD STE A 333 S MICHIGAN AVENUE 24831 RYAN RD 560 OSBORN BLVD STE B 701 TECH CENTER DR 5812 RIDGE RD 165 N MURRAY HILL RD 1134 N MAIN 1036 SOUTH VERITY PKWY 63 N MAIN ST 343 N WALLACE WILKINSON BLVD 1355 2ND ST 1412 MILLER AVE 110 E CREIGHTON AVE 601 E DUPONT RD 3405 RIDGE RD 13242 WICKER AVE 2910 GRANT LINE RD 2806 OLD US HIGHWAY 231 S 2490 CENTRAL AVE STE B 104 W MAIN STREET 8900 RUFFIAN LANE 2720 W JACKSON ST 1037 S REED RD 3835 45TH ST 1616 E 86TH ST 415 MULBERRY ST 3402 CONGRESSIONAL PKWY STE A 415 E MADISON ST RM S-304 5325 E SOUTHPORT RD 1107 S 15TH ST 13840 W WARREN AVE 18611 W WARREN AVE 13700 CANAL RD 1015 13TH ST 50980 NORTH AVE 64660 VAN DYKE RD

CITY WESTERVILLE LEXINGTON LAPEER FLINT ROCHESTER HILLS DEARBORN DEARBORN HEIGHTS TROY CORYDON MISHAWAKA FORT WAYNE LAFAYETTE INDIANAPOLIS INDIANAPOLIS INDIANAPOLIS GRAND RAPIDS SAINT JOHNS IONIA PINCKNEY CALEDONIA MUSKEGON BYRON CENTER ALLEGAN TROY WYOMING LAMBERTVILLE OWOSSO FENTON DORR DOWAGIAC DESHLER MIDDLEBURG HEIGHTS CAMPBELLSVILLE OWENSBORO DORTON LOUISVILLE PROSPECT FRANKFORT BOWLING GREEN SALINE DETROIT SAGINAW WARREN SAULT SAINTE MARIE GAHANNA PARMA COLUMBUS BELLEFONTAINE MIDDLETOWN CEDARVILLE LIBERTY HENDERSON SHELBYVILLE FORT WAYNE FORT WAYNE HIGHLAND CEDAR LAKE NEW ALBANY LAFAYETTE LAKE STATION BERNE NEWBURGH MUNCIE KOKOMO HIGHLAND INDIANAPOLIS EVANSVILLE FORT WAYNE SOUTH BEND INDIANAPOLIS VINCENNES DEARBORN DETROIT STERLING HEIGHTS MENOMINEE MACOMB TOWNSHIP WASHINGTON

STATE

COUNTY

OH FRANKLIN

KY FAYETTE

MI LAPEER

MI GENESEE

MI OAKLAND

MI WAYNE

MI WAYNE

MI OAKLAND

IN

HARRISON

IN

ST. JOSEPH

IN

ALLEN

IN

TIPPECANOE

IN

MARION

IN

HAMILTON

IN

MARION

MI KENT

MI CLINTON

MI IONIA

MI LIVINGSTON

MI KENT

MI MUSKEGON

MI KENT

MI ALLEGAN

MI OAKLAND

MI KENT

MI MONROE

MI SHIAWASSEE

MI GENESEE

MI ALLEGAN

MI CASS

OH HENRY

OH CUYAHOGA

KY TAYLOR

KY DAVIESS

KY PIKE

KY JEFFERSON

KY JEFFERSON

KY FRANKLIN

KY WARREN

MI WASHTENAW

MI WAYNE

MI SAGINAW

MI MACOMB

MI CHIPPEWA

OH FRANKLIN

OH CUYAHOGA

OH FRANKLIN

OH LOGAN

OH BUTLER

OH GREENE

KY CASEY

KY HENDERSON

IN

SHELBY

IN

ALLEN

IN

ALLEN

IN

LAKE

IN

LAKE

IN

FLOYD

IN

TIPPECANOE

IN

LAKE

IN

ADAMS

IN

WARRICK

IN

DELAWARE

IN

HOWARD

IN

LAKE

IN

MARION

IN

VANDERBURGH

IN

ALLEN

IN

ST. JOSEPH

IN

MARION

IN

KNOX

MI WAYNE

MI WAYNE

MI MACOMB

MI MENOMINEE

MI MACOMB

MI MACOMB

ZIP

PHONE

43081 (614)-948-6040

40517 (859)-273-0222

48446 (810)-664-0391

48503 (810)-235-6363

48307 (248)-656-8200

48124 (313)-274-7651

48125 (313)-299-0348

48084 (248)-435-4556

47112 (812)-738-7191

46545 (574)-243-9707

46845 (260)-637-0848

47905 (765)-447-4411

46240 (317)-202-9731

46256 (317)-841-0388

46229 (317)-894-6710

49525 (616)-361-1758

48879 (989)-224-7075

48846 (616)-522-9175

48169 (734)-213-7980

49316 (616)-698-1186

49441 (231)-739-4724

49315 (616)-685-3950

49010 (269)-673-4700

48098 (248)-537-1011

49519 (616)-534-5175

48144 (734)-856-2083

48867 (989)-725-6309

48430 (810)-750-1572

49323 (616)-681-9947

49047 (269)-782-4570

43516 (419)-278-1851

44130 (440)-884-4171

42718 (270)-789-0734

42301 (270)-926-2340

41537 (606)-639-2273

40299 (502)-491-8774

40059 (502)-292-2471

40601 (502)-227-8238

42101 (270)-780-2650

48176 (734)-316-2162

48234 (313)-733-8587

48602 (989)-793-8640

48091 (586)-486-5037

49783 (906)-632-2122

43230 (614)-396-2541

44129 (440)-842-6081

43228 (614)-591-3044

43311 (937)-651-6783

45044 (513)-217-8900

45314 (937)-766-2273

42539 (606)-787-5574

42420 (270)-827-9857

46176 (317)-421-2020

46803 (260)-456-1841

46825 (260)-637-6115

46322 (219)-972-7131

46303 (219)-374-9346

47150 (812)-944-1214

47909 (765)-477-6666

46360 (219)-962-5909

46711 (260)-589-3330

47630 (812)-518-3428

47303 (765)-287-8533

46902 (765)-868-9151

46322 (219)-922-2723

46240 (317)-569-0387

47713 (812)-422-3448

46808 (260)-444-3071

46617 (574)-208-6684

46237 (317)-859-2210

47591 (812)-316-0079

48126 (313)-846-7700

48228 (313)-441-6666

48313 (586)-532-9761

49858 (906)-863-2589

48042 (586)-949-7323

48095 (586)-540-8004

NCPDP 2370156 2370651 2371475 2371588 3616034 3616919 3619775 3627239 3627873 1819208 1821746 1821924 1822116 1822166 1822205 1822255 1822952 1827370 1828916 1829211 1829653 1834868 1835000 2376261 2376843 2378051 1531094 1531727 1534165 1535371 1536119 1536424 1536575 1536880 1535117 1560564 1562710 1563558 1564257 1564699 2364949 2365597 2369660 2372667 2372718 2373152 2373784 3615789 3621631 3634082 1820035 1825681 1828548 1828803 1829297 1830846 1832131 1835101 2382834 2384484 3681992 3685180 3686461 3686904 1836014 1839197 2351776 2352475 2355596 3655822 3656127 3660152 3661089 1535131 1560792 1561390 1562657

NPI 1851590335 1720263122 1780849349 1225284524 1851451314 1336181296 1770662355 1841235769 1265523716 1467479782 1609924653 1659474302 1447277769 1174540496 1992739718 1083631303 1710904040 1598799355 1477601391 1770676934 1033283858 1629464854 1558755215 1437429495 1285995407 1073958831 1922013051 1265535785 1013934231 1619946746 1942428420 1962562199 1811912694 1831194588 1215944210 1033150958 1437386356 1275810566 1184977894 1043658701 1831104975 1982718656 1811196694 1518100916 1336383090 1063644706 1275858441 1457454183 1588652135 1023042819 1255378543 1295762987 1275575730 1831271626 1659305415 1235386541 1336441484 1578937694 1992249916 1225530959 1063825743 1881120210 1255816526 1659934644 1366974354 1740861715 1013029966 1659480119 1750351367 1841224649 1942215942 1649373473 1629096474 1205853678 1013951474 1801934898 1023251444

PHARMACY NAME WALMART PHARMACY WALGREENS MEIJER PHARMACY WALGREENS TOWNE PHARMACY GILLESPIES DRUGS FAMILY DRUGS WALGREEN AGENCY DISCOUNT DRUG MART MEDICINE CENTER PHARMACY WALMART PHARMACY HOMETOWN PHARMACY CVS PHARMACY WALMART PHARMACY WALMART PHARMACY KROGER PHARMACY WALMART PHARMACY WALMART PHARMACY KROGER PHARMACY HEALTH FIRST PHARMACY KNOTT PRESCRIPTION CENTER WALGREENS B&B PHARMACY COSTCO PHARMACY CARERX SPECIALTY PHARMACY FLATROCK CITY PHARMACY LLC FRANKLIN DISCOUNT PHARMACY WALGREENS CVS PHARMACY WALMART PHARMACY UNIVERSITY RETAIL PHARMACY MEDICAL PARK 11 PHARMACY SHELDON'S EXPRESS PHARMACY #4 KROGER PHARMACY MED SHOPPE PHARMACY WALGREENS CVS PHARMACY WALMART PHARMACY RIVERVIEW OUTPATIENT PHARMACY GENOA HEALTHCARE LLC CVS PHARMACY WALGREENS JOY PHARMACY WALGREENS VALUE CENTER PHARMACY I NORTH SAGINAW PHARMACY WALGREENS REMEDY RX CVS PHARMACY HERCHE & BLOORS PHARMACY KROGER SAV-ON OMNICARE OF HENDERSON POWELL PRESCRIPTION CENTER COMPLETE CARE PHARMACY CLAY DISCOUNT PHARMACY KROGER PHARMACY WALGREENS KING PHARMACY, HYDEN WEST KNOX PHARMACY, LLC SOUTHFIELD SCRIPTS PHARMACARE DRUGS 2 CLEVELAND CLINIC MARYMOUNT HOSPITAL WALGREENS ST ELIZABETHS PHARMACY PREMIER HEALTH PHARMACY MVHS COMMONS CORNER APOTHECARY NANCY PHARMACY CVS PHARMACY RITE AID PHARMACY HARDINGS PHARMACY KROGER SAV-ON WALGREENS CVS PHARMACY WALMART PHARMACY SAM'S CLUB PHARMACY CVS PHARMACY VYTO'S PHARMACY CVS PHARMACY

ADDRESS 5851 MERCURY DR 21790 21 MILE RD 40445 S GROESBECK HWY 25700 FORD RD 849 SMITH RD 44523 MARIETTA RD 120 S VINE ST 24485 LORAIN RD 2526 WEST TUSCARAWAS ST 175 WALMART PLAZA DR 2160 BLACKLOG RD STE 100 6109 BARDSTOWN RD 100 WALTON AVE 301 LEONARDWOOD RD 2034 S HIGHWAY 53 6711 ALEXANDRIA PIKE 1024 N MAIN ST 1213 SKYLINE DR 111 S MAIN ST 59 HIGHWAY 80 E STE 1 1300 US HIGHWAY 127 S STE E 1578 HIGHWAY 44 E UNIT 1 800 HEIGHTS BLVD 13201 STEPHENS RD STE G 25620 GIBRALTAR RD 29113 NORTHWESTERN HWY 110 E MCKINLEY AVE 1000 N COLLEGE AVE 175 COUNTY ROAD 6 W 550 UNIVERSITY BLVD # UH1425 11104 PARKVIEW CIRCLE DR 750 W 2ND ST 2864 CHARLESTOWN RD 2900 16TH ST 100 E MCGALLIARD RD 512 SAGAMORE PKWY W 8599 HIGH POINTE DR 395 WESTFIELD RD 1015 MICHIGAN AVE RM 117 4225 HOBSON RD 1771 HOLTON RD 27543 WARREN RD 729 W HOUGHTON LAKE DR 37155 HARPER AVE 2918 N SAGINAW ST 6649 W MAIN ST 22341 MOROSS RD STE R 113 1100 HILL RD N 104 E 5TH ST 1621 N MEMORIAL DR 1900 US HIGHWAY 41 N UNIT 4 4644 HIGHWAY 15 WEST 572 MORTON BLVD 2734 S HIGHWAY 421 1265 GOSS AVE 220 RICHMOND RD N 22320 MAIN ST 14161 N US HIGHWAY 25 E 17330 NORTHLAND PARK CT #101 2469 W HILL RD 12300 MCCRACKEN RD 375 S MAIN ST STE 108 1 ELIZABETH PLACE STE 1015 2400 MIAMI VALLEY DR STE 1063 9407 NORTON COMMONS BLVD 9919 W HIGHWAY 80 STE 100 46960 VAN DYKE AVE 3403 E GENESEE AVE 5165 W MAIN ST 1425 WORTHINGTON CENTRE DR 7804 CINCINNATI DAYTON RD 19950 DETROIT RD 8288 CINCINNATI DAYTON RD 5805 ROCKVILLE RD 1421 S RANGELINE RD 8845 KENNEDY AVE 14575 MUNDY DR

CITY DEARBORN MACOMB CLINTON TWP DEARBORN HEIGHTS ASHLAND CALDWELL COLUMBIANA NORTH OLMSTED CANTON MONTICELLO INEZ LOUISVILLE DANVILLE FRANKFORT LAGRANGE ALEXANDRIA NICHOLASVILLE HOPKINSVILLE GREENSBURG HINDMAN FRANKFORT SHEPHERDSVILLE FLORENCE WARREN FLAT ROCK SOUTHFIELD MISHAWAKA BLOOMINGTON ELKHART INDIANAPOLIS FORT WAYNE JASPER NEW ALBANY BEDFORD MUNCIE WEST LAFAYETTE NEWBURGH NOBLESVILLE LOGANSPORT FORT WAYNE NORTH MUSKEGON GARDEN CITY PRUDENVILLE CLINTON TOWNSHIP FLINT KALAMAZOO DETROIT PICKERINGTON EAST LIVERPOOL LANCASTER HENDERSON CLAY CITY HAZARD MANCHESTER LOUISVILLE BEREA HYDEN CORBIN SOUTHFIELD FLINT GARFIELD HEIGHTS AKRON DAYTON CENTERVILLE PROSPECT NANCY SHELBY TOWNSHIP SAGINAW KALAMAZOO WORTHINGTON WEST CHESTER ROCKY RIVER WEST CHESTER INDIANAPOLIS CARMEL HIGHLAND NOBLESVILLE

STATE

COUNTY

MI WAYNE

MI MACOMB

MI MACOMB

MI WAYNE

OH ASHLAND

OH NOBLE

OH COLUMBIANA

OH CUYAHOGA

OH STARK

KY WAYNE

KY MARTIN

KY JEFFERSON

KY BOYLE

KY FRANKLIN

KY OLDHAM

KY CAMPBELL

KY JESSAMINE

KY CHRISTIAN

KY GREEN

KY KNOTT

KY FRANKLIN

KY BULLITT

KY BOONE

MI MACOMB

MI WAYNE

MI OAKLAND

IN ST. JOSEPH

IN MONROE

IN ELKHART

IN MARION

IN ALLEN

IN DUBOIS

IN FLOYD

IN LAWRENCE

IN DELAWARE

IN TIPPECANOE

IN WARRICK

IN HAMILTON

IN CASS

IN ALLEN

MI MUSKEGON

MI WAYNE

MI ROSCOMMON

MI MACOMB

MI GENESEE

MI KALAMAZOO

MI WAYNE

OH FAIRFIELD

OH COLUMBIANA

OH FAIRFIELD

KY HENDERSON

KY POWELL

KY PERRY

KY CLAY

KY JEFFERSON

KY MADISON

KY LESLIE

KY KNOX

MI OAKLAND

MI GENESEE

OH CUYAHOGA

OH SUMMIT

OH MONTGOMERY

OH MONTGOMERY

KY JEFFERSON

KY PULASKI

MI MACOMB

MI SAGINAW

MI KALAMAZOO

OH FRANKLIN

OH BUTLER

OH CUYAHOGA

OH BUTLER

IN

MARION

IN

HAMILTON

IN

LAKE

IN

HAMILTON

ZIP

PHONE

48126 (313)-441-2841

48044 (586)-469-0254

48036 (586)-239-7010

48127 (313)-359-9640

44805 (419)-281-4040

43724 (740)-732-2356

44408 (330)-482-3816

44070 (440)-734-3880

44708 (330)-455-5422

42633 (606)-348-3333

41224 (606)-298-7283

40291 (502)-239-3226

40422 (859)-236-2411

40601 (502)-875-4020

40031 (502)-222-2028

41001 (859)-635-8822

40356 (303)-323-4416

42240 (270)-886-4594

42743 (270)-299-2467

41822 (606)-785-0889

40601 (502)-223-3728

40165 (502)-543-8200

41042 (859)-568-7010

48089 (800)-267-0352

48134 (734)-789-8950

48034 (248)-355-1910

46545 (574)-255-9677

47404 (812)-339-2233

46514 (574)-266-7459

46202 (317)-944-3445

46845 (260)-266-4545

47546 (812)-634-7379

47150 (812)-948-0953

47421 (812)-275-1340

47303 (765)-288-6171

47906 (765)-497-3551

47630 (812)-842-2791

46060 (317)-770-4567

46947 (574)-516-6576

46815 (260)-422-7510

49445 (231)-744-1391

48135 (734)-266-9018

48651 (989)-366-5324

48036 (586)-954-9100

48505 (810)-234-5500

49009 (269)-372-0273

48236 (313)-642-1800

43147 (614)-866-7076

43920 (330)-385-0825

43130 (740)-654-2044

42420 (270)-826-6790

40312 (606)-663-3481

41701 (606)-487-1910

40962 (606)-598-0330

40217 (502)-634-0649

40403 (859)-986-1494

41749 (606)-672-2210

40701 (606)-258-1111

48075 (248)-621-9149

48507 (810)-391-2020

44125 (216)-584-7804

44311 (330)-622-5396

45417 (937)-424-4599

45459 (937)-438-6630

40059 (502)-805-2301

42544 (606)-288-0018

48317 (586)-726-9220

48601 (989)-752-8240

49009 (269)-381-0270

43085 (614)-841-7412

45069 (513)-779-8302

44116 (440)-356-1999

45069 (513)-777-3978

46224 (317)-241-1141

46032 (317)-844-2775

46322 (219)-972-1700

46060 (317)-770-5275

NCPDP 1563522 1564031 2363923 2365080 2366537 1531880 1532046 1535054 1560603 1561112 1563229 1564067 1564613 1565843 1566794 2362919 2362971 2365799 2366284 2367539 2368175 2369266 2369759 2370500 2371348 2373532 2373772 3627291 3633446 1824437 1825213 1826051 1826520 1828170 1829754 1830240 1830290 1831139 1833171 1833311 2375702 2376196 2376665 2379255 2379685 3682350 3683958 3685736 3686283 3686310 3686473 1532894 1536094 1536373 1531450 1534747 1536640 1536765 1560538 1563370 1564132 1564144 1565069 1566770 2363959 2365232 2365927 2365989 2366892 2367414 2368341 2369002 2369090 2370031 2373277 2373544 3620437

NPI 1629353594 1710257514 1114949880 1356368575 1326038688 1962417006 1174626691 1497760532 1942245949 1497773014 1912204942 1609146414 1457796542 1730586900 1144603382 1265531560 1679588719 1699866533 1720005192 1497791313 1023173937 1326105800 1043421548 1114107547 1962664060 1558692517 1477878718 1093818734 1275636912 1851494405 1891729638 1316952567 1326063009 1871697722 1972695427 1144435645 1033318522 1306088240 1942496534 1386993095 1295022416 1588932354 1073870929 1841619939 1841607843 1558762138 1700251964 1841308731 1205327095 1215428826 1477036499 1467525980 1750308128 1740272053 1417962556 1952316093 1104843572 1326060047 1760410328 1437445137 1982975850 1447521315 1669708756 1699159491 1528158441 1396750758 1558376848 1376558668 1184639486 1568484236 1548208168 1578622676 1881764967 1386844397 1952636052 1831336536 1952347445

PHARMACY NAME GENOA HEALTHCARE LLC MEIJER PHARMACY CVS PHARMACY SAM'S CLUB PHARMACY EAST JORDAN FAMILY PHARMACY WALGREENS CVS PHARMACY WALGREENS CVS PHARMACY GENOA HEALTHCARE LLC CVS PHARMACY MEIJER PHARMACY MEIJER PHARMACY SIMPLE MEDS FRANCISCAN OP PHCY HAMMOND CVS PHARMACY WALGREENS FAMILY DRUGS PHARMACY III INC SAM'S CLUB PHARMACY GENOA HEALTHCARE LLC MEIJER PHARMACY HENRY FORD MEDICAL CENTER PHARMACY FAMILY FARE PHARMACY COMMUNITY CARE PHARMACY BC OF MICHIGAN PHARMACY POTTERVILLE PHARMACY DOWNS PHARMACY CVS PHARMACY CVS PHARMACY CVS PHARMACY KROGER PHARMACY WALGREENS KROGER PHARMACY CVS PHARMACY POOLES PHARMACY CARE THE PHARMACY SHOP WALMART PHARMACY GRANT COUNTY DRUGS NORTH MEIJER PHARMACY CVS PHARMACY WALMART PHARMACY WALGREENS MEIJER PHARMACY BROOKSIDE DRUGS ST. MARY MERCY OUTPATIENT PHCY HOLBROOKS HOMETOWN PHARMACY PICKERINGTON PHARMACY CANCER CARE OF WEST CENTRAL OHIO NBHD FAMILY PRACTICE PHCY AT RIDGE GENOA HEALTHCARE LLC HEALTHYRX PHARMACY KROGER PHARMACY SAM'S CLUB PHARMACY HERBST PHARMACY WALGREENS WALGREENS WALMART PHARMACY CVS PHARMACY KROGER PHARMACY WALGREENS MEIJER PHARMACY MEIJER PHARMACY INDIANA EXCEPTIONAL MED CARE LLC FRANCISCAN OP PHCY INDIANAPOLIS THUNDER BAY PHARMACY SOUTHSIDE PHARMACY WALGREENS WALGREENS WALGREENS CVS PHARMACY NORTHLAND FOOD CENTER INC D & W PHARMACY MEDICAL PARK PHARMACY KROGER PHARMACY WALMART PHARMACY DISCOUNT RX OSU STUDENT HEALTH SERVICES

ADDRESS 322 N MAIN ST RM 134 4901 STATE ROAD 26 E 8200 26 MILE RD 4373 CORUNNA RD 601 BRIDGE ST 1424 S RANGELINE RD 111 LAKEVIEW DR 7975 E US HIGHWAY 36 1030 N ARLINGTON AVE 909 E STATE BLVD 8100 E RIDGE RD 8375 E 96TH ST 6050 US HIGHWAY 6 6862 HILLSDALE CT 5454 SOUTH HOHMAN AVE 2ND FLR 5225 EASTERN AVE SE 34899 GROESBECK HWY 20217 ANN ARBOR TRL STE A 22500 W 8 MILE RD 3111 ELECTRIC AVE 5300 HARVEY ST 1 FORD PL 1406 N EATON ST 2700 BAKER ST 1ST FLR STE 1 4050 E 12 MILE RD 121 E LANSING RD 316 S 4TH AVE 9302 OLDE 8 RD 140 SOLON RD 8559 US 42 7509 TERRY RD 2490 BARDSTOWN RD 2945 SCOTTSVILLE RD 6425 W HIGHWAY 146 311 HENTON ST 450 SOUTHLAND DR STE A 275 WALTON DR 375 VIOLET RD # A 5400 ALEXANDRIA PIKE 803 JAMESTOWN ST 14900 DIX TOLEDO RD 2131 W GRAND RIVER AVE 7157 E SAGINAW ST 43042 SCHOENHERR RD 36475 5 MILE RD RM 21520 37C LUCASVILLE MINFORD RD 641 HILL RD N 2740 W MARKET ST 3569 RIDGE RD 1425 STARR AVE STE 101 3188 S BYRNE RD 1660 CRAWFORDSVILLE SQUARE DR 7235 E 96TH ST 710 W MAIN ST 2301 E MARKET ST 10845 E 79TH ST 10420 MAYSVILLE RD 2209 STATE ST 14800 HAZEL DELL XING 7950 W JEFFERSON BLVD # 1B005 17000 MERCANTILE BLVD 4222 CHARLESTOWN RD 4972 LINCOLN AVE 8111 S EMERSON AVE 11899 M 32 1002 LAFAYETTE INC 10276 BELLEVILLE RD 3221 FORT ST 2270 UNION LAKE RD 23555 ALLEN RD 2377 E M 113 50 DOUGLAS AVE 799 DENISON CT FL 1 17447 HAGGERTY RD 18400 HALL RD 4129 S SAGINAW ST 1875 MILLIKIN RD STE 164

CITY KOKOMO LAFAYETTE SHELBY TOWNSHIP FLINT EAST JORDAN CARMEL NOBLESVILLE AVON INDIANAPOLIS FORT WAYNE HOBART INDIANAPOLIS PORTAGE INDIANAPOLIS HAMMOND KENTWOOD CLINTON TOWNSHIP DEARBORN HEIGHTS SOUTHFIELD PORT HURON MUSKEGON DETROIT ALBION MUSKEGON HEIGHTS WARREN POTTERVILLE SAGINAW NORTHFIELD BEDFORD FLORENCE LOUISVILLE LOUISVILLE BOWLING GREEN CRESTWOOD LIVERMORE LEXINGTON LOUISA CRITTENDEN COLD SPRING COLUMBIA SOUTHGATE OKEMOS EAST LANSING STERLING HEIGHTS LIVONIA LUCASVILLE PICKERINGTON LIMA CLEVELAND TOLEDO TOLEDO CRAWFORDSVILLE INDIANAPOLIS GREENTOWN LOGANSPORT INDIANAPOLIS FORT WAYNE NEW ALBANY NOBLESVILLE FORT WAYNE NOBLESVILLE NEW ALBANY EVANSVILLE INDIANAPOLIS ATLANTA BAY CITY BELLEVILLE WYANDOTTE COMMERCE TOWNSHIP WOODHAVEN KINGSLEY HOLLAND BLOOMFIELD HILLS NORTHVILLE CLINTON TOWNSHIP FLINT COLUMBUS

STATE

COUNTY

IN

HOWARD

IN

TIPPECANOE

MI MACOMB

MI GENESEE

MI CHARLEVOIX

IN

HAMILTON

IN

HAMILTON

IN

HENDRICKS

IN

MARION

IN

ALLEN

IN

LAKE

IN

MARION

IN

PORTER

IN

MARION

IN

LAKE

MI KENT

MI MACOMB

MI WAYNE

MI OAKLAND

MI ST. CLAIR

MI MUSKEGON

MI WAYNE

MI CALHOUN

MI MUSKEGON

MI MACOMB

MI EATON

MI SAGINAW

OH SUMMIT

OH CUYAHOGA

KY BOONE

KY JEFFERSON

KY JEFFERSON

KY WARREN

KY OLDHAM

KY MCLEAN

KY FAYETTE

KY LAWRENCE

KY GRANT

KY CAMPBELL

KY ADAIR

MI WAYNE

MI INGHAM

MI INGHAM

MI MACOMB

MI WAYNE

OH SCIOTO

OH FAIRFIELD

OH ALLEN

OH CUYAHOGA

OH LUCAS

OH LUCAS

IN MONTGOMERY

IN

MARION

IN

HOWARD

IN

CASS

IN

MARION

IN

ALLEN

IN

FLOYD

IN

HAMILTON

IN

ALLEN

IN

HAMILTON

IN

FLOYD

IN

VANDERBURGH

IN

MARION

MI MONTMORENCY

MI BAY

MI WAYNE

MI WAYNE

MI OAKLAND

MI WAYNE

MI GRAND TRAVERSE

MI OTTAWA

MI OAKLAND

MI WAYNE

MI MACOMB

MI GENESEE

OH FRANKLIN

ZIP

PHONE

46901 (765)-252-0810

47905 (765)-449-9210

48316 (586)-677-5084

48532 (810)-733-0741

49727 (231)-536-2207

46032 (317)-571-1176

46060 (317)-773-8100

46123 (317)-272-5563

46219 (317)-353-8106

46805 (260)-373-2039

46342 (219)-962-6564

46256 (317)-585-2410

46368 (219)-763-0310

46250 (844)-275-6337

46320 (219)-852-1521

49508 (616)-261-3662

48035 (586)-741-0105

48127 (313)-336-9333

48033 (248)-357-2158

48060 (810)-824-5120

49444 (231)-799-6910

48202 (313)-874-4118

49224 (517)-629-2286

49444 (231)-737-9510

48092 (586)-578-0220

48876 (517)-645-9800

48607 (989)-758-6000

44067 (330)-468-1661

44146 (440)-439-5766

41042 (859)-283-5362

40258 (502)-935-5531

40205 (502)-454-8087

42104 (270)-780-9328

40014 (502)-243-4094

42352 (270)-278-5537

40503 (859)-278-7282

41230 (606)-673-4912

41030 (859)-428-3784

41076 (859)-448-4210

42728 (270)-384-0539

48195 (734)-286-9601

48864 (517)-347-4632

48823 (517)-885-9010

48313 (586)-566-3490

48154 (734)-655-2325

45648 (740)-259-0041

43147 (614)-837-2112

45805 (419)-221-2273

44102 (216)-961-2005

43605 (567)-202-2149

43614 (419)-777-4566

47933 (765)-361-3260

46250 (317)-585-9387

46936 (765)-628-3446

46947 (574)-735-3815

46236 (317)-826-8790

46835 (260)-492-5799

47150 (812)-945-4768

46062 (317)-844-1185

46804 (260)-432-3110

46060 (317)-774-7710

47150 (812)-542-3810

47715 (812)-402-3700

46237 (317)-528-6700

49709 (989)-785-5535

48708 (989)-891-9999

48111 (734)-697-4374

48192 (734)-284-1733

48382 (248)-363-0436

48183 (734)-672-0005

49649 (231)-263-5123

49424 (616)-392-9735

48302 (248)-454-6500

48168 (248)-662-3032

48038 (586)-263-7690

48507 (810)-239-2667

43210 (614)-292-0125

NCPDP 3620778 3625261 3636062 1821001 1821342 1822938 1823687 1823815 1826176 1826607 1829766 1833145 2378859 2378900 2379736 2380955 2381351 2381957 2382240 2383052 2383898 3682487 3682665 1820566 1823574 1824526 1826190 1829108 1830454 1832662 1833157 1834882 2376386 2377744 2379887 2382113 2382389 2383494 2384977 2385309 2385462 2385955 3682677 3683895 3684392 3685041 3686790 1531789 1532616 1532642 1533529 1535016 1535989 1536359 1560893 1562176 1563039 1563914 1565312 1566287 2363404 2363466 2365321 2368579 2371970 2372124 2374584 3643132 3644817 1532541 1533682 1560045 1560639 1561097 2363846 2365939 2366501

NPI 1295847762 1962593657 1891857454 1184641409 1184797631 1346267663 1891729612 1992720775 1952319162 1952316101 1164506291 1740540525 1316369176 1386065126 1568871382 1619353414 1992170997 1780039594 1740631167 1326588294 1821517004 1689860207 1255737235 1629099692 1083631311 1336173152 1982610440 1154474492 1366625782 1841574555 1790971380 1871972620 1972877876 1760722896 1932502283 1376991695 1851847776 1861921918 1750873535 1326525965 1447734496 1568933257 1811394844 1598798878 1104277714 1033658059 1437616935 1205857521 1578580791 1558434076 1811060338 1689689721 1356414874 1598875114 1568406924 1366601890 1255643557 1649540444 1295142412 1801289673 1598865933 1073563607 1093755746 1851302376 1154576635 1871738575 1164730594 1053356063 1710080478 1649343161 1346344298 1972518025 1821039728 1427137751 1639186653 1477653707 1013027630

PHARMACY NAME WHITES PHARMACY BLAKE PHARMACY BOSTICK'S PRESCRIPTION PHARMACY WALMART PHARMACY OMNICARE OF BEATTYVILLE WALMART PHARMACY KROGER PHARMACY KROGER PHARMACY LONE OAK PHARMACY WALGREENS COX'S VARIETY & PHARMACY JENCARE NEIGHBORHOOD MED CTR SCHAEFER MEDICAL PHARMACY CLAWSON CARE PHARMACY PELHAM PHARMACY MALEK PHARMACY HEMMINGSEN DRUG STORE EMPIRE PHARMACY SAFARI DRUGS PHARMACY DEARBORN FAMILY PHARMACY LTC COSTCO PHARMACY BLOOD & CANCER CENTER GENOA HEALTHCARE LLC TOTAL CARE PHARMACY WALMART PHARMACY KROGER PHARMACY WALGREENS COMPOUND CARE PHARMACY WALGREENS VICCO PRESCRIPTION CENTER MEIJER PHARMACY RX ALTERNATIVES BYRON DRUGS ABC DISCOUNT PHARMACY ARK PHARMACY QUALITY MEDRX MED SYNC PHARMACY LLC RITEMED LIBERTY PHARMACY INC HEYDEN PHARMACY COMMUNITY CARE PHARMACY LENOX COMMUNITY PHARMACY DRUGSTORE AT OU NEO UROLOGY ASSOCIATES SCHWIETERMAN PHARMACY ACCESS RX PHARMACY, LLC. GENOA HEALTHCARE LLC CVS PHARMACY WALMART PHARMACY KROGER PHARMACY KROGER PHARMACY WALGREENS KROGER PHARMACY COSTCO PHARMACY CVS PHARMACY CVS PHARMACY GENOA HEALTHCARE LLC MEIJER PHARMACY GEORGE'S FAMILY PHARMACY GEORGE'S FAMILY PHARMACY, INC. CVS PHARMACY MIDLAND SABOURIN'S PHARMACY KINGS PHARMACY WALMART PHARMACY KROGER PHARMACY VG'S PHARMACY CAREPLUS/CVS PHARMACY ONSITE DISCOUNT DRUG MART CVS PHARMACY KROGER PHARMACY CVS PHARMACY WALGREENS CVS PHARMACY MARTINS PHARMACY WALGREENS GLENS PHARMACY COSTCO PHARMACY

ADDRESS 4057 E LIVINGSTON AVE 206 N MARKET ST 549 S WEST ST 2136 CAMPBELLSVILLE RD 1071 HIGHWAY 11 N 820 EASTERN BYP 106 MARKET PLACE CIR 9440 BROWNSBORO RD 3535 LONE OAK RD 5900 TIMBER RIDGE DR 9843 3RD STREET RD 2406 W BROADWAY 7738 SCHAEFER RD 117 W 14 MILE RD 3815 PELHAM RD STE 3 27015 W WARREN ST STE 2 132 W MICHIGAN AVE 9975 W OTTAWA AVE 17100 W 7 MILE RD 17000 EXECUTIVE PLAZA DR #104 2540 E SAGINAW HWY 3695 BOARDMAN CANFIELD RD 150 E MARKET ST STE 100 118 CLARK ST 300 CLINIC DR 995 S MAIN ST 5400 NEW CUT RD 12121 SHELBYVILLE RD STE 107 1801 N MAIN ST 10897 S HIGHWAY 15 9905 DIXIE HWY 9813 MERIONETH DR 13355 DIX TOLEDO RD 6009 EAST LAPEER RD 11250 E JEFFERSON AVE 1601 E MICHIGAN AVE 8275 N WAYNE RD STE B 19070 E 10 MILE SUITE PHARMACY 4802 W VERNOR HWY 20201 WEST SEVEN MILE ROAD 49650 CHERRY HILL RD STE 140 36267 26 MILE RD STE 1 2 HEALTH CENTER DR 7430 SOUTHERN BLVD 510 E MARKET ST 2611 WAYNE AVE 3420 CARNEGIE AVE BLDG B #P1 1301 119TH ST 2801 NORTHWESTERN AVE 7272 FISHERS CROSSING DR 2650 WABASH AVE 1323 N BALDWIN AVE 2200 INDEPENDENCE DR 6110 E 86TH ST 5208 W WASHINGTON ST 801 MAIN ST 415 N 26TH ST STE 100 1424 W CARMEL DR 124 W INDIAN TRAIL STE C 1198 STATE ROAD 46 E 240 MAC AVE 314 W WACKERLY ST STE L 4700 SCHAEFER RD STE 162 11493 N LINDEN RD 4672 STATE ST 1520 W CARO RD 800 CHRYSLER DR STE W2001 238 2ND ST NW 590 E MARKET ST 821 INDIANAPOLIS RD 4630 S WASHINGTON ST 2620 S WESTERN AVE 3350 N HIGH SCHOOL RD 7355 HERITAGE SQUARE DR 4445 IVANREST AVE SW 602 MITCHELL 6700 WHITMORE LAKE RD

CITY COLUMBUS WEST UNION PIKETON LEBANON BEATTYVILLE RICHMOND GEORGETOWN LOUISVILLE PADUCAH PROSPECT LOUISVILLE LOUISVILLE DEARBORN CLAWSON DEARBORN DEARBORN HEIGHTS MARSHALL EMPIRE DETROIT DEARBORN EAST LANSING CANFIELD WARREN FLEMINGSBURG HOPKINSVILLE NICHOLASVILLE LOUISVILLE LOUISVILLE MADISONVILLE SCUDDY LOUISVILLE LOUISVILLE SOUTHGATE BURTON DETROIT LANSING WESTLAND EASTPOINTE DETROIT DETROIT CANTON LENOX ATHENS BOARDMAN CELINA DAYTON CLEVELAND WHITING WEST LAFAYETTE FISHERS TERRE HAUTE MARION GREENWOOD INDIANAPOLIS INDIANAPOLIS MUNSTER LAFAYETTE CARMEL MILAN BATESVILLE EAST LANSING MIDLAND DEARBORN CLIO SAGINAW CARO AUBURN HILLS NEW PHILADELPHIA AKRON GREENCASTLE MARION MARION INDIANAPOLIS GRANGER GRANDVILLE CADILLAC BRIGHTON

STATE

COUNTY

OH FRANKLIN

OH ADAMS

OH PIKE

KY MARION

KY LEE

KY MADISON

KY SCOTT

KY JEFFERSON

KY MCCRACKEN

KY JEFFERSON

KY JEFFERSON

KY JEFFERSON

MI WAYNE

MI OAKLAND

MI WAYNE

MI WAYNE

MI CALHOUN

MI LEELANAU

MI WAYNE

MI WAYNE

MI INGHAM

OH MAHONING

OH TRUMBULL

KY FLEMING

KY CHRISTIAN

KY JESSAMINE

KY JEFFERSON

KY JEFFERSON

KY HOPKINS

KY PERRY

KY JEFFERSON

KY JEFFERSON

MI WAYNE

MI GENESEE

MI WAYNE

MI INGHAM

MI WAYNE

MI MACOMB

MI WAYNE

MI WAYNE

MI WAYNE

MI MACOMB

OH ATHENS

OH MAHONING

OH MERCER

OH MONTGOMERY

OH CUYAHOGA

IN LAKE

IN TIPPECANOE

IN HAMILTON

IN VIGO

IN GRANT

IN

JOHNSON

IN

MARION

IN

MARION

IN

LAKE

IN

TIPPECANOE

IN

HAMILTON

IN

RIPLEY

IN

RIPLEY

MI INGHAM

MI MIDLAND

MI WAYNE

MI GENESEE

MI SAGINAW

MI TUSCOLA

MI OAKLAND

OH TUSCARAWAS

OH SUMMIT

IN

PUTNAM

IN

GRANT

IN

GRANT

IN

MARION

IN

ST. JOSEPH

MI KENT

MI WEXFORD

MI LIVINGSTON

ZIP

PHONE

43227 (614)-237-7677

45693 (937)-544-2451

45661 (740)-289-2269

40033 (270)-692-1795

41311 (606)-464-0941

40475 (859)-623-6802

40324 (859)-317-6080

40241 (502)-425-8407

42001 (270)-554-7944

40059 (502)-228-3304

40272 (502)-933-8444

40211 (502)-775-1211

48126 (313)-749-7967

48017 (248)-439-2400

48124 (313)-565-2745

48127 (313)-334-7742

49068 (269)-781-3411

49630 (231)-213-1115

48235 (313)-855-6385

48126 (313)-982-3770

48823 (517)-903-5010

44406 (330)-533-3040

44481 (330)-984-4013

41041 (606)-845-3421

42240 (270)-886-9863

40356 (859)-881-9086

40214 (502)-375-9949

40243 (502)-244-6500

42431 (270)-821-0377

41760 (606)-476-2333

40272 (502)-995-2110

40299 (502)-410-0146

48195 (734)-283-0100

48509 (810)-877-6446

48214 (313)-469-8112

48912 (888)-578-3044

48185 (734)-329-2454

48021 (586)-217-5454

48209 (313)-841-1990

48219 (313)-533-8200

48187 (734)-961-8885

48048 (586)-648-6703

45701 (740)-593-4738

44512 (330)-729-9214

45822 (419)-586-8875

45420 (937)-640-3045

44115 (216)-553-3761

46394 (219)-659-0299

47906 (765)-463-0910

46038 (317)-579-0209

47803 (812)-235-7326

46952 (765)-664-2434

46143 (317)-883-4145

46250 (317)-558-1452

46241 (317)-486-9667

46321 (219)-924-2491

47904 (765)-588-3359

46032 (317)-573-8310

47031 (812)-654-6251

47006 (812)-932-6251

48823 (517)-336-8317

48640 (989)-839-2402

48126 (313)-584-7800

48420 (810)-564-4278

48603 (989)-921-6222

48723 (989)-673-7020

48326 (248)-944-1638

44663 (330)-339-6040

44304 (330)-535-2700

46135 (765)-653-1606

46953 (765)-674-5085

46953 (765)-668-0208

46224 (317)-293-1223

46530 (574)-807-8222

49418 (616)-532-1065

49601 (231)-775-6383

48116 (810)-220-8977

NCPDP 2366614 2366993 2367503 2367729 2370182 2370447 2371463 2371742 2373164 3624029 3634498 1819400 1822510 1823764 1823916 1824716 1825302 1826861 1827065 1829590 1831824 1832206 1832256 1835377 2376639 2377580 2378378 2379572 2380599 2384648 2384725 2385311 3683821 1534533 1536703 1560019 1560122 1560677 1561996 1562354 1564598 1564752 1566162 1567063 1559915 1562291 1563077 1565095 1565540 1566340 1566489 2364216 2365422 2366347 2367034 2369381 2369444 2369797 2370675 2370904 2370954 2371134 2371374 2371398 2372768 2372958 2374534 3615979 3615993 3623899 3635301 3639272 3640340 1821188 1822914 1823106 1826683

NPI 1255435210 1417065889 1154337731 1477662963 1649463712 1184803702 1497910988 1184875825 1942431093 1003972985 1407892896 1003840828 1982718961 1437193281 1225044761 1639281587 1336282680 1710919220 1558468868 1053356139 1801114665 1629372586 1912201906 1518320282 1447517636 1225376486 1245666361 1528484797 1871980771 1922503069 1578050712 1093200586 1215979588 1710064886 1770524472 1093819054 1881609931 1932143393 1013185347 1023268703 1891130126 1912349887 1265823926 1730552282 1437260395 1063678209 1346556388 1942629639 1891199295 1629464524 1225422181 1275550493 1659313435 1609975903 1649335522 1356481352 1699897835 1427250448 1427234863 1467623108 1073799276 1922273424 1720248859 1538322722 1578707758 1700016334 1447567565 1275636904 1396849352 1114014313 1437164365 1922013853 1659305456 1376577197 1437176757 1356375174 1912065087

PHARMACY NAME MED CARE PHARMACY KASHAT SAV-MOR PHARMACY WALGREENS RITE AID PHARMACY SAV ON 13 LTC PHARMACY RITE AID PHARMACY MEIJER PHARMACY RITE AID PHARMACY MEIJER PHARMACY LEASE DRUG COMPANY DISCOUNT DRUG MART KROGER SAV-ON MEDICINE CABINET PHARMACY KING DRUG & HOME CARE WALGREENS THE WRIGHT PHARMACY INC HEALTHY WAY PHARMACY PADUCAH PHARMACY THOMPSON DRUG EAST BERNSTADT WALGREENS TOTAL PHARMACY CARE OF BELFRY CVS PHARMACY LAKE CUMBERLAND PHARMACY #2 RUWE FAMILY PHCY FLORENCE LTC SOMERSET PHARMACY WESTBORN PHARMACY RIVER ROUGE PHARMACY HOMETOWN PHARMACY OAKWOOD PHARMACY TAYLOR SAVERX DISCOUNT PHARMACY GENOA HEALTHCARE LLC DETROIT WELLNESS PHARMACY THE HOPE CENTER FOR CANCER CARE FOREST RIDGE NEIGHBORHOOD PHARMACY WILLIAMS LTC PHARMACY BLACKFORD COMMUNITY HEALTHCARE PHCY WALGREENS CVS PHARMACY GENOA HEALTHCARE LLC BLUE RIVER PHARMACY MEIJER PHARMACY CVS PHARMACY PANACEA PHARMACY INC. WALMART PHARMACY IN TOUCH PHARMACEUTICALS WALGREENS CVS PHARMACY MEIJER PHARMACY SHIPSHEWANA PHARMACY KROGER PHARMACY IN HEMOPHILIA AND THROMBOSIS WALMART PHARMACY GENOA HEALTHCARE LLC CVS PHARMACY MEIJER PHARMACY CVS PHARMACY WALGREENS DIPLOMAT SPECIALTY PHARMACY BLOOMFIELD PHARMACY NORTH PC CANALIS MEDICAL PHARMACY LLC HENRY FORD MEDICAL CENTER PHARMACY CVS PHARMACY WALGREENS DESH PHARMACY WALGREENS OAKWOOD PHARMACY WAYNE GRASS LAKE COMMUNITY PHARMACY CVS PHARMACY WINDHAM PHARMACY INC SMITH DRUG COMPANY FRUTH PHARMACY ACME PHARMACY KROGER PHARMACY KROGER PHARMACY WALMART PHARMACY KROGER PHARMACY MEDICAL CENTER PHARMACY, INC

ADDRESS 28500 SOUTHFIELD RD STE 300 34644 DEQUINDRE RD 21211 HARPER AVE 14820 MACK AVE 24100 MEADOWBROOKD STE B 111 E SAGINAW ST 9515 BIRCH RUN RD 59010 GRATIOT AVE 2160 HARTLAND RD 229 N ELLSWORTH AVE 4170 FULTON RD 3158 DIXIE HWY 607 SOUTH MAYO TRAIL 1156 CARTER RD 2420 LIME KILN LN 82 BIGGS LN RT 7 MAIN ST 225 MEDICAL CENTER DR STE 100 1088 HIGHWAY 490 3700 FRANKFORT AVE 20 STATE HIGHWAY 319 160 PAVILION PKWY 124 DOWELL RD 7220 BURLINGTON PIKE 1380 COOLIDGE HWY STE 125 1800 GRINDLEY PARK ST STE 1 10550 W JEFFERSON AVE 2355 E STADIUM BLVD 10000 TELEGRAPH STE 115A 3915 PELHAM ST 19750 BURT RD STE P 6309 MACK AVE SUITE 100 835 SOUTHWESTERN RUN 2200 FOREST RIDGE PKWY 11900 EXIT 5 PKWY 400 PILGRIM BLVD 535 N LINE ST 1725 SALEM ST 8320 MADISON AVE 26 S GREEN ST 1200 LAKE CITY HWY 6010 S EMERSON AVE 2424 S WALNUT ST 2500 N 1ST AVE 1150 EASTPORT CENTRE DR STE A 11932 LIMA RD 511 E BOONVILLE NEW HARMONY RD 400 N DAN JONES RD 350 S VAN BUREN ST STE F 310 W NORTH ST 8326 NAAB RD 39500 FORD RD 500 HANCOCK ST STE 100 61019 SILVER LAKE RD 6001 HIGHLAND RD 5408 WHITTAKER RD 5933 S WESTNEDGE AVE 4100 S SAGINAW STREET STE D 44200 WOODWARD AVE STE 107 200 ARNET ST 1191 SOUTH BLVD E 57090 10 MILE RD 2045 S I 75 BUSINESS LOOP 12170 CONANT ST 975 W SOUTH AIRPORT RD 33155 ANNAPOLIS ST 110 E MICHIGAN AVE 13777 PEARL RD 9650 E CENTER ST 741 2ND ST 120 W 2ND ST 2905 WHIPPLE AVE NW 3609 WARSAW AVE 711 CAMPBELL LN 310 W 5TH ST 1732 HIGHWAY 192 W 1010 MEDICAL CENTER DR

CITY LATHRUP VILLAGE STERLING HEIGHTS SAINT CLAIR SHORES DETROIT NOVI EAST LANSING BIRCH RUN NEW HAVEN HARTLAND SALEM CLEVELAND ERLANGER PAINTSVILLE OWENSBORO LOUISVILLE SOUTH SHORE SANDY HOOK PADUCAH EAST BERNSTADT LOUISVILLE BELFRY NEWPORT RUSSELL SPRINGS FLORENCE TROY DEARBORN RIVER ROUGE ANN ARBOR TAYLOR DEARBORN HEIGHTS DETROIT DETROIT YOUNGSTOWN NEW CASTLE FISHERS HARTFORD CITY COLUMBIA CITY LAFAYETTE INDIANAPOLIS BROWNSBURG WARSAW INDIANAPOLIS BLOOMINGTON EVANSVILLE VALPARAISO FORT WAYNE EVANSVILLE PLAINFIELD SHIPSHEWANA KENDALLVILLE INDIANAPOLIS CANTON SAGINAW SOUTH LYON WHITE LAKE YPSILANTI PORTAGE FLINT PONTIAC YPSILANTI ROCHESTER HILLS SOUTH LYON GRAYLING HAMTRAMCK TRAVERSE CITY WAYNE GRASS LAKE STRONGSVILLE WINDHAM PORTSMOUTH WELLSTON CANTON CINCINNATI BOWLING GREEN BENTON LONDON POWDERLY

STATE

COUNTY

MI OAKLAND

MI MACOMB

MI MACOMB

MI WAYNE

MI OAKLAND

MI INGHAM

MI SAGINAW

MI MACOMB

MI LIVINGSTON

OH COLUMBIANA

OH CUYAHOGA

KY KENTON

KY JOHNSON

KY DAVIESS

KY JEFFERSON

KY GREENUP

KY ELLIOTT

KY MCCRACKEN

KY LAUREL

KY JEFFERSON

KY PIKE

KY CAMPBELL

KY RUSSELL

KY BOONE

MI OAKLAND

MI WAYNE

MI WAYNE

MI WASHTENAW

MI WAYNE

MI WAYNE

MI WAYNE

MI WAYNE

OH MAHONING

IN HENRY

IN HAMILTON

IN BLACKFORD

IN WHITLEY

IN TIPPECANOE

IN MARION

IN HENDRICKS

IN KOSCIUSKO

IN MARION

IN MONROE

IN VANDERBURGH

IN PORTER

IN ALLEN

IN VANDERBURGH

IN HENDRICKS

IN LAGRANGE

IN NOBLE

IN MARION

MI WAYNE

MI SAGINAW

MI OAKLAND

MI OAKLAND

MI WASHTENAW

MI KALAMAZOO

MI GENESEE

MI OAKLAND

MI WASHTENAW

MI OAKLAND

MI OAKLAND

MI CRAWFORD

MI WAYNE

MI GRAND TRAVERSE

MI WAYNE

MI JACKSON

OH CUYAHOGA

OH PORTAGE

OH SCIOTO

OH JACKSON

OH STARK

OH HAMILTON

KY WARREN

KY MARSHALL

KY LAUREL

KY MUHLENBERG

ZIP

PHONE

48076 (248)-559-9901

48310 (586)-698-0336

48080 (586)-776-7052

48215 (313)-331-1038

48375 (888)-722-5579

48823 (517)-333-0825

48415 (989)-624-1610

48048 (586)-749-0009

48353 (810)-632-4210

44460 (330)-337-8727

44144 (216)-741-3993

41018 (859)-344-0434

41240 (606)-789-9988

42301 (270)-683-7010

40222 (502)-425-6121

41175 (606)-932-2202

41171 (606)-738-4041

42003 (270)-441-4390

40729 (606)-843-2211

40207 (502)-899-9353

41514 (606)-237-0555

41071 (859)-814-0141

42642 (270)-866-2686

41042 (859)-746-2800

48084 (248)-280-2222

48124 (313)-438-6476

48218 (313)-438-6825

48104 (734)-747-8080

48180 (313)-887-6077

48125 (866)-844-4142

48219 (313)-221-5494

48207 (313)-356-2922

44514 (330)-318-1100

47362 (765)-599-3540

46037 (317)-889-4125

47348 (765)-348-4989

46725 (260)-244-5491

47904 (765)-447-1276

46227 (317)-881-7061

46112 (317)-286-3506

46580 (574)-371-4110

46237 (317)-783-5325

47401 (812)-287-8884

47710 (812)-647-9498

46383 (219)-464-7055

46818 (260)-637-6667

47725 (812)-867-6407

46168 (317)-204-1310

46565 (260)-768-4433

46755 (260)-347-9177

46260 (317)-871-0000

48187 (734)-983-0548

48602 (989)-793-3130

48178 (248)-437-8626

48383 (248)-889-6810

48197 (734)-481-3381

49002 (269)-381-4862

48507 (810)-768-9000

48341 (248)-334-7700

48198 (734)-483-4313

48307 (800)-456-2112

48178 (248)-446-0382

49738 (989)-344-0374

48212 (313)-366-3800

49686 (231)-946-5840

48184 (734)-467-2560

49240 (517)-522-4100

44136 (440)-238-8360

44288 (330)-326-3851

45662 (740)-354-5622

45692 (740)-384-2174

44708 (330)-478-1821

45205 (513)-598-7890

42104 (270)-843-2383

42025 (270)-527-3597

40741 (606)-878-1568

42367 (270)-338-9993

NCPDP 1827421 1828156 1832220 1833183 1833195 2375310 2381604 2381870 2381933 1532351 1533581 1534444 1537058 1560071 1560499 1561465 1562049 1562900 1565134 1566352 2362806 2362995 2364153 2370524 2371122 2373633 2374166 3640249 3644538 3645528 3646619 3648017 3648562 1835947 1837218 1837244 1837636 1838107 2348173 2350104 2350611 2351372 2352526 2352603 2354316 2357007 2358679 2359986 2362111 3655834 3660013 3660241 3661231 3662043 3662120 3662562 3665683 1532096 1533618 1534595 1536258 1536854 1536979 1560007 1561009 1561756 1566908 2365282 2368567 2368997 3627001 3635630 3637848 3638814 1820857 1823358 1825617

NPI 1881611499 1790791259 1447556287 1861688459 1245426832 1588963706 1093182883 1104287184 1326492471 1528161049 1558434738 1760552871 1861409807 1770590713 1942234752 1669683355 1336311752 1093031577 1508297615 1952798993 1376560086 1528092384 1750303426 1295918274 1588830533 1619209004 1194046722 1649373309 1184658981 1568502052 1427084771 1003822313 1306956644 1649718842 1255854584 1285157677 1932606159 1881258614 1790897643 1760594121 1124163753 1821015033 1205936531 1962420398 1932209269 1962436790 1801813019 1841224698 1801942560 1922013861 1831123538 1770598781 1649285586 1750303558 1013934207 1912044538 1720182546 1013010743 1154428647 1295808509 1083757835 1689753493 1740248616 1063427110 1588694368 1780875955 1619355294 1912912205 1053324756 1669531760 1831191139 1356407621 1801999552 1700989456 1861528499 1700931144 1437183274

PHARMACY NAME AVENUE PHARMACY WALGREENS WALGREENS MEIJER PHARMACY MEIJER PHARMACY LTC PHARMACY HENRY FORD MEDICAL CENTER PHARMACY MEIJER PHARMACY POINTE PHARMACY PLLC CVS PHARMACY FRED'S HCMH O/P PHARMACY CUSTOM DOSING PHARMACY WALGREENS WALGREENS JAY C FOOD STORES WALGREENS WALGREENS SEIFERT DRUG VIGO HEALTH PHARMACY CVS PHARMACY PHARMACY SOLUTIONS INC KROGER PHARMACY CVS PHARMACY UNIVERSITY PHARMACY HOMETOWN PHARMACY LTC D&W PHARMACY WALGREENS CVS PHARMACY KROGER SAV-ON MEIJER PHARMACY DISCOUNT DRUG MART RITE AID PHARMACY MILLERSPORT PHARMACY GAP DRUG WALGREENS WALGREENS ARH SPECIALTY PHARMACY SHELDONS EXPRESS PHARMACY CVS PHARMACY GENESYS PHARMACY MEDICINE SHOPPE PHARMACY WALMART PHARMACY GLENS PHARMACY WALMART PHARMACY GLENS PHARMACY KROGER PHARMACY WALMART PHARMACY KROGER PHARMACY MEIJER PHARMACY MARCS KROGER SAV-ON WALGREENS MARCS CVS PHARMACY WALMART PHARMACY GAHM'S PHARMACY CVS PHARMACY CVS PHARMACY CVS PHARMACY KROGER PHARMACY INDIANA HEMOPHILIA & THROMB MARTIN'S PHARMACY SRC PHARMACY LLC WALGREENS WALGREENS WALGREENS NEPHEW PHARMACY WALGREENS GENOA HEALTHCARE LLC D & W PHARMACY STAKERS SERVICE DRUGS INC VALLEY VIEW PHARMACY CVS PHARMACY CVS PHARMACY MAIDEN DRUG COMPANY PIKEVILLE DISCOUNT DRUGS KROGER PHARMACY

ADDRESS 201 6TH AVE 2385 NASHVILLE RD 311 N MAIN ST 9500 PRESTON HWY 4100 TOWNE CENTER DR 1314 LEONARD ST NW 2333 BIDDLE AVE 408 W SOUTH ST 5494 S DORT HWY 1210 N NAPPANEE ST 152 WITTENBRAKER AVE 1000 BREUCKMAN DR 5190 CHARLESTOWN RD 2380 PLEASANT ST 9501 COUNTY ROAD 403 6745 E SOUTHPORT RD 13060 ADAMS RD 100 N ELKHART ST 1635 N 3RD ST 225 JOLIET ST 5204 JACKSON RD STE C 20645 GIBRALTAR RD 1076 JACKSON XING 10809 MACK AVE 4382 14 MILE RD NE 2022 APPLE ORCHARD AVE 1045 ROBBINS RD 2532 E MAIN ST 5910 HARRISON AVE 6175 SAWMILL RD 629 BEALL AVE 2975 W MARKET ST 12075 LANCASTER ST 233 PUMPHOUSE RD 204 PARK AVE 878 E HIGH ST 200 MEDICAL CENTER DR STE A 8439 NASHVILLE RD 33920 23 MILE RD 1 GENESYS PKWY STE 1430 400 N MAIN ST STE C 3999 ALPINE AVE NW 2470 S I-75 BUSINESS LOOP 3225 US 41 W 4122 US-31 SOUTH 2051 18 MILE RD 33201 VAN DYKE AVE 41941 GARFIELD RD 8850 SHAVER RD 1041 N COURT ST 1094 N MAIN ST 4546 MAYFIELD RD 300 AURORA COMMONS CIR 449 HOWE AVE 85 RIVER TRCE 50A CENTER ST 947 CINCINNATI BATAVIA PIKE 9805 GEIST CROSSING DR 2 SHENANDOAH DR 5911 MADISON AVE 8326 NAAB RD 242 N OAKLAND AVE 2600 WESTERN AVE STE B 110 W MARKET ST 10170 MAYSVILLE RD 129 CLIFTY DR 1953 WATERFALL DR 17001 NEWBURGH RD 1485 M 139 6425 28TH ST SE 826 CHILLICOTHE ST 11141 STATE ROUTE 800 NE 11 CENTENNIAL BLVD 8872 COLUMBIA RD 327 MAIN ST 994 SOUTH MAYO TRAIL 14889 N US HIGHWAY 25 E STE A

CITY DAYTON BOWLING GREEN LEITCHFIELD LOUISVILLE LOUISVILLE GRAND RAPIDS WYANDOTTE STURGIS FLINT ELKHART NEW CASTLE CROWN POINT NEW ALBANY NOBLESVILLE CHARLESTOWN INDIANAPOLIS GRANGER WAKARUSA TERRE HAUTE DYER ANN ARBOR BROWNSTWN TWP JACKSON DETROIT ROCKFORD GRAND RAPIDS GRAND HAVEN COLUMBUS CINCINNATI DUBLIN WOOSTER FAIRLAWN MILLERSPORT SOMERSET CARROLLTON LEXINGTON HAZARD BOWLING GREEN NEW BALTIMORE GRAND BLANC ONSTED COMSTOCK PARK GRAYLING MARQUETTE TRAVERSE CITY STERLING HEIGHTS STERLING HEIGHTS CLINTON TOWNSHIP PORTAGE MEDINA BOWLING GREEN CLEVELAND AURORA CUYAHOGA FALLS CHILLICOTHE LUCASVILLE CINCINNATI INDIANAPOLIS LAFAYETTE INDIANAPOLIS INDIANAPOLIS NAPPANEE CONNERSVILLE CRAWFORDSVILLE FORT WAYNE MADISON NAPPANEE LIVONIA BENTON HARBOR GRAND RAPIDS PORTSMOUTH MAGNOLIA CHILLICOTHE MAINEVILLE WILLIAMSBURG PIKEVILLE CORBIN

STATE

COUNTY

KY CAMPBELL

KY WARREN

KY GRAYSON

KY JEFFERSON

KY JEFFERSON

MI KENT

MI WAYNE

MI ST. JOSEPH

MI GENESEE

IN

ELKHART

IN

HENRY

IN

LAKE

IN

FLOYD

IN

HAMILTON

IN

CLARK

IN

MARION

IN

ST. JOSEPH

IN

ELKHART

IN

VIGO

IN

LAKE

MI WASHTENAW

MI WAYNE

MI JACKSON

MI WAYNE

MI KENT

MI KENT

MI OTTAWA

OH FRANKLIN

OH HAMILTON

OH FRANKLIN

OH WAYNE

OH SUMMIT

OH FAIRFIELD

KY PULASKI

KY CARROLL

KY FAYETTE

KY PERRY

KY WARREN

MI MACOMB

MI GENESEE

MI LENAWEE

MI KENT

MI CRAWFORD

MI MARQUETTE

MI GRAND TRAVERSE

MI MACOMB

MI MACOMB

MI MACOMB

MI KALAMAZOO

OH MEDINA

OH WOOD

OH CUYAHOGA

OH PORTAGE

OH SUMMIT

OH ROSS

OH SCIOTO

OH CLERMONT

IN

MARION

IN

TIPPECANOE

IN

MARION

IN

MARION

IN

ELKHART

IN

FAYETTE

IN

MONTGOMERY

IN

ALLEN

IN

JEFFERSON

IN

ELKHART

MI WAYNE

MI BERRIEN

MI KENT

OH SCIOTO

OH TUSCARAWAS

OH ROSS

OH WARREN

KY WHITLEY

KY PIKE

KY KNOX

ZIP

PHONE

41074 (859)-491-1700

42101 (270)-393-8979

42754 (270)-259-2474

40229 (502)-962-3710

40241 (502)-326-5210

49504 (616)-214-8011

48192 (734)-246-9499

49091 (269)-319-4010

48507 (810)-866-4520

46514 (574)-266-9009

47362 (765)-521-1483

46307 (219)-662-5602

47150 (812)-944-3752

46060 (317)-770-8947

47111 (812)-256-6805

46237 (317)-887-0691

46530 (574)-243-5468

46573 (574)-862-1454

47804 (812)-231-1040

46311 (219)-322-3014

48103 (734)-821-8000

48183 (734)-675-0656

49202 (517)-788-5359

48214 (313)-831-2008

49341 (616)-884-5405

49525 (616)-361-3676

49417 (616)-844-0367

43209 (614)-235-3024

45248 (513)-574-5044

43017 (614)-718-5710

44691 (330)-264-8404

44333 (330)-867-8492

43046 (740)-467-2232

42503 (606)-425-4234

41008 (502)-732-4392

40502 (859)-266-1171

41701 (606)-487-6201

42101 (270)-936-6080

48047 (586)-725-3900

48439 (810)-606-6366

49265 (517)-467-7225

49321 (616)-784-2047

49738 (989)-348-5335

49855 (906)-226-5015

49684 (231)-943-4017

48314 (586)-930-0720

48312 (586)-939-8171

48038 (586)-263-0238

49024 (269)-321-4310

44256 (330)-722-3662

43402 (419)-353-5116

44121 (216)-691-0897

44202 (330)-995-9260

44221 (330)-928-0294

45601 (740)-774-2343

45648 (740)-259-2442

45245 (513)-943-2801

46256 (317)-577-1353

47905 (765)-446-1245

46227 (317)-791-3545

46260 (317)-871-0000

46550 (574)-773-7873

47331 (765)-825-6800

47933 (765)-361-9445

46835 (260)-486-7295

47250 (812)-273-5840

46550 (574)-773-2404

48154 (734)-462-1707

49022 (269)-934-0119

49546 (616)-949-0340

45662 (740)-353-1135

44643 (330)-866-3380

45601 (740)-702-1100

45039 (513)-677-1222

40769 (606)-549-0449

41501 (606)-432-0018

40701 (606)-528-7211

NCPDP 1830430 2375954 2376211 2377516 2378835 2380854 2382707 2384787 3684013 3685116 3685471 3685964 3686031 3688162 1836583 1836862 1837686 1838448 1838753 1839072 2348844 2349492 2350685 2352071 2353124 2354481 1536436 1561679 1562811 1563457 1563952 1563964 1564005 1565184 2362933 2364418 1531385 1533000 1533341 1534456 1535636 1535977 1536638 1561085 1563572 1565778 1566150 1567239 2362630 2362921 2365129 2365220 2366119 2366323 2366397 2366498 2367010 2368050 2374697 3627594 3632519 3634688 1821986 1822128 1823752 1826366 1826784 1826962 1829792 1830947 1832244 1832802 1832953 2375928 2377100 2377720 2378025

NPI 1265611727 1811273626 1093084303 1295071082 1750715355 1386027720 1457893125 1609376672 1932565108 1326572215 1730605882 1326535303 1952899601 1992922025 1174046437 1477076735 1750879524 1790320018 1922629997 1184231169 1205939469 1689692006 1568485126 1013026574 1720005937 1538271481 1003919739 1659576049 1205068541 1508146606 1942570825 1104196906 1083984884 1538571757 1205858974 1033143805 1922171446 1740383470 1164516829 1467525774 1447323969 1346313665 1396824108 1255435640 1013285535 1376941344 1932289568 1316307184 1376560599 1487764007 1497822761 1457425977 1285651653 1639184922 1184639478 1710913355 1508957747 1730101403 1972804607 1720181464 1548363286 1407949837 1568565216 1356368674 1447323514 1427082262 1902832173 1851320931 1588723688 1215180260 1699070896 1427328459 1598021057 1750664413 1386992204 1801135777 1609212927

PHARMACY NAME WALMART PHARMACY GENOA HEALTHCARE LLC JENSEN'S COMMUNITY PHARMACY HOMETOWN PHARMACY HOSPITAL DRIVE PHARMACY PEOPLES MEDICAL PHARMACY HARPER WOODS MEDICAL PHARMACY PREMIER RX TOLEDO FAMILY PHARMACY LTC CARSONS NORTHRIDGE PHARMACY GENOA HEALTHCARE LLC DG PHARMACY SYCAMORE HILLS PHARMACY UROLOGY SPECIALISTS OF OHIO WALGREENS WALGREENS BARDWELL PHARMACY HOMETOWN PHARMACY CLASSIC SPECIALTY PHARMACY EPHRAIM MCDOWELL HOME INFUSION NIMKEE PHARMACY WALMART PHARMACY RITE AID PHARMACY RITE AID PHARMACY WALMART PHARMACY CVS PHARMACY CVS PHARMACY SCOTTS PHARMACY KROGER PHARMACY WALMART PHARMACY MEIJER PHARMACY MEIJER PHARMACY MEIJER PHARMACY MEIJER PHARMACY CVS PHARMACY KROGER PHARMACY KROGER SAVON PHCY CVS PHARMACY FOREST MANOR COMM HLTH CTR PHC KROGER PHARMACY KROGER PHARMACY KROGER PHARMACY MARTIN'S PHARMACY WALGREENS GENOA HEALTHCARE LLC SOUTH BEND SPECIALTY PHARMACY LLC UROLOGY OF INDIANA DECATUR COUNTY MEMORIAL HOSP WALMART PHARMACY COSTCO PHARMACY SHOP N SAVE PHARMACY DETROIT MEDICAL PHARMACY SAM'S CLUB PHARMACY WALGREENS WALGREENS BROAD STREET PHARMACY MANISTIQUE TRIBAL HLTH CLINIC-PHCY CVS PHARMACY UNASOURCE PHARMACY CVS PHARMACY CVS PHARMACY SHAFFER PHARMACY INC CVS PHARMACY WALMART PHARMACY TOTAL CARE PHARMACY KROGER PHARMACY WOLFE PRESCRIPTION CENTER LAKESHORE PHARMACY INC HEALTHY WAY PHARMACY CEDARKNOLL ARH COMMUNITY PHARMACY MASON FAMILY DRUG HIGHLAND PHARMACY CITY EMPLOYEE PHARMACY MEDEX PHARMACY CVS PHARMACY HENRY FORD MED CTC PHCY - CSI BENZER PHARMACY

ADDRESS 5360 DIXIE HWY 1700 WATERMAN ST 968 E MICHIGAN AVE 50 E 82ND ST 6190 HOSPITAL DR 7608 GRATIOT AVE 19959 VERNIER RD STE 100 20292 MIDDLEBELT RD 1601 W SYLVANIA AVE STE F 4923 SECURITY DR 4449 STATE ROUTE 159 STE P100 75 SYLVANIA STE B 9683 KENWOOD RD 1164 E HOME RD SUITE J 415 N LINCOLN BLVD 205 W GL SMITH ST 178 US HWY 51 N 200 CODELLA DR STE C 3582 SPRINGHURST BLVD 217 SOUTH 3RD STREET 2591 S LEATON RD 1621 E M 21 431 W LINCOLN AVE 630 W MITCHELL ST 1879 E SHERMAN BLVD 7269 N CANTON CENTER RD 3280 E STATE ROAD 32 929S 13TH ST 1365 E 86TH ST 1100 5TH ST 10841 E US HIGHWAY 36 4522 ELKHART RD 6260 W MCGALLIARD RD 2636 US 52 33860 S GRATIOT AVE 7084 MILLER RD 1217 S RANGELINE RD 101 N BURKHARDT RD 3840 N SHERMAN DR 5725 COVENTRY LN 2040 PEACE TREE VLG 9799 E 116TH ST 926 ERSKINE PLZ 1351 N IRONWOOD DR 703 PRO-MED LN STE 200 54590 N IRONWOOD ROAD 8240 NAAB RD STE 200 720 N LINCOLN ST 28804 GRATIOT AVE 45460 MARKET ST 1747 BENZIE HWY 500 E WARREN AVE 2925 TOWNE CENTRE BLVD 43250 VAN DYKE AVE 1285 N MONROE ST 1115 W BROAD ST 5698 W US-2 10025 E HIGHLAND RD 4600 INVESTMENT DRIVE STE 100 14025 PURITAS AVE 914 W MAIN ST 3900 SUNFOREST CT 9575 TAYLORSVILLE RD 120 JILL DR 1100 W SHELBY ST 300 KROGER CTR 217 MT PARKWAY SPUR 51 W LAKESHORE DR 1410 EAGLE DR 210 BLACK GOLD BLVD STE 104 912 KENTON STATION DRIVE 301 ROGERS RD 100 TRADE ST STE 145 13530 MICHIGAN AVE STE 180 626 W FRONT ST 1414 E MAPLE RD STE 103 305 N LEROY ST STE A

CITY LOUISVILLE DETROIT SALINE NEWAYGO CASS CITY DETROIT HARPER WOODS LIVONIA TOLEDO SPRINGFIELD CHILLICOTHE BEAVERCREEK BLUE ASH SPRINGFIELD HODGENVILLE MORGANTOWN BARDWELL WINCHESTER LOUISVILLE DANVILLE MOUNT PLEASANT OWOSSO IONIA PETOSKEY MUSKEGON CANTON WESTFIELD DECATUR INDIANAPOLIS HAMMOND AVON GOSHEN MUNCIE WEST LAFAYETTE CLINTON TOWNSHIP SWARTZ CREEK CARMEL EVANSVILLE INDIANAPOLIS FORT WAYNE ROCHESTER FISHERS SOUTH BEND SOUTH BEND CARMEL SOUTH BEND INDIANAPOLIS GREENSBURG ROSEVILLE SHELBY TOWNSHIP BENZONIA DETROIT LANSING STERLING HEIGHTS MONROE CHESANING MANISTIQUE HOWELL TROY CLEVELAND TIPP CITY TOLEDO JEFFERSONTOWN BEREA FALMOUTH MOREHEAD CAMPTON BURNSIDE ASHLAND HAZARD MAYSVILLE GLASGOW LEXINGTON DEARBORN TRAVERSE CITY TROY FENTON

STATE

COUNTY

KY JEFFERSON

MI WAYNE

MI WASHTENAW

MI NEWAYGO

MI TUSCOLA

MI WAYNE

MI WAYNE

MI WAYNE

OH LUCAS

OH CLARK

OH ROSS

OH GREENE

OH HAMILTON

OH CLARK

KY LARUE

KY BUTLER

KY CARLISLE

KY CLARK

KY JEFFERSON

KY BOYLE

MI ISABELLA

MI SHIAWASSEE

MI IONIA

MI EMMET

MI MUSKEGON

MI WAYNE

IN HAMILTON

IN ADAMS

IN MARION

IN LAKE

IN HENDRICKS

IN ELKHART

IN DELAWARE

IN TIPPECANOE

MI MACOMB

MI GENESEE

IN HAMILTON

IN VANDERBURGH

IN MARION

IN ALLEN

IN FULTON

IN HAMILTON

IN ST. JOSEPH

IN ST. JOSEPH

IN HAMILTON

IN ST. JOSEPH

IN MARION

IN DECATUR

MI MACOMB

MI MACOMB

MI BENZIE

MI WAYNE

MI INGHAM

MI MACOMB

MI MONROE

MI SAGINAW

MI SCHOOLCRAFT

MI LIVINGSTON

MI OAKLAND

OH CUYAHOGA

OH MIAMI

OH LUCAS

KY JEFFERSON

KY MADISON

KY PENDLETON

KY ROWAN

KY WOLFE

KY PULASKI

KY BOYD

KY PERRY

KY MASON

KY BARREN

KY FAYETTE

MI WAYNE

MI GRAND TRAVERSE

MI OAKLAND

MI GENESEE

ZIP

PHONE

40216 (502)-447-4745

48209 (313)-842-9660

48176 (734)-429-9053

49337 (231)-652-7810

48726 (989)-912-6061

48213 (313)-925-8000

48225 (313)-521-7000

48152 (248)-987-2888

43612 (419)-386-0534

45503 (937)-504-7700

45601 (740)-277-2346

45440 (937)-320-7519

45242 (513)-327-7200

45503 (937)-342-9260

42748 (270)-358-3186

42261 (270)-526-5615

42023 (270)-628-5445

40391 (859)-759-2102

40241 (502)-771-6011

40422 (859)-239-1765

48858 (989)-775-4608

48867 (989)-723-2656

48846 (616)-527-4300

49770 (231)-347-8282

49444 (231)-739-5519

48187 (734)-455-5186

46074 (317)-867-4577

46733 (260)-724-9187

46240 (317)-217-1190

46320 (219)-473-9709

46123 (317)-273-6010

46526 (574)-875-3010

47304 (765)-281-7810

47906 (765)-637-4210

48035 (586)-913-0294

48473 (810)-630-0585

46032 (317)-843-4431

47715 (812)-471-8207

46226 (317)-541-3458

46804 (260)-432-2475

46975 (574)-223-6347

46037 (317)-913-5505

46614 (574)-299-8844

46615 (574)-234-5046

46032 (317)-218-7709

46635 (574)-968-3717

46260 (317)-876-2330

47240 (812)-663-1250

48066 (586)-777-9475

48315 (586)-580-2002

49616 (231)-882-0254

48201 (313)-831-2400

48912 (517)-482-1803

48314 (586)-803-1602

48162 (734)-457-2336

48616 (989)-845-9355

49854 (906)-341-9544

48843 (810)-632-2317

48098 (248)-312-0037

44135 (216)-671-5670

45371 (937)-667-8428

43623 (419)-473-0891

40299 (502)-267-5448

40403 (859)-986-3113

41040 (859)-654-3232

40351 (606)-783-1476

41301 (606)-668-3900

42519 (606)-561-7104

41102 (606)-928-1001

41701 (606)-487-7380

41056 (606)-759-0700

42141 (270)-629-4300

40511 (859)-367-4990

48126 (313)-846-3339

49684 (231)-935-0185

48083 (248)-648-7222

48430 (810)-354-8500

NCPDP 2379205 2379217 2379495 2380032 1821417 1826304 1829045 2365496 2367072 2371261 2371982 2373998 2374510 3616945 3626629 3632610 3633028 1820910 1821621 1821645 1824475 1826431 1826518 1829007 1829259 1829780 1831305 1832737 1835581 2377578 2379089 2379902 2380145 2381503 2382543 2382872 2384232 2384989 2385525 3683770 3683960 3684087 1836482 1532212 1534925 1535737 1537135 1561148 1561643 1563128 1564827 1565374 2362983 2363238 2363391 1829855 1831216 1835288 1835670 2375524 2375839 2377150 2380044 2380638 2380640 2381438 2381781 2383824 2384903 3681574 3682071 3682095 3682285 3684582 3684710 3685611 1531400

NPI 1932528270 1184043341 1013322825 1639576135 1801813126 1720160997 1912086406 1629066204 1235257387 1588823249 1558506451 1437477254 1093029142 1376660746 1427141019 1457454191 1205860095 1396750535 1710904032 1780775981 1063553345 1730177668 1164449492 1528080264 1700803046 1225106057 1710114400 1124305693 1073060059 1609113273 1467879759 1518360791 1588052492 1609233162 1760939185 1922541168 1285149484 1326531039 1699259390 1366816043 1740647031 1225499775 1073036307 1912070434 1699872184 1841217213 1295839462 1518064823 1679778989 1891002663 1780017186 1811302094 1518958792 1518075985 1740399237 1821156159 1245473081 1316307580 1528517034 1306137161 1184902090 1679822381 1255739280 1407241029 1790175693 1457717787 1306208483 1174040026 1376040659 1790116234 1497161137 1104232453 1154721264 1124575865 1972052611 1093227274 1699780734

PHARMACY NAME UNITED RX MEIJER PHARMACY LITTLE PHARMACY OF MILAN AUBURN HILLS PHARMACY WALMART PHARMACY KABAFUSION KY BOONEVILLE DISCOUNT DRUG GATEWAY PHARMACY CANCER & HEMATOLOGY CTR OF W MI ST JOHN PHARMACY HIGHLAND PHARMACY PHARMACY SPECIALIST ROYALS PHARMACY CAMPBELL PHARMACY WILLIAMSBURG FITZGERALD PHCY CVS PHARMACY KROGER SAV-ON WALGREENS WALMART PHARMACY HOMETOWN PHARMACY CLINIC PHARMACY SOUTH PHARMACY INC WALMART PHARMACY CVS PHARMACY SAM'S CLUB PHARMACY BLUEGRASS LTC PHARMACY CVS PHARMACY TOTAL CARE PHARMACY TJ SAMSON COMM HSP OP PHCY COMPREHENSIVE MEDS PHARMACY AMERICO PHARMACY KROGER PHARMACY HASTINGS PHARMACY CSA PHARMACY GENOA HEALTHCARE LLC VILLAGE PHARMACY OF FRUITPORT MINUTE SCRIPT PHARMACY DEARBORN CAREMOR PHARMACY DANA PHARMACY LTC SOMC PHARMACY WHEELERSBURG THE PHARMACY AT MAGRUDER HOSPITAL METRO HLTH CLEVELAND HGTS PHCY WALGREENS KROGER SAVON PHCY CVS PHARMACY SAM'S CLUB PHARMACY BRISTOL PHARMACY CVS PHARMACY SCOTTS PHARMACY CVS PHARMACY GENOA HEALTHCARE LLC COSTCO PHARMACY REMUS PHARMACY TAWAS PHARMACY RITE AID PHARMACY RICHMOND WHITE HOUSE CLIN PHCY ALFORDS PHARMACY MED-SAVE MARTIN MED-SAVE LANCASTER CENTER FOR FAMILY HEALTH FAMILY FARE PHARMACY CVS PHARMACY IPHARMACY H-CARE PHARMACY 3 NORTHLAND FOOD & FAMILY CTR MIDMICHIGAN MED CENTER-GRATIOT HOMETOWN PHARMACY DETROIT PHARMACY MIDMICHIGAN MEDICAL CENTER MIDLAND BENZER PHARMACY MEIJER PHARMACY HARRISON PHARMACY & WELLNESS CVS PHARMACY CVS PHARMACY SUMMA HLTH RETAIL PHCY-AKRON MAC PHARMACY WALGREENS

ADDRESS 15808 PLYMOUTH RD 2805 W CHEESMAN RD 36 E MAIN ST 3089 E WALTON BLVD 1801 ELIZABETHTOWN RD 3881 BUSINESS PARK DR 478 KY 11 N 1048 N MCEWAN ST 145 MICHIGAN ST STE 3100 17900 23 MILE RD STE 104 4000 HIGHLAND RD STE 113 14155 FARMINGTON RD 20727 WYOMING ST 135 12TH ST 305 W MAIN ST 2091 EASTWOOD AVE 2921 W ALEX BELL RD 3410 W BROADWAY 901 US HIGHWAY 60 E 130 HIGHWAY 80 3959 US HIGHWAY 431 S 82 SPRUCE ST 28402 US HIGHWAY 119 4101 TOWNE CENTER DR 3200 KEN BALE BLVD 1128 N MAIN ST STE 3 925 S MAIN ST 206 W MAIN ST 1301 N RACE ST 14825 W MCNICHOLS RD STE B 24355 FORD RD 23101 JOHN R RD 400 W STATE ST 1174 FORT ST 1200 N WEST AVE STE 500 10 S THIRD AVE 2020 MIDDLEBELT ROAD SUITE B 10633 W WARREN AVE 32440 GRAND RIVER AVE 8770 OHIO RIVER RD 615 FULTON ST 10 SEVERANCE CIRCLE 610 BYPASS RD 100 FOREST PARK PLZ 7005 BLUFF RD 6700 E VIRGINIA ST 300 E ELKHART ST 6975 PENDLETON PIKE 10230 CHESTNUT PLAZA DR 402 MARKETPLACE DR 336 LAKEVIEW DR 625 E UNIVERSITY DR 144 W WHEATLAND 306 W LAKE STREET 521 N STATE RD 401 HIGHLAND PARK DR 210 S MAIN ST # 100 45 STEPHENS BRANCH RD STE 1 208 STANFORD ST 505 N JACKSON ST 1204 N STATE ST 132 DOUGLAS AVE 31193 PLYMOUTH RD 1 HURLEY PLZ STE 100 2101 US HIGHWAY 131 N 300 E WARWICK DR 5866 HARVEY ST 6455 GRATIOT AVE 4000 WELLNESS DRIVE 1549 BOETTLER RD STE B 930 COLEMANS XING 620 RING RD 10560 SAWMILL PKWY 210 E EMMITT AVE 525 E MARKET ST 1 PARK WEST BLVD STE 140 429 W PIKE ST

CITY DETROIT ALMA MILAN AUBURN HILLS LEITCHFIELD LOUISVILLE BOONEVILLE CLARE GRAND RAPIDS MACOMB WATERFORD LIVONIA FERNDALE CAMPBELL WILLIAMSBURG AKRON DAYTON LOUISVILLE MORGANFIELD HYDEN BEECHMONT MURRAY SOUTH WILLIAMSON LOUISVILLE BOWLING GREEN MADISONVILLE FRANKLIN MOREHEAD GLASGOW DETROIT DEARBORN HAZEL PARK HASTINGS LINCOLN PARK JACKSON FRUITPORT GARDEN CITY DEARBORN FARMINGTON WHEELERSBURG PORT CLINTON CLEVELAND HEIGHTS BRANDENBURG BRAZIL INDIANAPOLIS EVANSVILLE BRISTOL INDIANAPOLIS FORT WAYNE GREENWOOD GOSHEN GRANGER REMUS TAWAS CITY DAVISON RICHMOND BROWNSVILLE MARTIN LANCASTER JACKSON GLADWIN HOLLAND LIVONIA FLINT KALKASKA ALMA MUSKEGON DETROIT MIDLAND UNIONTOWN MARYSVILLE HARRISON POWELL WAVERLY AKRON AKRON GOSHEN

STATE

COUNTY

MI WAYNE

MI GRATIOT

MI WASHTENAW

MI OAKLAND

KY GRAYSON

KY JEFFERSON

KY OWSLEY

MI CLARE

MI KENT

MI MACOMB

MI OAKLAND

MI WAYNE

MI OAKLAND

OH MAHONING

OH CLERMONT

OH SUMMIT

OH MONTGOMERY

KY JEFFERSON

KY UNION

KY LESLIE

KY MUHLENBERG

KY CALLOWAY

KY PIKE

KY JEFFERSON

KY WARREN

KY HOPKINS

KY SIMPSON

KY ROWAN

KY BARREN

MI WAYNE

MI WAYNE

MI OAKLAND

MI BARRY

MI WAYNE

MI JACKSON

MI MUSKEGON

MI WAYNE

MI WAYNE

MI OAKLAND

OH SCIOTO

OH OTTAWA

OH CUYAHOGA

KY MEADE

IN CLAY

IN MARION

IN VANDERBURGH

IN ELKHART

IN MARION

IN ALLEN

IN JOHNSON

IN ELKHART

IN ST. JOSEPH

MI MECOSTA

MI IOSCO

MI GENESEE

KY MADISON

KY EDMONSON

KY FLOYD

KY GARRARD

MI JACKSON

MI GLADWIN

MI OTTAWA

MI WAYNE

MI GENESEE

MI KALKASKA

MI GRATIOT

MI MUSKEGON

MI WAYNE

MI MIDLAND

OH SUMMIT

OH UNION

OH HAMILTON

OH DELAWARE

OH PIKE

OH SUMMIT

OH SUMMIT

IN

ELKHART

ZIP

PHONE

48227 (313)-836-2222

48801 (989)-576-6010

48160 (734)-439-3900

48326 (248)-309-3333

42754 (270)-259-9384

40213 (502)-266-5001

41314 (606)-593-0382

48617 (989)-386-2900

49503 (616)-977-4840

48044 (586)-568-9050

48328 (248)-977-1394

48154 (734)-744-4844

48220 (248)-566-0116

44405 (330)-755-5221

45176 (513)-724-7081

44305 (330)-630-9066

45459 (937)-294-7210

40211 (502)-776-2528

42437 (270)-389-2423

41749 (606)-672-3084

42323 (270)-476-3600

42071 (270)-762-0602

41503 (606)-237-4443

40241 (502)-412-2440

42103 (270)-781-7727

42431 (270)-821-7335

42134 (270)-586-0787

40351 (606)-784-4491

42141 (270)-651-1866

48235 (313)-307-7367

48128 (313)-563-7777

48030 (248)-658-1660

49058 (269)-945-3777

48146 (586)-774-7294

49202 (517)-789-8579

49415 (231)-865-3345

48135 (734)-245-2600

48126 (313)-254-2996

48336 (248)-513-4405

45694 (740)-355-4120

43452 (419)-732-4009

44118 (216)-957-6337

40108 (270)-422-5300

47834 (812)-442-6700

46217 (317)-859-5881

47715 (812)-473-5892

46507 (574)-848-0660

46226 (317)-542-7304

46814 (260)-625-5949

46142 (317)-865-2650

46528 (574)-975-3656

46530 (574)-401-7014

49340 (989)-967-3360

48763 (989)-362-3311

48423 (810)-658-0527

40475 (859)-626-7700

42210 (270)-597-1044

41649 (606)-949-1349

40444 (859)-792-1697

49201 (517)-748-5400

48624 (989)-426-8608

49424 (616)-396-2959

48150 (734)-743-5055

48503 (810)-262-6370

49646 (231)-258-9116

48801 (989)-466-3345

49444 (231)-563-6237

48207 (313)-922-6942

48670 (989)-794-2950

44685 (844)-406-8299

43040 (937)-553-6110

45030 (513)-202-9600

43065 (614)-356-4367

45690 (740)-947-2126

44304 (330)-375-4911

44320 (330)-556-4515

46526 (574)-534-7616

NCPDP 1533377 1534672 1536347 1536462 1560211 1562683 1567227 2363101 2364608 2364672 2367983 2369038 2371499 2371829 2373481 3615816 3634208 3640807 3641467 3643245 3645073 3645732 1531599 1532589 1535864 1536397 1536537 1534709 1535662 1537072 1560350 1560881 1561504 1561744 1561819 1562342 1563609 1567051 2363808 2364355 2369204 2372073 2372720 2373657 3632444 3634854 1822750 1823017 1826265 1828675 1828889 1829336 1829374 1829867 1830341 1832105 1835391 1835745 2378188 2379813 2382315 2382783 2383280 2383381 2383949 2385121 2385133 2385765 2386034 3681827 3683706 3684304 3686295 1819905 1824653 1533365 1533416

NPI 1386731099 1063519551 1770693384 1174696694 1417962564 1497989743 1720447931 1205948171 1487676151 1801813027 1225138662 1114086113 1033374319 1184876658 1790014819 1609802958 1811000144 1285668087 1720181183 1306949821 1962570945 1255346185 1568535086 1437252954 1760570030 1164525689 1891868311 1972672822 1073528113 1427063577 1013985696 1659315018 1083667653 1821298993 1366623605 1184875122 1295005882 1609241629 1518064443 1659480143 1144383779 1326283029 1083858526 1932437712 1326176850 1518989615 1568473072 1316982010 1265473144 1154461309 1124033378 1609881218 1164437711 1023164449 1205020211 1730489618 1588028997 1801345111 1821439621 1205245586 1699229948 1619410321 1265965735 1164959284 1013426162 1326534850 1811488281 1548736309 1568947018 1538587720 1396113023 1083061303 1083108906 1255336517 1619994944 1881781086 1316952450

PHARMACY NAME NORTH ARLINGTON PHARMACY CVS PHARMACY COSTCO PHARMACY KROGER PHARMACY WALGREENS CVS PHARMACY CVS PHARMACY CVS PHARMACY CVS PHARMACY WALMART PHARMACY CVS PHARMACY D AND W PHARMACY CVS PHARMACY MONROE MED RX PHARMACY MINAL PHARMACY DISCOUNT DRUG MART BLAKE PHARMACY INC KROGER SAV-ON CVS PHARMACY CVS PHARMACY HENDERSON PHARMACY SERVICES FRUTH PHARMACY KROGER PHARMACY CVS PHARMACY PAUL'S PHARMACY EAST CVS PHARMACY PAYLESS PHARMACY MILLERS PHARMACY WALGREENS WALGREENS NORTH RETAIL PHARMACY CVS PHARMACY OLIVER PHARMACY HEALHCARE PC GENOA HEALTHCARE LLC WALGREENS GEORGES FAMILY PHARMACY INC CVS PHARMACY UPLAND FAMILY PHARMACY PHARMERICA RITE AID PHARMACY DOLLAR MART PHARMACY VG'S PHARMACY BERKLEY PHARMACY TODD'S PHARMACY KSU HEALTH CENTER PHARMACY RITE AID PHARMACY MOUNTAIN APOTHECARY DUNCAN PRESCRIPTION CENTER MT VERNON DRUG INC HOMETOWN PHARMACY OF JACKSON WALGREENS VALUMARKET ADIO PHARMACY WALGREENS BRANDENBURG PHARMACY CARE HAROLD CLINIC PHARMACY KIMPER PHARMACY NEW VITALIS PHARMACY PHARMOR PHARMACY HIGHLAND PARK ATLAS MEDS PHARMACY OSHTEMO PHARMACY RED CAP PHARMACY PLYMOUTH CITY PHARMACY LLC CARE RITE PHARMACY GRAND MERCY PHARMACY WHITE PIGEON PHARMACY WALGREENS WALGREENS MEDMART PHARMACY CLEVELAND CL LUTHERAN AMB PHCY GENOA HEALTHCARE LLC CLINIC PHARMACY RAINBOW PHARMACY BIOSCRIP INFUSION SERVICES WALMART PHARMACY MIDTOWN COMM MENTAL HLTH PHARMACY WALGREENS

ADDRESS 2505 N ARLINGTON 2338 US HIGHWAY 41 9010 MICHIGAN RD 5173 W WASHINGTON ST 2014 N MICHIGAN ST 10170 ILLINOIS RD 1404 BLACKISTON MILL RD 2590 W GRAND BLVD 3130 S AIRPORT RD W 6065 GULL RD 1037 WOODWARD AVE 3960 44TH ST SW 7488 E MI STATE ROAD 36 337 STEWART RD STE 1 13031 CONANT ST 135 HARDING ST 103 N MAIN ST 27322 CARRONADE DR 933 BETHEL RD 1890 N RIDGE RD 186 W MAIN ST 8972 UNITED LN 8150 ROCKVILLE RD 801 N 1ST AVE 1150 S GREEN RIVER RD 13098 PUBLISHERS DR 65 BECK LN 420 S DETROIT ST 115 FIELDS ST 2400 E CENTER ST 11700 N MERIDIAN ST STE B106 119 W 56TH ST 5645 LAFAYETTE RD 720 N MARR RD 319 E TIPTON ST 308 N MERIDIAN STREET 1600 E 151ST ST 1809 S MAIN ST STE 150 215 FAST ICE DR 800 ANN ARBOR RD W 13465 12 MILE RD 2400 W GRAND RIVER AVE 28577 SCHOENHERR RD 25871 FORD RD 1500 EASTWAY DR 898 S MAIN ST 834 S MAYO TRL 315 W BROADWAY ST 410 RICHMOND ST 95 JACKSON HEIGHTS DR 2318 FREDERICA ST 205 OAKBROOKE DR 150 RALEIGH DR 901 N MAIN ST 1230 HIGH ST 159 KY 680 EAST 9711 STATE HWY 194 E 4139 CADILLAC CT STE 201 23815 NORTHWESTERN HWY STE 120 4801 S MARTIN LUTHER KING JR 635 N 9TH ST STE E 214 N WEST AVE ST A 41416 ANN ARBOR RD 22990 KING RD STE B 18428 GRAND RIVER AVE 410 E CHICAGO RD 6001 W OUTER DR STE 110 181 W HURON AVE 25850 EUREKA RD 1730 W 25TH ST 43 E MAIN ST STE 113 1000 E BROAD ST 5805 EUCLID AVE 2380 FORTUNE DR STE 130 1165 WALMART WAY 1700 N ILLINOIS ST 1801 SOUTH ST

CITY INDIANAPOLIS SCHERERVILLE INDIANAPOLIS INDIANAPOLIS PLYMOUTH FORT WAYNE CLARKSVILLE DETROIT TRAVERSE CITY KALAMAZOO DETROIT GRANDVILLE WHITMORE LAKE MONROE DETROIT MEDINA PEEBLES PERRYSBURG COLUMBUS PAINESVILLE CHILLICOTHE ATHENS INDIANAPOLIS EVANSVILLE EVANSVILLE FISHERS LAFAYETTE LAGRANGE MOORESVILLE WARSAW CARMEL INDIANAPOLIS INDIANAPOLIS COLUMBUS SEYMOUR SUNMAN CARMEL UPLAND MIDLAND PLYMOUTH WARREN HOWELL WARREN DEARBORN HEIGHTS KENT CENTERVILLE PAINTSVILLE MAYFIELD MOUNT VERNON JACKSON OWENSBORO MOUNT WASHINGTON ELIZABETHTOWN NICHOLASVILLE BRANDENBURG HAROLD KIMPER LOUISVILLE SOUTHFIELD LANSING KALAMAZOO JACKSON PLYMOUTH BROWNSTOWN TWP DETROIT WHITE PIGEON DETROIT VASSAR TAYLOR CLEVELAND AMELIA COLUMBUS CLEVELAND LEXINGTON RADCLIFF INDIANAPOLIS LAFAYETTE

STATE

COUNTY

IN

MARION

IN

LAKE

IN

MARION

IN

MARION

IN

MARSHALL

IN

ALLEN

IN

CLARK

MI WAYNE

MI GRAND TRAVERSE

MI KALAMAZOO

MI WAYNE

MI KENT

MI LIVINGSTON

MI MONROE

MI WAYNE

OH MEDINA

OH ADAMS

OH WOOD

OH FRANKLIN

OH LAKE

OH ROSS

OH ATHENS

IN MARION

IN VANDERBURGH

IN VANDERBURGH

IN HAMILTON

IN TIPPECANOE

IN LAGRANGE

IN MORGAN

IN KOSCIUSKO

IN HAMILTON

IN MARION

IN MARION

IN

BARTHOLOMEW

IN JACKSON

IN RIPLEY

IN HAMILTON

IN GRANT

MI MIDLAND

MI WAYNE

MI MACOMB

MI LIVINGSTON

MI MACOMB

MI WAYNE

OH PORTAGE

OH MONTGOMERY

KY JOHNSON

KY GRAVES

KY ROCKCASTLE

KY BREATHITT

KY DAVIESS

KY BULLITT

KY HARDIN

KY JESSAMINE

KY MEADE

KY FLOYD

KY PIKE

KY JEFFERSON

MI OAKLAND

MI INGHAM

MI KALAMAZOO

MI JACKSON

MI WAYNE

MI WAYNE

MI WAYNE

MI ST. JOSEPH

MI WAYNE

MI TUSCOLA

MI WAYNE

OH CUYAHOGA

OH CLERMONT

OH FRANKLIN

OH CUYAHOGA

KY FAYETTE

KY HARDIN

IN

MARION

IN

TIPPECANOE

ZIP

PHONE

46219 (317)-554-5212

46375 (219)-865-4601

46268 (317)-532-1607

46241 (317)-381-9659

46563 (574)-936-8388

46804 (260)-436-6021

47129 (812)-285-0682

48208 (313)-875-4457

49684 (231)-947-0868

49048 (269)-373-1367

48226 (313)-963-1007

49418 (616)-530-4590

48189 (810)-231-4179

48162 (734)-240-3466

48212 (313)-893-3339

44256 (330)-725-7117

45660 (937)-587-3100

43551 (419)-874-7014

43214 (614)-459-9521

44077 (440)-352-7051

45601 (740)-702-1181

45701 (740)-594-3092

46214 (317)-273-1349

47710 (812)-467-0109

47715 (812)-962-3500

46038 (317)-598-4409

47909 (765)-474-8269

46761 (260)-463-7464

46158 (317)-834-6678

46580 (574)-269-4003

46032 (317)-688-3040

46208 (317)-251-9518

46254 (317)-387-3050

47201 (812)-376-7295

47274 (812)-522-0620

47041 (812)-623-6251

46032 (317)-564-3522

46989 (765)-998-8072

48642 (888)-837-3636

48170 (734)-737-0218

48088 (586)-576-0334

48843 (517)-548-7070

48088 (586)-573-8300

48127 (313)-406-5279

44242 (330)-672-8254

45458 (937)-433-4909

41240 (606)-789-6150

42066 (270)-247-3345

40456 (606)-256-3447

41339 (606)-666-5500

42301 (270)-686-7873

40047 (502)-538-6649

42701 (270)-234-8111

40356 (859)-881-8203

40108 (270)-422-2422

41635 (606)-478-1600

41539 (606)-631-3327

40213 (502)-890-2030

48075 (248)-996-8441

48910 (517)-580-0991

49009 (269)-459-8653

49201 (517)-879-4877

48170 (734)-667-5118

48183 (734)-785-8965

48223 (313)-635-2288

49099 (269)-464-2384

48235 (313)-966-2979

48768 (989)-823-9200

48180 (734)-992-8488

44113 (216)-696-7055

45102 (513)-685-6033

43205 (614)-252-4348

44223 (216)-675-6640

40509 (800)-356-9259

40160 (270)-352-2730

46202 (317)-941-5020

47904 (765)-448-1366

NCPDP 1533707 1534367 1535042 1536323 1560069 1561922 1561984 1562823 1566439 1566996 2364800 2364812 2367402 2368377 2369026 2370930 2371362 2375005 3632088 3636048 3636303 1826140 1827407 1830303 1830377 1831444 1835050 2377895 2377934 2379320 2380626 2380993 2381072 2382745 2383797 2385400 3687677 1836545 1836608 1837117 1839060 1839200 1839248 2350584 1821532 1822863 1562962 2362767 2365066 2365941 2366450 2368199 2368391 2368808 2372960 3620665 3640085 1820530 1823740 1825201 1826291 1831379 1831533 1831901 1833296 1835074 1835783 2376172 2378176 2379976 2384458 2384713 3683530 3683869 3684138 3684291 3684669

NPI 1457455404 1134134273 1801969324 1265505788 1437222957 1508043092 1972781292 1528397643 1659750842 1598136111 1013922152 1922013069 1659393320 1134229578 1205995206 1578735015 1073772109 1255637310 1598701989 1720181472 1376646737 1689619348 1649295346 1770775199 1326235276 1487886115 1912379744 1093057796 1669713053 1225448814 1902293392 1093198624 1013386986 1437692779 1669901815 1760960603 1992343818 1932622289 1407379514 1083137095 1538767835 1407436264 1427622836 1124137682 1093749814 1538193354 1538484209 1588671580 1558585687 1699883066 1811902117 1710083092 1386686574 1669555165 1760610646 1285731117 1508969023 1639196959 1164558417 1083648828 1689739013 1376772772 1730412362 1265753909 1336497031 1528431608 1053860486 1578832846 1306287297 1043629488 1164924585 1508367111 1073989687 1609246081 1134586829 1235585514 1538619820

PHARMACY NAME FAMILY HEALTHCARE PHARMACY WALGREENS KROGER PHARMACY PAYLESS PHARMACY KROGER PHARMACY PHILLIPS DRUGS WALGREENS MARTIN'S PHARMACY MEIJER PHARMACY WALMART PHARMACY WALGREENS WALGREENS CVS PHARMACY CVS PHARMACY D AND W PHARMACY HENRY FORD MEDICAL CENTER PHARMACY WALGREENS BENZER PHARMACY DISCOUNT DRUG MART CVS PHARMACY CVS PHARMACY JACKSON APOTHECARY KROGER PHARMACY BATH HOMETOWN PHARMACY UK NORTH FORK VALLEY COM HLTH CTR CVS PHARMACY WALGREENS COMMUNITY RX PHARMACY WE CARE PHARMACY PLUS EXCEL RX PHARMACY CVS PHARMACY THE MEMORIAL HOSPITAL KROGER PHARMACY MD ROYAL PHARMACY BRIDGE HEALTHCARE PHARMACY ABBEY PHARMACY MILFORD KRATZERS HOMETOWN PHARMACY WALGREENS WALGREENS WALGREENS WEST TOWNE PHARMACY KING PHARMACY WALGREENS RITE AID PHARMACY KROGER PHARMACY KROGER PHARMACY NORTHSHORE HLTH CTR PHCY PORTA WALGREENS STADIUM PHARMACY LAKES DISCOUNT PHARMACY WALGREENS ST JOHN PHARMACY CVS PHARMACY CVS PHARMACY WALGREENS TREMONT PHARMACY CVS PHARMACY WALMART PHARMACY PIKEVILLE MEDICAL CENTER KROGER PHARMACY HIGHLANDS ARH MED OFFICE PHCY WALGREENS WALGREENS MEDICINE MARKET PHARMACY NORTONVILLE PHARMACY MOUNTAIN COMMUNITY PHARMACY THOMPSON DRUG ANNVILLE PHARMOR PHARMACY- LAFAYETTE PHARMOR PHARMACY- SCHOOLCRAFT GARFIELD DRUG MART PANACEA RX PHARMACY MEIJER PHARMACY UNIV HOSP GEAUGA MED CNTR OP PHCY TONYS PHARMACY SWISS VILLAGE PHARMACY RESIDENT CARE PHARMACY MERCY HLTH CLERMONT OPT PHCY

ADDRESS 5501 W BETHEL AVE 580 INDIAN BOUNDARY RD 108 N STATE ROAD 267 1032 SAGAMORE PKWY W 17447 CAREY RD 1390 NATIONAL RD W 2140 W JONATHAN MOORE PIKE 120 SANFORD SCHOOL RD 5600 E NEW MARGARET DR 1894 RIDGE AVE 3255 WASHTENAW AVE 2350 N US HIGHWAY 31 N 13221 HALL RD 30900 WOODWARD AVE 2181 WEALTHY ST SE 2799 W GRAND BLVD RM 100B 2901 CENTER AVE 6240 MICHIGAN AVE 17815 PURITAS AVE 15925 W HIGH ST 2565 E MAIN ST 842 HIGHWAY 15 N 1060 CHINOE RD STE 190 19 MILLER DR 750 MORTON BLVD 4174 WESTPORT RD 532 S 4TH ST 27124 DEQUINDRE RD 1412 S LAPEER RD 18161 W 12 MILE RD SUITE 4 101 N EUCLID AVE 826 W KING ST STE 1-117 20891 E 13 MILE RD 12866 FORT ST 658 E MAIN ST SUITE 1 1191 N MILFORD ROAD 211 S MAIN ST 805 BARDSTOWN RD STE 1 STE 1 7500 TERRY RD 8014 BARDSTOWN RD 2755 WEST PARK DR 900 MORTON BLVD 1000 S 12TH ST STE A 5520 DRAKE RD 9501 WESTPORT RD 212 KROGER WAY 6050 STERLING CREEK RD 20030 ECORSE RD 1930 W STADIUM BLVD 2300 HAGGERTY RD STE 1070 31415 FORD RD 18000 W 9 MILE RD STE 410 3255 OWEN RD 18900 TELEGRAPH RD 1330 W CHICAGO BLVD 2144 TREMONT CTR 8560 WINTON RD 7625 DOERING DR 911 BYPASS RD BLDG E STE 1 2308 E 4TH ST 5000 KY ROUTE 321 4926 CANE RUN RD 926 S BROADWAY ST 10870 MAIN ST 229 S HOPKINSVILLE ST 1908 N MAIN ST STE 108 78 HWY 3444 STE 2 1565 E LAFAYETTE 14424 SCHAEFER HWY STE 100 42086 GARFIELD RD 1650 MONROE ST 25225 SCHOENHERR RD 13207 RAVENNA RD 3114 CLARK AVE 309 S BROADWAY ST 823 SCIOTO ST 3020 HOSPITAL DRIVE, SUITE 100

CITY MUNCIE CHESTERTON AVON WEST LAFAYETTE WESTFIELD RICHMOND COLUMBUS ELKHART TERRE HAUTE DANVILLE ANN ARBOR TRAVERSE CITY SHELBY TOWNSHIP ROYAL OAK GRAND RAPIDS DETROIT ESSEXVILLE DETROIT CLEVELAND MIDDLEFIELD SPRINGFIELD JACKSON LEXINGTON OWINGSVILLE HAZARD LOUISVILLE LOUISVILLE WARREN LAKE ORION LATHRUP VILLAGE BAY CITY OWOSSO ROSEVILLE SOUTHGATE CENTREVILLE MILFORD LYNCHBURG SPRINGFIELD LOUISVILLE LOUISVILLE PADUCAH HAZARD MURRAY WEST BLOOMFIELD LOUISVILLE VERSAILLES PORTAGE TAYLOR ANN ARBOR WEST BLOOMFIELD GARDEN CITY SOUTHFIELD FENTON BROWNSTOWN TOWNSHIP TECUMSEH COLUMBUS CINCINNATI FLORENCE PIKEVILLE OWENSBORO PRESTONSBURG LOUISVILLE GEORGETOWN MARTIN NORTONVILLE HAZARD ANNVILLE DETROIT DETROIT CLINTON TOWNSHIP DEARBORN WARREN CHARDON CLEVELAND SUGARCREEK URBANA BATAVIA

STATE

COUNTY

IN

DELAWARE

IN

PORTER

IN

HENDRICKS

IN

TIPPECANOE

IN

HAMILTON

IN

WAYNE

IN

BARTHOLOMEW

IN

ELKHART

IN

VIGO

IN

HENDRICKS

MI WASHTENAW

MI GRAND TRAVERSE

MI MACOMB

MI OAKLAND

MI KENT

MI WAYNE

MI BAY

MI WAYNE

OH CUYAHOGA

OH GEAUGA

OH CLARK

KY BREATHITT

KY FAYETTE

KY BATH

KY PERRY

KY JEFFERSON

KY JEFFERSON

MI MACOMB

MI OAKLAND

MI OAKLAND

MI BAY

MI SHIAWASSEE

MI MACOMB

MI WAYNE

MI ST. JOSEPH

MI OAKLAND

OH HIGHLAND

KY WASHINGTON

KY JEFFERSON

KY JEFFERSON

KY MCCRACKEN

KY PERRY

KY CALLOWAY

MI OAKLAND

KY JEFFERSON

KY WOODFORD

IN PORTER

MI WAYNE

MI WASHTENAW

MI OAKLAND

MI WAYNE

MI OAKLAND

MI GENESEE

MI WAYNE

MI LENAWEE

OH FRANKLIN

OH HAMILTON

KY BOONE

KY PIKE

KY DAVIESS

KY FLOYD

KY JEFFERSON

KY SCOTT

KY FLOYD

KY HOPKINS

KY PERRY

KY JACKSON

MI WAYNE

MI WAYNE

MI MACOMB

MI WAYNE

MI MACOMB

OH GEAUGA

OH CUYAHOGA

OH TUSCARAWAS

OH CHAMPAIGN

OH CLERMONT

ZIP

PHONE

47304 (765)-751-7900

46304 (219)-395-8583

46123 (317)-272-4135

47906 (765)-464-1456

46074 (317)-867-3022

47374 (765)-966-5546

47201 (812)-378-0804

46514 (574)-970-6470

47803 (812)-233-6310

46122 (317)-745-3209

48104 (734)-975-2902

49686 (231)-938-7051

48315 (586)-254-7226

48073 (248)-549-4377

49506 (616)-451-3404

48202 (313)-916-1666

48732 (989)-894-4832

48210 (313)-899-4120

44135 (216)-267-4630

44062 (440)-632-5251

45503 (937)-323-6423

41339 (606)-666-7060

40502 (859)-335-2380

40360 (606)-674-2423

41701 (606)-435-0469

40207 (502)-992-1040

40202 (502)-434-3122

48092 (586)-920-2225

48360 (248)-690-9686

48076 (248)-559-8888

48706 (989)-686-2807

48867 (989)-729-4781

48066 (586)-298-3855

48195 (734)-288-3588

49032 (269)-467-3510

48381 (248)-685-8363

45142 (937)-382-0081

40069 (859)-336-9004

40258 (502)-935-6230

40291 (502)-239-1256

42001 (270)-443-0909

41701 (606)-435-1067

42071 (270)-767-6960

48322 (248)-661-0774

40241 (502)-425-5221

40383 (859)-873-1324

46368 (219)-763-8950

48180 (313)-294-0849

48103 (734)-913-4752

48323 (248)-668-1212

48135 (734)-367-0962

48075 (248)-395-6100

48430 (810)-714-2406

48174 (734)-941-2067

49286 (517)-423-3560

43221 (614)-488-2625

45231 (513)-931-9359

41042 (859)-282-8833

41501 (606)-218-3576

42303 (502)-926-7751

41653 (606)-886-7685

40216 (502)-449-5168

40324 (502)-868-6027

41649 (606)-285-3400

42442 (270)-676-8268

41701 (606)-487-0023

40402 (606)-364-3113

48207 (313)-396-5555

48227 (313)-270-3333

48038 (586)-554-2745

48124 (313)-522-9994

48089 (586)-210-9810

44024 (440)-285-6015

44109 (216)-651-5700

44681 (330)-852-6033

43078 (937)-772-9640

45103 (513)-732-8517

NCPDP 3685421 3687906 1837042 1839185 2349404 2351067 2351295 1532111 1532224 1535155 1536068 1536195 1536474 1560261 1561528 1563267 1564017 1565209 1825376 1826138 1826152 1826544 1831646 1832294 2376780 2380917 2381387 2382480 2383761 2385171 2385210 2386844 2386856 3681447 3682297 3683871 3684316 3684835 3686714 1531498 1535395 1536171 1536272 1537046 1562570 2362844 2365561 2367755 2368048 2368163 2368339 2368543 2370269 2370574 3623318 3635084 3650593 3651610 3653020 3654111 3654402 3655074 1534254 1535078 1535319 1535775 1536614 1567013 2363137 2363947 2365244 2366474 2367298 2368125 2368961 2371196 2373176

NPI 1871019984 1972122927 1306369368 1528011418 1457378762 1114036670 1639133150 1871508911 1669499885 1629141148 1518972652 1275637225 1124052931 1407878135 1932321049 1922306463 1891065603 1801209796 1235233180 1407873987 1255358586 1093891665 1396079349 1205132610 1821354168 1447635883 1558736934 1770031874 1396262218 1669958427 1134605926 1407409808 1114570504 1356779524 1700292885 1144692708 1518314699 1124561956 1982169249 1831262351 1922076504 1366521171 1013934504 1518972660 1952549172 1063434736 1558388926 1316047756 1821010596 1285773226 1013021005 1497761274 1053501395 1801070495 1952473407 1225029457 1376634329 1922021740 1841326899 1801905153 1902900509 1528088119 1184797607 1396762761 1033126032 1518989235 1972518017 1235502774 1609984079 1841233574 1578581435 1720093024 1659465904 1447271416 1205906013 1043486913 1013140573

PHARMACY NAME DOCTORS PHARMACY LLC MATRIX PHARMACY WALGREENS FIRST CHOICE ANKLE AND FOOT CARE WALMART PHARMACY RITE AID PHARMACY SWANSTRA PHARMACY WALGREENS WALMART PHARMACY KROGER PHARMACY WALGREENS JR PHARMACY JAY C FOOD STORES CVS PHARMACY CVS PHARMACY DEVILLE'S RISING SUN PHARMACY MEIJER PHARMACY WALMART PHARMACY CVS PHARMACY FOOD CITY PHARMACY WALMART PHARMACY NOVA PHARMACY PEOPLES CHOICE PHARMACY PLAZA DRUG SPECIALTY CARE AZAAL DISCOUNT PHARMACY NEXT DOOR PHARMACY LLC CENTRAL PHARMACY EAST LANSING NILES WELLCARE PHARMACY RIVERVIEW PHARMACY ABES DRUG STORE 4 LLC WARRENDALE PHARMACY RX LLC WRIGLEYS RX PHARMACY LLC ADVANCE CARE RX PHARMACY ACCUSCRIPTS PHARMACY MY PHARMACY MOUNT CARMEL PHARMACY GENOA HEALTHCARE LLC COMMUNITY, A WALGREENS PHCY GOLDEN RX PHARMACY KROGER PHARMACY RILEY RETAL PHARMACY MARTIN'S PHARMACY SAM'S CLUB PHARMACY WALGREENS WALGREENS CVS PHARMACY WALMART PHARMACY CVS PHARMACY CVS PHARMACY MEIJER PHARMACY ALL CARE PHARMACY MEIJER PHARMACY AMERICAN MAIL ORDER PHARMACY INC CVS PHARMACY VILLAGE PHARMACY ASHVILLE APOTHECARY INC WAYNESVILLE PHARMACY RITE AID PHARMACY NEON SOUTHEAST HEALTH CENTER RITE AID PHARMACY ST CHARLES OUTPATIENT PHARMACY SCHWIETERMANS MINSTER PHARMACY KROGER PHARMACY WALMART PHARMACY WALGREENS CVS PHARMACY WALGREENS CVS PHARMACY GIBRALTAR SAV MOR PHARMACY ST MARY'S HOME INFUSION PROGRAM SAM'S CLUB PHARMACY WALGREENS HENRY FORD MEDICAL CENTER PHARMACY FAMILY HEALTH CARE PHCY RITE AID PHARMACY WALGREENS BARRON PHARMACY

ADDRESS 4878 W BROAD ST 3775B TRUEMAN CT 410 W TOM T HALL BLVD 1701 MIDLAND TRAIL 21400 PERRY AVE 2010 N SAINT HELEN RD 3 W MONROE 5095 E THOMPSON RD 950 W VOTAW ST 11101 PENDLETON PIKE 3500 CENTRAL AVE 1101 POPLAR ST 815 HIGHLANDER POINT DR 9885 WICKER AVE 3900 OAK HILL RD 223 MAIN ST 2301 E MARKLAND AVE 5555 MICHIGAN RD 100 N 12TH ST 28093 US HIGHWAY 119 500 W NEW CIRCLE RD 1330 S MAYO TRL STE 102 3004 CUMBERLAND AVE STE 101 707 N LAUREL RD 9834 CONANT ST 18250 W WARREN AVE 3340 E LAKE LANSING RD STE 1 70 E MAIN ST 7633 E JEFFERSON AVE STE 130 3270 GREENFIELD RD STE 101 16921 W WARREN AVE 9000 E JEFFERSON AVE SUITE A 12097 CONANT AVE 24340 SPERRY DR 2ND FLOOR 932 E SANDUSKY AVE 500 S CLEVELAND AVE # 1L1003 624 MARKET AVE N STE 140 260 STETSON ST STE F 1959 E DUBLIN GRANVILLE RD 1571 N STATE ST 705 RILEY HOSPITAL DR 3900 E BRISTOL ST 4350 S US HIGHWAY 41 1215 16TH ST 124 W VOTAW ST 20100 HAGGERTY RD 2750 COOK RD 37530 CHERRY HILL RD 26650 FORD RD 730 E SAGINAW HWY 7125 ALLEN RD 29505 MOUND RD 23290 SCHOENHERR RD 200 RENAISSANCE CTR 10395 MAIN ST 3400 ST RT 752 415 S MAIN ST 4018 N MCCORD RD 13301 MILES AVE 501 WATER ST 2600 NAVARRE AVE 324 S MAIN ST 1601 E MICHIGAN RD 7850 CABELA DR 455 E EPLER AVE 4850 E SOUTHPORT RD 9240 ROCKVILLE RD 600 E BOONVILLE NEW HARMONY RD 29255 W JEFFERSON AVE 360 DIVISION AVE S STE 1D 3901 ALPINE AVE NW 950 S CENTERVILLE RD 3031 W GRAND BLVD FL 8 11 N MAPLE 5751 CLARKSTON RD 300 E F ST 4870 W CLARK RD STE 108

CITY COLUMBUS HILLIARD OLIVE HILL SHELBYVILLE BIG RAPIDS SAINT HELEN BANGOR INDIANAPOLIS PORTLAND INDIANAPOLIS LAKE STATION TERRE HAUTE FLOYDS KNOBS ST JOHN EVANSVILLE RISING SUN KOKOMO INDIANAPOLIS MURRAY SOUTH WILLIAMSON LEXINGTON PIKEVILLE MIDDLESBORO LONDON HAMTRAMCK DETROIT EAST LANSING NILES DETROIT BERKLEY DETROIT DETROIT HAMTRAMCK WESTLAKE BELLEFONTAINE WESTERVILLE CANTON CINCINNATI COLUMBUS GREENFIELD INDIANAPOLIS ELKHART TERRE HAUTE BEDFORD PORTLAND LIVONIA WEST BRANCH WESTLAND DEARBORN HEIGHTS GRAND LEDGE ALLEN PARK WARREN WARREN DETROIT NEW MIDDLETOWN ASHVILLE WAYNESVILLE SYLVANIA CLEVELAND CHARDON OREGON MINSTER SHELBYVILLE HAMMOND INDIANAPOLIS INDIANAPOLIS INDIANAPOLIS EVANSVILLE GIBRALTAR GRAND RAPIDS COMSTOCK PARK STURGIS DETROIT GRANT CLARKSTON IRON MOUNTAIN YPSILANTI

STATE

COUNTY

OH FRANKLIN

OH FRANKLIN

KY CARTER

KY SHELBY

MI MECOSTA

MI ROSCOMMON

MI VAN BUREN

IN

MARION

IN

JAY

IN

MARION

IN

LAKE

IN

VIGO

IN

FLOYD

IN

LAKE

IN

VANDERBURGH

IN

OHIO

IN

HOWARD

IN

MARION

KY CALLOWAY

KY PIKE

KY FAYETTE

KY PIKE

KY BELL

KY LAUREL

MI WAYNE

MI WAYNE

MI INGHAM

MI BERRIEN

MI WAYNE

MI OAKLAND

MI WAYNE

MI WAYNE

MI WAYNE

OH CUYAHOGA

OH LOGAN

OH FRANKLIN

OH STARK

OH HAMILTON

OH FRANKLIN

IN HANCOCK

IN MARION

IN ELKHART

IN VIGO

IN

LAWRENCE

IN JAY

MI WAYNE

MI OGEMAW

MI WAYNE

MI WAYNE

MI EATON

MI WAYNE

MI MACOMB

MI MACOMB

MI WAYNE

OH MAHONING

OH PICKAWAY

OH WARREN

OH LUCAS

OH CUYAHOGA

OH GEAUGA

OH LUCAS

OH AUGLAIZE

IN

SHELBY

IN

LAKE

IN

MARION

IN

MARION

IN

MARION

IN

VANDERBURGH

MI WAYNE

MI KENT

MI KENT

MI ST. JOSEPH

MI WAYNE

MI NEWAYGO

MI OAKLAND

MI DICKINSON

MI WASHTENAW

ZIP

PHONE

43228 (614)-705-6222

43026 (614)-362-7242

41164 (606)-286-2322

40065 (502)-633-3338

49307 (231)-796-3691

48656 (989)-389-4965

49013 (269)-427-7706

46237 (317)-783-6547

47371 (260)-726-3782

46236 (317)-823-3245

46405 (219)-963-7355

47807 (812)-235-7373

47119 (812)-923-9013

46373 (219)-365-8609

47711 (812)-475-8497

47040 (812)-438-3400

46901 (765)-454-7810

46228 (317)-287-0427

42071 (270)-753-2044

41503 (606)-237-1175

40511 (859)-381-1530

41501 (606)-432-2274

40965 (606)-246-2001

40741 (606)-864-2600

48212 (313)-872-0021

48228 (313)-818-1810

48823 (517)-580-4216

49120 (269)-262-4343

48214 (313)-499-8900

48072 (248)-284-6969

48228 (313)-400-2848

48214 (313)-269-2444

48212 (313)-826-1713

44145 (440)-250-5400

43311 (937)-292-7902

43081 (380)-898-8140

44702 (234)-360-0363

45219 (513)-878-3426

43229 (614)-505-8366

46140 (317)-467-8981

46202 (317)-944-2335

46514 (574)-970-0004

47802 (812)-238-5572

47421 (812)-277-9375

47371 (260)-726-2049

48152 (734)-452-0020

48661 (989)-343-9761

48185 (734)-727-0322

48127 (313)-565-1287

48837 (517)-622-6810

48101 (313)-386-2273

48092 (586)-573-2910

48089 (586)-772-6872

48243 (313)-567-3523

44442 (330)-542-2802

43103 (740)-983-2501

45068 (513)-897-7076

43560 (419)-885-2989

44105 (216)-751-3100

44024 (440)-286-4167

43616 (419)-696-7575

45865 (419)-628-2305

46176 (317)-421-2356

46324 (219)-989-0275

46227 (317)-788-6671

46237 (317)-787-6285

46234 (317)-209-1047

47725 (812)-464-3502

48173 (734)-675-0000

49503 (616)-685-1111

49321 (616)-647-9302

49091 (269)-651-9519

48202 (313)-916-9665

49327 (231)-834-1567

48348 (248)-625-1015

49801 (906)-774-0563

48197 (734)-528-9144

NCPDP 3634537 3638472 3638573 3641657 3644300 1836127 1836672 1837410 1838563 2348476 2349288 2350281 2350801 2353059 2354380 2354633 2357449 2357867 2357944 2359897 3656660 3659236 3659438 3659793 3660570 3660594 1531703 1531739 1533480 1536498 1536664 1537224 1560273 1560944 1563293 1563534 1563724 1564106 1565386 1536917 1559965 1561251 1561326 1561934 1563279 1563445 1563471 1563623 1564423 1566097 1566807 2363985 2365434 2365725 2366587 2367185 2368404 2369064 2372403 2372996 2373392 2374205 3628457 1819549 1821099 1822279 1822940 1824754 1826633 1827635 1828283 1832561 1833169 1835365 1835555 2375776 2377148

NPI 1952312514 1932121035 1356444004 1053420380 1184727844 1760914709 1891218988 1730603200 1518504372 1548251739 1962514810 1356443634 1679682132 1285746131 1346342623 1982715447 1013931344 1003821125 1205946829 1043360340 1285651463 1740383579 1912000746 1366469553 1902909732 1811090640 1235144379 1023148632 1003802455 1063427102 1952318990 1245245398 1316969041 1699719955 1083903579 1073898839 1528333648 1912278243 1447659859 1700959228 1528131042 1245310218 1356497002 1528245545 1710150222 1255611216 1497034532 1740550334 1306180559 1669862405 1851774095 1366433575 1255356952 1093749863 1639196009 1801801105 1568489052 1841359841 1730327321 1447480835 1295062420 1679893887 1740383108 1720005044 1992722219 1801820626 1164449484 1306918198 1902960487 1942234703 1780788638 1912292210 1578759163 1730548728 1477008480 1922395540 1568711273

PHARMACY NAME DONOHOO PHARMACY RITE AID PHARMACY CVS PHARMACY RITE AID PHARMACY CVS PHARMACY GENOA HEALTHCARE LLC WALGREENS WALGREENS JAYS PHARMACY AMBULATORY INFUSION CARE INC CVS PHARMACY CVS PHARMACY RITE AID PHARMACY CVS PHARMACY CVS PHARMACY KING PHARMACY RITE AID PHARMACY WALGREENS COSTCO PHARMACY MEIJER PHARMACY WALMART PHARMACY CVS PHARMACY CVS PHARMACY WALMART PHARMACY CVS PHARMACY CVS PHARMACY WALGREENS WARREN PHARMACY HEART CITY HEALTH CTR PHARMACY WALGREENS WALGREENS WALGREENS CVS PHARMACY CVS PHARMACY CVS PHARMACY SAXONY RETAIL PHARMACY IU HEALTH ARNETT RETAIL PHCY MEIJER PHARMACY CVS PHARMACY KROGER PHARMACY KROGER PHARMACY GENOA HEALTHCARE LLC WALGREENS CVS PHARMACY ONCOLOGY HEMATOLOGY ASSOCIATES GENOA HEALTHCARE LLC PHARMANEEK INC DEACONESS FAMILY PHARMACY PHILS HEALTHMART PHARMACY MEDSTAT URGENT CARE FRANCISCAN OP PHCY MICHIGAN CITY FREELAND PHARMACY KROGER PHARMACY KROGER PHARMACY WALMART PHARMACY WALGREENS SAM'S CLUB PHARMACY FAMILY FARE PHARMACY OAKWOOD PHARMACY TRENTON WALGREENS UNITED CARE PHARMACY SAV-PLUS PHARMACY CVS PHARMACY WALMART PHARMACY WALMART PHARMACY KROGER PHARMACY WALMART PHARMACY MEDICINE SHOPPE PHARMACY SEMC MEDICAL VILLAGE PHARMACY KROGER PHARMACY CVS PHARMACY CORNER PHARMACY LLC MEIJER PHARMACY MCCAYS TOTAL PHARMACY MANCHESTER DOWN HOME PHARMACY HOOVER PHARMACY LLC CVS PHARMACY

ADDRESS 114 S MAIN ST 564 MCADAMS DR 900 N BROAD ST 5 E ASHTABULA ST 324 4TH AVE 1525 CUBA RD STE P 154 PLEASANT RETREAT DR 1900 ARGILLITE RD 400 S HIGHWAY 27 920 INDUSTRIAL AVE 18585 DALE ST 2701 S TELEGRAPH RD 612 SAINT JOSEPH AVE 2151 WASHTENAW RD 1156 W HURON ST 12871 E JEFFERSON AVE 7887 26 MILE RD 120 INKSTER RD 20000 HAGGERTY RD 550 HULL RD 3883 BURBANK RD 22909 EMERY RD 3506 GENDER RD 1215 S MAIN ST 620 S CLEVELAND AVE 7710 CHIPPEWA RD 7506 N SHADELAND AVE 222 N WAYNE ST 236 SIMPSON AVE 15005 STATE ROAD 23 22 US HIGHWAY 41 2012 N WAYNE ST 1125 VETERANS PKWY 51467 STATE RD 933 6279 E STATE BLVD 13100 E 136TH ST STE 1000 5165 MCCARTY LN 2990 N WAYNE ST 1950 STATE ST 1309 N CASS ST 11700 OLIO RD 697 PRO-MED LN 2345 E MARKLAND AVE 13090 PETIGRU ST 3699 EPWORTH ROAD 1100 W 6TH AVE 7345 WOODLAND DR STE A 600 MARY ST 3535 S FRANKLIN ST 1001 N MAIN ST 3500 FRANCISCAN WAY FL 1 7620 MIDLAND RD 1215 24TH ST 9741 DIXIE HWY 8350 SHAVER RD 2985 CROOKS RD 27300 WIXOM RD 1415 FULTON ST E 5450 FORT ST 11980 FULTON ST E 22046 W 7 MILE RD 775 BALDWIN AVE 1331 N FAIRFIELD RD 120 DANIEL BOONE PLZ 1500 US HIGHWAY 62 W 711 MARTIN LUTHER KING JR BLVD 200 WALMART WAY 900 HUSTONVILLE RD 20 MEDICAL VILLAGE DR 2219 HOLIDAY MANOR CTR 13900 SHELBYVILLE RD 1701 ALEXANDRIA DR STE C 351 MEIJER WAY STE 100 260 BOGGS LN 500 RICHMOND RD 2930 HOLBROOK ST 1306 S MISSION ST

CITY GEORGETOWN NEW CARLISLE FAIRBORN JEFFERSON SIDNEY MAYFIELD LANCASTER FLATWOODS SOMERSET MOUNT PLEASANT DETROIT DEARBORN BERRIEN SPRINGS YPSILANTI WATERFORD TOWNSHIP DETROIT WASHINGTON INKSTER LIVONIA MASON WOOSTER WARRENSVILLE HEIGHTS CANAL WINCHESTER BRYAN WESTERVILLE BRECKSVILLE INDIANAPOLIS WARREN ELKHART GRANGER SCHERERVILLE ANGOLA CLARKSVILLE SOUTH BEND FORT WAYNE FISHERS LAFAYETTE ANGOLA NEW ALBANY WABASH FISHERS CARMEL KOKOMO CARMEL NEWBURGH GARY INDIANAPOLIS EVANSVILLE MICHIGAN CITY NAPPANEE MICHIGAN CITY FREELAND PORT HURON CLARKSTON PORTAGE ROCHESTER HILLS NOVI GRAND RAPIDS TRENTON LOWELL DETROIT PONTIAC BEAVERCREEK HAZARD PRINCETON ASHLAND MOREHEAD DANVILLE EDGEWOOD LOUISVILLE LOUISVILLE LEXINGTON LEXINGTON RICHMOND MANCHESTER HAMTRAMCK MOUNT PLEASANT

STATE

COUNTY

OH BROWN

OH CLARK

OH GREENE

OH ASHTABULA

OH SHELBY

KY GRAVES

KY GARRARD

KY GREENUP

KY PULASKI

MI ISABELLA

MI WAYNE

MI WAYNE

MI BERRIEN

MI WASHTENAW

MI OAKLAND

MI WAYNE

MI MACOMB

MI WAYNE

MI WAYNE

MI INGHAM

OH WAYNE

OH CUYAHOGA

OH FRANKLIN

OH WILLIAMS

OH FRANKLIN

OH CUYAHOGA

IN MARION

IN HUNTINGTON

IN ELKHART

IN ST. JOSEPH

IN LAKE

IN STEUBEN

IN CLARK

IN ST. JOSEPH

IN ALLEN

IN HAMILTON

IN TIPPECANOE

IN STEUBEN

IN FLOYD

IN WABASH

IN HAMILTON

IN HAMILTON

IN HOWARD

IN HAMILTON

IN WARRICK

IN LAKE

IN MARION

IN VANDERBURGH

IN LAPORTE

IN ELKHART

IN LAPORTE

MI SAGINAW

MI ST. CLAIR

MI OAKLAND

MI KALAMAZOO

MI OAKLAND

MI OAKLAND

MI KENT

MI WAYNE

MI KENT

MI WAYNE

MI OAKLAND

OH GREENE

KY PERRY

KY CALDWELL

KY BOYD

KY ROWAN

KY BOYLE

KY KENTON

KY JEFFERSON

KY JEFFERSON

KY FAYETTE

KY FAYETTE

KY MADISON

KY CLAY

MI WAYNE

MI ISABELLA

ZIP

PHONE

45121 (937)-378-4844

45344 (937)-849-1366

45324 (937)-878-4493

44047 (440)-576-3921

45365 (937)-492-0700

42066 (270)-804-4163

40444 (859)-792-4013

41139 (606)-836-2498

42501 (606)-678-2784

48858 (989)-772-7770

48219 (313)-532-6300

48124 (313)-562-5003

49103 (269)-471-5020

48197 (734)-483-8900

48328 (248)-738-0459

48215 (313)-331-8484

48094 (586)-677-3438

48141 (313)-724-8382

48152 (734)-464-8545

48854 (517)-244-1910

44691 (330)-345-8820

44128 (216)-518-3551

43110 (614)-837-5588

43506 (419)-636-9153

43081 (614)-891-9771

44141 (440)-546-1655

46250 (317)-595-8964

46792 (260)-375-2135

46516 (574)-970-1441

46530 (574)-271-2553

46375 (219)-865-6472

46703 (260)-665-5560

47129 (812)-284-5139

46637 (574)-243-0904

46815 (260)-492-0951

46037 (317)-678-3300

47905 (765)-448-8900

46703 (260)-668-1110

47150 (812)-948-8305

46992 (260)-563-1612

46037 (317)-598-8515

46032 (317)-815-5924

46901 (765)-868-4798

46032 (317)-733-8608

47630 (812)-759-0740

46402 (219)-728-5003

46278 (317)-293-1700

47747 (812)-450-3784

46360 (219)-874-7445

46550 (952)-653-2568

46360 (219)-878-8300

48623 (989)-695-6500

48060 (810)-987-7155

48348 (248)-922-0468

49024 (269)-323-3959

48309 (248)-293-0627

48374 (248)-349-6043

49503 (616)-774-9422

48183 (734)-642-2190

49331 (616)-897-3160

48219 (313)-362-1862

48340 (248)-481-9299

45432 (937)-426-4478

41701 (606)-439-1871

42445 (270)-365-9122

41101 (606)-324-7119

40351 (606)-784-3326

40422 (859)-238-0002

41017 (859)-301-9025

40222 (502)-394-9483

40245 (502)-253-1959

40504 (859)-309-1230

40503 (859)-219-3710

40475 (859)-623-4216

40962 (606)-599-3500

48212 (313)-870-9703

48858 (989)-772-1945

NCPDP 2377441 2379875 2380070 1536602 1537109 1561162 1561629 1561869 1562152 1564764 1566910 2364987 2365193 2365307 2365458 2366006 2366361 2367882 2369545 2370536 2372415 2372908 2374825 3627479 1821253 1823562 1823790 1826429 1827255 1827293 1827320 1827609 1832713 1835733 2376413 2376906 2381577 2382795 2384408 2386476 1836519 2350180 2355281 1535751 1560324 1561186 1561388 1562316 1562986 1563306 1563837 1564512 2362731 2367957 2369040 2369583 2369824 2369886 2371603 2363478 2364127 2367630 2368252 2369836 2372047 2372934 2373354 2374356 3622986 3633650 3635870 3637658 3638131 3641443 3642320 2348642 2349719

NPI 1780928473 1710380761 1154725570 1184650434 1336154483 1417041575 1225230865 1073794657 1841459880 1629410451 1285003384 1285645580 1003821398 1467407916 1285668053 1285649574 1144236522 1427063734 1790802601 1609059039 1598903692 1083849640 1528362076 1073622395 1720003502 1134222656 1538266838 1043225295 1962506816 1912947664 1518984962 1306981931 1912282187 1063875144 1699049080 1982965455 1992161608 1609310937 1457850786 1225691157 1518480854 1124052964 1841390176 1609898329 1649285958 1245330554 1215066493 1780832337 1053630558 1487944294 1477815868 1144560012 1447359740 1174657431 1023177029 1659598555 1679773659 1023208006 1619124740 1013924034 1023030798 1801813274 1285683094 1548467756 1508001207 1245465111 1659608552 1386957207 1427160977 1114951902 1659305449 1518069210 1689748113 1346255270 1639103435 1538174644 1871671008

PHARMACY NAME FAMILY FARE-FOREST HILLS PHCY BALDWIN RD PHARMACY CVS PHARMACY CVS PHARMACY WALGREENS WALMART PHARMACY PECAR COMMUNITY HEALTH CENTER PHCY GENOA HEALTHCARE LLC MED STAT CVS PHARMACY GIANT EAGLE PHARMACY TRUE CARE PHARMACY WALGREENS HOMETOWN PHARMACY KROGER PHARMACY WALGREENS WALGREENS WALGREENS MEIJER PHARMACY CVS PHARMACY WALGREENS PCA CURO PHARMACY HOMESCRIPTS RITE AID PHARMACY KROGER PHARMACY CVS PHARMACY U OF L HOSP AMBULATORY CARE PH WALGREENS CVS PHARMACY KING DRUG AND HOME CARE FOOD CITY PHARMACY COXS VARIETY AND PHARMACY WOLFE FAMILY PHARMACY BOGGS PHARMACY DEARBORN FRESH PHARMACY WALMART PHARMACY TAYLOR DISCOUNT DRUGS NEW SEVEN MILE PHARMACY LLC VILLAGE PHCY AND COMPOUNDING 2 MY CARE PHARMACY WALGREENS KROGER PHARMACY FAMILY FARE PHARMACY CVS PHARMACY WALGREENS CVS PHARMACY WALGREENS CVS PHARMACY GENOA HEALTHCARE LLC GEORGES FAMILY PHARMACY INC SHAKAMAK PHARMACY WALGREENS CVS PHARMACY CRITTENTON MEDICAL PHARMACY FAMILY FARE PHARMACY DUNEWOOD PHARMACY MEIJER PHARMACY WALGREENS MEIJER PHARMACY WALGREENS CVS PHARMACY WALMART PHARMACY EASTERN SAV MOR PHARMACY WALMART PHARMACY VG'S PHARMACY GLENS PHARMACY PHARMOR PHCY ALLEN PARK ADVANCED HEALTHMART PHARMACY SHRIVERS PHARMACY KROGER SAV-ON KROGER SAV-ON SHRIVERS PHARMACY CVS PHARMACY FRUTH PHARMACY KROGER PHARMACY WALGREENS HARBOR DRUG

ADDRESS 4668 CASCADE RD 944 BALDWIN RD STE B 111 N MAIN ST 3501 N GREEN RIVER RD 1195 N STATE ST 2347 VETERANS MEMORIAL PKWY S 6940 MICHIGAN RD 130 N TILLOTSON AVE 1500 PROVIDENT DR STE A 367 W 116TH ST 11505 ILLINOIS ST 21225 ECORSE RD 1277 M 89 321B N SAINT JOSEPH ST 35000 23 MILE RD 301 S US HIGHWAY 131 3900 N US HIGHWAY 31 S 2821 E HIGHLAND RD 12821 CROSSOVER DR 3960 E HIGHLAND RD 33239 8 MILE RD 4665 44TH ST SE STE A1106 500 KIRTS BLVD STE 300 540 E MIDLOTHIAN BLVD 4211 S 3RD ST 3950 TURKEYFOOT RD 530 S JACKSON ST 3104 DIXIE HWY 1157 RIDGEWAY AVE 44 MCCOY AVE 110 N 11TH ST 4942 MANSLICK RD 797 KY 15 SOUTH 9500 HWY 805 13661 COLSON ST STE A 26090 INGERSOL DR 9320 TELEGRAPH RD 14400 GRATIOT AVE 23077 GREENFIELD RD STE 100 6200 CHASE RD 224 S MAIN ST 6430 W SAGINAW HWY 2275 HEALTH DR SW 11750 COMMERCIAL DR 555 WESTFIELD RD 3801 COLDWATER RD 5435 E DUPONT RD 1102 S THOMAS RD 515 BAYOU ST 326 S WASHINGTON ST STE 22 346 E MAIN ST 5580 GEORGETOWN RD 1550 LAKE DR SE 1135 W UNIVERSITY DR STE 105 2900 BURLINGAME AVE SW 1445 SHELDON RD STE 104 36865 26 MILE RD 140 S MILFORD RD 8089 LAPEER RD 502 S BALLENGER HWY 32001 JOHN R RD 23800 ALLEN RD 1159 E MICHIGAN AVE 101 S TOLBERT DR 1341 N M-52 1057 US 31 SOUTH 8221 ALLEN ROAD 7916 OAKLAND DR 105 N KENNEBEC AVE 560 WESSEL DR 1155 N 21ST ST 120 S BUCKEYE ST 241 W MADISON ST 706 W MAIN ST 40 ACME ST 1550 36TH ST SW STE A 114 S HURON AVE

CITY GRAND RAPIDS LAPEER FRANKENMUTH EVANSVILLE GREENFIELD LAFAYETTE INDIANAPOLIS MUNCIE WARSAW CARMEL CARMEL TAYLOR PLAINWELL SUTTONS BAY NEW BALTIMORE THREE RIVERS TRAVERSE CITY HIGHLAND DEWITT HOWELL LIVONIA GRAND RAPIDS TROY YOUNGSTOWN LOUISVILLE ERLANGER LOUISVILLE ERLANGER FALMOUTH MADISONVILLE MIDDLESBORO LOUISVILLE CAMPTON JENKINS DEARBORN NOVI TAYLOR DETROIT SOUTHFIELD DEARBORN FRANKLIN LANSING WYOMING FISHERS NOBLESVILLE FORT WAYNE FORT WAYNE FORT WAYNE VINCENNES VERSAILLES JASONVILLE INDIANAPOLIS GRAND RAPIDS ROCHESTER WYOMING GRAND HAVEN LENOX MILFORD DAVISON FLINT MADISON HEIGHTS WOODHAVEN YPSILANTI THREE RIVERS OWOSSO MANISTEE ALLEN PARK PORTAGE MCCONNELSVILLE FAIRFIELD NEWARK CROOKSVILLE GIBSONBURG POMEROY MARIETTA WYOMING HARBOR BEACH

STATE

COUNTY

MI KENT

MI LAPEER

MI SAGINAW

IN

VANDERBURGH

IN

HANCOCK

IN

TIPPECANOE

IN

MARION

IN

DELAWARE

IN

KOSCIUSKO

IN

HAMILTON

IN

HAMILTON

MI WAYNE

MI ALLEGAN

MI LEELANAU

MI MACOMB

MI ST. JOSEPH

MI GRAND TRAVERSE

MI OAKLAND

MI CLINTON

MI LIVINGSTON

MI WAYNE

MI KENT

MI OAKLAND

OH MAHONING

KY JEFFERSON

KY KENTON

KY JEFFERSON

KY KENTON

KY PENDLETON

KY HOPKINS

KY BELL

KY JEFFERSON

KY WOLFE

KY LETCHER

MI WAYNE

MI OAKLAND

MI WAYNE

MI WAYNE

MI OAKLAND

MI WAYNE

KY SIMPSON

MI EATON

MI KENT

IN HAMILTON

IN HAMILTON

IN ALLEN

IN ALLEN

IN ALLEN

IN KNOX

IN RIPLEY

IN GREENE

IN MARION

MI KENT

MI OAKLAND

MI KENT

MI OTTAWA

MI MACOMB

MI OAKLAND

MI GENESEE

MI GENESEE

MI OAKLAND

MI WAYNE

MI WASHTENAW

MI ST. JOSEPH

MI SHIAWASSEE

MI MANISTEE

MI WAYNE

MI KALAMAZOO

OH MORGAN

OH BUTLER

OH LICKING

OH PERRY

OH SANDUSKY

OH MEIGS

OH WASHINGTON

MI KENT

MI HURON

ZIP

PHONE

49546 (616)-949-0170

48446 (810)-245-9600

48734 (989)-652-8001

47715 (812)-473-4737

46140 (317)-462-8923

47909 (765)-477-9391

46268 (317)-266-2950

47304 (765)-288-3770

46580 (574)-372-7637

46032 (317)-574-0145

46032 (317)-689-6325

48180 (313)-292-2716

49080 (269)-685-5623

49682 (231)-271-3881

48047 (586)-725-6903

49093 (269)-279-9066

49684 (231)-922-9277

48356 (248)-889-1842

48820 (517)-669-4610

48843 (517)-545-7525

48152 (248)-476-7294

49512 (616)-977-9700

48084 (888)-239-7690

44502 (330)-782-0807

40214 (502)-363-3111

41018 (859)-647-6211

40202 (502)-562-3571

41018 (859)-426-0342

41040 (859)-654-3383

42431 (270)-821-4999

40965 (606)-248-7689

40216 (502)-364-0901

41301 (606)-668-2273

41537 (606)-832-2121

48126 (313)-581-8801

48375 (248)-277-4562

48180 (313)-299-8810

48205 (313)-245-9920

48075 (248)-559-8555

48126 (313)-451-8730

42134 (270)-586-7131

48917 (517)-886-1323

49519 (616)-249-9161

46038 (317)-845-4962

46060 (317)-774-8346

46805 (260)-470-6361

46825 (260)-482-1653

46804 (260)-434-4581

47591 (812)-886-0907

47042 (812)-689-0200

47438 (812)-665-9760

46254 (317)-297-1777

49506 (616)-235-0747

48307 (248)-650-2155

49509 (616)-538-1490

49417 (616)-842-5193

48048 (586)-716-5810

48381 (248)-685-7219

48423 (810)-658-5410

48532 (810)-424-9270

48071 (248)-585-4716

48183 (734)-675-4815

48198 (734)-485-9900

49093 (269)-273-7833

48867 (989)-725-5141

49660 (231)-398-3202

48101 (313)-388-9560

49024 (269)-324-1100

43756 (740)-962-2552

45014 (513)-829-2005

43055 (740)-366-1186

43731 (740)-982-3081

43431 (419)-637-7441

45769 (740)-992-6491

45750 (740)-374-2523

49509 (616)-249-7887

48441 (989)-315-8605

NCPDP 2351029 2352336 2353845 2355522 2359126 2359657 2360256 2360319 2360840 2361056 2361828 2362096 3656759 3656862 3657244 3657890 3658284 1532313 1534393 1535307 1535410 1536905 1560108 1560362 1560855 1561023 1561768 1563685 1565413 2364139 2364141 2369761 1566174 1566427 1567126 2363961 2364230 2367200 2369634 2373873 2374320 2375132 3618759 3637747 3639676 3644211 3648788 3648891 1836660 1837535 1838373 1838513 1839022 2349769 2351524 2352778 2353136 2354619 2355659 2356548 2357742 2359479 2359607 2359823 2360662 2360941 2361880 2362084 2362173 3658450 3662156 1533238 1536412 1560425 1560704 1561946 1562708

NPI 1063563930 1891897179 1013026582 1437267804 1477662955 1992710016 1891717567 1528162583 1396821377 1669572996 1669582284 1558417188 1033224076 1649373465 1821015017 1114014362 1275682684 1821161340 1306820246 1215942354 1427065465 1417054909 1750484903 1548342397 1922042381 1962455923 1225220528 1376816744 1851791529 1932121605 1841212511 1477764975 1811388630 1558749408 1821453341 1215961081 1992722110 1346305133 1316159924 1336464312 1003129982 1114224870 1043291784 1104850908 1245349570 1164437075 1720008022 1952316952 1265955355 1740796689 1083256614 1275178576 1306445259 1659398865 1609925015 1477662930 1093827941 1053340893 1548287758 1457380206 1194730218 1013998251 1821081639 1538174651 1639278930 1093720120 1730106956 1386794592 1316093784 1376560565 1720012420 1295752418 1154336295 1548206345 1558302455 1124205117 1265674097

PHARMACY NAME HILLMAN PHARMACY INC CVS PHARMACY RITE AID PHARMACY NIDHALS SAV MOR PHARMACY RITE AID PHARMACY WALGREENS CVS PHARMACY COUNTRY MARKET PHARMACY HOMETOWN PHARMACY GLENS PHARMACY COSTCO PHARMACY MEIJER PHARMACY BRINE PHARMACY CVS PHARMACY WALMART PHARMACY MEIJER PHARMACY MEIJER PHARMACY KROGER PHARMACY COOPER DRUGS INC WALGREENS WALGREENS CVS PHARMACY OPTION CARE KAUP PHARMACY CVS PHARMACY WALGREENS MARTIN'S PHARMACY AFFORDABLE RX HEALTHMART PHCY QUIK SCRIPTS CVS PHARMACY CVS PHARMACY FAMILY FARE PHARMACY WALMART PHARMACY GENOA HEALTHCARE LLC HOLDEN PHARMACY KROGER PHARMACY WALMART PHARMACY MEIJER PHARMACY CVS PHARMACY MEIJER PHARMACY CANTON SPECIALTY PHARMACY CADILA PHARMACY CLEVELAND CLINIC PHARMACY INC KROGER SAV-ON RITE AID PHARMACY GIANT EAGLE PHARMACY SCHWIETERMAN'S PHARMACY WALGREENS WALGREENS AMERIMED EXPRESS CARE PHARMACY LLC CLINTON COUNTY PHARMACY MIDDLETOWN PHARMACY AND WELLNESS WALMART PHARMACY MEIJER PHARMACY RITE AID PHARMACY CVS PHARMACY CORAM CVS/SPLTY INFUSION SVCS WALMART PHARMACY CORAM CVS/SPLTY INFUSION SVCS WALGREENS FAMILY CENTER PHARMACY LAKEVIEW PHARMACY WALGREENS CVS PHARMACY WALGREENS WALMART PHARMACY MEIJER PHARMACY MEIJER PHARMACY WALMART PHARMACY KROGER PHARMACY WALMART PHARMACY WALGREENS SEIFERT DRUGS CVS PHARMACY WALGREENS PAULS LTC PHARMACY

ADDRESS 601 STATE ST 50840 SHELBY RD 3681 SHAWNEE RD 23800 ORCHARD LAKE RD 4612 WOODWARD AVE 1964 FULLER AVE NE 4890 MARSH RD 1255 S MAIN ST 17717 174TH AVE 211 S DIVISION ST 400 BROWN RD 900 N LAPEER RD 906 N STATE ST 105 N PORTAGE ST 23605 AIRPORT RD 1391 CONANT ST 7240 W CENTRAL AVE 1845 N SCATTERFIELD RD 830 MAIN ST 1516 E MAIN ST 10595 N MICHIGAN RD 102 E US HIGHWAY 20 867 W CARMEL DR 366 W DEERFIELD RD 7240 E 82ND ST 9 N STATE ST 12850 STATE RD 23 1635 EAST SOUTHPORT RD INDIAN 303 N BROAD ST 27100 WIXOM RD 5700 BECKLEY RD 1411 S MAIN ST 882 S STATE ROAD 135 2100 GOSHEN RD STE 111 359 W WALNUT ST STE A 1315 E M 21 51450 SHELBY PKWY 205 S RANGE RD 5603 BYRON CENTER AVE SW 1201 LEARS RD 305 N LILLEY RD 23832 SOUTHFIELD RD STE 2 9211 EUCLID AVE 2000 E MAIN ST 11 MANSFIELD AVE 6493 STRIP AVE NW 1052 E SPRING ST 398 ANDERSON FERRY RD 100 HOLLY HILLS MALL 5111 COMMERCE CROSSING STE 130 359 OLD US HIGHWAY 421 903 N CROSS ST 11601 SHELBYVILLE RD STE A 1500 S CENTERVILLE RD 6660 W MAIN ST 1243 US 31 S 46850 ROMEO PLANK RD 4334 BROCKTON DR SE STE D 2500 S ADAMS RD 28550 CABOT DR STE 200 29200 6 MILE RD 4245 S BEECH DALY ST 451 HEALTH PKWY 416 S EUCLID AVE 42191 W 14 MILE RD 484 S TELEGRAPH RD 7555 TELEGRAPH RD 6405 B DR N 15400 WALDRON WAY 1760 COLUMBUS PIKE 7345 STATE ROUTE 3 6087 US HIGHWAY 6 10211 CHESTNUT PLAZA DR 230 S MAIN ST 2440 WABASH AVE 1755 LINCOLNWAY E 4111 N ST. JOSEPH AVE

CITY HILLMAN SHELBY TOWNSHIP BRIDGMAN FARMINGTON HILLS DETROIT GRAND RAPIDS OKEMOS CHELSEA SPRING LAKE BELLAIRE AUBURN HILLS OXFORD GIRARD DOYLESTOWN COSHOCTON MAUMEE TOLEDO ANDERSON CHARLESTOWN PLAINFIELD CARMEL MIDDLEBURY CARMEL UNION CITY INDIANAPOLIS NORTH VERNON GRANGER INDIANAPOLIS GRIFFITH NOVI BATTLE CREEK EATON RAPIDS GREENWOOD FORT WAYNE FRANKFORT OWOSSO SHELBY TOWNSHIP MARYSVILLE WYOMING PETOSKEY CANTON SOUTHFIELD CLEVELAND COLUMBUS SHELBY NORTH CANTON SAINT MARYS CINCINNATI HINDMAN LOUISVILLE MANCHESTER ALBANY MIDDLETOWN STURGIS KALAMAZOO MANISTEE MACOMB KENTWOOD ROCHESTER HILLS NOVI LIVONIA DEARBORN HEIGHTS PAW PAW BAY CITY NOVI MONROE TAYLOR BATTLE CREEK BIG RAPIDS DELAWARE WESTERVILLE PORTAGE FORT WAYNE ELKHART TERRE HAUTE GOSHEN EVANSVILLE

STATE

COUNTY

MI MONTMORENCY

MI MACOMB

MI BERRIEN

MI OAKLAND

MI WAYNE

MI KENT

MI INGHAM

MI WASHTENAW

MI OTTAWA

MI ANTRIM

MI OAKLAND

MI OAKLAND

OH TRUMBULL

OH WAYNE

OH COSHOCTON

OH LUCAS

OH LUCAS

IN

MADISON

IN

CLARK

IN

HENDRICKS

IN

HAMILTON

IN

ELKHART

IN HAMILTON

IN RANDOLPH

IN MARION

IN JENNINGS

IN ST. JOSEPH

IN MARION

IN LAKE

MI OAKLAND

MI CALHOUN

MI EATON

IN JOHNSON

IN ALLEN

IN CLINTON

MI SHIAWASSEE

MI MACOMB

MI ST. CLAIR

MI KENT

MI EMMET

MI WAYNE

MI OAKLAND

OH CUYAHOGA

OH FRANKLIN

OH RICHLAND

OH STARK

OH AUGLAIZE

OH HAMILTON

KY KNOTT

KY JEFFERSON

KY CLAY

KY CLINTON

KY JEFFERSON

MI ST. JOSEPH

MI KALAMAZOO

MI MANISTEE

MI MACOMB

MI KENT

MI OAKLAND

MI OAKLAND

MI WAYNE

MI WAYNE

MI VAN BUREN

MI BAY

MI OAKLAND

MI MONROE

MI WAYNE

MI CALHOUN

MI MECOSTA

OH DELAWARE

OH DELAWARE

IN

PORTER

IN

ALLEN

IN

ELKHART

IN

VIGO

IN

ELKHART

IN

VANDERBURGH

ZIP

PHONE

49746 (989)-742-3527

48317 (586)-731-6660

49106 (269)-465-6777

48336 (248)-477-2131

48201 (313)-832-3247

49505 (616)-364-7071

48864 (517)-347-9955

48118 (734)-433-0129

49456 (616)-842-4706

49615 (231)-533-5534

48326 (248)-648-0002

48371 (248)-236-8010

44420 (330)-545-5025

44230 (330)-658-2711

43812 (740)-622-1292

43537 (419)-891-8710

43617 (419)-843-8310

46012 (765)-649-2477

47111 (812)-256-2500

46168 (317)-838-9187

46032 (317)-872-5498

46540 (574)-825-2485

46032 (866)-846-3979

47390 (765)-964-3098

46256 (317)-849-8150

47265 (812)-346-4834

46530 (574)-807-8234

46227 (317)-879-5514

46319 (219)-924-9540

48374 (248)-374-0892

49015 (269)-979-0778

48827 (517)-663-8331

46143 (317)-851-1103

46808 (260)-203-0998

46041 (765)-654-4300

48867 (989)-729-0275

48315 (586)-997-9524

48040 (810)-388-9610

49519 (616)-530-2338

49770 (231)-348-4310

48187 (734)-259-6700

48075 (248)-557-9333

44106 (216)-636-0760

43205 (614)-252-1064

44875 (419)-347-1506

44720 (330)-497-1385

45885 (419)-394-3219

45238 (513)-922-6331

41822 (606)-785-4960

40229 (502)-585-7677

40962 (606)-599-0340

42602 (606)-387-0222

40243 (502)-690-2410

49091 (269)-651-9560

49009 (269)-372-9110

49660 (231)-723-9438

48044 (586)-412-1113

49512 (616)-698-0272

48309 (248)-853-2174

48377 (248)-324-6300

48152 (734)-427-3237

48125 (313)-563-1700

49079 (269)-668-6205

48706 (989)-671-0468

48377 (248)-926-2452

48161 (734)-240-2954

48180 (313)-292-5014

49014 (269)-979-6610

49307 (231)-527-0210

43015 (740)-369-0422

43082 (614)-794-5550

46368 (219)-759-5811

46814 (260)-625-4831

46516 (574)-295-4333

47807 (812)-235-4322

46526 (574)-533-4932

47720 (812)-426-5033

NCPDP 1563015 1566706 2363339 2364254 1536626 1536804 1537236 1560742 1561059 1561338 1561958 1562215 1564788 2363149 2364684 2364999 2366638 2367250 2367945 2368290 2370334 2370714 2372340 2374495 2374938 3629219 3633179 3636226 3638559 1823992 1824704 1825097 1826708 1827534 1827875 1828055 1828245 1830529 1831545 1832559 2375334 2377186 2379178 2379748 2382276 2383432 1535698 1535852 1536234 1560184 1560665 1560970 1563976 2365042 2365701 2368517 2368923 2369141 2369177 2370384 2372643 3634929 1819525 1822053 1825984 1828409 1831420 1833006 1833133 1835214 1835618 2378126 2378140 2379356 2380614 2381212 2382024

NPI 1336450154 1801279005 1477654101 1821180563 1295752665 1790790848 1154336204 1669416020 1841211653 1659437929 1447438239 1447413448 1548608821 1235245317 1457368474 1831123603 1639184930 1073617031 1245245554 1609881259 1598951204 1417133430 1972740181 1033425129 1104121722 1346388378 1366545006 1568496354 1538262282 1720190671 1871508028 1699879544 1316981293 1477564987 1770538613 1790899771 1679507438 1386820710 1194058727 1184910531 1710285754 1427309343 1235556101 1982012001 1427501329 1124557053 1306870118 1366546319 1245252964 1689681629 1679514590 1760427769 1477823276 1346233251 1932272523 1164437992 1942371463 1245391358 1023179843 1700073913 1336383363 1104831031 1902823222 1205841442 1073526158 1306851555 1912139866 1902182637 1861752644 1447618830 1396293049 1124464466 1023457447 1417368267 1730575036 1669843488 1790132280

PHARMACY NAME SHELDONS EXPRESS PHARMACY NOBLESVILLE LOW COST PHARMACY FAMILY FARE PHARMACY MELVINDALE PHARMACY SAM'S CLUB PHARMACY WALGREENS WALGREENS CVS PHARMACY KROGER PHARMACY PAYLESS PHARMACY MEDICENTER ALTERNATE CARE PHCY CVS PHARMACY COSTCO PHARMACY QUICK-SERVE PHARMACY WALGREENS KROGER PHARMACY WALGREENS PARKWOOD PHARMACY LLC WALGREENS MILLENNIUM SPECIALTY LTC WALGREENS ORCHARD VIEW PHARMACY LLC WALGREENS WACKERLY PHARMACY AUGRES PHARMACY CHILDREN'S HOSPITAL MEDICAL CTR CVS PHARMACY KROGER SAV-ON CVS PHARMACY HOMETOWN RX WALGREENS CVS PHARMACY HOPE FAMILY PHARMACY TOLLESBORO CLINIC PHARMACY CUMBERLAND DRUG TOTAL CARE PHARMACY KROGER PHARMACY WALMART PHARMACY WALGREENS CAYCES EAGLE WAY PHARMACY MEIJER PHARMACY PS OF MI LLC ASPIRUS HOUGHTON PHARMACY COSTCO PHARMACY SANUS SPECIALTY PHARMACY WALGREENS KROGER PHARMACY JR PHARMACY CVS PHARMACY WALGREENS CVS PHARMACY CVS PHARMACY MEIJER PHARMACY PREMIER HOME PHARMACY MIIVRX ROSA PARKS MEDICAL PHCY WALGREENS WALGREENS KINGSWAY MEDICAL PHARMACY WALGREENS PINE KNOB SAV MOR PHARMACY ACME PHARMACY WALMART PHARMACY WALGREENS SCIENCE HILL DRUG WALGREENS CVS PHARMACY OPTION CARE JENCARE NEIGHBORHOOD MED CTR TRINH PHARMACY CVS PHARMACY ROSEVILLE PHARMACY GENOA HEALTHCARE LLC LIVONIA PHARMACY CITY PHARMACY DISCOUNT DRUGS INNOVATIVE PHARMACEUTICAL

ADDRESS 1810 N MAIN ST 758 WESTFIELD RD 2245 84TH ST SW 18287 ALLEN RD 6736 LIMA RD 3603 S US HIGHWAY 41 1130 N LEBANON ST 1333 PORTAGE AVE 130 W HIVELY AVE 2200 GREENBUSH ST 100 N FOOTE ST 710 FRANKLIN ST 5110 VALUE DR 13433 W 8 MILE RD 23111 LAHSER RD 571 E MONROE ST 7490 HAGGERTY RD 1106 BURTON SW 1100 PHOENIX ST 30141 CHERRY HILL ST 901 S STATE RD 12150 30 MILE RD STE 104 903 N MISSION ST 957 W MIDLAND RD 212 E SAGINAW ST 3333 BURNET AVE 900 YOUNGSTOWN POLAND RD 1024 S SMITHVILLE RD 900 COSHOCTON AVE 1913 S MAIN ST 606 BUTTERMILK PIKE 300 N MAIN ST 940 PKWY DR 17521 W KY 9 1803 E MAIN ST 40 BROADWAY ST 185 ADAM SHEPHERD PKWY 7100 RAGGARD RD 6620 BARDSTOWN RD 211 BURLEY AVE 5019 RED ARROW HWY 13042 FAIRLANE STREET 1000 CEDAR STREET 5100 CENTURY AVE 2401 GULL RD 13020 S US HIGHWAY 27 516W W 30TH ST 2902 POPLAR ST 155 E UNIVERSITY DR 525 E LINCOLNWAY 6509 N KEYSTONE AVE 5920 MADISON AVE 3610 BREMEN HWY 27762 FRANKLIN RD 49 E ISABELLA RD STE A 8665 ROSA PARKS BLVD 196 W CARLETON RD 1290 W MAIN ST 1675 KINGSWAY CT 1710 W JOHN BEERS RD 5701 BOW POINTE DR STE 130 1474 N MAIN ST 1225 PARIS RD 2368 FRANKFORT AVE 5775 N HIGHWAY 27 STE 10 1001 W MAIN ST 12975 SHELBYVILLE RD 11403 BLUEGRASS PKWY STE 400 1918 HIKES LN # LANE102 1530 CAMPBELL LANE 3700 BARDSTOWN RD 20733 E 13 MILE RD 1003 S RAISINVILLE RD 17888 FARMINGTON RD 15617 W MCNICHOLS 19145 ALLEN RD STE 105 49668 MARTIN DR

CITY HUNTINGBURG NOBLESVILLE BYRON CENTER MELVINDALE FORT WAYNE TERRE HAUTE LEBANON SOUTH BEND ELKHART LAFAYETTE CAMBRIDGE CITY MICHIGAN CITY FORT WAYNE DETROIT SOUTHFIELD DUNDEE WEST BLOOMFIELD WYOMING SOUTH HAVEN INKSTER DAVISON WASHINGTON MOUNT PLEASANT AUBURN AU GRES CINCINNATI STRUTHERS DAYTON MOUNT VERNON MADISONVILLE CRESCENT SPRINGS NICHOLASVILLE SALYERSVILLE TOLLESBORO CUMBERLAND DRY RIDGE SHEPHERDSVILLE LOUISVILLE LOUISVILLE HOPKINSVILLE STEVENSVILLE LIVONIA HOUGHTON KALAMAZOO KALAMAZOO DEWITT CONNERSVILLE TERRE HAUTE GRANGER LA PORTE INDIANAPOLIS INDIANAPOLIS MISHAWAKA SOUTHFIELD MIDLAND DETROIT HILLSDALE GAYLORD TRENTON STEVENSVILLE CLARKSTON NORTH CANTON MAYFIELD LOUISVILLE SCIENCE HILL GLASGOW LOUISVILLE LOUISVILLE LOUISVILLE BOWLING GREEN LOUISVILLE ROSEVILLE MONROE LIVONIA DETROIT BROWNSTOWN TWP WIXOM

STATE

COUNTY

IN

DUBOIS

IN

HAMILTON

MI KENT

MI WAYNE

IN

ALLEN

IN

VIGO

IN

BOONE

IN

ST. JOSEPH

IN

ELKHART

IN

TIPPECANOE

IN

WAYNE

IN

LAPORTE

IN

ALLEN

MI WAYNE

MI OAKLAND

MI MONROE

MI OAKLAND

MI KENT

MI VAN BUREN

MI WAYNE

MI GENESEE

MI MACOMB

MI ISABELLA

MI BAY

MI ARENAC

OH HAMILTON

OH MAHONING

OH MONTGOMERY

OH KNOX

KY HOPKINS

KY KENTON

KY JESSAMINE

KY MAGOFFIN

KY LEWIS

KY HARLAN

KY GRANT

KY BULLITT

KY JEFFERSON

KY JEFFERSON

KY CHRISTIAN

MI BERRIEN

MI WAYNE

MI HOUGHTON

MI KALAMAZOO

MI KALAMAZOO

MI CLINTON

IN FAYETTE

IN VIGO

IN ST. JOSEPH

IN LAPORTE

IN MARION

IN MARION

IN

ST. JOSEPH

MI OAKLAND

MI MIDLAND

MI WAYNE

MI HILLSDALE

MI OTSEGO

MI WAYNE

MI BERRIEN

MI OAKLAND

OH STARK

KY GRAVES

KY JEFFERSON

KY PULASKI

KY BARREN

KY JEFFERSON

KY JEFFERSON

KY JEFFERSON

KY WARREN

KY JEFFERSON

MI MACOMB

MI MONROE

MI WAYNE

MI WAYNE

MI WAYNE

MI OAKLAND

ZIP

PHONE

47542 (812)-683-9600

46062 (317)-231-5252

49315 (616)-878-6047

48122 (313)-386-0830

46818 (260)-490-0638

47802 (812)-235-4864

46052 (765)-482-3240

46616 (574)-234-7190

46517 (574)-294-6092

47904 (765)-448-9159

47327 (765)-334-8331

46360 (219)-879-8620

46808 (260)-481-1110

48235 (313)-341-8948

48033 (248)-945-9216

48131 (734)-529-2753

48322 (248)-661-4409

49509 (616)-245-2463

49090 (269)-637-1457

48141 (734)-721-2100

48423 (810)-653-4020

48095 (586)-336-9552

48858 (989)-772-0291

48611 (989)-662-7773

48703 (989)-876-8899

45229 (513)-636-8808

44471 (330)-755-0666

45403 (937)-252-2839

43050 (740)-397-5505

42431 (270)-821-8500

41017 (859)-344-1824

40356 (859)-881-0348

41465 (606)-349-5124

41189 (606)-798-2072

40823 (606)-589-0003

41035 (859)-823-0200

40165 (502)-543-7247

40216 (502)-447-4556

40291 (502)-231-1310

42240 (270)-885-1220

49127 (269)-556-2410

48150 (908)-389-1818

49931 (906)-231-8009

49006 (269)-743-2308

49048 (269)-775-7450

48820 (517)-624-5028

47331 (765)-827-5302

47803 (812)-478-1006

46530 (574)-243-9042

46350 (219)-326-9536

46220 (317)-253-7063

46227 (317)-789-0256

46544 (574)-254-2510

48034 (248)-223-9734

48640 (989)-631-3636

48206 (313)-361-8800

49242 (517)-439-4255

49735 (989)-732-0578

48183 (734)-493-3127

49127 (269)-429-1153

48346 (248)-384-8050

44720 (330)-497-0645

42066 (270)-247-2280

40206 (502)-896-0518

42533 (606)-423-9959

42141 (270)-651-0471

40243 (502)-992-1238

40299 (800)-304-0123

40218 (502)-473-4067

42104 (270)-782-5823

40218 (502)-454-5975

48066 (586)-415-4844

48161 (734)-636-1486

48152 (734)-744-8110

48235 (313)-544-7144

48183 (734)-224-6400

48393 (810)-229-4000

NCPDP 2382199 2382428 2383658 2384509 2385412 2386527 2386591 3681889 3682944 3683720 3684025 3686043 1532414 1533187 1534886 1535028 1535903 1535941 1536107 1536501 1559941 1560033 1560158 1560413 1561631 1564194 2363454 2363620 2365131 2365840 2365953 2366018 2366246 2366741 2367820 2369228 2369949 2373140 2374851 3615878 3622479 3626035 1822104 1823005 1825770 1826811 1828839 1828978 1829843 1831040 1835416 2379647 2379952 2380791 2381426 2382000 2383571 2384547 1532832 1533593 1534153 1562506 1565033 1566821 2362870 2364026 2369230 2369254 2369747 2369951 2370017 2371449 2372821 2369937 3618228 1820542 1822572

NPI 1477909869 1780130500 1427578483 1336644046 1144709767 1669035093 1780149484 1083038368 1306250410 1730550062 1235596990 1942797345 1730252255 1487671608 1679590046 1497789200 1427070143 1790790830 1669499034 1881616506 1841347481 1750302071 1699780742 1457397259 1578768974 1033403191 1457416323 1720095748 1184666752 1346344306 1467467753 1902830771 1831299163 1700994191 1710904180 1467502781 1770783615 1568694784 1336443126 1366545097 1366541823 1972554939 1538186853 1861597676 1174545818 1982621215 1508883836 1336166784 1952466922 1578702148 1982058517 1841602554 1396146577 1285016675 1275998205 1598865735 1518497353 1932601317 1750454062 1639242159 1104843325 1871739771 1366475113 1962870295 1285651406 1023118296 1811051188 1568527992 1033320528 1679773675 1609076520 1346404126 1073748000 1548460488 1598802068 1588679724 1619994936

PHARMACY NAME ZUAH PHARMACY HUNTER MAPLE HEALTH SERVICES 9 & RYAN DRUGS GARDEN CITY PHARMACY WESTSIDE DRUGS BEAUMONT PHARMACY TROY MEADOWBROOK RX PHARMACY THE OHIO STATE UNIV OUTPATIENT PHCY WOOD COUNTY CHC WALGREENS THE OHIO ST UNIVERSITY OUT PHCY CVS PHARMACY KROGER PHARMACY WALMART PHARMACY WALMART PHARMACY KROGER PHARMACY CVS PHARMACY WALGREENS SAM'S CLUB PHARMACY CVS PHARMACY FORT WAYNE CUSTOM RX INC CVS PHARMACY WALGREENS WESTMORELAND PHARMACY KROGER PHARMACY VYTO'S PHARMACY MEIJER PHARMACY WALGREENS GRISWOLD PHARMACY COUNTRY MARKET PHARMACY WALGREENS KROGER PHARMACY FAMILY FARE PHARMACY MEDCENTER PHARMACY SAM'S CLUB PHARMACY WALGREENS KROGER PHARMACY PHARMOR PHARMACY HARPER WOODS PHARMOR PHARMACY- LINCOLN PARK CVS PHARMACY RISCH DRUG STORE #7 INC MEDICAL SERVICE COMPANIES WALMART PHARMACY ROSS DRUGS CVS PHARMACY SAM'S CLUB PHARMACY WALMART PHARMACY FOOD CITY PHARMACY WALMART PHARMACY RUWE FAMILY PHARMACY FLORENCE PRINCETON DRUG STORE WALGREENS D & C FAMILY PHARMACY CREAMS N CAPS MICHIGAN SHELBY FAMILY PHARMACY UROLOGIC CONSULTANTS PC MODERN RX SYNERGY PHARMACY KROGER PHARMACY KROGER PHARMACY WALMART PHARMACY KROGER PHARMACY WILLIAMS BROS HEALTH CARE PHCY PCA SO INDIANA PHARMACY SAM'S CLUB PHARMACY JANA DRUGS WALGREENS THERA SCRIPT PHARMACY FAMILY FARE PHARMACY KROGER PHARMACY KROGER PHARMACY WALGREENS CVS PHARMACY KROGER PHARMACY ROSELAWN PHARMACY WALGREENS WALMART PHARMACY

ADDRESS 4301 KALAMAZOO AVE SE STE 13 17090 W 12 MILE RD 4208 E 9 MILE RD 28545 FORD ROAD 100 S MICHIGAN AVE STE 1 44201 DEQUINDRE RD 25500 MEADOWBROOK RD STE 160 600 ACKERMAN RD STE E1014 1840 E GYPSY LANE RD 10001 CHESTER AVE STE B 460 W 10TH AVE ROOM L012 1892 N HIGH ST 2513 MAPLE POINT DR 735 N GOSPEL ST 1088 W BROADWAY ST 525 E CLIFTY DR 895 S STATE ROAD 135 3736 S SCATTERFIELD RD 3134 E 79TH AVE 4000 1ST AVE 425 E DUPONT RD 1350 BROADWAY 432 CRAIG AVE 1945 STATE ST STE 100 6310 E STATE BLVD 4923 HOHMAN AVE 1005 E 13 MILE RD 12576 RILEY ST 1411 WASHINGTON BLVD 11301 BROOKLYN RD 15267 E 14 MILE RD 5990 SASHABAW RD 6127 KALAMAZOO AVE SE 7210 N MAIN ST STE 102 6160 S SAGINAW RD 1420 WRIGHT AVE 3125 JOHN R RD 19700 KELLY RD 4150 DIX HWY 30791 DETROIT RD 803 W FAIR AVE 24000 BROADWAY AVE 100 WALMART DR 125 FOXGLOVE DR STE A 1100 HANSEL AVE 1401 ALLIANT AVE 2020 BASHFORD MANOR LN 215 CASSIDY BLVD 2350 GREY LAG WAY 7220 BUTLINGTON PIKE 103 W MAIN ST 22525 WICK RD 18706 EUREKA RD 31035 SCHOOLCRAFT RD 48887 HAYES RD 25 MICHIGAN ST NE SUITE 3300 3944 S STRAITS HWY 28009 JOHN R ROAD 500 S LIBERTY DR 202 S MAIN ST 3701 PORTAGE AVE 5810 E 71ST ST 1216 WASHINGTON AVE 1740 WILLIAMSBURG DR STE A 1237 32ND ST 1684 FORT ST 2101 ASHMUN ST 9740 CONANT ST STE 3 847 S KALAMAZOO ST 26400 FORD RD 20422 MACK AVE 1141 N MCEWAN ST 28800 DEQUINDRE RD 1821 S CEDAR ST 7601 READING RD 1747 PATRICK DR 1550 NASHVILLE RD

CITY GRAND RAPIDS SOUTHFIELD WARREN GARDEN CITY SAGINAW TROY NOVI COLUMBUS BOWLING GREEN CLEVELAND COLUMBUS COLUMBUS LAFAYETTE PAOLI MONTICELLO MADISON GREENWOOD ANDERSON MERRILLVILLE EVANSVILLE FORT WAYNE GARY GREENDALE NEW ALBANY FORT WAYNE HAMMOND MADISON HEIGHTS HOLLAND DETROIT BROOKLYN FRASER CLARKSTON GRAND RAPIDS CLARKSTON GRAND BLANC ALMA TROY HARPER WOODS LINCOLN PARK WESTLAKE LANCASTER OAKWOOD VILLAGE ELIZABETHTOWN MOUNT STERLING FLORENCE JEFFERSONTOWN LOUISVILLE PIKEVILLE LEXINGTON FLORENCE PRINCETON TAYLOR SOUTHGATE LIVONIA SHELBY TOWNSHIP GRAND RAPIDS INDIAN RIVER MADISON HEIGHTS BLOOMINGTON RUSHVILLE SOUTH BEND INDIANAPOLIS VINCENNES JEFFERSONVILLE PORT HURON LINCOLN PARK SAULT SAINTE MARIE HAMTRAMCK PAW PAW DEARBORN HEIGHTS GROSSE POINTE WOODS CLARE WARREN IMLAY CITY CINCINNATI BURLINGTON FRANKLIN

STATE

COUNTY

MI KENT

MI OAKLAND

MI MACOMB

MI WAYNE

MI SAGINAW

MI OAKLAND

MI OAKLAND

OH FRANKLIN

OH WOOD

OH CUYAHOGA

OH FRANKLIN

OH FRANKLIN

IN

TIPPECANOE

IN

ORANGE

IN

WHITE

IN

JEFFERSON

IN

JOHNSON

IN

MADISON

IN

LAKE

IN

VANDERBURGH

IN

ALLEN

IN

LAKE

IN DEARBORN

IN FLOYD

IN ALLEN

IN LAKE

MI OAKLAND

MI OTTAWA

MI WAYNE

MI JACKSON

MI MACOMB

MI OAKLAND

MI KENT

MI OAKLAND

MI GENESEE

MI GRATIOT

MI OAKLAND

MI WAYNE

MI WAYNE

OH CUYAHOGA

OH FAIRFIELD

OH CUYAHOGA

KY HARDIN

KY MONTGOMERY

KY BOONE

KY JEFFERSON

KY JEFFERSON

KY PIKE

KY FAYETTE

KY BOONE

KY CALDWELL

MI WAYNE

MI WAYNE

MI WAYNE

MI MACOMB

MI KENT

MI CHEBOYGAN

MI OAKLAND

IN

MONROE

IN

RUSH

IN

ST. JOSEPH

IN

MARION

IN

KNOX

IN

CLARK

MI ST. CLAIR

MI WAYNE

MI CHIPPEWA

MI WAYNE

MI VAN BUREN

MI WAYNE

MI WAYNE

MI CLARE

MI MACOMB

MI LAPEER

OH HAMILTON

KY BOONE

KY SIMPSON

ZIP

PHONE

49508 (616)-259-9314

48076 (248)-569-9551

48091 (586)-806-2060

48135 (734)-666-1588

48602 (989)-596-2000

48085 (248)-964-3681

48375 (248)-216-0758

43202 (614)-685-1672

43402 (419)-354-9052

44106 (216)-416-7680

43210 (614)-293-5920

43201 (614)-298-8051

47905 (765)-447-8337

47454 (812)-723-2505

47960 (574)-583-3250

47250 (812)-273-3343

46143 (317)-883-5215

46013 (765)-649-1366

46410 (219)-947-3789

47710 (812)-428-2285

46825 (260)-490-3447

46407 (219)-885-6355

47025 (812)-537-0855

47150 (812)-944-6500

46815 (260)-493-1531

46320 (219)-937-1600

48071 (248)-307-4910

49424 (616)-786-4417

48226 (313)-237-9000

49230 (517)-592-2475

48026 (586)-294-5463

48346 (248)-922-3704

49508 (616)-698-8234

48346 (248)-625-3885

48439 (810)-603-9702

48801 (989)-463-2704

48083 (248)-658-1710

48225 (313)-245-9000

48146 (313)-382-3802

44145 (440)-835-3271

43130 (740)-653-1814

44146 (440)-232-5151

42701 (270)-769-3825

40353 (859)-498-1004

41042 (859)-371-2245

40299 (502)-267-4367

40218 (502)-451-6822

41501 (606)-437-9209

40509 (859)-263-0526

41042 (859)-746-2800

42445 (270)-365-5585

48180 (313)-768-0025

48195 (734)-250-8600

48150 (248)-530-5769

48315 (586)-461-2900

49503 (616)-459-4171

49749 (231)-238-2499

48071 (248)-677-6646

47403 (812)-349-1392

46173 (765)-938-3155

46628 (574)-243-5849

46220 (317)-813-1903

47591 (812)-882-1800

47130 (502)-266-2549

48060 (810)-982-5791

48146 (313)-383-5700

49783 (906)-632-5135

48212 (313)-875-7979

49079 (269)-657-1778

48127 (313)-827-3716

48236 (313)-308-1033

48617 (989)-386-6197

48092 (586)-353-1151

48444 (810)-721-3262

45237 (513)-761-1212

41005 (859)-586-8400

42134 (270)-586-0022

NCPDP 1824348 1824499 1830579 1832028 1832965 1834957 1835163 2376350 2377263 2377275 2380272 2381945 2385602 2385739 3681790 3681980 3682348 3684037 1836141 1836468 1836874 2348717 2352247 2354518 2356827 2357019 2357350 1532286 1534711 1535888 1561908 1563926 1564118 1564877 2363581 2368973 2369622 2370550 3621821 3634931 3635616 3636973 3638054 3641342 3645554 1565083 2362642 2365472 2366145 2366258 2368098 2368288 2369331 2369987 2371235 2371843 2372910 3622746 1820744 1821784 1826974 1827673 1829487 1831999 1832686 1835389 2376158 2376552 2376918 2380183 2382632 2384080 2385828 3681334 3683655 3684619 3685407

NPI 1053346684 1962417113 1538330063 1205144904 1982961801 1164804639 1366819476 1407126766 1831441971 1609128180 1114317393 1871948687 1871069583 1023587532 1598181810 1932513959 1841606191 1598120214 1568902427 1588187884 1366965410 1700827631 1659483501 1265544118 1639289556 1871527606 1740297738 1710090113 1851318224 1982619029 1609052539 1578834974 1245500057 1427485234 1083713382 1841359940 1023222924 1548443427 1164532495 1881797306 1285737932 1336276807 1710080460 1134165525 1528092327 1295153229 1760497804 1821003112 1093720385 1811918865 1154336469 1356394209 1821138348 1649470568 1457519399 1558513770 1336376250 1659457422 1639190093 1275567091 1790702025 1861413221 1972537686 1023336419 1235410192 1154784825 1639454986 1831465863 1447514385 1770972788 1346791183 1356855589 1235609249 1780016675 1033589114 1407202914 1093232035

PHARMACY NAME THOMPSON DRUG DOWNTOWN WALGREENS SHELDONS EXPRESS PHARMACY WALMART PHARMACY NPS PHARMACY FRUTH PHARMACY WILSON FAMILY PHARMACY INC TONYS PHARMACY PREMIER HOME PHARMACY OF MI JULIAS PHARMACY THE VILLAGE PHCY AND COMPOUNDING FLINT PHARMACY HEALTHVEST PHARMACY FAMILICARE PHARMACY LIMA MEMORIAL HEALTH SYSTEM GENOA HEALTHCARE LLC MGH AMBULATORY PHARMACY SUNRISE TREATMENT CENTER LLC CLINTON PHARMACY WALGREENS WALGREENS OPTION CARE CVS PHARMACY CVS PHARMACY RITE AID PHARMACY KROGER PHARMACY WALGREENS WALGREENS WALMART PHARMACY WALGREENS GENOA HEALTHCARE LLC MEIJER PHARMACY MEIJER PHARMACY WALMART PHARMACY CVS PHARMACY D AND W PHARMACY WALGREENS WALGREENS QUAY DRUGS INC CVS PHARMACY CVS PHARMACY DILLONVALE PHARMACY CVS PHARMACY DISCOUNT DRUG MART KROGER SAV-ON MEIJER PHARMACY WALGREENS WALGREENS WALGREENS FAMILY CARE PHARMACY WALGREENS WALGREENS WALGREENS KROGER PHARMACY CARO DRUGS CARE PHARMACY WALMART PHARMACY HURSH DRUGS POOLE'S PHARMACY CARE KROGER PHARMACY SAM'S CLUB PHARMACY POOLE'S PHARMACY CARE KROGER PHARMACY FAITH PHARMACY PROFESSIONAL PHARMACY RUWE FAMILY PHCY LATONIA LTC BOSTICKS DRUG STORE ANN ARBOR PROFESSIONAL PHCY NEWBERRY HOMETOWN PHARMACY PHARMOR PHARMACY TAYLOR KROGER PHARMACY WATERVLIET PHARMACY GREAT HEALTH PHARMACY MVP PHARMACY ANTHONYS PHARMACY INC MEDTIME PHARMACY AXESSPOINTE PHARMACY KENT

ADDRESS 803 MEYERS BAKER RD STE 110 1475 DIXIE HWY 760 CAMPBELL LN STE 121 350 WHITESBURG PLZ 1903 BROADWAY ST 630 N CAROL MALONE BLVD 2845 W PARRISH AVE STE E 18360 FENKELL 23874 KEAN ST SUITE 120 5220 OAKMAN BLVD 3592 W MAPLE RD 3605 CORUNNA RD 3611 CARPENTER ST STE C 46670 W PONTIAC TRL STE 5 1001 BELLEFONTAINE AVE. 2801 C CT 1000 MCKINLEY PARK DR 680 NORTHLAND BLVD 119 EAST CLAY ST 500 N HWY 27 560 MANCHESTER SQUARE SHPG CTR 1255 MICHIGAN ST NE 1229 S PARKER ST 16855 HAGGERTY RD 6026 LAPEER RD 31300 MICHIGAN AVE 31100 GROESBECK HWY 934 SPRING ST STE 940 400 W NORTHFIELD DR 1000 SAGAMORE PKWY W 620 8TH AVE 6309 LIMA ROAD 2507 CHESTER BLVD 9354 AMBLESIDE DR 10011 W MCNICHOLS RD 1116 ROBBINS RD 26000 5 MILE RD 20 S TELEGRAPH RD 2 PUBLIC SQ 4207 GALLIA ST 1049 W 4TH ST 74 MAIN ST 380 STATE ST 12289 LEAVITT RD 1350 N HIGH ST 6650 WHITESTOWN PKWY 28901 GREENFIELD RD 5020 CORUNNA RD 5991 BECKLEY RD 3782 FORT ST 2321 E GRAND RIVER AVE 1029 M 37 S 605 NORTH AVE 2600 POINTE TREMBLE RD 1525 W CARO RD 1320 N MICHIGAN AVE STE 1 7000 E MICHIGAN AVE 90 N DIAMOND ST 102 W BROAD ST 4915 DIXIE HWY 4949 HOUSTON RD 2200 E PARRISH AVE STE 102 200 E BRANNON RD 140 ADAMS LN STE 500 419 TOWN MOUNTAIN RD STE 101 3712 WINSTON AVE 117 W MAIN ST 6 W MICHIGAN AVE 7344 STATE HIGHWAY M123 14625 TELEGRAPH RD 7644 26 MILE RD 317 N MAIN ST 28147 JOHN R RD 1924 PARSONS AVE 1719 BRICE RD 400 12TH ST NW 143 GOUGLER AVE

CITY LONDON LOUISVILLE BOWLING GREEN WHITESBURG PADUCAH GRAYSON OWENSBORO DETROIT DEARBORN DEARBORN BLOOMFIELD HILLS FLINT DETROIT COMMERCE TOWNSHIP LIMA ASHTABULA MARION CINCINNATI CLINTON WHITLEY CITY MANCHESTER GRAND RAPIDS MARINE CITY NORTHVILLE TOWNSHIP BURTON WESTLAND FRASER JEFFERSONVILLE BROWNSBURG WEST LAFAYETTE TERRE HAUTE FORT WAYNE RICHMOND FISHERS DETROIT GRAND HAVEN REDFORD WATERFORD GALION NEW BOSTON MANSFIELD DILLONVALE CONNEAUT OBERLIN COLUMBUS ZIONSVILLE SOUTHFIELD FLINT BATTLE CREEK LINCOLN PARK HOWELL TRAVERSE CITY BATTLE CREEK ALGONAC CARO SAGINAW SALINE MANSFIELD CENTRAL CITY LOUISVILLE FLORENCE OWENSBORO NICHOLASVILLE PIKEVILLE PIKEVILLE LATONIA MANTON YPSILANTI NEWBERRY TAYLOR SHELBY TOWNSHIP WATERVLIET MADISON HEIGHTS COLUMBUS REYNOLDSBURG CANTON KENT

STATE

COUNTY

KY LAUREL

KY JEFFERSON

KY WARREN

KY LETCHER

KY MCCRACKEN

KY CARTER

KY DAVIESS

MI WAYNE

MI WAYNE

MI WAYNE

MI OAKLAND

MI GENESEE

MI WAYNE

MI OAKLAND

OH ALLEN

OH ASHTABULA

OH MARION

OH HAMILTON

KY HICKMAN

KY MCCREARY

KY CLAY

MI KENT

MI ST. CLAIR

MI WAYNE

MI GENESEE

MI WAYNE

MI MACOMB

IN CLARK

IN HENDRICKS

IN TIPPECANOE

IN VIGO

IN ALLEN

IN WAYNE

IN HAMILTON

MI WAYNE

MI OTTAWA

MI WAYNE

MI OAKLAND

OH CRAWFORD

OH SCIOTO

OH RICHLAND

OH JEFFERSON

OH ASHTABULA

OH LORAIN

OH FRANKLIN

IN BOONE

MI OAKLAND

MI GENESEE

MI CALHOUN

MI WAYNE

MI LIVINGSTON

MI GRAND TRAVERSE

MI CALHOUN

MI ST. CLAIR

MI TUSCOLA

MI SAGINAW

MI WASHTENAW

OH RICHLAND

KY MUHLENBERG

KY JEFFERSON

KY BOONE

KY DAVIESS

KY JESSAMINE

KY PIKE

KY PIKE

KY KENTON

MI WEXFORD

MI WASHTENAW

MI LUCE

MI WAYNE

MI MACOMB

MI BERRIEN

MI OAKLAND

OH FRANKLIN

OH FRANKLIN

OH STARK

OH PORTAGE

ZIP

PHONE

40741 (606)-877-1008

40210 (502)-776-1840

42101 (270)-782-6337

41858 (606)-633-0152

42001 (270)-933-1960

41143 (606)-475-0033

42301 (270)-688-0100

48223 (313)-272-3744

48124 (313)-887-9111

48126 (313)-406-3363

48301 (248)-644-6337

48532 (810)-820-4108

48212 (313)-366-1221

48390 (248)-956-7547

45804 (419)-221-6142

44004 (440)-261-4511

43302 (740)-383-8422

45240 (513)-941-4999

42031 (270)-653-5361

42653 (606)-376-3307

40962 (606)-598-0414

49503 (800)-867-2611

48039 (810)-765-3576

48168 (734)-420-3089

48509 (810)-742-3010

48186 (734)-326-7345

48026 (586)-294-5729

47130 (812)-283-1389

46112 (317)-858-1415

47906 (765)-497-2300

47804 (812)-232-1730

46818 (260)-497-1010

47374 (765)-939-4410

46038 (317)-567-8413

48221 (313)-340-2893

49417 (616)-846-7180

48239 (313)-535-8480

48328 (248)-681-7636

44833 (419)-468-3044

45662 (740)-456-4158

44906 (419)-529-6001

43917 (740)-769-7332

44030 (440)-593-6214

44074 (440)-774-5212

43201 (614)-294-1696

46077 (317)-732-9210

48076 (248)-552-0847

48532 (810)-720-5872

49014 (269)-979-5438

48146 (313)-381-9200

48843 (517)-546-5716

49685 (231)-943-3147

49017 (269)-660-1198

48001 (810)-671-4002

48723 (989)-672-1080

48602 (989)-755-7890

48176 (734)-944-2098

44902 (419)-524-0521

42330 (270)-754-1545

40216 (502)-448-8247

41042 (859)-283-5510

42303 (270)-926-6260

40356 (859)-971-4303

41501 (606)-509-6337

41501 (606)-432-0196

41015 (859)-261-0605

49663 (231)-824-6465

48197 (734)-477-9006

49868 (906)-293-9900

48180 (734)-720-7355

48316 (586)-697-8240

49098 (269)-201-6100

48071 (248)-607-9560

43207 (614)-449-8000

43068 (614)-501-4410

44703 (234)-410-3366

44240 (330)-785-2054

NCPDP 3685596 3685673 1838068 1838424 1838979 2350267 2351954 1532426 1534723 1536866 1560449 1561249 1561910 1562114 1565259 2363151 2364379 1823207 1825287 1827964 1829552 1831874 1832155 1834983 1835606 2377198 2378354 2379445 2379560 2379849 2380424 2380753 2382923 2383040 2386173 3681699 3681930 3682386 3684431 3684912 3684962 3686776 1533644 1534242 1534824 1567176 2363353 2365686 2370106 2373518 3621958 3633965 3640528 3643170 3646859 3647798 3648194 3650985 3651925 1836038 1837016 1533579 1534684 1535523 1560463 1560956 1561047 1561136 1561554 1562037 1562138 1562443 1563003 1564372 1564916 2363000 2363872

NPI 1578076477 1104341072 1972062420 1366084337 1114539822 1124120472 1619982725 1780699827 1760409130 1013934488 1235236720 1396828141 1518143445 1912183344 1306251061 1083648836 1073612370 1558394122 1326142274 1659435618 1255381646 1093035354 1932426020 1720463417 1023564747 1396091518 1528494978 1043620479 1558781666 1154721520 1154714210 1053791368 1720522394 1235678129 1376007518 1033532437 1275945826 1902214570 1548713175 1184168080 1538605860 1265998025 1548333065 1275606790 1073617924 1790142255 1922117415 1811937568 1215136650 1093044877 1972562676 1730282484 1730113531 1730214263 1043329378 1265541502 1255440590 1356477376 1831208172 1710410022 1588187926 1174567143 1972600468 1124035027 1467467779 1295779668 1558316240 1942211461 1588861850 1033382692 1386801512 1417101247 1376533158 1427394311 1609205681 1922091636 1114932258

PHARMACY NAME WINMED HEALTH SERVICES WALGREENS HOMETOWN PHARMACY ST ELIZABETH HEALTHCARE SPECIALTY B AND B PHARMACY CVS PHARMACY WALGREENS WALGREENS WALMART PHARMACY WALMART PHARMACY CVS PHARMACY WALGREENS GENOA HEALTHCARE LLC WALMART PHARMACY UNIVERSITY COMMONS PHARMACY KROGER PHARMACY CVS PHARMACY PHARMERICA CVS PHARMACY NATION'S MEDICINES HANSON PHCY AND WELLNESS CNTR LLC LINCOLN PARKWAY PHARMACY STRAWBERRY HILLS PHARMACY FAMILY PHARMACY BUSHONG FAMILY PHARMACY EASTBORN RX PHARMACY EXPRESS MEDS PHARMACY MILLINGTON PHARMACY SHORES PHARMACY DYNAMIC PHCY & HEALTH SOLUTIONS LIBERTY DRUGS MIDMICHIGAN COMMUNITY HLTH SRVC STERLING HEIGHTS PHARMACY WALMART PHARMACY MEIJER PHARMACY MD COMPOUNDING PHARMACY AHF PHARMACY COMMUNITY MARKET 710 PHARMACY BROADWAY PHARMACY OREILLY FAMILY PHARMACY EQUITAS HEALTH PHARMACY POWELL PHARMACY KROGER PHARMACY KROGER PHARMACY CVS PHARMACY CAMBY LOW COST PHARMACY RITE AID PHARMACY GENOA HEALTHCARE LLC BMC PHARMACY WEST BLOOMFIELD PATIENT CARE PHARMACY CORNER PHARMACY LLC CVS PHARMACY KROGER SAV-ON CORDELIA MARTIN HEALTH CTR RITE AID PHARMACY RITE AID PHARMACY RITE AID PHARMACY NEON HOUGH HEALTH CENTER RITE AID PHARMACY JANES PHARMACY WALGREENS WILLIAMS BROS HEALTH CARE PHCY CVS PHARMACY INDIANA UNIVERSITY HLTH PAOLI WALGREENS CVS PHARMACY ACCESS TO CARE PHARMACY WALMART PHARMACY WALGREENS CVS PHARMACY WALGREENS WALGREENS FT WAYNE MEDICAL ONC & HEMA JAY C FOOD STORES LIBERTY MEDICENTER PHARMACY STAR DRUGS PHARMACY WALGREENS

ADDRESS 1019 LINN ST 432 32ND ST 325 E BROADWAY ST 850 THOMAS MORE PKWY 126 SHADOWMEADE LN UNIT 2 26101 EUREKA RD 2425 44TH ST SE 1300 WABASH AVE 2100 N MAIN ST 9500 E US HIGHWAY 36 1074 N STATE RD 267 11025 E WASHINGTON ST 601 WALL ST 8191 UPLAND BND 6301 UNIVERSITY COMMONS #500 3462 STERNS RD 10652 GRATIOT AVE 12100 PLANTSIDE DR 101 LACY LN 3000 ALVEY PARK DR W 7455 HANSON RD 117 LINCOLN DR 2670 NEW HOLT RD STE D 412 CENTRAL AVE 709 N MAIN ST 7526 WYOMING STE 1 17731 E WARREN AVE 8542 STATE RD 29306 HARPER AVE 350 E 9 MILE RD STE 2 14799 DIX TOLEDO 9249 W LAKE CITY RD 38924 DEQUINDRE RD 8777 PLATT RD 4665 S GREEN AVE 721 BOARDMAN CANFIELD RD STE 2 2829 EUCLID AVE 878 E SANDUSKY AVE 6630 BROADWAY AVE 1020 HIGH ST 736 E LONG ST 4004 PRESIDENTIAL PKWY 2821 S WASHINGTON ST 7101 E 10TH ST 2272 N MAIN ST 8411 WINDFALL LN STE 90 7358 SECOR RD 22170 W 9 MILE RD 6900 ORCHARD LAKE RD STE 104 15301 TIREMAN AVE 259 JEFFERSON ST 535 DELAWARE AVE 910 HEBRON RD 1415 JEFFERSON 36212 EUCLID AVE 2800 MAHONING AVE 21800 LIBBY RD 8300 HOUGH AVE 419 CLAREMONT AVE 950 MAIN ST STE 100 100 S CAROL MALONE BLVD 2000 STATE STREET 130 E CLEVELAND RD 642 W HOSPITAL RD 200 LAFOLLETTE STA S 8295 E 116TH ST 3631 N MORRISON RD 7502 SOUTHTOWN XING 4828 DAVIS LANT DR 2150 CHESTER BLVD 130 S CREASY LN 124 E NORTH ST 2514 E DUPONT RD STE 100 1541 E TIPTON ST 10 S MAIN ST SUITE 100 1525 S OPDYKE RD 410 E JOLLY RD

CITY CINCINNATI BELLAIRE CAMPBELLSVILLE EDGEWOOD MOUNT WASHINGTON TAYLOR KENTWOOD TERRE HAUTE BLUFFTON AVON AVON INDIANAPOLIS VALPARAISO CAMBY SOUTH BEND LAMBERTVILLE DETROIT LOUISVILLE PARIS OWENSBORO HANSON HODGENVILLE PADUCAH SOUTH WILLIAMSON TOMPKINSVILLE DEARBORN DETROIT MILLINGTON SAINT CLAIR SHORES HAZEL PARK SOUTHGATE HOUGHTON LAKE STERLING HEIGHTS SALINE FREMONT BOARDMAN CLEVELAND BELLEFONTAINE CLEVELAND WORTHINGTON COLUMBUS POWELL KOKOMO INDIANAPOLIS CROWN POINT CAMBY LAMBERTVILLE SOUTHFIELD WEST BLOOMFIELD DEARBORN GREENFIELD MARION HEATH TOLEDO WILLOUGHBY YOUNGSTOWN MAPLE HEIGHTS CLEVELAND ASHLAND MUNFORDVILLE GRAYSON WASHINGTON GRANGER PAOLI FLOYDS KNOBS FISHERS MUNCIE FORT WAYNE EVANSVILLE RICHMOND LAFAYETTE KENDALLVILLE FORT WAYNE SEYMOUR LIBERTY BLOOMFIELD HILLS LANSING

STATE

COUNTY

OH HAMILTON

OH BELMONT

KY TAYLOR

KY KENTON

KY BULLITT

MI WAYNE

MI KENT

IN

VIGO

IN

WELLS

IN

HENDRICKS

IN

HENDRICKS

IN

MARION

IN

PORTER

IN

HENDRICKS

IN

ST. JOSEPH

MI MONROE

MI WAYNE

KY JEFFERSON

KY BOURBON

KY DAVIESS

KY HOPKINS

KY LARUE

KY MCCRACKEN

KY PIKE

KY MONROE

MI WAYNE

MI WAYNE

MI TUSCOLA

MI MACOMB

MI OAKLAND

MI WAYNE

MI ROSCOMMON

MI MACOMB

MI WASHTENAW

MI NEWAYGO

OH MAHONING

OH CUYAHOGA

OH LOGAN

OH CUYAHOGA

OH FRANKLIN

OH FRANKLIN

OH DELAWARE

IN HOWARD

IN MARION

IN LAKE

IN HENDRICKS

MI MONROE

MI OAKLAND

MI OAKLAND

MI WAYNE

OH HIGHLAND

OH MARION

OH LICKING

OH LUCAS

OH LAKE

OH MAHONING

OH CUYAHOGA

OH CUYAHOGA

OH ASHLAND

KY HART

KY CARTER

IN

DAVIESS

IN

ST. JOSEPH

IN

ORANGE

IN

FLOYD

IN

HAMILTON

IN

DELAWARE

IN

ALLEN

IN

VANDERBURGH

IN

WAYNE

IN

TIPPECANOE

IN

NOBLE

IN

ALLEN

IN

JACKSON

IN

UNION

MI OAKLAND

MI INGHAM

ZIP

PHONE

45203 (513)-233-7100

43906 (740)-340-3152

42718 (270)-789-4663

41091 (859)-301-4525

40047 (502)-538-5000

48180 (734)-942-0025

49512 (616)-455-5151

47807 (812)-234-5147

46714 (260)-824-0546

46123 (317)-209-8204

46123 (317)-272-2133

46229 (317)-622-5010

46383 (219)-462-1603

46113 (317)-856-9521

46635 (574)-273-2000

48144 (734)-854-2690

48213 (313)-571-0441

40299 (502)-266-0811

40361 (859)-988-9753

42303 (270)-926-4080

42413 (270)-322-1234

42748 (270)-358-2117

42001 (270)-444-7070

41503 (606)-237-7430

42167 (270)-407-5045

48126 (313)-491-1010

48224 (313)-308-4500

48746 (989)-871-2820

48081 (586)-200-1824

48030 (248)-397-8635

48195 (734)-785-8026

48629 (989)-202-4605

48310 (586)-983-9740

48176 (734)-477-5832

49412 (231)-538-2710

44512 (330)-726-6337

44115 (216)-357-3327

43311 (937)-593-3600

44105 (216)-465-2333

43085 (614)-865-2577

43203 (614)-300-2334

43065 (614)-636-4499

46902 (765)-453-3173

46219 (317)-351-3216

46307 (219)-661-5601

46113 (317)-548-8015

48144 (734)-856-7984

48033 (248)-799-8125

48322 (248)-855-5505

48126 (313)-584-2400

45123 (937)-981-2454

43302 (740)-383-6244

43056 (740)-522-3693

43604 (419)-214-5740

44094 (440)-942-4288

44509 (330)-799-7313

44137 (216)-662-7470

44103 (216)-231-7700

44805 (419)-289-3717

42765 (270)-524-1210

41143 (606)-474-4470

47501 (812)-257-2505

46530 (574)-247-2221

47454 (812)-723-7435

47119 (812)-923-0412

46038 (317)-570-8571

47304 (765)-213-2866

46816 (260)-441-7083

47715 (812)-475-9541

47374 (765)-935-4650

47905 (765)-448-3517

46755 (260)-349-1530

46825 (260)-484-8830

47274 (812)-522-4401

47353 (765)-223-2121

48304 (248)-333-0222

48910 (517)-882-2732

NCPDP 2365028 2366157 2366171 2367135 2372059 2372453 2373924 2374560 2374887 3616010 1821304 1821429 1822217 1823043 1828031 1829778 1830543 1831127 1832787 2375372 2378429 2379279 2380222 2380587 2380804 2382442 2383139 2384751 1820922 1823839 1826289 1828613 1830466 1830581 1832458 1832890 1561489 2362678 2364406 2364456 2366183 2367844 2369723 2370310 2372756 2372972 2373025 2374267 3637103 3640605 3641328 3642914 3643384 3647697 3648346 1836242 1837840 2348313 2349961 2350344 2350661 2351031 2352057 2353340 2355762 2356079 2356574 2357463 2358023 2360193 2361222 3657004 3657484 3658664 3661306 3661849 3665621

NPI 1538186754 1104930197 1811914286 1992710297 1134364870 1922246305 1619294105 1366759300 1629373667 1568514818 1770648107 1285668004 1952498164 1265455323 1972511210 1235213067 1366611832 1194966721 1124397385 1891085486 1033545074 1154740207 1093104481 1275929507 1689053258 1033667472 1700321551 1346738192 1386731537 1124047519 1225043474 1699792929 1114101474 1982875514 1760592133 1346513710 1740489525 1538268834 1578578613 1700802030 1902811292 1659398147 1194936682 1700074713 1114161395 1356571988 1801027396 1265743975 1386678175 1417935297 1235248568 1548294341 1700958592 1720197056 1902812217 1326565755 1083197388 1427160373 1700995263 1346359809 1942319405 1396854857 1295844751 1114027448 1790897650 1649280181 1407966310 1104935683 1649285768 1891702882 1831253236 1285737007 1275566853 1093732281 1598787392 1811921513 1902900723

PHARMACY NAME SAM'S CLUB PHARMACY CVS PHARMACY SAM'S CLUB PHARMACY WALGREENS VG'S PHARMACY SCHEURER FAMILY PHARMACY MEIJER PHARMACY COBB CLINIC PHARMACY CVS PHARMACY HURSH BELLVILLE DRUGS INC HIGHLANDS ARH CLINIC PHARMACY KROGER PHARMACY CENTURY MEDICINES WALMART PHARMACY MED CARE PHARMACY BLUE GRASS FAMILY PHARMACY UK JUNE BUCHANAN PHARMACY WALGREENS SAVE RITE DRUGS RADCLIFF ALCONA HEALTH PHARMACY ADVICARE PHARMACY LATHRUP PHARMACY A-V PHARMACY MEIJER PHARMACY LC FAMILY PHARMACY GREATER CARE PHARMACY MERCY HEALTH PHARMACY SOLUTIONS VC PHARMACY GREENVILLE PHARMACY CALVERT CITY PHARMACY WALGREENS WALMART PHARMACY KROGER PHARMACY HINES PHARMACY ASHLAND BELLEFONTE CANCER CENTER FLEMINGSBURG FMLY HLTH CTR PHY WALGREENS CVS PHARMACY WALGREENS EHARDT'S PHARMACY WALGREENS SAM'S CLUB PHARMACY FAMILY FARE PHARMACY HOMETOWN PHARMACY WALGREENS MEDICINE TREE PHARMACY HEALTHPLUS PHARMACY OF BRIGHTON WALMART PHARMACY KROGER SAV-ON HAPPY DRUGGIST PHARMACY-KRD RITE AID PHARMACY KROGER SAV-ON SPEIDEL'S MEDICAL ARTS PHCY RITE AID PHARMACY RITE AID PHARMACY RAPIDRX PHARMAC JENCARE NBHD MED CNTR SHIVLEY CVS PHARMACY RITE AID PHARMACY RITE AID PHARMACY RITE AID PHARMACY RITE AID PHARMACY RITE AID PHARMACY FAMILY FARE PHARMACY CVS PHARMACY RITE AID PHARMACY RITE AID PHARMACY RITE AID PHARMACY WALGREENS WALGREENS MEIJER PHARMACY CVS PHARMACY PHARMERICA WALMART PHARMACY CVS PHARMACY KROGER SAV-ON CVS PHARMACY

ADDRESS 31720 GRATIOT AVE 35 N WALNUT ST 12737 6 MILE RD 1615 N SAGINAW RD 1390 N LEROY ST 6568 MAIN ST 3610 MARKETPLACE CIR 8623 N WAYNE RD STE 101 209 S STATE ST 86 MAIN ST 713 BROADWAY ST STE 101 200 SKYWATCH DR 706 JAMESTOWN ST 805 US HIGHWAY 27 S 110 PHYSICIANS BLVD 2187 LEXINGTON RD STE 1 59 COWTOWN RD 679 S MAIN ST 990 S DIXIE STE 6 177 N BARLOW RD 1531 E HIGHWOOD 27241 SOUTHFIELD RD 35400 E MICHIGAN AVE 21431 GRAND RIVER AVE 57 N MOREY RD 24800 HOOVER RD STE B 360 DIVISION AVE S STE 1E 7300 HIGHLAND RD 117 N MAIN ST 906 E 5TH AVE 260 E NEW CIRCLE RD 1201 MORGANTOWN RD 181 S HIGHWAY 27 165 NATCHEZ TRACE AVE STE 101 122 SAINT CHRISTOPHER DR 520 ELIZAVILLE RD 1716 HIGHWAY 337 NW 22001 W 8 MILE RD 1309 S MISSION ST 4436 MAIN ST 11236 E LAKEWOOD BLVD 7021 S WESTNEDGE AVE 902 W STATE ST 39023 HARPER AVE 10081 HIGHLAND RD 56109 VILLAGE CENTER CIRCLE 2305 GENOA BUSINESS PARK DR ST 29574 7 MILE RD 855 UNION BLVD 5770 KARL RD 301 GREENE ST 6580 E MAIN ST 6693 N CHESTNUT ST 1560 PARKMAN RD NW 1626 E PERRY ST 2713 FORT CAMPBELL BLVD 3939 7TH STREET RD 110 N ROCHESTER RD 8531 E LANSING RD 146 N CORNING ST 305 E STATE ST 161 W BEECH ST 4110 E 9 MILE RD 1225 LEONARD AVE NE 15240 SOUTHFIELD RD 3986 JOHN R RD 600 NORTH AVE G4007 S SAGINAW ST 51008 GRATIOT AVE 7380 ORCHARD LAKE RD 1167 E CLINTON TRL 820 S BREIEL BLVD 24165 DETROIT RD 1501 WAGNER AVE 1015 N COURT ST 6095 GENDER RD 52 W MAIN ST

CITY ROSEVILLE MT. CLEMENS BATTLE CREEK MIDLAND FENTON CASEVILLE ROCHESTER HILLS WESTLAND ANN ARBOR BELLVILLE PAINTSVILLE DANVILLE COLUMBIA CYNTHIANA GLASGOW LEXINGTON HINDMAN MADISONVILLE RADCLIFF HARRISVILLE PONTIAC LATHRUP VILLAGE WAYNE DETROIT LAKE CITY WARREN GRAND RAPIDS WATERFORD GREENVILLE CALVERT CITY LEXINGTON BOWLING GREEN SOMERSET BOWLING GREEN ASHLAND FLEMINGSBURG CORYDON DETROIT MOUNT PLEASANT BROWN CITY HOLLAND PORTAGE HASTINGS CLINTON TOWNSHIP HARTLAND MATTAWAN BRIGHTON LIVONIA ENGLEWOOD COLUMBUS MARIETTA REYNOLDSBURG RAVENNA WARREN PORT CLINTON HOPKINSVILLE LOUISVILLE CLAWSON DURAND FARWELL CASSOPOLIS HARRISON WARREN GRAND RAPIDS ALLEN PARK TROY BATTLE CREEK BURTON CHESTERFIELD WEST BLOOMFIELD CHARLOTTE MIDDLETOWN WESTLAKE GREENVILLE MEDINA CANAL WINCHESTER AMELIA

STATE

COUNTY

MI MACOMB

MI MACOMB

MI CALHOUN

MI MIDLAND

MI GENESEE

MI HURON

MI OAKLAND

MI WAYNE

MI WASHTENAW

OH RICHLAND

KY JOHNSON

KY BOYLE

KY ADAIR

KY HARRISON

KY BARREN

KY MADISON

KY KNOTT

KY HOPKINS

KY HARDIN

MI ALCONA

MI OAKLAND

MI OAKLAND

MI WAYNE

MI WAYNE

MI MISSAUKEE

MI MACOMB

MI KENT

MI OAKLAND

KY MUHLENBERG

KY MARSHALL

KY FAYETTE

KY WARREN

KY PULASKI

KY WARREN

KY GREENUP

KY FLEMING

IN HARRISON

MI WAYNE

MI ISABELLA

MI SANILAC

MI OTTAWA

MI KALAMAZOO

MI BARRY

MI MACOMB

MI LIVINGSTON

MI VAN BUREN

MI LIVINGSTON

MI WAYNE

OH MONTGOMERY

OH FRANKLIN

OH WASHINGTON

OH FRANKLIN

OH PORTAGE

OH TRUMBULL

OH OTTAWA

KY CHRISTIAN

KY JEFFERSON

MI OAKLAND

MI SHIAWASSEE

MI CLARE

MI CASS

MI CLARE

MI MACOMB

MI KENT

MI WAYNE

MI OAKLAND

MI CALHOUN

MI GENESEE

MI MACOMB

MI OAKLAND

MI EATON

OH BUTLER

OH CUYAHOGA

OH DARKE

OH MEDINA

OH FRANKLIN

OH CLERMONT

ZIP

PHONE

48066 (586)-415-9980

48043 (586)-468-0597

49014 (269)-979-7671

48640 (989)-832-2491

48430 (810)-629-6074

48725 (989)-856-2900

48309 (248)-844-2810

48185 (734)-523-6500

48104 (734)-769-1804

44813 (419)-886-2561

41240 (606)-789-3670

40422 (859)-236-0408

42728 (270)-384-5874

41031 (859)-234-3533

42141 (270)-651-2796

40475 (859)-624-9797

41822 (606)-785-3178

42431 (270)-825-1541

40160 (270)-351-3784

48740 (989)-736-9888

48340 (248)-344-0877

48076 (248)-331-1112

48184 (734)-331-9988

48219 (313)-778-7610

49651 (231)-559-0005

48089 (586)-486-5008

49503 (616)-685-1080

48327 (248)-618-3894

42345 (270)-338-3800

42029 (270)-395-4350

40505 (859)-225-8903

42101 (270)-780-9331

42501 (606)-451-4341

42103 (270)-796-1818

41101 (606)-836-0202

41041 (606)-845-0402

47112 (812)-738-1078

48219 (313)-255-3337

48858 (989)-775-8098

48416 (810)-346-2637

49424 (616)-396-5523

49002 (269)-327-2579

49058 (269)-945-2466

48036 (586)-464-2000

48353 (810)-632-9192

49071 (269)-668-6801

48114 (810)-229-4420

48152 (248)-957-0959

45322 (937)-832-4080

43229 (614)-847-3784

45750 (740)-376-0769

43068 (614)-759-4184

44266 (330)-296-6014

44485 (330)-392-7555

43452 (419)-734-5583

42240 (270)-962-7530

40216 (502)-883-6800

48017 (248)-588-1775

48429 (989)-288-3101

48622 (989)-588-2599

49031 (269)-445-5369

48625 (989)-539-4380

48091 (586)-756-8070

49505 (616)-459-6203

48101 (313)-382-7265

48083 (248)-524-6480

49017 (269)-963-1524

48529 (810)-742-7002

48051 (586)-948-0119

48322 (248)-538-8373

48813 (517)-541-9210

45044 (513)-424-4911

44145 (440)-617-7646

45331 (937)-547-9844

44256 (330)-725-2706

43110 (614)-834-2805

45102 (513)-943-6201

NCPDP 3667271 1534280 1536551 1561314 1561972 1563938 2362628 2362820 1834919 1835048 2376475 2378570 2378873 2380397 2380575 2380602 2383177 2383595 2385501 3682576 3683643 3685128 1533466 1561857 1564738 1564930 1566148 2362589 2363795 2366777 2367793 2369482 3617151 3635476 3637280 3648803 3649312 3651901 3652597 3652991 3653323 3653830 1836343 1837078 1837624 1531133 1531501 1535496 1536020 1560021 1562861 1562950 1563332 1563798 2364191 2365787 2363430 2365369 2365903 2366854 2368985 2370194 2370207 2370396 2374370 3625362 1820009 1821277 1823699 1823803 1827104 1828322 1829350 1830050 1830391 1830404 1835517

NPI 1477568301 1497762496 1487671855 1598822850 1902082324 1841560646 1689737066 1114934189 1417338971 1750750394 1346514395 1760819593 1245652742 1902299332 1356737696 1619375201 1023556834 1457878860 1538674163 1821494998 1649640863 1598290157 1033186192 1912189259 1295174068 1083045140 1902298557 1881683266 1609955418 1275548570 1326053935 1801980024 1962488155 1851308936 1922181965 1871667253 1962436766 1639288970 1629095807 1447277629 1083631261 1215942214 1245744630 1104349547 1194222406 1649349895 1326053463 1538232053 1275601072 1033143847 1396077947 1710205570 1154615581 1396011888 1548287766 1922062439 1720005945 1790884096 1922020692 1518185685 1750440855 1225253974 1538352976 1033306956 1043531718 1992873137 1679588818 1063430536 1548285323 1700810520 1942398995 1265537088 1427064989 1952426033 1972790327 1174711493 1821130295

PHARMACY NAME ACME PHARMACY WALGREENS WALMART PHARMACY WALMART PHARMACY WALMART PHARMACY MEIJER PHARMACY KABAFUSION MI SNYDER PHARMACY NORTON PHARMACY AUDUBON MY PHARMACY ATLANTIC MEDICAL PHARMACY HAMTRAMCK PHARMACY LLC KELLYS PHARMACY MEIJER PHARMACY MHP PHARMACY LLC TRI-UNITY PHARMACY 200 LLC FRENCHTOWN PHARMACY DOWNTOWN DRUGS BRIDGEPORT RX PHARMACY KROGER PHARMACY DISCOUNT DRUG MART NCH YELLOW PHARMACY WILLIAMS BROS HEALTH CARE PHCY WALGREENS WALMART PHARMACY OPTUM PHARMACY PAVILION POINTE PHARMACY GENOA HEALTHCARE LLC MARTIN'S PHARMACY WALGREENS METROPOLITAN PHARMACY ADVANCED CARE INFUSION SHELBY ALLEN'S MEDICAL PHARMACY INC THE PILL BOX KLINGER PHARMACY KHN PHARMACY KETTERING KROGER SAV-ON RITE AID PHARMACY WALMART PHARMACY WALMART PHARMACY WALMART PHARMACY WALGREENS TOWN AND COUNTRY PHARMACY WALGREENS SPRINGHILL PHARMACY OMNICARE OF SOUTH BEND WALGREENS KROGER SAV-ON JR PHARMACY LLC II JAY C FOOD STORES GENOA HEALTHCARE LLC GENOA HEALTHCARE LLC CVS PHARMACY CUSTOM PLUS PHARMACY SAM'S CLUB PHARMACY CHELSEA PHARMACY WALMART PHARMACY CVS PHARMACY CVS PHARMACY CLARKSTON PHARMACY LTC D & W PHARMACY CHCWM - ST MARYS CVS PHARMACY WALGREENS ROGER'S PHARMACY BELLWOOD DRUGS WALGREENS WALMART PHARMACY KROGER PHARMACY KROGER PHARMACY RX CROSSROADS MED CARE PHARMACY WALGREENS CREECH & GIBBS PHARMACY WALGREENS CVS PHARMACY OWENSBORO DERMATOLOGY

ADDRESS 2630 BAILEY RD 400 W LINCOLN HWY 10735 PENDLETON PIKE 700 W IRELAND RD 30830 OLD US 20 5909 ILLINOIS ROAD 1257 LEONARD ST NE 7293 M-123 2355 POPLAR LEVEL RD STE 100 170 DR ARLA WAY STE 105 37300 DEQUINDRE ROAD STE 122 9318 CONANT ST 20715 KELLY RD 1251 M 32 W 32255 NORTHWESTERN HWY STE 70 22255 GREENFIELD RD STE 120 7505 GRAFTON RD STE 2 121 E BROADWAY ST 6224 DIXIE HIGHWAY 7059 ORCHARD CENTRE DR 38 S MEDINA LINE RD 380 BUTTERFLY GARDENS DR 889 N GOSPEL ST # 2 2800 US HIGHWAY 231 S 5835 W 10TH ST 1050 PATROL RD 2705 N LEBANON ST STE 100 6250 S CEDAR ST STE 2 720 S 11TH ST 5815 GULL RD 26380 PLYMOUTH RD 39011 HARPER AVE 215 EASTERN AVE 1400 SR 125 102 W JACKSON ST 3535 SOUTHERN BLVD 1212 W KEMPER RD 1075 ASHLAND RD 1470 S COURT ST 1815 SCOTT ST 5303 BOWEN DR 1032 HARRISON AVE 742A E MAIN ST 3735 PALOMAR CENTRE DR STE 80 2305 RUSSELLVILLE RD 3006 S MICHIGAN ST 1505 E 86TH ST 1005 W 7TH ST 15 SOUTHLAND SHOPPING CTR 2325 N STATE HIGHWAY 3 3903 INDIANAPOLIS BLVD 6655 E US HIGHWAY 36 1002 SPRING ST 482 W NAVAJO SUITE A 4350 JOSLYN RD 1125 S MAIN ST 45400 MARKETPLACE BLVD 2375 28TH ST SW 495 HAGGERTY HWY 5838 S MAIN ST STE B 201 MARCELL DR NE 250 CHERRY ST SE 51000 ROMEO PLANK RD 1525 US HIGHWAY 31 S 4039 HOLLYWOOD RD 135 S MAIN ST 7914 FEGENBUSH LN 201 WALDON DR 302 BRIGHTON PARK BLVD # C 545 ISLAND FORD RD 5101 JEFF COMMERCE DR STE A 11420 WATTERSON CT STE 600 8820 US HIGHWAY 42 13369 N US HIGHWAY 25 E 3312 STATE ROUTE 54 1221 FREDERICA ST 2821 NEW HARTFORD RD

CITY CUYAHOGA FALLS MERRILLVILLE INDIANAPOLIS SOUTH BEND ELKHART FORT WAYNE GRAND RAPIDS NEWBERRY LOUISVILLE LOUISVILLE STERLING HEIGHTS HAMTRAMCK EASTPOINTE ALPENA FARMINGTON HILLS SOUTHFIELD NEWPORT MOUNT PLEASANT BRIDGEPORT HOLLAND COPLEY COLUMBUS PAOLI LAFAYETTE INDIANAPOLIS JEFFERSONVILLE LEBANON LANSING NILES KALAMAZOO REDFORD CLINTON TOWNSHIP CHILLICOTHE AMELIA WEST UNITY KETTERING CINCINNATI MANSFIELD CIRCLEVILLE NAPOLEON MASON HARRISON GLASGOW LEXINGTON BOWLING GREEN SOUTH BEND INDIANAPOLIS AUBURN TERRE HAUTE NORTH VERNON EAST CHICAGO AVON JEFFERSONVILLE WEST LAFAYETTE AUBURN HILLS CHELSEA CHESTERFIELD WYOMING WALLED LAKE CLARKSTON ROCKFORD GRAND RAPIDS MACOMB MANISTEE SAINT JOSEPH WOODSFIELD LOUISVILLE HARLAN FRANKFORT MADISONVILLE LOUISVILLE JEFFERSONTOWN FLORENCE CORBIN OWENSBORO OWENSBORO OWENSBORO

STATE

COUNTY

OH SUMMIT

IN

LAKE

IN

MARION

IN

ST. JOSEPH

IN

ELKHART

IN

ALLEN

MI KENT

MI LUCE

KY JEFFERSON

KY BULLITT

MI MACOMB

MI WAYNE

MI MACOMB

MI ALPENA

MI OAKLAND

MI OAKLAND

MI MONROE

MI ISABELLA

MI SAGINAW

OH LUCAS

OH SUMMIT

OH FRANKLIN

IN ORANGE

IN TIPPECANOE

IN MARION

IN CLARK

IN BOONE

MI INGHAM

MI BERRIEN

MI KALAMAZOO

MI WAYNE

MI MACOMB

OH ROSS

OH CLERMONT

OH WILLIAMS

OH MONTGOMERY

OH HAMILTON

OH RICHLAND

OH PICKAWAY

OH HENRY

OH WARREN

OH HAMILTON

KY BARREN

KY FAYETTE

KY WARREN

IN ST. JOSEPH

IN MARION

IN DEKALB

IN VIGO

IN JENNINGS

IN LAKE

IN HENDRICKS

IN

CLARK

IN

TIPPECANOE

MI OAKLAND

MI WASHTENAW

MI MACOMB

MI KENT

MI OAKLAND

MI OAKLAND

MI KENT

MI KENT

MI MACOMB

MI MANISTEE

MI BERRIEN

OH MONROE

KY JEFFERSON

KY HARLAN

KY FRANKLIN

KY HOPKINS

KY JEFFERSON

KY JEFFERSON

KY BOONE

KY KNOX

KY DAVIESS

KY DAVIESS

KY DAVIESS

ZIP

PHONE

44221 (330)-923-5766

46410 (219)-736-1372

46236 (317)-823-1819

46614 (574)-299-1464

46514 (574)-674-5730

46804 (260)-434-3910

49505 (616)-456-5273

49868 (906)-293-8571

40217 (502)-636-8790

40229 (502)-277-1425

48310 (586)-698-2264

48212 (313)-996-5555

48021 (586)-872-2525

49707 (989)-884-6110

48334 (248)-419-3480

48075 (248)-304-7705

48166 (734)-872-2100

48858 (989)-773-5544

48722 (989)-777-2900

43528 (567)-297-4110

44321 (330)-670-0060

43215 (614)-355-7160

47454 (812)-723-3907

47909 (765)-471-1013

46224 (317)-554-8963

47130 (855)-242-2241

46052 (765)-483-3900

48911 (517)-887-3539

49120 (269)-684-1418

49048 (269)-226-9433

48239 (313)-937-1100

48036 (586)-323-8280

45601 (740)-772-5180

45102 (513)-753-4700

43570 (419)-924-2444

45429 (937)-395-8171

45240 (513)-742-2000

44905 (419)-589-8843

43113 (740)-474-9898

43545 (419)-599-0170

45040 (513)-583-9333

45030 (513)-367-2127

42141 (270)-629-4633

40513 (859)-223-0701

42101 (270)-796-3909

46614 (574)-291-9985

46240 (317)-254-9206

46706 (260)-920-2170

47802 (812)-232-6655

47265 (812)-352-1780

46312 (219)-397-6415

46123 (317)-272-4804

47130 (812)-282-2256

47906 (765)-463-2600

48326 (248)-391-6697

48118 (734)-475-1188

48051 (586)-421-1265

49519 (616)-249-7174

48390 (248)-960-1401

48346 (248)-625-9490

49341 (616)-863-9376

49503 (616)-977-4861

48042 (586)-992-8570

49660 (231)-398-0348

49085 (269)-408-1348

43793 (740)-472-1991

40228 (502)-231-1788

40831 (606)-573-9650

40601 (502)-695-0918

42431 (270)-821-0692

40219 (502)-318-1200

40299 (502)-297-8802

41042 (859)-488-0884

40701 (606)-523-1911

42303 (270)-683-6422

42301 (270)-683-5086

42303 (270)-685-5777

NCPDP 2376831 2378342 2378556 2380373 2381921 2383420 2384523 3682754 3682879 3683592 3686485 3687235 3687475 3688352 1839147 2348135 2351346 2351891 2352932 1537022 1560994 1561198 1561491 1562289 1563344 1564029 1564295 1567099 2366020 2366309 2367577 2367870 2369608 2369975 2373417 2374091 2374546 3627328 3627429 3628039 3632850 1822293 1824487 1826568 1827661 1828093 1829122 1831367 1834969 2376956 2378138 2379267 2380513 2381096 2382264 2384624 3681714 3682730 1835911 1838943 2348438 2351550 2356500 1531563 1531981 1535927 1536157 1563584 1564865 2363656 2364052 2364331 2364925 2365054 2367604 2369115 2364014

NPI 1558622167 1457787921 1619306875 1245622372 1447611363 1235664038 1144726191 1871981092 1942690698 1700262250 1386128718 1639724487 1851935399 1801406780 1053904573 1396817185 1295828465 1912920455 1437164548 1043232762 1659324911 1962583138 1376762625 1548426786 1538212345 1275803074 1003150426 1619344421 1376560748 1740202415 1356356653 1598787525 1427276641 1154521060 1508194598 1447570429 1861709818 1871539262 1902909641 1528073459 1497860431 1891712113 1427082247 1215914866 1538243811 1245257575 1518973072 1568692903 1528443157 1245591338 1902245293 1316367816 1780078428 1013385889 1922451806 1255837183 1093138299 1104224278 1285170449 1740893999 1063524916 1144258799 1710933007 1740353267 1750308979 1104843697 1013080324 1356610299 1790111680 1689608457 1346349644 1669487708 1629095849 1447277660 1235145822 1548330525 1891894192

PHARMACY NAME CAMPAU PHARMACY GRACE MEDICAL PHARMACY OUR FAMILY PHARMACY QD PHARMACY WESTLAKE DRUG & GIFTSHOP MEDPLUS RX JANUS RX WALGREENS ADENA PIKE PHARMACY FIRST CARE PHARMACY ADVANCED PHARMACY SERVICES CVS PHARMACY EXCELS PHARMACY MULLANEYS PHARMACY ARH RETAIL PHARMACY MEDICINE SHOPPE PHARMACY HANSENS PHARMACY & VARIETY RITE AID PHARMACY WALGREENS CVS PHARMACY WALGREENS WALGREENS CVS PHARMACY WALGREENS FT WAYNE MED ONCOLOGY & HEMOTOLOGY MEIJER PHARMACY WESTMORELAND PHCY JEFFERSONVILLE GENOA HEALTHCARE LLC WALMART PHARMACY CVS PHARMACY WALGREENS RITE AID PHARMACY FARMINGTON HILLS PHARMACY KROGER PHARMACY BARCLAY PHARMACY TLC PHARMACY WALMART PHARMACY DISCOUNT DRUG MART CVS PHARMACY FRUTH PHARMACY HERITAGE SQUARE PHARMACY WALMART PHARMACY KROGER PHARMACY MIDWAY PHARMACY LEITCHFIELD CAMARGO PHARMACY WALMART PHARMACY WALGREENS IRVINE WHITE HOUSE CLINIC PHCY WALGREENS EXECUTIVE INFUSION SERVICE MEIJER PHARMACY VAN BUREN PHARMACY CAREWELL PHARMACY WYANDOTTE PHARMACY FARMACITY PHARMACY SAVE MORE PHARMACY INC SIGNATURE HEALTH INC MERCY HEALTH FAIRFIELD PHCY BAPTIST HLTH LOUISVILLE OPT PHCY GRAYSON FAMILY HEALTH CENTER PHCY CVS PHARMACY CVS PHARMACY ACCREDO HEALTH GROUP INC KROGER PHARMACY WALMART PHARMACY SAM'S CLUB PHARMACY KROGER PHARMACY ALIVIO PHARMACY LLC ESKENAZI WEST 38TH ST PHARMACY KROGER PHARMACY CVS PHARMACY WALGREENS WALMART PHARMACY WALMART PHARMACY WALGREENS GENOA HEALTHCARE LLC CVS PHARMACY

ADDRESS 12169 JOSEPH CAMPAU ST STE 101 20161 GREENFIELD RD 415 W VIENNA ST 1693 S WESTNEDGE AVE 8822 PORTAGE RD 18801 E TEN MILE RD 300 68TH ST SE SUITE 131 5 LIMITED PKWY E 100 DAWN LN 8265 N MAIN ST 4126 N HOLLAND SYLVANIA RD 105 6030 N HAMILTON RD 2800 SALEM AVE 5275 WINNESTE AVE 4845 KY ROUTE 321 663 E CEDAR AVE 326 E MAIN ST 43034 DEQUINDRE RD 907 S 11TH ST 6925 W 38TH ST 13741 E 116TH ST 3606 N NEWTON ST 1102 W MAIN ST 2400 W SYCAMORE ST 7910 W JEFFERSON BLVD STE 108 6610 SCATTERFIELD ROAD 1495 E 10TH ST 1909 CAREW ST STE 100 1700 W MICHIGAN AVE 8043 CHALLIS RD 6421 W SAGINAW HWY 999 S LAPEER RD 27970 ORCHARD LAKE RD 22332 E 9 MILE RD 75 BARCLAY CIR STE 114 2959 S TELEGRAPH RD 45555 MICHIGAN AVE 27300 DETROIT RD 137 MCMAHAN BLVD 2991 STATE ROUTE 160 977 CHERRY ST E 1701 N MAIN ST 1661 BYPASS RD # 1958 908 WALLACE AVE STE 105 3404 CAMARGO RD 3800 RUCKRIEGEL PKWY 3360 IRVIN COBB DR 30 STACY LANE RD 501 CAPERTON DR 17000 EXECUTIVE PLAZA DR #201 1301 W 8 MILE RD 11650 BELLEVILLE RD STE 103 41940 HAYES RD 375 EUREKA RD 3456 W VERNOR HWY SUITE B 10475 FARMINGTON RD 14701 DETROIT AVE STE 620 3000 MACK RD 4000 KRESGE WAY 645 INTERSTATE DR 4300 DIXIE HWY 9300 JOSEPH CAMPAU ST 39625 LEWIS DR STE 800 209 CHICAGO AVE 2800 WAL MART DR 3205 W STATE ROAD 45 4025 S OLD STATE ROAD 37 2060 N SHADELAND AVE STE 101 5515 W 38TH ST 3097 S BALDWIN RD 940 LAPEER AVE 29520 HARPER AVE 5110 TIMES SQUARE PL 30729 LYON CENTER DR E 1280 WALTON BLVD 3630 CAPITAL AVE SW 43611 SCHOENHERR RD

CITY HAMTRAMCK DETROIT CLIO KALAMAZOO PORTAGE ROSEVILLE GRAND RAPIDS REYNOLDSBURG WAVERLY DAYTON TOLEDO COLUMBUS DAYTON CINCINNATI PRESTONSBURG GLADWIN EDMORE STERLING HEIGHTS NILES INDIANAPOLIS FISHERS JASPER PLAINFIELD KOKOMO FORT WAYNE ANDERSON JEFFERSONVILLE FORT WAYNE JACKSON BRIGHTON LANSING OXFORD FARMINGTON HILLS SAINT CLAIR SHORES ROCHESTER HILLS DEARBORN CANTON WESTLAKE MARION GALLIPOLIS CANAL FULTON BEAVER DAM WINCHESTER LEITCHFIELD MOUNT STERLING JEFFERSONTOWN PADUCAH IRVINE RICHMOND DEARBORN DETROIT BELLEVILLE CLINTON TOWNSHIP WYANDOTTE DETROIT LIVONIA LAKEWOOD FAIRFIELD LOUISVILLE GRAYSON WATERFORD HAMTRAMCK NOVI GOSHEN HUNTINGTON BLOOMINGTON BLOOMINGTON INDIANAPOLIS INDIANAPOLIS LAKE ORION PORT HURON SAINT CLAIR SHORES OKEMOS NEW HUDSON ROCHESTER HILLS BATTLE CREEK STERLING HEIGHTS

STATE

COUNTY

MI WAYNE

MI WAYNE

MI GENESEE

MI KALAMAZOO

MI KALAMAZOO

MI MACOMB

MI KENT

OH FRANKLIN

OH PIKE

OH MONTGOMERY

OH LUCAS

OH FRANKLIN

OH MONTGOMERY

OH HAMILTON

KY FLOYD

MI GLADWIN

MI MONTCALM

MI MACOMB

MI BERRIEN

IN

MARION

IN

HAMILTON

IN

DUBOIS

IN HENDRICKS

IN HOWARD

IN ALLEN

IN MADISON

IN CLARK

IN ALLEN

MI JACKSON

MI LIVINGSTON

MI EATON

MI OAKLAND

MI OAKLAND

MI MACOMB

MI OAKLAND

MI WAYNE

MI WAYNE

OH CUYAHOGA

OH MARION

OH GALLIA

OH STARK

KY OHIO

KY CLARK

KY GRAYSON

KY MONTGOMERY

KY JEFFERSON

KY MCCRACKEN

KY ESTILL

KY MADISON

MI WAYNE

MI WAYNE

MI WAYNE

MI MACOMB

MI WAYNE

MI WAYNE

MI WAYNE

OH CUYAHOGA

OH BUTLER

KY JEFFERSON

KY CARTER

MI OAKLAND

MI WAYNE

MI OAKLAND

IN

ELKHART

IN

HUNTINGTON

IN

MONROE

IN

MONROE

IN

MARION

IN

MARION

MI OAKLAND

MI ST. CLAIR

MI MACOMB

MI INGHAM

MI OAKLAND

MI OAKLAND

MI CALHOUN

MI MACOMB

ZIP

PHONE

48212 (313)-365-2400

48235 (313)-837-4722

48420 (810)-547-1278

49008 (269)-459-9648

49002 (269)-327-3049

48066 (586)-777-2190

49548 (616)-591-3726

43068 (614)-856-4365

45690 (740)-947-6320

45415 (937)-898-3313

43623 (419)-469-8868

43081 (614)-245-6033

45406 (937)-278-8700

45232 (513)-242-5700

41653 (606)-889-6405

48624 (989)-426-4595

48829 (989)-427-5814

48314 (586)-254-1021

49120 (269)-683-0234

46254 (317)-329-7806

46037 (317)-595-8764

47546 (812)-481-1513

46168 (317)-839-3438

46901 (765)-868-0140

46804 (260)-436-0800

46013 (765)-683-5210

47130 (812)-284-6500

46805 (260)-557-1808

49202 (517)-817-0378

48116 (810)-229-4264

48917 (517)-703-0537

48371 (248)-628-4283

48334 (248)-538-0010

48080 (586)-541-1042

48307 (248)-852-4600

48124 (313)-274-0800

48188 (734)-985-9429

44145 (440)-871-6077

43302 (740)-389-2331

45631 (740)-446-6620

44614 (330)-854-4949

42320 (270)-274-4464

40391 (859)-745-0802

42754 (270)-259-8400

40353 (859)-497-0009

40299 (502)-266-5022

42003 (270)-444-8011

40336 (606)-723-0665

40475 (859)-353-3309

48126 (313)-982-3220

48203 (313)-369-5210

48111 (734)-325-6318

48038 (586)-221-2829

48192 (734)-720-0929

48216 (313)-789-8934

48150 (734)-427-0422

44107 (216)-273-3112

45014 (513)-682-1877

40207 (502)-928-6930

41143 (606)-898-0209

48329 (248)-673-9800

48212 (313)-874-5300

48377 (248)-489-0300

46526 (574)-534-9223

46750 (260)-358-8610

47403 (812)-333-8903

47401 (812)-824-5205

46219 (317)-354-8160

46254 (317)-880-0100

48359 (248)-393-4573

48060 (810)-982-4721

48081 (586)-447-3208

48864 (517)-381-8267

48165 (248)-486-1953

48307 (248)-608-0643

49015 (269)-979-7822

48313 (586)-254-8418

NCPDP 2365092 2366727 2368024 2369189 2369379 2369420 2374748 3631707 3633193 3633989 1819373 1823891 1826049 1830000 1830315 1830505 1831711 1832181 1834806 1835315 1835644 2375891 2376146 2378330 2379065 2379750 2380563 2381515 2381541 2382288 2384434 2386147 3681853 3682160 3683794 1836557 1534014 1560285 1562265 1562467 1563736 1565805 1566681 2363202 2363896 2364420 2364975 2364886 2366652 2367628 2367642 2368935 2369696 2369735 2369999 2371273 2371538 2372833 2373621 2374457 3623267 3639513 1836139 1836280 1836317 1836521 1837319 1837989 1838652 1838931 2348440 2349618 2349860 2351726 2356207 2356649 2358946

NPI 1265459481 1730132879 1962417576 1649334251 1609904051 1982738977 1629388780 1649205253 1194735720 1972606499 1093732315 1619901436 1255365094 1023136108 1326230780 1669650966 1053649954 1194028167 1366832289 1770941940 1720536790 1679856520 1568730745 1992130553 1477970903 1760890479 1902292881 1740648203 1356713259 1649723263 1689189243 1942767660 1780617860 1043626138 1174997118 1164945416 1457424970 1003955485 1497911259 1962657304 1033483409 1548667553 1306224696 1811914039 1336233741 1942234711 1922032796 1013941889 1568571057 1992722367 1194747865 1194898916 1932310505 1740491224 1588864490 1992962542 1619125069 1942434287 1639491574 1407161417 1790876985 1831123637 1316479355 1881107985 1235642687 1417470766 1972026300 1649744616 1477188464 1720696149 1578513479 1962412817 1568489771 1649297854 1366469579 1154355980 1740374099

PHARMACY NAME SAM'S CLUB PHARMACY HOMETOWN PHARMACY LTC HACKLEY HLTHCR EQUIP AND PHCY RITE AID PHARMACY WALGREENS SAM'S CLUB PHARMACY PATTIE DRUG OF BALDWIN MINFORD PHARMACY MCFADDEN PHARMACY CVS PHARMACY WALMART PHARMACY KROGER PHARMACY KROGER PHARMACY KROGER PHARMACY WALGREENS MAYSVILLE OB GYN FAM HLTH CTR PH HUME PHARMACY WALGREENS HEALTHFIRST BLUEGRASS PHARMACY CAPITAL PHCY LONG TERM CARE WALMART PHARMACY GENOA HEALTHCARE LLC HEART OF THE CITY PHARMACY ONE STOP PHARMACY CANAL PHARMACY SOMERSET FAMILY PHARMACY CVS PHARMACY SAVE-MART PHARMACY ALMA FAMILY PHARMACY WALGREENS HUNTINGTON PHARMACY SOUTHGATE FAMILY PHARMACY ADVANCED DERM & DERMATOPATHOLOGY IN CVS PHARMACY ROOTSTOWN COMMUNITY PHARMACY WALGREENS KROGER PHARMACY MICHIANA HEMATOLOGY ONCOLOGY PCS CVS PHARMACY GENOA HEALTHCARE LLC SAM'S CLUB PHARMACY RIVERVIEW HLTH PHCY WESTFIELD WALMART PHARMACY WALMART PHARMACY YINGER PHARMACY SHOPPE KROGER PHARMACY KROGER PHARMACY KROGER PHARMACY RITE AID PHARMACY SAM'S CLUB PHARMACY CVS PHARMACY CVS PHARMACY FAMILY FARE PHARMACY FAMILY FARE PHARMACY KROGER PHARMACY WALGREENS CVS PHARMACY KROGER PHARMACY ARBOR LANE PHARMACY AT FOX RUN WALGREENS SHRIVERS PHARMACY KROGER SAV-ON GENOA HEALTHCARE LLC APOTHECARE PHARMACY DONELLS TRI CITY PHARMACY WALGREENS WALGREENS GRACE HEALTH PHCY MANCHESTER REDDING DRUG BAPTIST HEALTH COMMUNITY PHARMACY SHORELINE PHARMACY SAUGATUCK DRUG COMPANY WALMART PHARMACY WALMART PHARMACY WALMART PHARMACY KESSEL PHARMACY HENRY FORD MEDICAL CENTER PHARMACY

ADDRESS 5656 BAY RD 404 W. COMMERCE DRIVE STE B 6401 PRAIRIE ST STE 1100 42481 W 13 MILE RD 991 S MAIN ST 4850 ENCORE BLVD 868 MICHIGAN AVE 8746 STATE ROUTE 335 115 E MAIN ST 14440 CEDAR RD 60 S STEWART RD 350 US 31W BYP 1751 PATRICK DR 1600 LEESTOWN RD STE 150 5100 DIXIE HWY 927 KENTON STATION DR 10101 TAYLORSVILLE RD 550 W DIXIE AVE 1640 BRYAN STATION RD 664 E MAIN ST 4840 OUTER LOOP 24424 W MCNICHOLS RD 100 CHERRY ST 33950 VAN BORN RD 2405 E 14 MILE RD 33495 HARPER AVE 1015 S SAGINAW RD 18330 W CHICAGO ST 1686 WRIGHT AVE STE C 555 MICHIGAN ST NE STE 100 26711 WOODWARD AVE STE LL6 15450 NORTHLINE RD STE 102 5298 SOCIALVILLE FOSTER RD 2210 TUSCARAWAS ST W 4211 STATE ROUTE 44 394 NORTH DIXIE ST 530 S INDIANA ST 5340 HOLY CROSS PARKWAY 5020 N STATE ROAD 135 2600 OAKLAND AVE 3819 SOUTH ST 17600 SHAMROCK BLVD 4837 KENTUCKY AVE 3700 OWEN RD 1036 N MONROE ST 45540 MICHIGAN AVE 531 W MAIN ST 435 N MAIN ST 842 S STATE ST 45600 UTICA PARK BLVD 51400 GRATIOT AVE 2011 S ROCHESTER RD 45 COLUMBIA AVE E 56151 M-51 1237 COOLIDGE HWY 802 E CLOVERLAND DR 20877 HALL RD 23191 MARTER RD 41100 FOX RUN 2355 JACKSON AVE 40 WATKINS ST 3301 NAVARRE AVE 425 BROADWAY ST STE P 1016 N MULBERRY ST 18880 N US HWY 119 115 STATE ROUTE 81 N 2284 VERSAILLES RD 85 HWY 80 431 REDDING RD STE 140 913 NORTH DIXIE 901 S BAILEY AVE STE 3 201 BUTLER STREET 7083 W 48TH ST 2129 W HOUGHTON LAKE DR 5859 28TH ST SE 5249 CORUNNA RD 14300 N BECK RD

CITY SAGINAW TRAVERSE CITY MUSKEGON NOVI CHEBOYGAN MOUNT PLEASANT BALDWIN MINFORD BAINBRIDGE UNIVERSITY HEIGHTS CORBIN BOWLING GREEN BURLINGTON LEXINGTON LOUISVILLE MAYSVILLE LOUISVILLE ELIZABETHTOWN LEXINGTON FRANKFORT LOUISVILLE DETROIT GRAND RAPIDS WAYNE STERLING HEIGHTS CLINTON TOWNSHIP MIDLAND DETROIT ALMA GRAND RAPIDS HUNTINGTON WOODS SOUTHGATE MASON CANTON ROOTSTOWN HORSE CAVE MOORESVILLE MISHAWAKA BARGERSVILLE ELKHART LAFAYETTE WESTFIELD INDIANAPOLIS FENTON MONROE CANTON MILAN FRANKENMUTH BIG RAPIDS UTICA CHESTERFIELD ROCHESTER HILLS BATTLE CREEK DOWAGIAC TROY IRONWOOD MACOMB SAINT CLAIR SHORES NOVI ANN ARBOR NELSONVILLE OREGON PADUCAH ELIZABETHTOWN CUMBERLAND CALHOUN LEXINGTON MANCHESTER LEXINGTON ELIZABETHTOWN SOUTH HAVEN SAUGATUCK FREMONT HOUGHTON LAKE GRAND RAPIDS FLINT PLYMOUTH

STATE

COUNTY

MI SAGINAW

MI GRAND TRAVERSE

MI MUSKEGON

MI OAKLAND

MI CHEBOYGAN

MI ISABELLA

MI LAKE

OH SCIOTO

OH ROSS

OH CUYAHOGA

KY LAUREL

KY WARREN

KY BOONE

KY FAYETTE

KY JEFFERSON

KY MASON

KY JEFFERSON

KY HARDIN

KY FAYETTE

KY FRANKLIN

KY JEFFERSON

MI WAYNE

MI KENT

MI WAYNE

MI MACOMB

MI MACOMB

MI MIDLAND

MI WAYNE

MI GRATIOT

MI KENT

MI OAKLAND

MI WAYNE

OH WARREN

OH STARK

OH PORTAGE

KY HART

IN MORGAN

IN ST. JOSEPH

IN JOHNSON

IN ELKHART

IN TIPPECANOE

IN HAMILTON

IN MARION

MI GENESEE

MI MONROE

MI WAYNE

MI WASHTENAW

MI SAGINAW

MI MECOSTA

MI MACOMB

MI MACOMB

MI OAKLAND

MI CALHOUN

MI CASS

MI OAKLAND

MI GOGEBIC

MI MACOMB

MI MACOMB

MI OAKLAND

MI WASHTENAW

OH ATHENS

OH LUCAS

KY MCCRACKEN

KY HARDIN

KY HARLAN

KY MCLEAN

KY FAYETTE

KY CLAY

KY FAYETTE

KY HARDIN

MI VAN BUREN

MI ALLEGAN

MI NEWAYGO

MI ROSCOMMON

MI KENT

MI GENESEE

MI WAYNE

ZIP

PHONE

48604 (989)-790-8930

49685 (231)-922-2952

49444 (231)-672-7821

48377 (248)-668-8208

49721 (231)-627-1080

48858 (989)-773-5814

49304 (231)-745-4697

45653 (740)-820-2163

45612 (740)-634-3231

44121 (216)-381-8726

40701 (606)-523-2206

42101 (270)-796-6067

41005 (859)-586-4692

40511 (859)-259-0965

40216 (502)-447-3347

41056 (606)-759-1189

40299 (502)-267-7453

42701 (270)-982-3088

40505 (859)-288-2478

40601 (502)-223-2827

40219 (502)-313-6350

48219 (313)-989-0249

49503 (616)-965-8278

48184 (734)-727-2000

48310 (586)-439-3550

48035 (586)-834-8778

48640 (989)-839-2069

48228 (313)-635-5103

48801 (989)-968-4003

49503 (616)-224-0115

48070 (248)-951-2754

48195 (734)-720-7480

45040 (513)-770-5816

44708 (330)-453-4845

44272 (330)-325-0589

42749 (270)-786-1147

46158 (317)-831-9416

46545 (574)-237-1328

46106 (317)-535-1898

46517 (574)-970-0440

47905 (765)-446-0575

46074 (317)-214-5566

46221 (317)-830-4259

48430 (810)-750-3735

48162 (734)-384-7044

48188 (734)-397-2560

48160 (734)-439-6856

48734 (989)-652-0621

49307 (231)-796-8659

48315 (586)-739-5472

48051 (586)-598-4770

48307 (248)-844-2559

49015 (269)-965-5631

49047 (269)-782-4511

48084 (248)-519-1321

49938 (906)-932-4267

48044 (586)-464-1129

48080 (586)-541-1370

48377 (248)-668-8778

48103 (734)-794-0162

45764 (740)-753-2484

43616 (419)-691-7034

42001 (270)-366-7530

42701 (270)-763-0303

40823 (606)-589-0007

42327 (270)-273-5202

40504 (859)-278-3471

40962 (606)-596-0410

40517 (859)-475-1973

42701 (270)-706-1256

49090 (269)-637-9476

49453 (269)-857-2300

49412 (231)-924-6900

48629 (989)-366-6533

49546 (616)-949-9892

48532 (810)-732-2005

48170 (734)-354-5950

NCPDP 3656052 3657561 3663879 3663968 3664059 3664819 1533606 1534583 1562455 1563089 1566972 2362666 2362729 2364165 2366664 2367666 2369280 2372085 2373619 2374661 3626528 1824362 1827368 1828788 1829261 1830973 1831064 1831432 1832509 2376590 2380436 2381983 2383850 2384737 2385044 2385094 2386503 3681269 3683542 3684784 1837371 1837648 1838121 1838664 1838878 2348743 2349872 2351144 2352627 2353009 2354823 2355914 1534040 1534836 1535383 1561439 1567253 2362882 2365751 2372225 2374217 2374736 3616630 3638939 3639323 3640237 3641013 2367541 2369355 2369812 2369848 2369925 2370601 2370613 2372100 2372162 3626047

NPI 1356450605 1548363369 1144254848 1417964412 1962436667 1154425825 1255347688 1487727798 1093960437 1891003661 1750753471 1164502803 1578663803 1255430559 1548275845 1003838772 1003973561 1235374935 1699007542 1730489022 1013072388 1740279926 1386709400 1548285240 1912949728 1730325127 1497994487 1437303690 1295020741 1518223403 1669865838 1891141990 1053836874 1881100931 1568954014 1659885911 1316400906 1164855904 1871970004 1972045813 1235652439 1669969028 1801358601 1285274209 1073139531 1255467601 1477570687 1942234786 1902823115 1932115235 1609973536 1649389123 1255435103 1255369500 1790754828 1568593820 1093040719 1093732216 1376507897 1316197379 1295987253 1831491869 1780679670 1235144239 1922032721 1730282492 1477662708 1447265749 1760532089 1619173556 1134328610 1902096001 1578748273 1275718686 1053556753 1730324187 1891867685

PHARMACY NAME RITE AID PHARMACY CVS PHARMACY KROGER PHARMACY WALGREENS KROGER PHARMACY CVS PHARMACY WALGREENS KROGER PHARMACY WILLIAMS BROTHERS HEALTHCARE PHCY MARTIN'S PHARMACY MEDICENTER PHARMACY HEALTH DELIVERY PHARMACY GLENS PHARMACY CVS PHARMACY WALGREENS CVS PHARMACY D AND W PHARMACY VG'S PHARMACY ROSEDALE COMMUNITY PHARMACY ORCHARD PHARMACY CENTER PACKS PHARMACY WHITE HOUSE CLINIC PHARMACY BRODHEAD PHARMACY KROGER PHARMACY PARKVIEW PHARMACY INC MEDICINE ARTS PHARMACY GENOA HEALTHCARE LLC ALUVALIFE RX ETOWN PHARMACY WALGREENS BELLAIRE FAMILY HEALTH CENTER MEMPHIS DRUGS HAMZEH PHARMACY MEDSHOP PHARMACY PONTIAC GENERAL HOSPITAL PHARMACY PARKS PHARMACY 3 BROTHERS PHARMACY CLEVELAND CL MEDINA AMB PHCY AMERIWELL PHARMACY WELLNESS1 PHCY WEST CARROLLTON WALGREENS SAVE MORE DRUGS PIKEVILLE COMMUNITY PHARMACY U OF L HEALTH PEACE PHARMACY CORNERSTONE CARE ASSOCIATES OSSINEKE PHARMACY WALMART PHARMACY KROGER PHARMACY WALMART PHARMACY RITE AID PHARMACY YINGER PHARMACY SHOPPE RITE AID PHARMACY CVS PHARMACY SAINT JOSEPH REGIONAL MED CTR METHODIST RETAIL PHARMACY CVS PHARMACY CANCER CARE CONSULTANTS SAM'S CLUB PHARMACY STOCKBRIDGE PHARMACY CHCWM MUSEKEGON ADVANCED SPECIALTY RX PHARMOR PHARMACY-CARSON CENTER CORNER PHARMACY WALGREENS KROGER SAV-ON CVS PHARMACY RITE AID PHARMACY WALGREENS CVS PHARMACY COLOMA PHARMACY WALMART PHARMACY KROGER PHARMACY SAVON MEDICAL PHARMACY GENOA HEALTHCARE LLC VG'S PHARMACY HENRY FORD MEDICAL CENTER PHARMACY SAVE RITE PHARMACY

ADDRESS 148 N MAIN ST 300 OXFORD ST 50789 VALLEY PLAZA DR 2320 BOUDINOT AVE 1008 WASHINGTON BLVD 1370 W MAIN ST 5520 US HIGHWAY 30 4202 S EAST ST 104 E BROADWAY ST 1150 HUSKY TRAIL 1475 E STATE ROAD 44 1522 JANES AVE 1570 N CLARE AVE 10501 HIGHLAND RD 25015 LITTLE MACK AVE 3100 FAIRLANE DR 9375 CHERRY VALLEY AVE SE 7461 N GENESEE RD 19220 GRAND RIVER AVE 19731 SUMPTER RD 2114 MADISON RD 1010 MAIN ST S 54 W MAIN ST 9950 BERBERICH DR 8274 KY ROUTE 122 818 US 31W BYP 2105 CRUMS LN 812 S 3RD ST 914 N DIXIE AVE STE 103 4550 CASCADE RD SE 4955 S M 88 HWY 80850 MAIN ST 10437 W WARREN AVE 1964 W 11 MILE RD STE C 461 W HURON ST STE 111 318 S SUPERIOR ST 25656 SCHOENHERR RD STE B 1000 E WASHINGTON ST 9500 DETROIT AVE 2092 S ALEX STE A 1000 BYPASS S 2208 FT CAMPBELL BLVD 50 WEDDINGTON BRANCH RD STE B 2020 NEWBURG RD 1509 1 2 LEXINGTON RD STE 2 11745 US HIGHWAY 23 S 1121 E CARO RD 31 E LONG LAKE RD 995 RAZORBACK DR 35584 GRAND RIVER AVE 1704 S CUSTER RD 15250 24 MILE RD 2215 SHELBY ST 5215 HOLY CROSS PKWYRM 3033 1801 N SENATE BLVD STE 105 3805 N GERMAN CHURCH RD 8554 BROADWAY 4326 28TH ST SE 110 SOUTH CLINTON AVE 6425 HARVEY ST 4800 S SAGINW ST STE 1675 8000 W OUTER DR STE B 102 W MAIN ST 4090 E GALBRAITH RD 8241 VINE ST 205 E MAIN ST 45 EAST AVE 2301 LUDINGTON ST 5350 W MAIN ST 6577 PAW PAW AVE 14700 US 31 30851 GRATIOT AVE 18000 LIVERNOISE AVE 279 SUMMIT DR STE 200 8503 DAVISON RD 6530 FARMINGTON RD 3235 BELMONT ST

CITY WOODSFIELD DOVER ST CLAIRSVLE CINCINNATI BELPRE NEWARK SCHERERVILLE INDIANAPOLIS LOOGOOTEE WARSAW CONNERSVILLE SAGINAW HARRISON WHITE LAKE SAINT CLAIR SHORES ALLEN PARK CALEDONIA GENESEE DETROIT BELLEVILLE CINCINNATI MC KEE BRODHEAD FLORENCE MINNIE BOWLING GREEN LOUISVILLE LOUISVILLE ELIZABETHTOWN GRAND RAPIDS BELLAIRE MEMPHIS DEARBORN BERKLEY PONTIAC ALBION WARREN MEDINA CLEVELAND WEST CARROLLTON LAWRENCEBURG HOPKINSVILLE PIKEVILLE LOUISVILLE RICHMOND OSSINEKE CARO TROY HOUGHTON FARMINGTON HILLS MONROE MACOMB INDIANAPOLIS MISHAWAKA INDIANAPOLIS INDIANAPOLIS MERRILLVILLE KENTWOOD STOCKBRIDGE NORTON SHORES FLINT DETROIT BARNESVILLE DEER PARK CINCINNATI CIRCLEVILLE TALLMADGE ESCANABA KALAMAZOO COLOMA GRAND HAVEN ROSEVILLE DETROIT WATERFORD DAVISON WEST BLOOMFIELD BELLAIRE

STATE

COUNTY

OH MONROE

OH TUSCARAWAS

OH BELMONT

OH HAMILTON

OH WASHINGTON

OH LICKING

IN

LAKE

IN

MARION

IN

MARTIN

IN

KOSCIUSKO

IN

FAYETTE

MI SAGINAW

MI CLARE

MI OAKLAND

MI MACOMB

MI WAYNE

MI KENT

MI GENESEE

MI WAYNE

MI WAYNE

OH HAMILTON

KY JACKSON

KY ROCKCASTLE

KY BOONE

KY FLOYD

KY WARREN

KY JEFFERSON

KY JEFFERSON

KY HARDIN

MI KENT

MI ANTRIM

MI MACOMB

MI WAYNE

MI OAKLAND

MI OAKLAND

MI CALHOUN

MI MACOMB

OH MEDINA

OH CUYAHOGA

OH MONTGOMERY

KY ANDERSON

KY CHRISTIAN

KY PIKE

KY JEFFERSON

KY MADISON

MI ALPENA

MI TUSCOLA

MI OAKLAND

MI HOUGHTON

MI OAKLAND

MI MONROE

MI MACOMB

IN

MARION

IN

ST. JOSEPH

IN

MARION

IN

MARION

IN

LAKE

MI KENT

MI INGHAM

MI MUSKEGON

MI GENESEE

MI WAYNE

OH BELMONT

OH HAMILTON

OH HAMILTON

OH PICKAWAY

OH SUMMIT

MI DELTA

MI KALAMAZOO

MI BERRIEN

MI OTTAWA

MI MACOMB

MI WAYNE

MI OAKLAND

MI GENESEE

MI OAKLAND

OH BELMONT

ZIP

PHONE

43793 (740)-472-5311

44622 (330)-364-7508

43950 (740)-695-7170

45238 (513)-347-3359

45714 (740)-423-7271

43055 (740)-344-6977

46375 (219)-864-1476

46227 (317)-781-4258

47553 (812)-295-4370

46582 (574)-371-9080

47331 (765)-827-1934

48601 (989)-755-3633

48625 (989)-539-0584

48386 (248)-698-8876

48080 (586)-498-9540

48101 (313)-768-0065

49316 (616)-891-7898

48437 (810)-640-1424

48223 (313)-531-0100

48111 (734)-391-8284

45208 (513)-871-7770

40447 (606)-287-7104

40409 (606)-758-4373

41042 (859)-372-3490

41651 (606)-377-2117

42101 (270)-843-3202

40216 (502)-448-2007

40203 (502)-583-3766

42701 (270)-900-1583

49546 (616)-957-8934

49615 (231)-533-6655

48041 (810)-392-2424

48126 (313)-582-1670

48072 (248)-268-1714

48341 (248)-859-0020

49224 (517)-629-9481

48089 (586)-298-6282

44256 (330)-721-5490

44102 (216)-283-3865

45449 (937)-384-7777

40342 (502)-839-3403

42240 (270)-885-5515

41501 (606)-637-6377

40205 (502)-479-4445

40475 (502)-209-9351

49766 (989)-471-2339

48723 (989)-673-7922

48085 (248)-879-6716

49931 (906)-482-5988

48335 (248)-474-1717

48161 (734)-243-5451

48042 (586)-677-1108

46203 (317)-780-3265

46545 (574)-335-4240

46202 (317)-962-5606

46235 (317)-894-6181

46410 (219)-750-9581

49512 (616)-285-3346

49285 (517)-851-7575

49444 (231)-332-5871

48507 (810)-232-2700

48235 (313)-693-4695

43713 (740)-425-2651

45236 (513)-891-2808

45216 (513)-821-9660

43113 (740)-474-7596

44278 (330)-633-1150

49829 (906)-789-0382

49009 (269)-349-6290

49038 (269)-468-6207

49417 (616)-844-4184

48066 (586)-541-3314

48221 (313)-862-8800

48328 (248)-409-1105

48423 (810)-658-9710

48322 (248)-661-5333

43906 (740)-676-3433

NCPDP 3627998 1821520 1824730 1826455 1827091 1827130 1829160 1830822 1830884 1831850 1832864 2375738 2378102 2383557 2386010 3682526 3684102 3684520 3684556 3685469 1835872 1836747 2348527 2352538 2353819 1531208 1532995 1535321 1536311 1537008 1560196 1560590 1564093 1564120 1564841 2362654 2364658 2366222 2366513 2367919 2368137 2368707 2371437 2371641 2371879 2372477 2372580 2372617 2374635 3616921 3617480 3638117 3640592 1823423 1825251 1826669 1828182 1828586 1830810 1831937 1835656 2376514 2376766 2378215 2378392 2384282 2385741 2386589 3681257 3682956 3684176 3684289 3685685 3685700 3686512 3686625 1535030

NPI 1518060037 1700946167 1063446888 1174664619 1780618546 1477587087 1134270119 1386891554 1689827479 1134448863 1124399738 1407144751 1558700138 1588108260 1356815351 1043619604 1164883294 1457808826 1487102042 1477062289 1083159677 1467975599 1396845624 1285651497 1750490223 1104999622 1376616896 1982708830 1245245380 1609881754 1508871658 1164463063 1578834800 1386915254 1962837393 1174557920 1295740330 1720093016 1922118546 1598715187 1356356984 1336221704 1679737480 1922257609 1912151002 1881832830 1881834455 1720220197 1104136605 1760580765 1457435190 1942303599 1558395350 1265466080 1023120508 1073530309 1497760649 1609882166 1629234703 1649591108 1396293775 1154688109 1932468303 1861834483 1407282668 1699280586 1578039137 1720645278 1023457561 1639560139 1265509053 1114390671 1003331976 1568970333 1265900153 1144790171 1992878417

PHARMACY NAME CVS PHARMACY GALLAHERS PHARMACY INC KROGER PHARMACY CORNERSTONE PHARMACY KROGER PHARMACY PLAZA DRUG DANIELS PHARMACY DONELLS PHARMACY INC KROGER PHARMACY RR DRUG & OLD TIME SODA FOUNTAIN PARKWAY PHARMACY WALGREENS SAMS PHARMACY LTBB OF ODAWA PHARMACY HEALTHLINE PHARMACY METROHEALTH CENTRAL FILL PHCY ACCUDOSE PHARMACY DOWNTOWN DRUG OF HILLSBORO KROGER PHARMACY MERCY HEALTH BOARDMAN OTPT PHCY BLUEGRASS DRUG CNTR CARROLLTON WALGREENS FAMILY FARE PHARMACY WALMART PHARMACY RITE AID PHARMACY KROGER SAVON PHCY KROGER PHARMACY CVS PHARMACY WALGREENS WALGREENS WALGREENS CVS PHARMACY MEIJER PHARMACY MEIJER PHARMACY BENDIX HEALTH CENTER KROGER PHARMACY WALGREENS WALGREENS COSTCO PHARMACY STANDISH PHARMACY HENRY FORD HEALTH CENTER CVS PHARMACY DETROIT COMMUNITY HLT CONNECT PHCY CARDINAL PHARMACY BIOMED HEALTH SOLUTIONS LLC FAMILY FARE PHARMACY MEIJER PHARMACY KROGER PHARMACY MEDPARK PHARMACY DAVIS DRUG BRAXTON CANN MED CTR PHCY CVS PHARMACY KROGER SAV-ON KROGER PHARMACY THOMPSON DRUG SOUTH WALMART PHARMACY WALGREENS WALGREENS NORTON SPECIALTY PHARMACY MEDCARE PHARMACY & HOME MEDICAL THOMPSON DRUG BURNING SPRINGS THERA SCRIPT ROCHESTER MED INDEX PHARMACY LLC DEVZ PHARMACY II MCBAIN FAMILY PHARMACY REMEDI SENIORCARE OF MICHIGAN WALGREENS COMMUNITY A WALGREENS PHARMACY BIOSCRIP INFUSION SERVICES INFINITY PHARMACY CLEVELAND UROLOGY ASSOCIATES COSTCO PHARMACY WALGREENS HOPEWELL HEALTH CENTERS BARR'S PHARMACY BRIAN SHORT DPM KROGER PHARMACY

ADDRESS 1506 MENTOR AVE 2914 BLACKBURN AVE 181 S HIGHWAY 127 100 S MAIN ST 179 W COLLEGE AVE 707 N LAUREL RD 903 BELLEFONTE RD STE A 26 WOODLAND HLS 635 CHESTNUT DRIVE 115 E MAIN ST 186 BREANNA BLVD STE 400 812 E SAGINAW HWY 14470 LIVERNOIS AVENUE 1260 AJIJAAK AVE 43700 WOODWARD AVE STE 111 9885 ROCKSIDE RD STE 157 685 BOARDMAN-CANFIELD RD STE 3 119 S HIGH ST 401 MATTHEW ST SUITE 100 8401 MARKET ST 1955 HIGHWAY 227 503 STEVE DR 565 S STATE ST 4854 W US HIGHWAY 10 1113 W MICHIGAN AVE 2001 N MICHIGAN ST 821 LINCOLN HWY W 6445 CALUMET AVE 3608 S LAFOUNTAIN ST 320 S SCATTERFIELD RD 2215 N STATE ROAD 3 BYP 50 SAGAMORE PKWY S 10138 INDIANAPOLIS BLVD 10509 HEARTLAND BLVD 1850 RIVER FORKS DR 66900 GRATIOT AVE 5020 W MAIN ST G4010 FENTON RD 5100 28TH ST SE 533 S MAIN ST 23050 WEST RD 35401 WARREN RD 7900 KERCHEVAL ST 2410 S LEATON RD STE 8 23815 NORTHWESTERN HWY STE 100 1603 CAPITAL AVE NE 3700 17 MILE RD NE 16450 26 MILE RD 1059 E 9 MILE RD 109 WEST ST 5818 MADISON RD 1021 N BRIDGE ST 450 OHIO PIKE 102 W JOHN ROWAN BLVD 975 S LAUREL RD STE A 200 FLOYD DR 13807 ENGLISH VILLA DR 1008 N MULBERRY ST 2700 STANLEY GAULT PKWY 2009 S 7TH ST 11901 N HWY 421 455 BARCLAY CIR #C-2 1639 E BIG BEAVER RD STE 101 6624 N CANTON CENTER RD 119 N ROLAND ST 14700 HELM CT 1221 PINE GROVE AVE 32395 NORTHWESTERN HWY 4137 BOARDMANCANFIELD RD #LL04 2773 CLEVELAND AVE 10500 ANTENUCCI BLVD STE 100 6720 BASS PRO DR 1820 FRANKLIN ST 30381 CHIEFTAIN DR 28 W MAIN ST 2055 HOSPITAL DR STE 365 2629 E 65TH ST

CITY PAINESVILLE ASHLAND RUSSELL SPRINGS VERSAILLES STANTON LONDON FLATWOODS HARLAN WALTON MIDWAY SALYERSVILLE GRAND LEDGE DETROIT PETOSKEY BLOOMFIELD HILLS VALLEY VIEW BOARDMAN HILLSBORO MARIETTA BOARDMAN CARROLLTON RUSSELL SPRINGS SPARTA LUDINGTON THREE RIVERS PLYMOUTH NEW HAVEN HAMMOND KOKOMO ANDERSON GREENSBURG LAFAYETTE HIGHLAND CAMBY HUNTINGTON RICHMOND KALAMAZOO FLINT GRAND RAPIDS STANDISH BROWNSTWN TWP WESTLAND DETROIT MOUNT PLEASANT SOUTHFIELD BATTLE CREEK CEDAR SPRINGS MACOMB HAZEL PARK CALDWELL CINCINNATI CHILLICOTHE CINCINNATI BARDSTOWN LONDON CARROLLTON LOUISVILLE ELIZABETHTOWN LOUISVILLE HICKMAN MANCHESTER ROCHESTER HILLS TROY CANTON MC BAIN PLYMOUTH PORT HURON FARMINGTON HILLS CANFIELD COLUMBUS GARFIELD HEIGHTS HUDSON TORONTO LOGAN XENIA BATAVIA INDIANAPOLIS

STATE

COUNTY

OH LAKE

KY BOYD

KY RUSSELL

KY WOODFORD

KY POWELL

KY LAUREL

KY GREENUP

KY HARLAN

KY BOONE

KY WOODFORD

KY MAGOFFIN

MI EATON

MI WAYNE

MI EMMET

MI OAKLAND

OH CUYAHOGA

OH MAHONING

OH HIGHLAND

OH WASHINGTON

OH MAHONING

KY CARROLL

KY RUSSELL

MI KENT

MI MASON

MI ST. JOSEPH

IN MARSHALL

IN ALLEN

IN LAKE

IN HOWARD

IN MADISON

IN DECATUR

IN TIPPECANOE

IN LAKE

IN HENDRICKS

IN HUNTINGTON

MI MACOMB

MI KALAMAZOO

MI GENESEE

MI KENT

MI ARENAC

MI WAYNE

MI WAYNE

MI WAYNE

MI ISABELLA

MI OAKLAND

MI CALHOUN

MI KENT

MI MACOMB

MI OAKLAND

OH NOBLE

OH HAMILTON

OH ROSS

OH CLERMONT

KY NELSON

KY LAUREL

KY CARROLL

KY JEFFERSON

KY HARDIN

KY JEFFERSON

KY FULTON

KY CLAY

MI OAKLAND

MI OAKLAND

MI WAYNE

MI MISSAUKEE

MI WAYNE

MI ST. CLAIR

MI OAKLAND

OH MAHONING

OH FRANKLIN

OH CUYAHOGA

OH SUMMIT

OH JEFFERSON

OH HOCKING

OH GREENE

OH CLERMONT

IN

MARION

ZIP

PHONE

44077 (440)-354-5609

41101 (606)-329-2122

42642 (270)-866-3223

40383 (859)-873-3007

40380 (606)-663-2663

40741 (606)-864-4445

41139 (606)-836-4313

40831 (606)-573-4550

41094 (859)-379-0030

40347 (859)-846-4146

41465 (606)-349-4400

48837 (517)-627-1240

48238 (313)-340-7777

49770 (231)-242-1667

48302 (248)-590-2994

44125 (216)-957-6337

44512 (330)-953-1171

45133 (937)-840-0136

45750 (740)-434-0140

44512 (330)-729-3800

41008 (502)-732-4331

42642 (270)-866-2226

49345 (616)-887-8861

49431 (231)-845-5873

49093 (269)-279-9702

46563 (574)-936-1980

46774 (260)-749-0215

46324 (219)-937-8521

46902 (765)-455-2191

46012 (765)-609-3780

47240 (812)-662-0936

47905 (765)-448-1325

46322 (219)-934-2110

46113 (317)-821-6810

46750 (260)-200-1310

48062 (586)-727-0125

49009 (269)-345-8507

48507 (810)-424-0224

49512 (616)-233-4428

48658 (989)-846-0411

48183 (734)-671-1499

48185 (734)-728-6031

48214 (313)-924-9798

48858 (989)-317-3700

48075 (248)-663-3390

49017 (269)-962-1456

49319 (616)-696-4610

48042 (586)-677-8730

48030 (248)-808-6929

43724 (740)-732-4503

45227 (513)-263-8760

45601 (740)-702-1108

45255 (513)-528-6131

40004 (502)-348-3062

40744 (606)-864-6324

41008 (502)-732-0378

40245 (502)-254-2535

42701 (270)-769-0865

40223 (502)-559-1310

42050 (270)-236-2588

40962 (606)-599-8891

48307 (248)-289-1376

48083 (248)-528-0888

48187 (734)-335-6312

49657 (231)-825-8175

48170 (833)-754-1260

48060 (810)-989-3455

48334 (248)-973-2019

44406 (800)-733-3762

43224 (614)-591-3070

44125 (440)-891-6500

44236 (330)-341-7010

43964 (740)-537-9425

43138 (740)-385-2555

45385 (937)-347-1200

45103 (513)-732-2660

46220 (317)-252-5333

NCPDP 1561100 1561352 1563774 1565336 1566922 2362781 2362856 2364343 2365105 2369343 2369874 2370586 2370687 2375081 3616058 3617721 3627518 3632886 3633674 1819436 1819715 1822673 1824564 1824677 1825388 1825441 1826037 1826392 1828132 1828550 1829300 1829449 1829588 1830606 1832232 1835226 2381678 2382062 2383228 2384814 2384941 2386705 3681396 3681865 3683631 1533036 1534115 1536169 1560083 1560817 1561681 1561807 1561895 1562809 1562835 1564524 1567037 2363884 2372984 2374318 3615741 3617517 3620019 3631555 3634486 3640225 3643271 3646152 3646342 1819703 1821176 1823168 1823853 1825415 1827572 1828966 1829312

NPI 1891808663 1912049925 1447518691 1104234772 1578527826 1356440655 1619901477 1700979655 1740295880 1619027950 1144429952 1669657367 1508042524 1821195199 1669460747 1699803353 1194081562 1427151943 1972651933 1346263324 1730113556 1972519411 1407869571 1114014941 1598770745 1437176765 1578699971 1699721720 1669461109 1194715359 1639105364 1679588826 1619922978 1356514632 1407152515 1144688318 1619339405 1194171850 1851831481 1114423365 1104315597 1801456827 1518392414 1427478858 1366811630 1568565299 1689681686 1699854497 1477570844 1205877123 1427253756 1104018241 1730362617 1972733012 1548590847 1750623351 1295109494 1023023165 1619107158 1164733721 1326053323 1063591949 1841288537 1649382094 1942398284 1144235144 1205927746 1316952310 1134134133 1831292580 1740383496 1174540405 1477656122 1528092368 1083636724 1942215199 1760497911

PHARMACY NAME WALGREENS CVS PHARMACY WALGREENS WALMART PHARMACY NORTHWEST CANCER CENTERS CVS PHARMACY KROGER PHARMACY THE PHARMACY SHOP INC WALGREENS CVS PHARMACY CVS PHARMACY OAKWOOD PHARMACY SOUTHGATE CVS PHARMACY CURTIS FAMILY PHARMACY CORNERSBURG PHARMACY GEHRING PHARMACY CLEVELAND CLINIC SO PTE HSP CVS PHARMACY THE MEDICINE PLACE EXPRESS RX OF TAYLORSVILLE KROGER PHARMACY WALGREENS SOUTH CREEK DRUG MEDICINE SHOPPE PHARMACY WALGREENS WALMART PHARMACY CLINIC PHARMACY ISOM COMMUNITY PHARMACY BEREA WHITEHOUSE CLINIC PHARMACY CLARK COUNTY PHARMACY MORGANS MEDICINE WALGREENS WALGREENS WINDHAM DRUG EASTRIDGE-PHELPS PHCY GREENSBURG BAPTIST HEALTH LEXINGTON RETAIL PHA NOUR PHARMACY LLC PACKARD DISCOUNT PHARMACY SOMERSET SPECIALTY PHARMACY APOTHECO PHARMACY TROY YOURX PHARMACY LLC QUALITY PLUS PHARMACY NEW CARLISLE CMTY HLTH CTR METROHEALTH BROADWAY PHCY KMG PHARMACY CVS PHARMACY WALGREENS MARTIN'S PHARMACY WALMART PHARMACY CVS PHARMACY SCOTTS PHARMACY WALGREENS WALGREENS INNOVATIVE PHCY SOLUTIONS GOSHEN CANCER CTR OUTPTNT PHCY GEORGES FAMILY PHARMACY INC MCGRADY FAMILY PHARMACY WALGREENS BROTHERS PHARMACY HARBOR DRUG WALGREENS NORTHSIDE HEALTH CENTER PHCY EDWARDS DRUGS OMNICARE OF CENTRAL OHIO WEXLERS LAKE MILTON PHARMACY WALGREENS MEDICINE CENTER PHARMACY WALGREENS WALGREENS CVS PHARMACY CVS PHARMACY WALMART PHARMACY CVS PHARMACY KROGER PHARMACY CVS PHARMACY WALGREENS WALGREENS

ADDRESS 10795 BROADWAY 13821 LEO RD 100 WELLNESS CENTER DR 5550 E FALL CRK PKWY N DR 1001 CALUMET AVE 21777 21 MILE RD 1200 E BRISTOL RD 28411 DEQUINDRE RD 8720 W GRAND RIVER AVE 2310 METROPOLITAN PKWY 5756 CLARKSTON RD 15777 NORTHLINE RD STE 100A 47330 MICHIGAN AVE W17344 MAIN ST 3307 CANFIELD RD 210 E SHARON RD 4110 WARRENSVILLE CENTER RD 10022 MADISON AVE 6615 CLINGAN RD STE B 847 TAYLORSVILLE RD 399 CAMPBELLSVILLE BYP STE 100 1220 MADISON AVE 1 S CREEK DR 22044 MAIN ST 1145 US 31W BYP 1650 EDMONTON RD 1210 KY HIGHWAY 36 E STE G6 93 ISOM PLAZA 104 LEGACY DR 716 BOONE AVE 360 KEEN ST STE 100 110 TOWNE CENTER DR 152 N BUCKMAN ST 1605 S HIGHWAY 25 W 1915 CAMPBELLSVILLE RD 1700 NICHOLASVILLE RD # N1210 6500 SCHAEFER RD 4726 GREENFIELD STE 101 2708 S ROCHESTER RD 204 2924 W. MAPLE RD 29134 RYAN RD 23020 POWER RD 106 N MAIN ST 6835 BROADWAY AVENYE 846 E MAIN ST 8330 CRAWFORDSVILLE RD 10920 RANDOLPH ST 201 CONCORD MALL DR 4650 S EMERSON AVE 2021 FORT HARRISON RD 7008 BLUFFTON RD 100 N MEMORIAL DR 330 N WABASH AVE STE 100 6169 W STONER DR STE 180 200 HIGH PARK AVE 24128 STATE LINE RD 1902 S MEMORIAL DR 3270 W SILVER LAKE RD 118 W PIERSON RD 2046 BLACK RIVER ST STE 2 9775 COLERAIN AVE 3917 SPRING GROVE AVE 1083 MT VERNON AVE 2305 WESTBROOKE DR 17674 MAHONING AVE 9 W MITCHELL AVE 551 W HIGH AVE 562 MAIN ST 1086 READING RD 2001 MADISON AVE 6801 DIXIE HWY 1015 NEW MOODY LN 3605 WALDEN DR 3175 BEAUMONT CENTRE CIR 3600 MALL RD 200 E BROADWAY 2188 MIDLAND TRL

CITY CROWN POINT LEO-CEDARVILLE NOTRE DAME INDIANAPOLIS DYER MACOMB BURTON MADISON HEIGHTS BRIGHTON STERLING HEIGHTS CLARKSTON SOUTHGATE CANTON CURTIS YOUNGSTOWN CINCINNATI WARRENSVILLE HT CLEVELAND POLAND TAYLORSVILLE CAMPBELLSVILLE COVINGTON MONTICELLO HYDEN BOWLING GREEN TOMPKINSVILLE CYNTHIANA ISOM BEREA WINCHESTER BURKESVILLE LEXINGTON SHEPHERDSVILLE WILLIAMSBURG GREENSBURG LEXINGTON DEARBORN DEARBORN ROCHESTER HILLS TROY WARREN FARMINGTON NEW CARLISLE CLEVELAND TROTWOOD INDIANAPOLIS CROWN POINT ELKHART INDIANAPOLIS TERRE HAUTE FORT WAYNE NEW CASTLE MARION GREENFIELD GOSHEN LAWRENCEBURG NEW CASTLE FENTON FLINT DECKERVILLE CINCINNATI CINCINNATI COLUMBUS COLUMBUS LAKE MILTON CINCINNATI NEW PHILADELPHIA HAMILTON MASON COVINGTON FLORENCE LA GRANGE LEXINGTON LEXINGTON LOUISVILLE LOUISVILLE SHELBYVILLE

STATE

COUNTY

IN

LAKE

IN

ALLEN

IN

ST. JOSEPH

IN

MARION

IN

LAKE

MI MACOMB

MI GENESEE

MI OAKLAND

MI LIVINGSTON

MI MACOMB

MI OAKLAND

MI WAYNE

MI WAYNE

MI MACKINAC

OH MAHONING

OH HAMILTON

OH CUYAHOGA

OH CUYAHOGA

OH MAHONING

KY SPENCER

KY TAYLOR

KY KENTON

KY WAYNE

KY LESLIE

KY WARREN

KY MONROE

KY HARRISON

KY LETCHER

KY MADISON

KY CLARK

KY CUMBERLAND

KY FAYETTE

KY BULLITT

KY WHITLEY

KY GREEN

KY FAYETTE

MI WAYNE

MI WAYNE

MI OAKLAND

MI OAKLAND

MI MACOMB

MI OAKLAND

OH CLARK

OH CUYAHOGA

OH MONTGOMERY

IN MARION

IN LAKE

IN ELKHART

IN MARION

IN VIGO

IN ALLEN

IN HENRY

IN

GRANT

IN

HANCOCK

IN

ELKHART

IN

DEARBORN

IN

HENRY

MI GENESEE

MI GENESEE

MI SANILAC

OH HAMILTON

OH HAMILTON

OH FRANKLIN

OH FRANKLIN

OH MAHONING

OH HAMILTON

OH TUSCARAWAS

OH BUTLER

OH WARREN

KY KENTON

KY BOONE

KY OLDHAM

KY FAYETTE

KY FAYETTE

KY JEFFERSON

KY JEFFERSON

KY SHELBY

ZIP

PHONE

46307 (219)-661-8406

46765 (260)-627-8616

46556 (574)-271-5622

46226 (317)-614-4051

46311 (219)-924-8178

48044 (586)-949-2082

48529 (810)-239-9941

48071 (248)-591-5555

48116 (810)-225-4530

48310 (586)-698-1028

48348 (248)-620-2761

48195 (734)-324-9606

48188 (734)-714-2013

49820 (906)-586-3333

44511 (330)-792-7654

45246 (513)-771-7350

44107 (216)-491-0020

44102 (216)-651-6800

44514 (330)-757-3553

40071 (502)-477-2267

42718 (270)-465-5782

41011 (859)-491-9883

42633 (606)-425-4234

41749 (606)-672-8705

42101 (270)-842-3339

42167 (270)-487-0791

41031 (859)-234-2777

41824 (606)-633-9238

40403 (859)-986-2323

40391 (859)-744-3350

42717 (270)-864-2222

40511 (859)-288-2172

40165 (502)-543-2202

40769 (606)-549-3636

42743 (270)-299-2333

40503 (859)-639-3900

48126 (313)-581-6500

48126 (313)-633-9310

48307 (248)-237-4455

48084 (248)-850-1376

48092 (586)-393-5232

48336 (248)-987-6141

45344 (937)-845-5987

44105 (216)-957-6337

45426 (937)-529-4433

46234 (317)-347-4411

46307 (219)-661-8117

46517 (574)-875-9423

46203 (317)-783-1484

47804 (812)-466-6052

46809 (260)-747-4136

47362 (765)-521-0189

46952 (765)-664-2247

46140 (317)-866-1060

46526 (574)-364-2803

47025 (812)-637-6251

47362 (765)-529-9600

48430 (810)-629-3134

48505 (810)-785-7770

48427 (810)-376-8070

45251 (513)-385-6900

45223 (513)-357-7622

43203 (614)-258-9527

43228 (614)-534-0400

44429 (330)-654-3792

45217 (513)-641-2426

44663 (330)-339-4466

45013 (513)-867-0252

45040 (513)-754-1443

41014 (859)-581-0835

41042 (859)-282-6506

40031 (502)-222-9797

40517 (859)-245-6434

40513 (859)-219-1842

40218 (502)-456-1441

40202 (502)-568-4864

40065 (502)-633-4209

NCPDP 1829540 1831684 1831886 1832650 1835199 2375815 2378493 2380551 2381250 2381969 2382555 2384686 1531171 1532022 1560300 1561883 1562772 1563940 1564245 1566756 2362793 2364610 2364874 2367553 2368303 2369127 2370005 2371487 2372390 3643168 3643726 3646140 1821013 1823788 1828435 1829172 1830745 1830858 1831381 1832408 1833107 1835404 2375889 2378366 2379293 2382074 2383064 2385450 2385688 2385804 2386692 3681675 3683491 3684253 3684722 3686396 3686524 1836444 1838412 1533012 1533149 1533264 1533315 1560348 1560552 1562568 2363733 2367111 2369672 2370245 2370815 3623281 3632355 3644805 3647231 1837357 1838828

NPI 1316965288 1295064731 1720300684 1396028999 1730546409 1306127857 1013345024 1285029520 1962873745 1629422498 1952852857 1588151112 1912090440 1255353975 1326053471 1649451212 1427382688 1093085896 1376892554 1407235013 1104833128 1295757961 1710904933 1417962028 1821033028 1538237334 1376733477 1952557621 1083853089 1417054354 1033259502 1407861404 1467486282 1982638706 1679527675 1336284421 1114187499 1043467350 1447480702 1376833970 1619163342 1174987861 1760765614 1104252485 1144646290 1033573605 1750826525 1750865416 1952878670 1811468614 1417518218 1417379595 1003299918 1750745238 1326597063 1093295313 1982189783 1710400049 1316580939 1801980214 1477656106 1346343860 1912091679 1386661759 1033153499 1447498662 1497789267 1457378820 1528269172 1417141482 1265618607 1811944382 1013090059 1801999560 1881705952 1336662527 1518582675

PHARMACY NAME WALGREENS KROGER PHARMACY THE STATE PHARMACY STANTON DRUGS MED-SAVE BEREA CENTRAL PHARMACY - HASLETT HENRY FORD ALLEGIANCE HLTH PHC ADAMS PHARMACY PAY LESS RX PHARMACY UNITED SPECIALTY PHARMACY BRIGHTON FAMILY PHARMACY FOX HILLS MEDI-MART LTD OMNICARE OF FT. WAYNE CVS PHARMACY WALGREENS WALMART PHARMACY NATION'S MEDICINES MEIJER PHARMACY WALGREENS CUSTOM PLUS PHARMACY LTC WALGREENS CVS PHARMACY SAM'S CLUB PHARMACY LIVERNOIS EXPRESS PHARMACY HAGGERTY DRUGS AND MED SUPPLIES LAKESIDE PHARMACY KROGER PHARMACY FAMILY HEALTH CENTER PHARMACY S GENOA HEALTHCARE LLC STEWARTS PHARMACY MEIJER PHARMACY WALGREENS KROGER PHARMACY KROGER PHARMACY HARLAN MEDICAL CENTER PHCY DUNCAN CLINIC PHARMACY WALGREENS WALGREENS MEDICINE CABINET PHARMACY MEDICINE SHOPPE LONG TERM CARE MEIJER PHARMACY SAM'S CLUB PHARMACY GENOA HEALTHCARE LLC BAYVIEW RIVERSIDE PHARMACY PENINSULA PHARMACY PLUS MEIJER PHARMACY MEIJER PHARMACY SAINT CLAIR FAMILY PHARMACY LUEA PHARMACY INC MEDICINE TREE PHARMACY WELLNESS PHARMACY COMPOUNDING RICHWOOD PHARMACY MAUMEE DISCOUNT PHARMACY CLEVELAND CLINIC HILLCREST AMB SUMMA HLTH RETAIL PHCY BARBERT APOTHECARE PHARMACY UNIVERSITY HSP GENEVA MED CTR WALGREENS J&R PHARMACY OF DRAFFENVILLE MEDICAP PHARMACY CVS PHARMACY CVS PHARMACY WESTSIDE COM HLTH CTR PHARMACY SAM'S CLUB PHARMACY CVS PHARMACY WALGREENS KROGER PHARMACY WALMART PHARMACY RITE AID PHARMACY CVS PHARMACY WALMART PHARMACY NORTHSIDE NEW CONCORD PHARMACY CLEVELAND CLINIC FAIRVIEW CVS PHARMACY RITE AID PHARMACY WALGREENS CORNERSTONE CARE ASSOCIATES

ADDRESS 385 VERSAILLES RD 130 PAVILION PKWY 825 S 6TH ST 638 E COLLEGE AVE 102 PRINCE ROYAL DR STE 2 1620 HASLETT RD STE B 205 N EAST AVE 1373 DIX HWY 22480 KELLY RD STE 101A 25205 TROWBRIDGE ST 320 W GRAND RIVER AVE 1539 S OPDYKE RD 3402 CONGRESSIONAL PKWY 10451 INDIANAPOLIS BLVD 2040 LAFAYETTE AVE 4545 LAFAYETTE RD 3408 N 1ST AVE 150 MARLIN DR 200 S FORD RD 482 W NAVAJO SUITE B 931 S SAGINAW RD 3456 W SHORE DR 3600 ONEIL DR 15530 PURITAIN 2050 N HAGGERTY RD SUITE 160 15959 HALL RD STE 101 10059 E HIGHLAND RD 505 E ALCOTT ST 12800 E WARREN AVE 1013 JEFFERSON ST 2200 TIFFIN AVE 7398 WOOSTER PIKE 291 N HUBBARDS LN STE 130 5001 MUD LN 132 VILLAGE CENTER RD 1111 MEDICAL CENTER CIR 635 S DIXIE BLVD 512 W MAIN ST 230 STATE HIGHWAY 2 900 E MT VERNON STE B 4500 S HURSTBOURNE PKWY 5240 FREDERICA ST 5716 MICHIGAN AVE 2920 W JEFFERSON AVE 300 N MCCLELLAN AVE 26100 VREELAND RD 1138 W 3 MILE RD 28001 HARPER AVE 8021 MILLER RD 56109 VILLAGE CENTER CIR 215 E BIG BEAVER RD STE 500 24 W OTTAWA ST 316 W DUSSEL DR 6770 MAYFIELD ROAD 155 5TH ST NE 68353 BANNOCK RD 870 W MAIN ST 978 N MAIN ST 34 US HIGHWAY 68 E UNIT A 1588 N STATE ST 10580 E 96TH ST 5120 WESTON RD 2732 W MICHIGAN ST 2715 MERCHANT MILE 670 E MARGARET DR 200 S NAPPANEE ST 2495 CEDAR ST 621 E LAKE ST 75 S DEXTER ST 5057 HARVEY ST 970 GEHRINGER DR 10 E MAIN ST 18101 LORAIN AVE 6005 SOM CENTER RD 23709 CENTER RIDGE RD 380 W MAIN ST 8010 LAKE BONITA RD

CITY FRANKFORT NEWPORT LOUISVILLE STANTON BEREA HASLETT JACKSON LINCOLN PARK EASTPOINTE DEARBORN BRIGHTON BLOOMFIELD HLS FORT WAYNE HIGHLAND TERRE HAUTE INDIANAPOLIS EVANSVILLE GREENWOOD ZIONSVILLE WEST LAFAYETTE MIDLAND HOLLAND JACKSON DETROIT CANTON MACOMB HOWELL KALAMAZOO DETROIT GREENFIELD FINDLAY CINCINNATI LOUISVILLE LOUISVILLE HARLAN MAYFIELD RADCLIFF LEBANON OLIVE HILL SOMERSET LOUISVILLE OWENSBORO DETROIT TRENTON MARQUETTE FLAT ROCK SAULT SAINT MARIE SAINT CLAIR SHORES SWARTZ CREEK MATTAWAN TROY RICHWOOD MAUMEE MAYFIELD HGTS BARBERTON ST CLAIRSVILLE GENEVA MONTICELLO BENTON GREENFIELD FISHERS EVANSVILLE INDIANAPOLIS COLUMBUS TERRE HAUTE ELKHART HOLT TAWAS CITY PINCKNEY MUSKEGON FOWLERVILLE NEW CONCORD CLEVELAND WILLOUGHBY WESTLAKE MOREHEAD CATLETTSBURG

STATE

COUNTY

KY FRANKLIN

KY CAMPBELL

KY JEFFERSON

KY POWELL

KY MADISON

MI INGHAM

MI JACKSON

MI WAYNE

MI MACOMB

MI WAYNE

MI LIVINGSTON

MI OAKLAND

IN

ALLEN

IN

LAKE

IN

VIGO

IN

MARION

IN

VANDERBURGH

IN

JOHNSON

IN

BOONE

IN

TIPPECANOE

MI MIDLAND

MI OTTAWA

MI JACKSON

MI WAYNE

MI WAYNE

MI MACOMB

MI LIVINGSTON

MI KALAMAZOO

MI WAYNE

OH HIGHLAND

OH HANCOCK

OH HAMILTON

KY JEFFERSON

KY JEFFERSON

KY HARLAN

KY GRAVES

KY HARDIN

KY MARION

KY CARTER

KY PULASKI

KY JEFFERSON

KY DAVIESS

MI WAYNE

MI WAYNE

MI MARQUETTE

MI WAYNE

MI CHIPPEWA

MI MACOMB

MI GENESEE

MI VAN BUREN

MI OAKLAND

OH UNION

OH LUCAS

OH CUYAHOGA

OH SUMMIT

OH BELMONT

OH ASHTABULA

KY WAYNE

KY MARSHALL

IN

HANCOCK

IN

HAMILTON

IN

VANDERBURGH

IN

MARION

IN

BARTHOLOMEW

IN

VIGO

IN

ELKHART

MI INGHAM

MI IOSCO

MI LIVINGSTON

MI MUSKEGON

MI LIVINGSTON

OH MUSKINGUM

OH CUYAHOGA

OH LAKE

OH CUYAHOGA

KY ROWAN

KY BOYD

ZIP

PHONE

40601 (502)-695-7364

41071 (859)-292-5680

40203 (502)-583-5636

40380 (606)-663-8990

40403 (859)-985-7283

48840 (517)-339-0300

49201 (517)-205-4907

48146 (313)-381-0070

48021 (586)-222-2224

48124 (313)-558-9448

48116 (810)-588-6163

48304 (248)-858-2225

46808 (260)-484-7366

46322 (219)-924-2829

47805 (812)-466-7536

46254 (317)-328-0401

47710 (812)-422-8255

46142 (317)-885-3010

46077 (317)-733-8732

47906 (765)-463-2600

48640 (989)-631-0910

49424 (616)-820-0094

49202 (517)-788-5961

48227 (313)-659-1622

48187 (734)-981-7340

48044 (586)-532-4141

48843 (810)-991-2352

49001 (269)-488-8516

48215 (313)-347-2025

45123 (937)-981-3245

45840 (419)-427-4010

45227 (513)-271-3131

40207 (502)-895-8337

40229 (502)-962-8022

40831 (606)-573-2004

42066 (270)-247-7000

40160 (270)-352-0880

40033 (270)-692-0471

41164 (606)-286-2035

42501 (606)-679-9227

40299 (502)-493-4910

42301 (270)-683-1930

48210 (313)-989-0536

48183 (734)-676-3784

49855 (906)-225-1450

48134 (734)-984-1110

49783 (906)-253-2810

48081 (586)-871-2727

48473 (810)-635-0438

49071 (269)-668-6801

48083 (248)-817-6770

43344 (740)-943-2233

43537 (419)-887-0101

44124 (440)-312-5854

44203 (330)-615-3265

43950 (740)-695-7750

44041 (440)-415-0204

42633 (606)-348-8478

42025 (270)-527-9374

46140 (317)-462-7877

46037 (317)-849-6406

47712 (812)-424-4811

46222 (317)-554-4616

47201 (812)-373-9273

47802 (812)-232-1410

46514 (574)-293-2063

48842 (517)-694-8412

48763 (989)-984-0924

48169 (734)-878-2047

49444 (231)-798-7507

48836 (517)-223-1106

43762 (740)-826-4000

44111 (216)-476-7119

44094 (440)-946-7252

44145 (440)-356-3433

40351 (606)-783-1581

41129 (502)-209-9351

NCPDP 2369432 2370132 2370144 2372198 2372681 2373378 3637090 3643574 3645922 3646570 3647534 1828207 1829184 1830214 1830872 2375790 2377376 2377629 2377756 2378063 2379243 2379673 2380068 2381135 2382961 2383002 2385169 3681663 3683465 3683756 3684633 3686093 1531575 1533442 1535612 1535763 1536018 1536676 1560576 1560829 1561732 1561845 1562885 1563419 1563786 1564170 1564346 1564904 1567289 2362705 2365713 2365890 2366424 2366688 2366715 2367616 2368606 3634056 3634119 3641265 3646455 3647279 3647825 1821087 1828411 1833119 1834856 1835668 2375613 2384143 2384535 3681435 3682728 3684049 3684443 3684455 3684467

NPI 1851417836 1851590210 1699965376 1922243435 1346483781 1295062941 1457454100 1407871114 1962447979 1245394469 1801905146 1730294760 1568474625 1629279179 1336397223 1942580972 1487908851 1508105404 1508106121 1528401585 1356760730 1063820512 1730585019 1134598170 1306383005 1932648896 1235620626 1306268925 1588049779 1275906554 1558811257 1417444399 1659444172 1902979420 1255346391 1144243445 1255434775 1881609923 1942241864 1114968039 1467651281 1740462084 1538484845 1407144777 1629355482 1881969921 1447501580 1053747071 1285095331 1841398823 1730194028 1750446639 1093720393 1366457665 1821195108 1619019957 1174638100 1255400594 1649373390 1467555128 1710992672 1609965334 1174632418 1992711519 1184729980 1376738120 1043604812 1235688920 1194019182 1376055079 1063920981 1639507106 1740681345 1962861047 1518410869 1417400813 1225581150

PHARMACY NAME RITE AID PHARMACY CRYSTAL FALLS PHARMACY SHEBA DISCOUNT PHARMACY GOOD HEALTH PHARMACY VALUE CENTER PHARMACY II TOMS FAMILY MARKET PHARMACY CVS PHARMACY KROGER PHARMACY DISCOUNT DRUG MART UCMC HOXWORTH PHARMACY RITE AID PHARMACY ELKHORN DRUG MED EXPRESS PHARMACY WALMART PHARMACY WALGREENS GREAT LAKES PHARMACY OF MIDLAND WARREN PHARMACY PHARMOR PHARMACY- GRAND LAHSER DECATUR VILLAGE PHARMACY HEIGHTS INKSTER PHARMACY MAPLE PHARMACY INC VILLA LINDE PHARMACY GENOA HEALTHCARE LLC WALGREENS YOUR PHARMACY GREAT LAKES PHARMACY LLC WALGREENS KROGER PHARMACY CARE ALLIANCE PHARMACY CHAMPION DISCOUNT PHARMACY DIAMOND PHARMACY SERVICES SUNRISE TREATMENT CENTER KROGER PHARMACY KROGER PHARMACY WALGREENS CVS PHARMACY CVS PHARMACY WALGREENS CVS PHARMACY CVS PHARMACY CVS PHARMACY WALGREENS GENOA HEALTHCARE LLC CUSTOM DOSING PHARMACY CORAM CVS/SPLTY INFUSION SVCS ALIXA RX WALGREENS WALMART PHARMACY CLAY CITY PHARMACY HENRY FORD MACOMB PHARMACY WALGREENS MEIJER PHARMACY WALGREENS WALGREENS CRARY DRUG BELAVISTA DRUGS GENOA HEALTHCARE LLC NEIMAYER PHARMACY INC CVS PHARMACY CVS PHARMACY GROUP HEALTH PHARMACY RITE AID PHARMACY RITE AID PHARMACY MEDCARE PHARMACY AND HOME MEDICAL MED CARE PHARMACY MEIJER PHARMACY TJ PAVILION PHARMACY SOUTH SHORE FAMILY HLTH CNTR PHCY CAMPUS PHARMACY KNIGHT DRUGS DMC PIONEER PHARMACY SERVICES EQUITAS HEALTH PHARMACY DRUGSTORE SOLUTIONS SOMC PHARMACY SOUTH CAMPUS METROHEALTH BRECKSVILLE PHCY NORTHSIDE CAMBRIDGE PHARMACY TOLEDO FAMILY PHARMACY

ADDRESS 4151 S CANTON CENTER RD 1363 US HIGHWAY 2 10136 VERNOR HWY 13821 W 9 MILE RD 1485 W 14 MILE RD 20597 STATE ST 111 S MEMORIAL DR 4925 JACKMAN RD 8191 COLUMBIA RD 3130 HIGHLAND AVE RM G200 14701 PEARL RD 105 E ELKHORN ST 212 S MAYO TRAIL 12981 SHELBYVILLE RD 528 W TENNESSEE AVE 1120 EASTMAN AVE 28792 RYAN RD 21673 GRAND RIVER AVE 108B E DELAWARE ST 349 INKSTER RD 5829 W MAPLE RD # 129 1260 S LINDEN RD 110 N 4TH AVE STE 1100 1007 MEMORIAL RD 713 N WAVERLY RD 3247 BIDDLE AVE STE A 3990 JOHN R ST STE 1460 LANDING 1 9997 CARVER RD 2916 CENTRAL AVE 4299 MAHONING AVE NW 975 EASTWIND DR STE 115 160 N BREIEL BLVD 680 TWIN AIRE DR 6002 SAINT JOE CENTER RD 20 W MAIN ST 10209 E US HIGHWAY 36 4935 S ARLINGTON AVE 1900 S OHIO ST 510 S COLLEGE MALL RD 2051 S BEND AVE 6511 WHITESTOWN PKWY 812 W BROADWAY ST 281 BIELBY RD 2701 BEECH ST, UNIT R 11711 N COLLEGE AVE STE 125 5635 W 96TH ST 107 ST LIAM HALL 4924 S MAPLE TREE DR 730 MAIN ST 30795 23 MILE RD 1220 N MITCHELL ST 2799 10 MILE RD NE 5709 S TELEGRAPH RD 1011 M 32 W 8941 LEWIS AVE 15830 FORT ST STE 5 50680 CORPORATE DR STE 2 112 E MAIN ST 251 E BROADWAY ST 371 LUDLOW AVE 2001 ANDERSON FERRY RD 614 BRADSHAW AVE 307 BOARDMAN CANFIELD RD 165 WALNUT HWY 51 12509 REBECCA AVE 4990 HOUSTON RD 310 N.L. ROGERS WELLS BLVD 142 DEPOT DRIVE 1015 NORTH THIRD ST. 4501 WOODWARD AVE SUITE 104A 24615 HALSTED RD 1222 S PATTERSON BLVD STE 110 580 CRAIG DR STE 12 1248 KINNEYS LN 9200 TREEWORTH BOULEVARD 1300 CLARK STREET SUITE 4 324 MAIN ST

CITY CANTON CRYSTAL FALLS DEARBORN OAK PARK MADISON HEIGHTS ONAWAY LANCASTER TOLEDO OLMSTED FALLS CINCINNATI STRONGSVILLE ELKHORN CITY PAINTSVILLE MIDDLETOWN PINEVILLE MIDLAND WARREN DETROIT DECATUR INKSTER WEST BLOOMFIELD FLINT ANN ARBOR HOUGHTON LANSING WYANDOTTE DETROIT BLUE ASH CLEVELAND WARREN WESTERVILLE MIDDLETOWN INDIANAPOLIS FORT WAYNE BROWNSBURG AVON INDIANAPOLIS MARTINSVILLE BLOOMINGTON SOUTH BEND ZIONSVILLE MONTICELLO LAWRENCEBURG VALPARAISO CARMEL INDIANAPOLIS NOTRE DAME PRINCETON CLAY CITY CHESTERFIELD CADILLAC ROCKFORD DEARBORN HEIGHTS ALPENA TEMPERANCE SOUTHGATE SHELBY TOWNSHIP SCIO NEW LEXINGTON CINCINNATI CINCINNATI EAST LIVERPOOL YOUNGSTOWN ARLINGTON ASHLAND FLORENCE GLASGOW SOUTH SHORE MARQUETTE DETROIT FARMINGTON HILLS DAYTON PERRYSBURG PORTSMOUTH BRECKSVILLE CAMBRIDGE TOLEDO

STATE

COUNTY

MI WAYNE

MI IRON

MI WAYNE

MI OAKLAND

MI OAKLAND

MI PRESQUE ISLE

OH FAIRFIELD

OH LUCAS

OH CUYAHOGA

OH HAMILTON

OH CUYAHOGA

KY PIKE

KY JOHNSON

KY JEFFERSON

KY BELL

MI MIDLAND

MI MACOMB

MI WAYNE

MI VAN BUREN

MI WAYNE

MI OAKLAND

MI GENESEE

MI WASHTENAW

MI HOUGHTON

MI EATON

MI WAYNE

MI WAYNE

OH HAMILTON

OH CUYAHOGA

OH TRUMBULL

OH FRANKLIN

OH BUTLER

IN MARION

IN ALLEN

IN HENDRICKS

IN HENDRICKS

IN MARION

IN MORGAN

IN MONROE

IN ST. JOSEPH

IN BOONE

IN WHITE

IN DEARBORN

IN PORTER

IN HAMILTON

IN MARION

IN ST. JOSEPH

IN GIBSON

IN CLAY

MI MACOMB

MI WEXFORD

MI KENT

MI WAYNE

MI ALPENA

MI MONROE

MI WAYNE

MI MACOMB

OH HARRISON

OH PERRY

OH HAMILTON

OH HAMILTON

OH COLUMBIANA

OH MAHONING

KY CARLISLE

KY BOYD

KY BOONE

KY BARREN

KY GREENUP

MI MARQUETTE

MI WAYNE

MI OAKLAND

OH MONTGOMERY

OH WOOD

OH SCIOTO

OH CUYAHOGA

OH GUERNSEY

OH LUCAS

ZIP

PHONE

48188 (734)-394-0027

49920 (906)-875-3601

48120 (313)-841-8820

48237 (248)-541-0600

48071 (248)-583-1854

49765 (989)-733-4106

43130 (740)-653-2631

43613 (419)-475-9103

44138 (440)-235-8787

45219 (513)-584-8828

44136 (440)-572-0455

41522 (606)-754-0221

41240 (606)-789-1444

40243 (502)-244-2276

40977 (606)-337-1444

48640 (989)-835-7911

48092 (586)-510-4252

48219 (313)-533-0500

49045 (269)-423-6770

48141 (313)-551-3062

48322 (248)-757-2503

48532 (810)-820-9855

48104 (734)-418-0448

49931 (906)-231-8007

48917 (517)-253-7512

48192 (734)-284-5100

48201 (313)-966-3148

45242 (513)-737-1060

44115 (216)-706-0000

44483 (234)-806-3137

43081 (888)-503-2524

45042 (513)-941-4999

46203 (317)-264-1755

46835 (260)-492-2054

46112 (317)-858-7834

46123 (317)-271-6598

46237 (317)-791-3822

46151 (765)-349-2340

47401 (812)-336-0279

46637 (574)-273-0080

46077 (317)-769-5986

47960 (574)-583-3706

47025 (812)-539-3300

46383 (219)-465-2181

46032 (317)-819-4900

46278 (317)-873-7450

46556 (574)-239-3847

47670 (812)-385-0757

47841 (812)-939-2173

48047 (586)-421-3020

49601 (231)-775-9166

49341 (616)-863-3410

48125 (313)-292-1599

49707 (989)-354-8784

48182 (734)-847-6788

48195 (734)-282-1940

48315 (586)-323-8270

43988 (740)-945-8005

43764 (740)-342-4137

45220 (513)-281-4475

45238 (513)-922-1645

43920 (330)-386-6210

44512 (330)-758-2824

42021 (270)-655-6151

41102 (606)-929-9633

41042 (859)-746-6310

42141 (270)-659-5599

41175 (606)-932-2138

49855 (906)-225-5911

48202 (313)-832-5800

48335 (248)-957-6100

45402 (937)-424-1440

43551 (419)-873-9100

45662 (740)-356-7955

44141 (216)-957-6337

43725 (740)-255-5844

43605 (419)-930-5830

NCPDP 3685065 3685370 3685813 3685837 3687704 1536183 1559927 1562328 1562998 1563318 1564079 1564574 2365004 2365345 2367197 2368745 2372201 2373936 3622493 1565792 2363365 2364381 2364595 2365218 2367262 2367832 2368529 2368911 2373734 3637850 3640427 3648233 1837321 1837852 1839008 2348793 2349822 2350534 2351702 2355267 2356877 2361513 3657131 3661495 3663918 3664542 3667740 3667815 2303965 2322458 1531854 1536145 1537161 1537262 1560209 1560689 1562102 1565552 1566819 2363086 2364824 2365016 2365270 2365749 2369393 2369913 2370790 3636199 2368365 2369014 2371615 3636771 3638903 3644691 1820720 1822154 1824401

NPI 1619409109 1922524859 1114434651 1013427475 1659911105 1366521189 1275583676 1902055908 1528387685 1053601120 1083985956 1568806057 1740214519 1376576959 1053476960 1245312610 1053556373 1790002921 1053493858 1922099811 1487764213 1013017342 1578585246 1104936723 1710992011 1629095096 1477576916 1336226935 1346564259 1861403420 1629092168 1093826174 1659894657 1366917874 1144828724 1477538056 1215014311 1144304890 1760416507 1871511204 1649329244 1437171105 1003833294 1184636359 1104935451 1003830357 1316952237 1386661585 1053327353 1871509174 1497797963 1336154475 1770505497 1114995784 1295830578 1730120635 1790942936 1063817161 1588049621 1316049745 1346265048 1659305423 1942252499 1407949845 1497879225 1871793554 1235323999 1700995032 1265465447 1487713582 1639326986 1790768539 1427167758 1326036039 1558395376 1265459580 1457453714

PHARMACY NAME CENTRAL OHIO UROLOGY GROUP INC CVS PHARMACY BUCKHEAD PHARMACY GENOA HEALTHCARE LLC PILLBOX PHARMACY MARTIN'S PHARMACY ACCESS TO CARE CVS PHARMACY GENOA HEALTHCARE LLC CVS PHARMACY MEIJER PHARMACY ST CATHERINE OUTPATIENT PHCY KROGER PHARMACY PHARMERICA MEIJER PHARMACY CVS PHARMACY HENRY FORD MEDICAL CENTER PHARMACY CVS PHARMACY RISCH DRUG STORE INC FIRST UROLOGY PSC RITE AID PHARMACY FAMILY FARE PHARMACY CVS PHARMACY COSTCO PHARMACY WALGREENS WALMART PHARMACY WALGREENS WALGREENS OAK PARK PHARMACY MORRISTOWN PHARMACY INC AGMC OUTPATIENT PHCY RITE AID PHARMACY WALGREENS BOYD COUNTY PHARMACY VICCO PHARMACY GARDEN CITY HOSPITAL PHCY OUT SHELBY PHARMACY HOMETOWN PHARMACY KROGER PHARMACY WALMART PHARMACY MEIJER PHARMACY CVS PHARMACY WALMART PHARMACY CORAM CVS/SPLTY INFUSION SVCS RITE AID PHARMACY RITE AID PHARMACY GIANT EAGLE PHARMACY WALMART PHARMACY RITE AID PHARMACY RITE AID PHARMACY CORAM CVS/SPLTY INFUSION SVCS WALGREENS CVS PHARMACY WEST RETAIL PHARMACY JR PHARMACY CVS PHARMACY CVS PHARMACY INNOVATIVE RX GENOA HEALTHCARE LLC KEYSTONE PHARMACY KROGER PHARMACY KROGER PHARMACY OPTION CARE ALCONA HEALTH CENTER PHARMACY SVCS WALGREENS KROGER PHARMACY CENTRAL PHARMACY PATIENT CARE RITE AID PHARMACY WALGREENS D & W PHARMACY WALGREENS MEDICINE AND MORE RITE AID PHARMACY SCRIPTSHOP KROGER PHARMACY WALMART PHARMACY WALGREENS

ADDRESS 350 W WILSON BRIDGE RD STE250 2104 S BYRNE RD 730 SOM CENTER RD STE 100 800 COMMERCE DR STE 115 324 MAIN ST SUITE B 865 E JEFFERSON ST 3645 N BRIARWOOD LN STE D 13085 TEGLER DR 505 N WABASH AVE 6710 HIGHWAY 311 611 US 30 4321 FIR ST 850 S MONROE ST 4575 44TH ST SE STE A 28800 TELEGRAPH RD 30333 SOUTHFIELD RD 39450 W 12 MILE RD 5449 JACKSON RD 533 N COLUMBUS ST 101 HOSPITAL BLVD 2506 E HILL RD 993 BUTTERNUT DR 4300 24TH AVE 3000 COMMERCE XING 2643 KALAMAZOO AVE SE 6170 S SAGINAW RD 3520 S BALDWIN RD 1171 E SHERMAN BLVD 21675 COOLIDGE HWY 66840 BELMONT MORRISTOWN RD 1 AKRON GENERAL AVE 304 E STATE ST 152 COLLINS CIR 12544 US RT 60 10616 S KY HIGHWAY 15 6255 INKSTER RD STE 106 178 N MICHIGAN AVE 730 W SHAW ST 2907 KRAFFT RD 1180 M 32 W 1997 E BELTLINE AVE NE 3749 CARPENTER RD 9303 MENTOR AVE 4305 MUHLHAUSER RD STE 1 6655 N RIDGE RD 780 HIGH ST 36475 EUCLID AVE 3520 HUDSON DR 2880 E HIGHLAND RD G4033 FENTON RD 431 FERNHILL AVE 6191 N KEYSTONE AVE 1865 N NATIONAL RD 1111 RONALD REAGAN PKWY 1330 N LINCOLN RD 3910 W 3RD ST 100 E STATE ROAD 231 11954 FISHERS CROSSING DR 65 AIRPORT PKWY STE 109 4021 CASCADE RD SE 2010 WHITTAKER RD 3833 N DIXIE HWY 27005 HILLS TECH CT 1185 US HIGHWAY 23 N 1410 S US HIGHWAY 27 43893 SCHOENHERR RD 3955 PATIENT CARE WAY 3527 CANFIELD RD 1490 N ROCHESTER RD 2103 PARKVIEW AVE 1301 N US HIGHWAY 31 100 FORT JEFFERSON AVE 5765 SECOR ROAD 4254 ERIE AVE SW 1309 US HWY 127 S STE H 1859 BYPASS RD 402 2ND ST

CITY WORTHINGTON TOLEDO MAYFIELD VILLAGE PERRYSBURG TOLEDO PLYMOUTH MUNCIE NOBLESVILLE MARION SELLERSBURG MERRILLVILLE EAST CHICAGO MONROE GRAND RAPIDS SOUTHFIELD SOUTHFIELD NOVI ANN ARBOR LANCASTER JEFFERSONVILLE GRAND BLANC HOLLAND FORT GRATIOT COMMERCE TWP GRAND RAPIDS GRAND BLANC LAKE ORION NORTON SHORES OAK PARK BELMONT AKRON ALLIANCE PRESTONSBURG ASHLAND SCUDDY GARDEN CITY SHELBY HOWARD CITY PORT HURON ALPENA GRAND RAPIDS YPSILANTI MENTOR FAIRFIELD MADISON WADSWORTH WILLOUGHBY STOW HIGHLAND BURTON FORT WAYNE INDIANAPOLIS COLUMBUS AVON ROCKVILLE BLOOMINGTON CROWN POINT FISHERS GREENWOOD GRAND RAPIDS YPSILANTI MONROE FARMINGTN HILLS ALPENA SAINT JOHNS STERLING HEIGHTS LANSING YOUNGSTOWN ROCHESTER KALAMAZOO PETOSKEY GREENVILLE TOLEDO NAVARRE FRANKFORT WINCHESTER HENDERSON

STATE

COUNTY

OH FRANKLIN

OH LUCAS

OH CUYAHOGA

OH WOOD

OH LUCAS

IN

MARSHALL

IN

DELAWARE

IN

HAMILTON

IN

GRANT

IN

CLARK

IN

LAKE

IN

LAKE

MI MONROE

MI KENT

MI OAKLAND

MI OAKLAND

MI OAKLAND

MI WASHTENAW

OH FAIRFIELD

IN

CLARK

MI GENESEE

MI OTTAWA

MI ST. CLAIR

MI OAKLAND

MI KENT

MI GENESEE

MI OAKLAND

MI MUSKEGON

MI OAKLAND

OH BELMONT

OH SUMMIT

OH STARK

KY FLOYD

KY BOYD

KY PERRY

MI WAYNE

MI OCEANA

MI MONTCALM

MI ST. CLAIR

MI ALPENA

MI KENT

MI WASHTENAW

OH LAKE

OH BUTLER

OH LAKE

OH MEDINA

OH LAKE

OH SUMMIT

MI OAKLAND

MI GENESEE

IN ALLEN

IN MARION

IN

BARTHOLOMEW

IN

HENDRICKS

IN

PARKE

IN

MONROE

IN

LAKE

IN

HAMILTON

IN

JOHNSON

MI KENT

MI WASHTENAW

MI MONROE

MI OAKLAND

MI ALPENA

MI CLINTON

MI MACOMB

MI INGHAM

OH MAHONING

MI OAKLAND

MI KALAMAZOO

MI EMMET

OH DARKE

OH LUCAS

OH STARK

KY FRANKLIN

KY CLARK

KY HENDERSON

ZIP

PHONE

43085 (614)-396-2541

43614 (419)-389-9112

44143 (440)-605-0303

43551 (419)-931-6383

43605 (844)-877-1234

46563 (574)-936-7334

47304 (765)-282-4766

46060 (317)-770-7089

46952 (765)-662-9670

47172 (812)-246-2241

46410 (219)-650-3710

46312 (219)-392-7691

48161 (734)-457-1078

49512 (616)-954-6833

48034 (248)-304-9510

48076 (248)-430-0063

48377 (248)-344-0705

48103 (734)-332-3872

43130 (740)-653-1324

47130 (812)-282-3899

48439 (810)-606-1004

49424 (616)-399-4100

48059 (810)-385-5930

48390 (248)-529-2305

49507 (616)-452-4870

48439 (810)-603-9765

48359 (248)-393-2934

49444 (231)-733-8465

48237 (248)-582-8807

43718 (740)-782-1230

44307 (330)-344-7732

44601 (330)-823-6921

41653 (606)-886-3884

41102 (606)-929-5301

41760 (606)-476-2183

48135 (734)-458-4224

49455 (231)-861-4341

49329 (231)-937-5282

48060 (810)-987-6346

49707 (989)-354-0731

49525 (616)-447-1510

48197 (734)-975-4675

44060 (440)-974-3301

45014 (513)-874-1161

44057 (440)-428-1128

44281 (330)-336-2550

44094 (440)-946-7714

44224 (330)-923-8338

48356 (248)-887-4121

48529 (810)-239-4614

46805 (260)-484-4637

46220 (317)-257-6746

47201 (812)-376-6938

46123 (317)-217-3355

47872 (765)-569-6900

47404 (812)-339-4006

46307 (219)-662-8854

46038 (317)-845-9820

46143 (317)-807-6292

49546 (616)-974-9792

48197 (734)-547-1847

48162 (734)-289-6310

48331 (800)-323-6961

49707 (989)-358-3950

48879 (989)-224-2052

48313 (586)-685-1346

48911 (517)-393-1000

44511 (330)-797-9485

48307 (248)-601-1584

49008 (269)-344-2513

49770 (231)-348-7510

45331 (937)-547-1642

43623 (419)-473-2451

44662 (330)-879-5626

40601 (502)-875-0127

40391 (859)-744-6055

42420 (270)-830-6502

NCPDP 1827938 1828485 1828625 1828992 1833121 1834717 1835202 1835795 2376968 2378289 2379990 2380157 2380347 2383076 2383278 2383709 2385498 3682689 3684075 3685154 1835896 1837282 1837573 1531323 1535876 1560502 1560805 1561225 1561667 1561706 1562796 1563887 1564966 2363113 2364482 2367248 2367286 2367680 2367731 3640415 3645819 1836735 1839236 2349113 2350065 2350750 2355560 2361715 3656571 3659983 3660607 3663374 3664972 3667473 3668362 3668463 2306935 2307711 2322509 2330102 2333920 2337726 2339807 2345153 2347474 3900164 3900570 3900809 3901457 3901522 3902411 3904516 1535066 1536246 1537159 1560514 1561720

NPI 1902970304 1588698344 1750487260 1700808441 1295091999 1467858969 1710343611 1265974117 1538424858 1265865372 1255738746 1104214014 1144612466 1740725514 1174055925 1891211652 1962987685 1174921209 1053772715 1962937193 1598201436 1205359676 1477055499 1780699819 1245247287 1194742569 1396786216 1336227826 1790989879 1639375066 1770819872 1033489844 1104257146 1023120995 1962504258 1275550642 1740390368 1225182959 1720012594 1609889575 1447353107 1467975474 1144804378 1689776924 1265447379 1235272568 1437251725 1609883693 1437163706 1275550469 1093804783 1184727646 1942215967 1356445175 1245212869 1487676193 1326056391 1578579306 1316059249 1982701868 1174696926 1588773022 1154433084 1093827933 1215077656 1598771263 1730283565 1720182553 1588763825 1023117363 1801990643 1912006271 1710050232 1154343879 1861414583 1922025410 1508063777

PHARMACY NAME DANVILLE GOOD NEIGHBOR PHARMACY KROGER PHARMACY MED SAVE WILMORE CVS PHARMACY JENCARE NEIGHBORHOOD MED CTR HCA PHARMACY & MED EQUIPMENT WALMART PHARMACY CVS PHARMACY CENTERLINE CITY PHARMACY LLC MADHAV PHARMACY LLC BENTON HARBOR COMMUNITY PHCY WEST MICHIGAN PHARMACY TROY CITY PHARMACY INC MEIJER PHARMACY PRIME PHARMACY LUXCARE PHARMACY LLC PHARMACY 4 LESS V CVS PHARMACY METROHEALTH PARMA PHARMACY CAREPOINT PHARMACY MEDICAL ARTS PHARMACY WALGREENS COMMUNITY A WALGREENS PHCY WALGREENS WALGREENS WALMART PHARMACY CVS PHARMACY WALGREENS SCOTTS PHARMACY ACCREDO HEALTH GROUP INC YOUNG AT HEART PHARMACY MEIJER PHARMACY CVS PHARMACY CVS PHARMACY CVS PHARMACY SAM'S CLUB PHARMACY COSTCO PHARMACY WALGREENS KROGER PHARMACY MEDICINE SHOPPE CVS PHARMACY WALGREENS ARH HAROLD PHARMACY CVS PHARMACY WALGREENS CENTRAL LAKE PHARMACY CVS PHARMACY WALGREENS TMMG PHARMACY WALMART PHARMACY WEST CENTRAL PHARMACY CVS PHARMACY WALGREENS CVS PHARMACY CLEVELAND CLINIC SURGERY CTR PHARM CVS PHARMACY PAUL'S PHARMACY INC WARES PHARMACY CVS PHARMACY HOMETOWN PHARMACY HUDSON PHARMACY RITE AID PHARMACY CVS PHARMACY CVS PHARMACY MEIJER PHARMACY MAINLINE PHARMACY SOMERSET CVS PHARMACY CVS PHARMACY RITE AID PHARMACY RITE AID PHARMACY CVS PHARMACY RITE AID PHARMACY KROGER PHARMACY CVS PHARMACY CVS PHARMACY WALMART PHARMACY CVS PHARMACY

ADDRESS 60 CASSIDY WAY 3 3165 S 2ND ST 201 E MAIN ST 4640 TAYLORSVILLE RD 8019 DIXIE HWY STE 101 1113 W LEXINGTON AVE 6501 VETERANS MEMORIAL PKWY 1473 KENTUCKY ST 8033 E 10 MILE RD STE 103 24800 HARPER AVE SUITE 2 800 M 139 20095 GILBERT RD 1903 E WATTLES RD 505 N 26TH ST 1948 FORD AVE 2503 CAPITAL AVE SW 8139 E 7 MILE RD 10160 INTERNATIONAL BLVD 12301 SNOW ROAD 1313 CAMERON AVE 1169 EASTERN PKWY STE 1110 6401 POLO CLUB LANE 393 WALLER AVE STE 5 4555 N SHADELAND AVE 6202 W JEFFERSON BLVD 1133 N EMERSON AVE 11627 FOX RD 3700 NATIONAL RD E 4120 N CLINTON ST 2825 WEST PERIMETER RD STE 112 101 W 103RD ST 3600 PORTAGE AVE 770 E DUPONT RD 10073 E HIGHLAND RD 1325 E COMMERCE RD 31020 JOHN R RD 4901 WILSON AVE SW 4909 WAYNE RD 700 N STATE RD 114 N MAIN ST 1211 MORSE RD 1320 CUMBERLAND FALLS HWY 24 LEFT PENHOOK RD 131 ELM ST 800 LEONARD ST NW 2424 N MAIN ST 22250 MIDDLEBELT RD 3336 S DORT HWY 2600 STATE ROUTE 5 2850 MAPLE AVE 2109 HUGHES DR STE 804 20641 FAIRMOUNT BLVD 3020 MAYFIELD RD 601 E MAIN ST 8950 EUCLID AVE 5555 YOUNGSTOWN WARREN RD 803 LINCOLN AVE 304 S JEFFERSON ST 7291 N MIDDLEBELT RD 5277 LAPEER RD 325 RAILROAD ST STE D 9090 MILLER RD 23391 FARMINGTON RD 2100 W STADIUM BLVD 1800 HOLTON RD 168 W MAIN STREET 1000 N MARKET ST 202 4TH ST 1020 LIBERTY ST 4011 WILLIAM PENN HWY 2080 S QUEEN ST 1500 GARRETT RD 1330 W SOUTHPORT RD 3938 MIDWAY RD 1400 E IRELAND RD 1501 E 29TH ST 5981 W BROADWAY

CITY DANVILLE LOUISVILLE WILMORE LOUISVILLE LOUISVILLE WINCHESTER CRESTWOOD BOWLING GREEN CENTER LINE SAINT CLAIR SHORES BENTON HARBOR BIG RAPIDS TROY ESCANABA WYANDOTTE BATTLE CREEK DETROIT WEST CHESTER PARMA LEWIS CENTER LOUISVILLE LEXINGTON LEXINGTON INDIANAPOLIS FORT WAYNE GREENWOOD INDIANAPOLIS RICHMOND FORT WAYNE INDIANAPOLIS INDIANAPOLIS SOUTH BEND FORT WAYNE HOWELL COMMERCE TOWNSHIP MADISON HEIGHTS WYOMING BATTLE CREEK DAVISON BALTIMORE COLUMBUS CORBIN HAROLD WYANDOTTE GRAND RAPIDS CENTRAL LAKE FARMINGTON HILLS FLINT CORTLAND ZANESVILLE TOLEDO SHAKER HEIGHTS CLEVELAND HEIGHTS CANFIELD CLEVELAND NILES HOLLAND MASON WESTLAND KIMBALL HUDSON SWARTZ CREEK FARMINGTON ANN ARBOR NORTH MUSKEGON SOMERSET SELINSGROVE HONESDALE FRANKLIN MONROEVILLE YORK UPPER DARBY INDIANAPOLIS GOSHEN SOUTH BEND MUNCIE MCCORDSVILLE

STATE

COUNTY

KY BOYLE

KY JEFFERSON

KY JESSAMINE

KY JEFFERSON

KY JEFFERSON

KY CLARK

KY OLDHAM

KY WARREN

MI MACOMB

MI MACOMB

MI BERRIEN

MI MECOSTA

MI OAKLAND

MI DELTA

MI WAYNE

MI CALHOUN

MI WAYNE

OH BUTLER

OH CUYAHOGA

OH DELAWARE

KY JEFFERSON

KY FAYETTE

KY FAYETTE

IN MARION

IN ALLEN

IN JOHNSON

IN MARION

IN

WAYNE

IN ALLEN

IN MARION

IN HAMILTON

IN ST. JOSEPH

IN ALLEN

MI LIVINGSTON

MI OAKLAND

MI OAKLAND

MI KENT

MI CALHOUN

MI GENESEE

OH FAIRFIELD

OH FRANKLIN

KY WHITLEY

KY FLOYD

MI WAYNE

MI KENT

MI ANTRIM

MI OAKLAND

MI GENESEE

OH TRUMBULL

OH MUSKINGUM

OH LUCAS

OH CUYAHOGA

OH CUYAHOGA

OH MAHONING

OH CUYAHOGA

OH TRUMBULL

MI ALLEGAN

MI INGHAM

MI WAYNE

MI ST. CLAIR

MI LENAWEE

MI GENESEE

MI OAKLAND

MI WASHTENAW

MI MUSKEGON

PA SOMERSET

PA SNYDER

PA WAYNE

PA VENANGO

PA ALLEGHENY

PA YORK

PA DELAWARE

IN

MARION

IN

ELKHART

IN

ST. JOSEPH

IN

DELAWARE

IN

HANCOCK

ZIP

PHONE

40422 (859)-936-1222

40208 (502)-368-6153

40390 (859)-858-2453

40220 (502)-493-2732

40258 (502)-333-3121

40391 (859)-745-4445

40014 (502)-241-3959

42101 (270)-783-8551

48015 (586)-427-5344

48080 (586)-359-2326

49022 (269)-218-1675

49307 (231)-305-4095

48085 (248)-688-9224

49829 (906)-233-1110

48192 (734)-309-7082

49015 (269)-883-9900

48234 (313)-891-2335

45246 (855)-513-6337

44130 (216)-957-6337

43035 (855)-237-9112

40217 (502)-709-5532

40509 (859)-294-0510

40504 (859)-551-4447

46226 (317)-542-7782

46804 (260)-432-5120

46143 (317)-885-0139

46236 (317)-823-0824

47374 (765)-935-2760

46805 (260)-483-3185

46241 (800)-870-6419

46290 (866)-308-4990

46628 (574)-273-3410

46825 (260)-451-8242

48843 (810)-632-9432

48382 (248)-360-5461

48071 (248)-589-1863

49418 (616)-406-2678

49037 (269)-963-5991

48423 (810)-658-8051

43105 (740)-862-4240

43229 (614)-268-8090

40701 (606)-528-8270

41635 (606)-285-6644

48192 (734)-283-7007

49504 (616)-458-8300

49622 (231)-544-2929

48336 (248)-442-8135

48507 (810)-715-3092

44410 (330)-372-8841

43701 (740)-455-9007

43606 (419)-291-8530

44118 (216)-371-1234

44118 (216)-932-4759

44406 (330)-702-8031

44106 (216)-444-9525

44446 (330)-505-9463

49423 (616)-396-5233

48854 (517)-676-9199

48185 (734)-522-5200

48074 (810)-984-8200

49247 (517)-448-3111

48473 (810)-635-4481

48336 (248)-474-3123

48103 (734)-747-7554

49445 (231)-744-7610

15501 (814)-445-6511

17870 (570)-374-2764

18431 (570)-253-1730

16323 (814)-432-4824

15146 (412)-372-5288

17403 (717)-845-1633

19082 (610)-284-3232

46217 (317)-884-4250

46526 (574)-875-0610

46614 (574)-231-8258

47302 (765)-282-0578

46055 (317)-335-3380

NCPDP 1564269 2371716 2372299 2374445 2374685 3623229 3637709 3638129 3638585 3643194 1837092 2373342 2374837 3618216 3625716 3634133 3643827 3644336 3645059 3646330 3647293 1821568 1822798 1825124 1829209 1830795 1832078 1832270 2375930 2376398 2380931 2381894 2384369 2385424 2385513 2385638 3682045 3685863 3686815 3687021 1836800 2349656 1533339 1533454 1535650 1536450 1536513 1559939 1561073 1561364 1562722 1563700 1564081 1566679 2364177 2364242 2364557 2366133 2368036 2368389 2367969 2371350 2371540 2371552 2371689 2372706 3632266 3636783 3642178 1837383 1838676 1838703 2352158 2356738 2357386 2358871 2358960

NPI 1225380926 1912156175 1215190376 1225343221 1598066219 1598879272 1184727836 1629171376 1265535918 1164437091 1184147241 1598092769 1861796112 1255436929 1467467068 1891700704 1740296052 1285688119 1790751253 1346215415 1174632400 1881765550 1629002449 1699790378 1306943147 1760646079 1912217589 1790082923 1720360688 1043584725 1417332065 1124481213 1467960658 1134601842 1053886150 1376010223 1508272816 1366947111 1558825786 1710542220 1336662360 1215039565 1669567129 1134136138 1235209826 1215961024 1699797316 1891745188 1841308236 1659428829 1225266109 1265706436 1982975207 1861875403 1487754719 1275575847 1487669529 1902823370 1912929688 1588605521 1194834689 1952560088 1528216975 1710135710 1639327695 1780828210 1396779187 1548363294 1437194768 1356864557 1407498546 1891327524 1528073632 1437233434 1013924323 1720093842 1417059700

PHARMACY NAME FRANCISCAN MED SPECIALISTS PHY WALGREENS HOLIHANS DRUG STORE MED CART SPECIALTY PHARMACY ROCHESTER HILLS PHARMACY STERLING PHARMACY CVS PHARMACY CVS PHARMACY CVS PHARMACY FRUTH PHARMACY WALGREENS BENZER PHARMACY CVS PHARMACY ROHE PHARMACY INC BROWNS DRUG STORE GIANT EAGLE PHARMACY RITE AID PHARMACY NORTHSIDE PHARMACY WOOD COUNTY HOSPITAL PHARMACY MAKOS PHARMACY RITE AID PHARMACY CLINIC PHARMACY KROGER PHARMACY KROGER PHARMACY AUDUBON PHARMACY WALGREENS LAKE CUMBERLAND PHARMACY, LLC EAST KENTUCKY PHARMACY, INC. TOWN PHARMACY PIONEER MEDICAL PHARMACY LLC METRO MEDICAL PHARMACY STONEBRIDGE RETAIL PHARMACY FIRSTCARE PHARMACY MILHAM PHARMACY JOY HIX PHARMACY GREAT LAKES BAY HLTH CENTERS PHCY GENOA HEALTHCARE LLC SHRIVERS PHARMACY AND WELLNESS MEIJER PHARMACY KRATZERS HOMECARE WALGREENS CVS PHARMACY BLACKBURN HEALTH CTR PHRM WALGREENS COMMUNITY SURGERY CENTER PHARM JAY C FOOD STORES CVS PHARMACY GRANDVIEW PHARMACY WALMART PHARMACY GENOA HEALTHCARE LLC WALGREENS RITE CARE PHARMACY MEIJER PHARMACY CVS PHARMACY FAMILY FARE PHARMACY CLIO ROAD PHARMACY WALGREENS WALMART PHARMACY CVS PHARMACY CVS PHARMACY RITE AID PHARMACY WALGREENS CVS PHARMACY ARCADIA PHARMACY WALGREENS PHARMOR PHARMACY WOODWARD PLACE KROGER SAV-ON CVS PHARMACY I P S INC WALGREENS ANDREWS PACKAGING PHARMACY INC BAPTIST HEALTH LAGRANGE RETAIL PHCY WALGREENS ST JOHN PHARMACY LT PHARMACARE WALGREENS CVS PHARMACY

ADDRESS 757 45TH ST STE 102 100 CABELAS BLVD E 128 N MAIN ST 32131 INDUSTRIAL RD 6700 N ROCHESTER RD STE 101 283 YANKEETOWN ST 1001 E MAIN ST 214 LAFAYETTE ST 150 S MAIN ST 259 STATE ST 629 US HWY 27 S 1524 10TH ST 3590 PLAINFIELD AVE NE 4047 HARRISON AVE 5106 SOUTHERN BLVD 4246 STATE ROUTE 44 306 E MAIN ST 2899 BELL ST 950 W WOOSTER ST 240 E 3RD ST 2154 ELM RD NE 201 PARK ST 1650 BRYAN STATION RD STE 170 1509 E BROADWAY ST 3503 POPLAR LEVEL RD 1775 HIGHWAY 192 W 2431-C LAKEWAY DR 588 HIGHWAY 899 6170 W VERNOR HWY 12701 TELEGRAPH RD 6461 W WARREN AVE 13350 24 MILE RD STE 300 217 MIDDLEBELT RD 1716 W MILHAM AVE 9950 WAYNE RD STE 200 3023 DAVENPORT 905 NEBRASKA AVE STE Q 310 WEST UNION ST 4303 KENT RD 187 WEST LOCUST ST 1921 W PARRISH AVE 3647 DIX HWY 2700 MARTIN LUTHER KING DRIVE 1702 E SPRING ST 801 MACARTHUR BLVD STE 102 2631 16TH ST 3601 N BARR ST 474 SOUTHPOINT CIR 2399 S STATE ROAD 46 2009 BROWN ST STE 7 226 N HALLECK ST 2075 INDIANAPOLIS BLVD 2750 ALLISON LN 121 E KIRKWOOD AVE 9479 RILEY ST STE 100 4902 CLIO RD 706 S MAIN ST 3225 TOWNE CENTRE BLVD 2887 S ROCHESTER RD 2000 WATERS RD 860 N VAN DYKE RD 56805 VAN DYKE AVE 2400 S TELEGRAPH RD 615 E CROSSTOWN PKWY STE 100 819 W MAIN ST 15131 WOODWARD AVE 55 W SCHROCK RD 404 AETNA ST 3709 YOUNGSTOWN RD SE 3813 DYLAN PL 10101 TAYLORSVILLE RD STE 103 1025 NEW MOODY LANE 3191 28TH ST SW 30055 NORTHWESTERN HWY STE 225 380 US HWY 41 E 24100 NOVI RD 1700 S INDUSTRIAL HWY

CITY MUNSTER DUNDEE EVART LIVONIA ROCHESTER HILLS MOUNT STERLING TROTWOOD LONDON FRANKLIN PROCTORVILLE CYNTHIANA PORT HURON GRAND RAPIDS CINCINNATI YOUNGSTOWN ROOTSTOWN POMEROY ZANESVILLE BOWLING GREEN UHRICHSVILLE WARREN BOWLING GREEN LEXINGTON CAMPBELLSVILLE LOUISVILLE LONDON RUSSELL SPRINGS HINDMAN DETROIT TAYLOR DETROIT SHELBY TOWNSHIP GARDEN CITY PORTAGE ROMULUS SAGINAW TOLEDO ATHENS STOW WILMINGTON OWENSBORO LINCOLN PARK INDIANAPOLIS NEW ALBANY MUNSTER BEDFORD MUNCIE BROWNSBURG TERRE HAUTE ANDERSON DEMOTTE WHITING JEFFERSONVILLE BLOOMINGTON ZEELAND FLINT ADRIAN LANSING ROCHESTER HILLS ANN ARBOR ALMONT SHELBY TOWNSHIP BLOOMFIELD HILLS KALAMAZOO FREMONT HIGHLAND PARK WESTERVILLE MARTINS FERRY WARREN LEXINGTON LOUISVILLE LA GRANGE GRANDVILLE FARMINGTN HILLS NEGAUNEE NOVI ANN ARBOR

STATE

COUNTY

IN

LAKE

MI MONROE

MI OSCEOLA

MI WAYNE

MI OAKLAND

OH MADISON

OH MONTGOMERY

OH MADISON

OH WARREN

OH LAWRENCE

KY HARRISON

MI ST. CLAIR

MI KENT

OH HAMILTON

OH MAHONING

OH PORTAGE

OH MEIGS

OH MUSKINGUM

OH WOOD

OH TUSCARAWAS

OH TRUMBULL

KY WARREN

KY FAYETTE

KY TAYLOR

KY JEFFERSON

KY LAUREL

KY RUSSELL

KY KNOTT

MI WAYNE

MI WAYNE

MI WAYNE

MI MACOMB

MI WAYNE

MI KALAMAZOO

MI WAYNE

MI SAGINAW

OH LUCAS

OH ATHENS

OH SUMMIT

OH CLINTON

KY DAVIESS

MI WAYNE

IN MARION

IN FLOYD

IN LAKE

IN

LAWRENCE

IN DELAWARE

IN HENDRICKS

IN VIGO

IN MADISON

IN JASPER

IN LAKE

IN

CLARK

IN

MONROE

MI OTTAWA

MI GENESEE

MI LENAWEE

MI INGHAM

MI OAKLAND

MI WASHTENAW

MI LAPEER

MI MACOMB

MI OAKLAND

MI KALAMAZOO

MI NEWAYGO

MI WAYNE

OH FRANKLIN

OH BELMONT

OH TRUMBULL

KY FAYETTE

KY JEFFERSON

KY OLDHAM

MI KENT

MI OAKLAND

MI MARQUETTE

MI OAKLAND

MI WASHTENAW

ZIP

PHONE

46321 (219)-836-1899

48131 (734)-529-5395

49631 (231)-734-2551

48150 (734)-762-6600

48306 (248)-601-1178

43143 (740)-869-3784

45426 (937)-854-4147

43140 (740)-852-5644

45005 (937)-746-4849

45669 (740)-886-7685

41031 (859)-234-6111

48060 (810)-982-3100

49525 (616)-447-2563

45211 (513)-661-0480

44512 (330)-782-8101

44272 (330)-325-7967

45769 (740)-992-2586

43701 (740)-453-0508

43402 (419)-354-8937

44683 (740)-922-5400

44483 (330)-372-4105

42101 (270)-781-3095

40505 (859)-293-6476

42718 (270)-465-7024

40213 (502)-371-1002

40741 (606)-877-2727

42642 (270)-858-6400

41822 (606)-785-3784

48209 (313)-297-6617

48180 (734)-250-8858

48210 (313)-894-2888

48315 (586)-690-4303

48135 (313)-327-0040

49024 (269)-888-2300

48174 (734)-857-7400

48602 (989)-399-1600

43607 (567)-694-8570

45701 (740)-447-9201

44224 (234)-900-5710

45177 (937)-366-1090

42301 (270)-683-0223

48146 (313)-383-6776

46208 (317)-931-4308

47150 (812)-949-5015

46321 (219)-836-2480

47421 (812)-275-8167

47303 (765)-254-9084

46112 (866)-827-7575

47803 (812)-872-2533

46016 (765)-649-1251

46310 (219)-987-4900

46394 (219)-655-5028

47130 (812)-218-6610

47408 (812)-349-0384

49464 (616)-748-7384

48504 (810)-789-7084

49221 (517)-265-6675

48912 (517)-487-9161

48307 (248)-844-5471

48103 (734)-996-5547

48003 (810)-798-8501

48316 (586)-786-1856

48302 (248)-409-1952

49001 (269)-553-6000

49412 (231)-924-2360

48203 (313)-957-0099

43081 (614)-890-8869

43935 (740)-633-0831

44484 (330)-399-2771

40514 (859)-219-0102

40299 (502)-267-7453

40031 (502)-225-5500

49418 (616)-534-5533

48334 (248)-865-3770

49866 (906)-475-4424

48375 (248)-349-6771

48104 (734)-827-7980

NCPDP 2360650 2360749 3657458 3657636 3660063 3662651 3665075 3665532 3665962 3666243 3667738 1819412 1825340 1837030 1837484 1838032 1838094 1838765 2351233 2353883 2353922 2356295 2357184 2359619 3656076 3657446 3658676 3661356 3661433 3661611 3662031 3662726 3638650 3638953 3644576 1836026 1836040 1836052 1838006 1838892 2348464 2350673 2353453 2360725 2361587 3655935 3656533 3657573 3657749 3658563 3659022 3660087 3660417 3663398 3665190 3666142 3666902 3668742 1819462 1820869 3687627 3688148 1836305 1837472 1838044 1838791 2351310 2351358 2355976 2356118 2356170 2360395 2361652 2361703 2362185 3655985 3657763

NPI 1700808474 1710908108 1639272453 1184727901 1598770505 1891741690 1417051186 1679507370 1407965783 1215961925 1952411589 1912931734 1619901451 1275057747 1023531324 1629542469 1114580370 1033743109 1750493607 1982614418 1922019561 1255346367 1578672051 1851337760 1740354042 1720181548 1477568319 1023030822 1598770513 1538187380 1841212644 1669592028 1790894020 1619070364 1306951348 1467993147 1386175610 1386170611 1962976373 1396099503 1639196942 1851400311 1083722458 1235299470 1003833229 1730273798 1730282559 1457454274 1992808711 1629171442 1619070430 1316952328 1902904253 1518973825 1922025121 1184728909 1962417980 1033124953 1821022641 1275550592 1245870864 1417574369 1750895090 1801319140 1598235996 1619598901 1023127586 1932218492 1679537286 1073615365 1366484933 1619984606 1275548307 1710086012 1548309800 1033124037 1689723082

PHARMACY NAME CVS PHARMACY MEIJER PHARMACY CVS PHARMACY CVS PHARMACY WALGREENS BENZER PHARMACY CVS PHARMACY KROGER PHARMACY RITE AID PHARMACY KROGER PHARMACY COSTCO PHARMACY KROGER SAV-ON KROGER PHARMACY WALGREENS WALGREENS ASHLAND FAMILY HLTH CTR PHCY BARBOURVILLE ARH SPECIALTY PHY MANCHESTER PRESCRIPTION CTR CVS PHARMACY RITE AID PHARMACY CASCADE HEMOPHILIA CONSORTIUM WALGREENS RITE AID PHARMACY CENTRAL PHARMACY - OWOSSO LLC PROSPECT PHARMACY CVS PHARMACY MARCS CVS PHARMACY WALGREENS WALMART PHARMACY CVS PHARMACY GEM EDWARDS PHARMACY RITE AID PHARMACY CVS PHARMACY DANE DRUGS DIXON DRUG STORE SMITH FAMILY PHARMACY HOMETOWN PHARMACY DIXIE PHARMACY 4 CROWN FOOT AND ANKLE CENTER WALMART PHARMACY RITE AID PHARMACY CVS PHARMACY TOP CARE PHARMACY SAM'S CLUB PHARMACY SHRIVERS PHARMACY CVS PHARMACY CVS PHARMACY CVS PHARMACY CVS PHARMACY CVS PHARMACY WALGREENS AULTMAN INFUSION SERVICES RITE AID PHARMACY WALMART PHARMACY CVS PHARMACY WALGREENS GIANT EAGLE PHARMACY KROGER PHARMACY WALMART PHARMACY BRAVO PHARMACY GENOA HEALTHCARE LLC MIDWAY PHARMACY WALGREENS BURGESS DRUGS PIKEVILLE MEDICAL CENTER SPECIALTY RITE AID PHARMACY RITE AID PHARMACY GOBLES PHARMACY CVS PHARMACY EAST ANN ARBOR PHARMACY WALGREENS WALGREENS CVS PHARMACY MEIJER PHARMACY WALGREENS MEIJER PHARMACY

ADDRESS 5455 CLYDE PARK AVE SW 1195 M 89 1101 BELLEFONTAINE ST 111 W CHERRY ST 4281 W 130TH ST 8465 STATE ROUTE 339 473 HIGH ST 965 POPLAR ST 3871 CENTER RD 1177 POLARIS PKWY 9691 WATERSTONE BLVD 70 MARTHA LAYNE COLLINS BLVD 568 BYPASS RD 3501 COURT ST 275 PRESTONSBURG ST 432 16TH ST 80 HOSPITAL DR 1668 S HIGHWAY 42 444 S OLD WOODWARD AVE 5995 KALAMAZOO AVE SE 517 W WILLIAM ST 510 N BEACON BLVD 7843 W VERNOR HWY 110 W EXCHANGE ST 171 S MAIN ST 6659 E MAIN ST 2444 W STATE ST 1300 RIVER VALLEY BLVD 2645 STATE RD 2100 N BECHTLE AVE 6850 RIDGE RD 5640 HUDSON INDUSTRIAL PKWY 1502 EXECUTIVE DR 1020 N MAIN ST 6495 E BROAD ST 1335 US HIGHWAY 41A S 215 TREUHAFT BLVD STE 1 1140 US HIGHWAY 127 S 124 N MAIN ST 500 SOUTHLAND DR 4845 24TH AVE 2985 MAIN ST 2040 S CEDAR ST 27493 6 MILE RD 1707 E SHERMAN BLVD 406 BRIGHTON BLVD 27120 BAGLEY RD 5981 FAR HILLS AVE 341 W HIGH ST 3282 TREMONT RD 407 N FRONT ST 16803 LORAIN AVE 2600 6TH STREET SW 1ST FLOOR 2853 GROVE AVE 2145 EASTERN AVE 1013 WASHINGTON BLVD 2710 SALEM AVE 55 MEADOW PARK AVE 3039 BRECKENRIDGE LN 3795 E JOHN ROWAN BLVD 4125 W BROAD STE B 4970 BELMONT AVE STE P 1640 2ND ST 1160 US HWY 68 2157 SOUTH HWY 27 STE 2 911 BYPASS RD BLDG E STE 2 17170 HARPER AVE 337 N STATE RD 212 S STATE ST 22515 GREATER MACK AVE 4260 PLYMOUTH RD 13601 W WARREN AVE 1570 E PIERSON RD 727 28TH ST SE 11901 FULTON ST E 385 NORTHLAND BLVD 5050 N HAMILTON RD

CITY WYOMING PLAINWELL WAPAKONETA SUNBURY CLEVELAND VINCENT WADSWORTH NELSONVILLE BRUNSWICK COLUMBUS CINCINNATI COLD SPRING BRANDENBURG CATLETTSBURG WEST LIBERTY ASHLAND BARBOURVILLE MANCHESTER BIRMINGHAM KENTWOOD ANN ARBOR GRAND HAVEN DETROIT OWOSSO PROSPECT REYNOLDSBURG ALLIANCE LANCASTER CUYAHOGA FALLS SPRINGFIELD PARMA HUDSON SAINT MARYS CELINA COLUMBUS DIXON BARBOURVILLE FRANKFORT SMITHS GROVE LEXINGTON FORT GRATIOT MARLETTE IMLAY CITY LIVONIA MUSKEGON ZANESVILLE OLMSTED TOWNSHIP DAYTON BRYAN UPPER ARLINGTON OAK HILL CLEVELAND CANTON LORAIN GALLIPOLIS BELPRE DAYTON LEWIS CENTER LOUISVILLE BARDSTOWN COLUMBUS YOUNGSTOWN HENDERSON MAYSVILLE STEARNS PIKEVILLE DETROIT OTISVILLE GOBLES SAINT CLAIR SHORES ANN ARBOR DEARBORN FLUSHING GRAND RAPIDS LOWELL CINCINNATI COLUMBUS

STATE

COUNTY

MI KENT

MI ALLEGAN

OH AUGLAIZE

OH DELAWARE

OH CUYAHOGA

OH WASHINGTON

OH MEDINA

OH ATHENS

OH MEDINA

OH DELAWARE

OH WARREN

KY CAMPBELL

KY MEADE

KY BOYD

KY MORGAN

KY BOYD

KY KNOX

KY CLAY

MI OAKLAND

MI KENT

MI WASHTENAW

MI OTTAWA

MI WAYNE

MI SHIAWASSEE

OH MARION

OH FRANKLIN

OH STARK

OH FAIRFIELD

OH SUMMIT

OH CLARK

OH CUYAHOGA

OH SUMMIT

OH AUGLAIZE

OH MERCER

OH FRANKLIN

KY WEBSTER

KY KNOX

KY FRANKLIN

KY WARREN

KY FAYETTE

MI ST. CLAIR

MI SANILAC

MI LAPEER

MI WAYNE

MI MUSKEGON

OH MUSKINGUM

OH CUYAHOGA

OH MONTGOMERY

OH WILLIAMS

OH FRANKLIN

OH JACKSON

OH CUYAHOGA

OH STARK

OH LORAIN

OH GALLIA

OH WASHINGTON

OH MONTGOMERY

OH DELAWARE

KY JEFFERSON

KY NELSON

OH FRANKLIN

OH TRUMBULL

KY HENDERSON

KY MASON

KY MCCREARY

KY PIKE

MI WAYNE

MI GENESEE

MI VAN BUREN

MI MACOMB

MI WASHTENAW

MI WAYNE

MI GENESEE

MI KENT

MI KENT

OH HAMILTON

OH FRANKLIN

ZIP

PHONE

49509 (616)-530-5525

49080 (269)-685-3810

45895 (419)-738-8926

43074 (740)-965-3061

44135 (216)-941-8702

45784 (740)-678-2384

44281 (330)-336-6444

45764 (740)-753-1984

44212 (330)-220-7767

43240 (614)-430-2445

45249 (513)-774-9239

41076 (859)-781-6372

40108 (502)-943-7033

41129 (606)-739-4432

41472 (606)-743-3425

41101 (606)-385-2081

40906 (606)-545-5580

40962 (606)-599-5500

48009 (248)-647-0790

49508 (616)-827-9906

48103 (734)-996-3300

49417 (616)-850-9613

48209 (313)-554-4491

48867 (989)-725-1344

43342 (740)-494-2663

43068 (614)-866-2280

44601 (330)-829-2110

43130 (740)-681-1875

44223 (330)-928-5444

45504 (937)-399-2045

44129 (440)-842-9170

44236 (866)-552-5522

45885 (419)-394-3542

45822 (419)-586-1340

43213 (614)-866-9338

42409 (270)-213-2028

40906 (606)-277-0041

40601 (502)-699-2440

42171 (270)-282-8010

40503 (859)-317-9019

48059 (810)-385-7747

48453 (989)-635-2031

48444 (810)-724-7692

48152 (734)-762-1500

49444 (231)-830-9203

43701 (740)-452-3691

44138 (440)-235-1600

45429 (937)-438-5954

43506 (419)-636-5021

43221 (614)-326-1288

45656 (740)-682-3525

44111 (216)-252-3102

44710 (330)-363-1410

44055 (440)-277-6181

45631 (740)-441-0175

45714 (740)-401-1035

45406 (937)-277-6022

43035 (740)-657-1344

40220 (502)-454-6138

40004 (502)-349-6044

43228 (614)-426-0813

44505 (234)-421-7153

42420 (270)-212-1001

41056 (606)-564-4044

42647 (606)-376-9662

41501 (606)-218-3576

48224 (313)-881-3653

48463 (810)-631-4551

49055 (269)-628-2650

48080 (586)-447-4368

48109 (734)-647-5705

48126 (313)-624-9530

48433 (810)-659-1062

49548 (616)-514-5602

49331 (616)-897-4710

45240 (513)-825-6446

43230 (614)-855-4910

NCPDP 3658361 3660455 3663552 3663588 3663639 3664097 3665215 3667093 3668932 3962900 3964714 1800350 1801934 1808700 1810046 1813218 1815298 1816101 1816668 3605992 3977355 3977723 3978179 3978903 3979551 3979602 3980390 3981861 3982370 2385145 3683251 3684811 1835884 1836165 1836418 1837270 1837496 1838157 1838400 2348123 2349389 2350053 2353908 2356334 2356372 2359900 2361068 2361474 2362123 3657232 3657965 3658993 3660734 3661255 3661508 3661837 3663615 3665241 3666116 3666661 3668564 3668576 3668867 3669376 3685899 3687831 1809536 1809625 1812711 1812901 1815779 3606172 3612997 3615676 3977583 2382668 2384268

NPI 1588609598 1710904909 1558376491 1750306460 1386661577 1861407884 1407888241 1902821614 1861426579 1043313802 1851318901 1225043466 1447330675 1194837047 1073627055 1932264017 1700970118 1427141159 1023042843 1841205770 1013916170 1134134067 1881630820 1134223928 1134146376 1861596652 1568569051 1518989243 1518965847 1467943852 1053707463 1790234433 1740726215 1912421272 1548783921 1992228266 1063935336 1619532264 1528619806 1629187182 1033130083 1861504714 1346255452 1245264076 1639288111 1659421204 1811902943 1366541666 1992851364 1912924101 1598764086 1891898615 1639272461 1629095815 1346250610 1902830607 1295838035 1417962325 1316056690 1053326074 1235157082 1215942131 1861502494 1487713194 1326543992 1164055711 1871618975 1003810490 1740216241 1942350749 1437182904 1568565281 1184723652 1609979129 1508871492 1760924872 1689180226

PHARMACY NAME DISCOUNT DRUG MART WALMART PHARMACY MARCS KROGER PHARMACY WALMART PHARMACY WALGREENS SOUTHWEST GENERAL HOME FUSION KROGER PHARMACY KROGER PHARMACY CVS PHARMACY WALMART PHARMACY WALGREENS JEFFS PRESCRIPTION SHOP WALTON PHARMACY CDS 10 PHARMACY NORTHGATE PHARMACY MEDICINE SHOPPE PHARMACY PAT'S PHARMACY KROGER PHARMACY ACME PHARMACY TRI-VALLEY PHARMACY GIANT EAGLE PHARMACY RITE AID PHARMACY CVS PHARMACY SAM'S CLUB PHARMACY CVS PHARMACY CVS PHARMACY CVS PHARMACY DUNMORE DRUG STORE WALGREENS AMERIWELL PHARMACY QUICK CARE PHARMACY CLINIC PHARMACY FRANKLIN CORNER DRUG WALGREENS WALGREENS WALGREENS CVS PHARMACY LIFEWELL RX PHARMACY RITE AID PHARMACY MCLAREN LONG-TERM CARE PHCY CVS PHARMACY WALGREENS KROGER PHARMACY RITE AID PHARMACY MEIJER PHARMACY WALGREENS CVS PHARMACY MEIJER PHARMACY WALMART PHARMACY RIESBECKS PHARMACY CVS PHARMACY CVS PHARMACY WALMART PHARMACY CORAM CVS/SPLTY INFUSION SVCS KROGER SAV-ON CVS PHARMACY GIANT EAGLE PHARMACY RITE AID PHARMACY WALGREENS SAM'S CLUB PHARMACY GIANT EAGLE PHARMACY COSTCO PHARMACY THE HOMETOWN PHARMACY DISCOUNT DRUG MART DEDICATED SENIOR MEDICAL CENTER SUTTON DRUGS OF LA CENTER KNOX PROFESSIONAL PHARMACY VILLAGE APOTHECARY FT MITCHELL DRUG SHOPPE GLENNS APOTHECARY CVS PHARMACY THE COMPOUNDING LAB/INDEPENDEN CVS PHARMACY WALGREENS INSTACARE PHARMACY COMMUNITY A WALGREENS PHCY

ADDRESS 1155 E WYANDOT AVE 5720 COLLEGE CORNER PIKE 17400 LORAIN AVE 2310 FERGUSON RD 1720 N PERRY ST 302 CANTON RD 18697 BAGLEY RD 5965 HOOVER RD 350 E BROAD ST 29 W 21ST ST 100 LUNGER DR 520 LYNDON LN 2415 RING RD 305 MARY GRUBBS HWY 1308 ASHLEY CIRCLE 3158 LOUISVILLE RD 900 E MOUNT VERNON ST 498 W MAIN ST 10645 DIXIE HWY 2226 STATE RD 101 S TULPEHOCKEN ST 3701 ROUTE 88 3550 ROUTE 130 105 E UWCHLAN AVE 6781 GRAYSON RD 351 KENNEDY BLVD 119 E BALTIMORE AVE 11000 ROOSEVELT BLVD STE 3 702 N BLAKELY ST UNIT 9 3901 BEAUBIEN ST RM 108 13422 KINSMAN RD 1550 N MAIN ST 1112 S MAIN ST 4 N HIGHLAND ST STE B 4149 TAYLOR BLVD 11349 STATE HWY 1056 2700 RICHMOND RD 500 S UPPER ST 2200 BUECHEL AVE STE 104 450 E CHICAGO ST 1454 W CENTER RD STE 2 61 W PEARL ST 3610 PLAINFIELD AVE NE 2060 DIX HWY 1019 W SAGINAW ST 800 S US 131 7110 DIXIE HWY 3601 CLYDE PARK AVE SW 606 S GREENVILLE WEST DR 4141 PEARL RD 104 PLAZA DR 1202 COUNTY LINE RD 11601 SPRINGFIELD PIKE 905 SINGLETARY DR 6565 DAVIS IND PKWY STE AA 31550 CHIEFTAIN DR 124 S MAIN ST 5231 DETROIT RD 8085 BROADVIEW RD 9043 DARROW RD 3446 PENTAGON BLVD 2401 E STATE ST 1100 E KEMPER RD 3623 S MERIDIAN RD 8023 CRILE RD 7642 READING RD 234 BROADWAY 511 KNOX ST 1075 HIGHWAY 11 N 2515 DIXIE HWY 520 W GUM STREET 4195 S CLEVELAND MASSILLON RD 7415 OLD TROY PIKE 591 E LIVINGSTON AVE 901 OLD YORK RD 14300 MICHIGAN AVE 3500 WASHTENAW AVE STE E3

CITY UPPER SANDUSKY OXFORD CLEVELAND CINCINNATI OTTAWA AKRON MIDDLEBURG HEIGHTS GROVE CITY PATASKALA NORTHAMPTON BLOOMSBURG LYNDON ELIZABETHTOWN WALTON BOWLING GREEN BOWLING GREEN SOMERSET LEBANON LOUISVILLE CUYAHOGA FALLS PINE GROVE FINLEYVILLE IRWIN EXTON HARRISBURG PITTSTON LANSDOWNE PHILADELPHIA DUNMORE DETROIT CLEVELAND LIMA FRANKLIN WINCHESTER LOUISVILLE MC CARR LEXINGTON LEXINGTON LOUISVILLE COLDWATER ESSEXVILLE COLDWATER GRAND RAPIDS LINCOLN PARK LANSING THREE RIVERS CLARKSTON WYOMING GREENVILLE MEDINA SAINT CLAIRSVILLE WESTERVILLE SPRINGDALE STREETSBORO SOLON LOGAN UNION SHEFFIELD VILLAGE BROADVIEW HEIGHTS TWINSBURG BEAVERCREEK SALEM SPRINGDALE YOUNGSTOWN PAINESVILLE CINCINNATI LACENTER BARBOURVILLE BEATTYVILLE FT. MITCHELL MARION NORTON HUBER HEIGHTS COLUMBUS JENKINTOWN DEARBORN ANN ARBOR

STATE

COUNTY

OH WYANDOT

OH BUTLER

OH CUYAHOGA

OH HAMILTON

OH PUTNAM

OH SUMMIT

OH CUYAHOGA

OH FRANKLIN

OH LICKING

PA NORTHAMPTON

PA COLUMBIA

KY JEFFERSON

KY HARDIN

KY BOONE

KY WARREN

KY WARREN

KY PULASKI

KY MARION

KY JEFFERSON

OH SUMMIT

PA SCHUYLKILL

PA WASHINGTON

PA WESTMORELAND

PA CHESTER

PA DAUPHIN

PA LUZERNE

PA DELAWARE

PA PHILADELPHIA

PA LACKAWANNA

MI WAYNE

OH CUYAHOGA

OH ALLEN

KY SIMPSON

KY CLARK

KY JEFFERSON

KY PIKE

KY FAYETTE

KY FAYETTE

KY JEFFERSON

MI BRANCH

MI BAY

MI BRANCH

MI KENT

MI WAYNE

MI INGHAM

MI ST. JOSEPH

MI OAKLAND

MI KENT

MI MONTCALM

OH MEDINA

OH BELMONT

OH DELAWARE

OH HAMILTON

OH PORTAGE

OH CUYAHOGA

OH HOCKING

OH MONTGOMERY

OH LORAIN

OH CUYAHOGA

OH SUMMIT

OH GREENE

OH COLUMBIANA

OH HAMILTON

OH MAHONING

OH LAKE

OH HAMILTON

KY BALLARD

KY KNOX

KY LEE

KY KENTON

KY CRITTENDEN

OH SUMMIT

OH MONTGOMERY

OH FRANKLIN

PA MONTGOMERY

MI WAYNE

MI WASHTENAW

ZIP

PHONE

43351 (419)-294-5900

45056 (513)-524-3744

44111 (216)-252-4747

45238 (513)-922-8194

45875 (419)-523-9205

44312 (330)-733-4237

44130 (440)-816-8005

43123 (614)-277-3405

43062 (740)-964-5105

18067 (610)-261-2720

17815 (570)-389-5755

40222 (502)-426-1373

42701 (270)-765-2157

41094 (859)-485-7733

42104 (270)-781-5661

42101 (270)-842-6161

42501 (606)-679-9227

40033 (270)-692-4950

40272 (502)-937-0303

44223 (330)-929-2831

17963 (570)-345-4966

15332 (724)-348-6229

15642 (724)-744-7399

19341 (610)-594-1931

17111 (717)-561-0587

18640 (570)-883-7846

19050 (610)-622-8191

19116 (215)-305-0001

18512 (570)-342-8427

48201 (313)-745-0436

44120 (216)-283-3860

45801 (419)-812-2170

42134 (270)-482-0130

40391 (859)-744-6844

40215 (502)-375-9977

41544 (606)-427-9007

40509 (859)-269-5396

40508 (859)-469-7395

40218 (502)-742-5958

49036 (517)-278-7342

48732 (989)-316-4280

49036 (517)-278-6186

49525 (616)-365-1221

48146 (313)-386-5355

48915 (517)-374-6103

49093 (269)-279-1210

48346 (248)-922-1231

49509 (616)-257-6641

48838 (616)-225-7710

44256 (330)-723-1511

43950 (740)-695-0274

43081 (614)-891-8300

45246 (513)-851-5063

44241 (330)-626-9996

44139 (440)-836-8900

43138 (740)-380-2041

45322 (937)-836-3784

44054 (440)-934-5377

44147 (440)-717-1697

44087 (330)-405-6268

45431 (937)-427-0879

44460 (330)-332-0141

45246 (513)-346-7942

44511 (330)-793-4555

44077 (440)-853-2542

45237 (513)-619-7766

42056 (270)-665-5192

40906 (606)-546-3171

41311 (606)-464-3656

41017 (859)-341-2000

42064 (270)-965-4101

44203 (330)-825-2436

45424 (937)-723-2880

43215 (614)-464-2480

19046 (215)-886-8763

48126 (313)-800-1111

48104 (734)-205-0522

NCPDP 2384838 2386414 2386806 3681687 3681877 1838018 2349012 2351714 2352108 2353376 2355774 2356245 2356865 2357920 2359316 2360408 2360864 2361260 3656951 3657218 3659464 3659832 3663261 3664477 2372578 2372871 2372895 3639602 3648916 1836153 1837460 1838222 2349151 2350332 2350940 2351740 2352831 2353112 2354772 2355279 2357209 2357968 2358427 2360282 2361121 2361169 3659298 3660051 3660897 3661887 3662598 3668552 2305553 2378974 2379166 2379407 2380296 2382670 2383456 2383812 2386060 1836494 1837232 1837434 1838450 2348008 2348820 2351752 2357805 2360458 2360496 2360561 2361284 3667360 3668831 3961489 3962520

NPI 1568952018 1962960971 1558913020 1841613247 1487074183 1174087647 1457346611 1104841808 1215078175 1295769032 1326072182 1790887081 1356450837 1831208313 1447272117 1003821133 1164439154 1073520060 1467555284 1700889524 1922032622 1912942830 1477570661 1104843309 1811139496 1386871101 1801022702 1457495004 1780629790 1811419492 1427571777 1194200550 1548287857 1821189598 1083629190 1245319060 1700988086 1811914021 1033151568 1780602110 1235241191 1932219557 1699850933 1194730226 1528080298 1457450751 1770508483 1184641375 1083717102 1295752483 1366476061 1639184575 1922021583 1881010205 1811315963 1942612874 1689064735 1538619036 1194253195 1437678141 1629532593 1508389834 1184147415 1275056533 1497397681 1811914120 1356435754 1104938059 1063514354 1639192347 1528075512 1730194861 1639184765 1326072034 1942215868 1518972439 1417056672

PHARMACY NAME BUNTES PHARMACY MY RX PHARMACY LLC TRUE WELLNESS PHARMACY PLLC GENOA HEALTHCARE LLC IHS PHARMACY- JAMESTOWN CLINTON PHARMACY SCHMIDT & SONS PHCY BLISSFIELD SKIPS PHARMACY OF MICHIGAN HACKLEY PHARMACY GLENSIDE KROGER PHARMACY KROGER PHARMACY CVS PHARMACY RITE AID PHARMACY RITE AID PHARMACY CVS PHARMACY WALGREENS WALGREENS WALGREENS CVS PHARMACY BARRON PHARMACY KROGER PHARMACY DISCOUNT DRUG MART WALMART PHARMACY WALMART PHARMACY PHARMOR PHARMACY DOCTORS THUNDER BAY PHARMACY ONAWAY MEDWINS PHARMACY PRIJATEL'S PHARMACY DISCOUNT DRUG MART BOGLE STREET PHARMACY WALGREENS MUHLENBERG COUNTY PHARMACY WALMART PHARMACY BELLAIRE PHARMACY WALGREENS MARTIN'S PHARMACY CVS PHARMACY WALMART PHARMACY BARTON PHARMACY WALMART PHARMACY CVS PHARMACY COSTCO PHARMACY SHAWS PHARMACY WALGREENS CVS PHARMACY CVS PHARMACY KROGER SAV-ON WALMART PHARMACY BREWSTER FAMILY PHARMACY WALMART PHARMACY KROGER PHARMACY MARCS RITE AID PHARMACY MEIJER PHARMACY CENTER PHARMACY WALMART PHARMACY PHARM E-Z INC MERCY HLTH PTRS - PHCY INC. R K PHARMACY HASLETT PHARMACY PRESTIGE SPECIALTY PHARMACY WALGREENS WALGREENS WALGREENS MOUNTAIN PHARMACY WALMART PHARMACY HENRY FORD MEDICAL CENTER PHARMACY CVS PHARMACY CVS PHARMACY RITE AID PHARMACY WALGREENS WALGREENS WALGREENS KROGER PHARMACY GIANT EAGLE PHARMACY GIANT EAGLE PHARMACY RITE AID PHARMACY

ADDRESS 115 E MAIN AVE 17013 FORT ST SUITE 100 10824 BELLEVILLE RD 400 TUSCARAWAS ST W STE 200 4940 COTTONVILLE RD 119 E CLAY ST 616 W ADRIAN ST 700 MICHIGAN AVE 1631 W SHERMAN BLVD 2910 CENTER AVE 290 W CARLETON RD 45300 CHERRY HILL RD 27401 6 MILE RD 25425 VAN DYKE AVE 29451 PLYMOUTH RD 2170 WASHTENAW RD 15009 TELEGRAPH RD 3990 24TH AVE 1400 E 9TH ST 23632 MERCANTILE RD STE F 1230 ROMBACH AVE 1145 ALLIANCE RD NW 2600 STATE ROUTE 59 990 W EMMITT AVE 3169 WOODWARD AVE 21258 WEST M-68 HWY 301 E GENESEE ST STE 100 6718 SAINT CLAIR AVE 4044 FISHCREEK RD 311 BOGLE ST 10 CHARBY HOLLOW RD 1603 W EVERLY BROTHERS BLVD 2D 3850 E GRAND RIVER AVE 120 NORTH BRIDGE ST 7920 SHAVER RD 5637 CLEVELAND AVE 25380 5 MILE RD 1150 S MAIN ST 3950 MOUNT ELLIOTT ST 1920 S STEPHENSON AVE 3200 E JEFFERSON AVE 30550 STEPHENSON HWY 221 N SAGINAW ST 1843 E 8 MILE RD 650 BROWN RD 605 N WEST AVE 850 S HAMILTON RD 2016 MILLENNIUM BLVD 360 WABASH AVE N 1505 MAIN ST 264 S HOLLYWOOD BLVD 34800 CENTER RIDGE RD 51037 VAN DYKE AVE 1223 PHOENIX ST 12660 10 MILE RD SUITE B 355 54TH ST SW 35814 DEQUINDRE RD 1500 E SHERMAN BLVD GL P-200 181 N WAYNE RD 1620 HASLETT RD STE B 31700 VAN DYKE AVE STE C 9485 HIGHWAY 805 103 GLYNNVIEW PLAZA 308 S MAYO TRL 8857 META HWY 901 N VAN DYKE RD 22777 W 11 MILE RD 22240 NOVI RD 31450 VAN BORN RD 32983 RYAN RD 2990 BAY RD 1617 10TH ST 13664 23 MILE RD 5161 HAMPSTED VILLAGE CTR WAY 41 5TH ST SE 1025 WASHINGTON PIKE 115 5TH ST

CITY ZEELAND RIVERVIEW VAN BUREN TWP CANTON JAMESTOWN CLINTON BLISSFIELD HOLLAND NORTON SHORES ESSEXVILLE HILLSDALE CANTON LIVONIA CENTER LINE LIVONIA YPSILANTI TAYLOR PORT HURON CLEVELAND BEACHWOOD WILMINGTON MINERVA RAVENNA WAVERLY DETROIT ONAWAY SAGINAW CLEVELAND STOW SOMERSET MARTIN CENTRAL CITY HOWELL BELLAIRE PORTAGE STEVENSVILLE REDFORD CHEBOYGAN DETROIT IRON MOUNTAIN DETROIT MADISON HEIGHTS DURAND HAZEL PARK AUBURN HILLS JACKSON WHITEHALL CORTLAND BREWSTER HAMILTON STEUBENVILLE NORTH RIDGEVILLE SHELBY TWP SOUTH HAVEN SOUTH LYON WYOMING STERLING HEIGHTS MUSKEGON WESTLAND HASLETT WARREN JENKINS PRESTONSBURG PAINTSVILLE PIKEVILLE BAD AXE SOUTHFIELD NOVI WAYNE WARREN SAGINAW PORT HURON SHELBY TOWNSHIP NEW ALBANY BARBERTON BRIDGEVILLE ELLWOOD CITY

STATE

COUNTY

MI OTTAWA

MI WAYNE

MI WAYNE

OH STARK

OH GREENE

KY HICKMAN

MI LENAWEE

MI OTTAWA

MI MUSKEGON

MI BAY

MI HILLSDALE

MI WAYNE

MI WAYNE

MI MACOMB

MI WAYNE

MI WASHTENAW

MI WAYNE

MI ST. CLAIR

OH CUYAHOGA

OH CUYAHOGA

OH CLINTON

OH CARROLL

OH PORTAGE

OH PIKE

MI WAYNE

MI PRESQUE ISLE

MI SAGINAW

OH CUYAHOGA

OH SUMMIT

KY PULASKI

KY FLOYD

KY MUHLENBERG

MI LIVINGSTON

MI ANTRIM

MI KALAMAZOO

MI BERRIEN

MI WAYNE

MI CHEBOYGAN

MI WAYNE

MI DICKINSON

MI WAYNE

MI OAKLAND

MI SHIAWASSEE

MI OAKLAND

MI OAKLAND

MI JACKSON

OH FRANKLIN

OH TRUMBULL

OH STARK

OH BUTLER

OH JEFFERSON

OH LORAIN

MI MACOMB

MI VAN BUREN

MI LIVINGSTON

MI KENT

MI MACOMB

MI MUSKEGON

MI WAYNE

MI INGHAM

MI MACOMB

KY LETCHER

KY FLOYD

KY JOHNSON

KY PIKE

MI HURON

MI OAKLAND

MI OAKLAND

MI WAYNE

MI MACOMB

MI SAGINAW

MI ST. CLAIR

MI MACOMB

OH FRANKLIN

OH SUMMIT

PA ALLEGHENY

PA LAWRENCE

ZIP

PHONE

49464 (616)-772-4685

48193 (734)-288-3750

48111 (734)-391-8549

44702 (330)-451-6164

45335 (937)-675-6500

42031 (270)-653-5361

49228 (517)-486-2145

49423 (616)-392-8507

49441 (231)-672-7820

48732 (989)-892-0313

49242 (517)-439-9409

48187 (734)-981-3968

48152 (734)-762-0627

48015 (586)-757-6179

48150 (734)-793-0638

48197 (734)-485-3899

48180 (734)-374-2101

48060 (810)-987-4679

44114 (216)-621-0132

44122 (216)-360-0500

45177 (937)-655-5720

44657 (330)-868-3252

44266 (330)-677-2287

45690 (740)-947-0300

48201 (313)-832-4810

49765 (989)-733-7037

48607 (989)-755-7998

44103 (216)-361-4212

44224 (330)-688-6140

42503 (606)-451-1200

41649 (606)-285-9908

42330 (270)-757-2557

48843 (517)-548-9511

49615 (231)-533-8014

49024 (269)-324-9988

49127 (269)-429-8441

48239 (313)-592-6357

49721 (231)-627-4337

48207 (313)-579-5502

49801 (906)-779-7185

48207 (313)-396-5481

48071 (248)-616-0064

48429 (989)-288-6886

48030 (586)-755-3046

48326 (248)-393-8114

49202 (517)-841-4201

43213 (614)-759-2746

44410 (330)-372-1992

44613 (330)-767-3436

45013 (513)-737-0894

43952 (740)-266-2893

44039 (440)-353-1601

48316 (586)-739-1100

49090 (269)-639-3510

48178 (248)-486-1444

49548 (616)-552-6226

48310 (586)-698-1874

49444 (231)-672-7835

48185 (734)-589-0400

48840 (517)-339-0300

49093 (586)-800-8003

41537 (606)-832-2084

41653 (606)-886-1255

41240 (606)-789-4950

41501 (606)-637-9011

48413 (989)-269-9746

48033 (248)-386-5252

48375 (248)-380-2819

48184 (734)-728-4295

48092 (586)-264-2724

48603 (989)-497-9316

48060 (810)-987-5083

48315 (586)-247-1199

43054 (614)-855-8670

44203 (330)-861-0849

15017 (412)-257-3050

16117 (724)-758-3294

NCPDP 3688554 1800413 1802998 1804740 1808320 1813612 3605271 3605411 3606184 3615359 3977646 3978042 3978713 3979450 3980566 3981683 2322965 2327321 2328056 2334617 2335823 2339819 2341749 2345812 2347183 2347804 3901988 3904465 3904807 3904845 3905126 3905671 3912397 3928744 3929025 5001235 5009003 5012151 5054185 1820580 1822902 1826330 1829576 3656470 3657826 3659008 3660974 3661558 3661863 3663831 3663944 3664186 3666964 3667663 3961340 3961667 3685279 3685356 3685433 3685849 3686978 1800223 1801100 1801566 1805716 1815212 1816163 3614218 3976947 3978244 2311140 2313358 2320303 2328739 2329957 2334477 2338728

NPI 1336735901 1205939949 1003942087 1447353511 1386609972 1215913959 1124121579 1801999511 1477656197 1558388108 1386651305 1447282462 1497790612 1619909637 1215954458 1487600482 1992899397 1831223692 1578583175 1750373502 1174518716 1275609372 1942312889 1578603908 1992814453 1902823214 1518066869 1346344181 1730288093 1568521805 1649379900 1730282575 1699773382 1144314048 1366531097 1053498584 1215938121 1134223811 1629099684 1548287865 1073548988 1417972191 1316975923 1669493623 1659386597 1700989522 1457415598 1184727919 1316952336 1508850926 1659474492 1265442453 1285667444 1326053356 1548364391 1245339407 1851812523 1801319686 1154845352 1558871913 1821655051 1952316184 1417067729 1326193236 1578589420 1376646018 1578693776 1053467621 1144324922 1407950298 1801955166 1043240161 1932140365 1215049143 1982700779 1811009749 1093719783

PHARMACY NAME COMPOUNDING PHARMACY OF GREEN CVS PHARMACY CLARK DRUGS MENIFEE COUNTY PHARMACY PLLC FRAZIERS PRATER DRUG PRESCRIPTION DIVISION CVS PHARMACY CVS PHARMACY CVS PHARMACY VILLAGE PHARMACY KLINGENSMITH'S DRUG STORES GIANT PHARMACY MEDMART PHARMACY GIANT PHARMACY WALMART PHARMACY SAV-ON PHARMACY HENRY FORD MEDICAL CENTER PHARMACY PHYSICIANS PHCY AND MED SUPPLY KINGSLEY PHARMACY SCHMIDT & SONS PHCY OF TECUMSEH INC HOMETOWN PHARMACY WESTSIDE PHCY OF DETROIT INC CVS PHARMACY MEIJER PHARMACY RITE AID PHARMACY WALMART PHARMACY RITE AID PHARMACY CVS PHARMACY RITE AID PHARMACY CVS PHARMACY RITE AID PHARMACY CVS PHARMACY WESLEY APOTHECARY JEFFERSON PHARMACY WALNUT STREET RITE AID PHARMACY PATTERSONS DRUG STORE VAN PHARMACY INC CVS PHARMACY WATERFRONT FAMILY PHARMACY WALMART PHARMACY CENTRAL BAPTIST HOME INFUSION KROGER PHARMACY ESTILL CLINIC PHARMACY UNIV OF TOLEDO STUDENT MED CEN MARCS CVS PHARMACY MEIJER PHARMACY CVS PHARMACY WALGREENS AMERIMED INC CVS PHARMACY RITE AID PHARMACY PLAIN CITY DRUGGIST WALGREENS CVS PHARMACY RITE AID PHARMACY OKULEYS PHARMACY INC COMMUNITY FIRST PHARMACY COMPASS PHARMACY GENOA HEALTHCARE LLC XTRA CARE PHARMACY WALGREENS J & R PHARMACY GLASGOW PRESCRIPTION CENTER GOWER DRUG STORE CVS PHARMACY FT THOMAS DRUG CENTER HART PHARMACY CVS PHARMACY CVS PHARMACY BOB'S DRUGS TASKER'S DRUG STORE VANS PHARMACY INC CVS PHARMACY MEDICINE ROOM CVS PHARMACY CARSON APOTHECARY SHOPPE

ADDRESS 4016 MASSILLON RD STE B 3130 PORTLAND AVE 500 MAIN ST 70 MAIN ST 49 S CHURCH ST 306 HOSPITAL DR STE 105A 4240 PEARL RD 4000 HAUCK RD 318 E MAIN ST 114 HARRISON AVE 316 1ST AVE 1250 COCOA AVE 2618 MEMORIAL BLVD STE A 4211 UNION DEPOSIT RD 100 CHIPPEWA TOWN CTR 2775 W MAIN ST 5500 AUTO CLUB DR STE 100 40 E ALEXANDRINE ST 114 SOUTH BROWNSON AVE 120 E CHICAGO BLVD 12441 STAFFORD RD 10600 W MCNICHOLS RD 1715 COOLIDGE HWY 37201 WARREN RD 13939 LIVERNOIS AVE 800 E CHICAGO ST 700 STEVENSON BLVD 5 CHURCH ST 1338 E GRANDVIEW BLVD 129 DOE RUN RD 5410 KEEPORT DR 70 W STEUBEN ST 108-110 SOUTH EASTON RD 908 WALNUT ST 337 W CHOCOLATE AVE 134 S QUEEN ST 19024 POND FORK RD 3901 TEAYS VALLEY RD 215 DON KNOTTS BLVD 254 CASSIDY BLVD 2100 NICHOLASVILLE RD 370 DIEDERICH BLVD 275 NORTH COURT ST 1735 WEST ROCKET DR 14861 DETROIT AVE 6165 GLICK RD 4702 MILAN RD 9940 STATE ROUTE 43 35279 VINE ST 9961 CINCINNATI DAYTON RD 10825 KINSMAN RD 301 N MAIN ST 480 S JEFFERSON AVE 2600 S SMITHVILLE RD 250 S COURTLAND ST 300 S FAYETTE ST 102 S MAIN ST 210 SOUTH SECOND ST 1634 11TH ST 1010 N PROSPECT ST STE 56 7920 S MASON MONTGOMERY RD 808 EASTERN PKWY 817 MAIN ST 615 S L ROGERS WELLS BLVD 328 N MAIN ST 3721 LEXINGTON RD 26 N FORT THOMAS AVE 4861 GLENWAY AVE 298 W BUTLER AVE 4314 LOCUST ST 194 N DIVISION AVE 281 MAIN STREET 807 NAPIER AVE 1003 N MAIN ST 72 S WASHINGTON ST STE 207 1980 E BIG BEAVER RD 245 S SECOND ST

CITY UNIONTOWN LOUISVILLE MUNFORDVILLE FRENCHBURG SALYERSVILLE SOUTH WILLIAMSON CLEVELAND SHARONVILLE RAVENNA HARRISON KITTANNING HERSHEY CONNELLSVILLE HARRISBURG BEAVER FALLS NORRISTOWN DEARBORN DETROIT KINGSLEY TECUMSEH RAVENNA DETROIT BERKLEY WESTLAND DETROIT COLDWATER NEW KENSINGTON DALLAS ERIE MANHEIM PITTSBURGH PITTSBURGH GLENSIDE PHILADELPHIA HERSHEY MARTINSBURG VAN HURRICANE MORGANTOWN PIKEVILLE LEXINGTON ASHLAND IRVINE TOLEDO LAKEWOOD POWELL SANDUSKY STREETSBORO WILLOWICK WEST CHESTER CLEVELAND FINDLAY PLAIN CITY DAYTON EAST STROUDSBURG SHIPPENSBURG CONTINENTAL HAMILTON PORTSMOUTH BOWLING GREEN MASON LOUISVILLE BENTON GLASGOW LEWISBURG LOUISVILLE FORT THOMAS CINCINNATI CHALFONT PHILADELPHIA HESPERIA COOPERSVILLE SAINT JOSEPH ADRIAN OXFORD TROY CARSON CITY

STATE

COUNTY

OH SUMMIT

KY JEFFERSON

KY HART

KY MENIFEE

KY MAGOFFIN

KY PIKE

OH CUYAHOGA

OH HAMILTON

OH PORTAGE

OH HAMILTON

PA ARMSTRONG

PA DAUPHIN

PA FAYETTE

PA DAUPHIN

PA BEAVER

PA MONTGOMERY

MI WAYNE

MI WAYNE

MI GRAND TRAVERSE

MI LENAWEE

MI MUSKEGON

MI WAYNE

MI OAKLAND

MI WAYNE

MI WAYNE

MI BRANCH

PA WESTMORELAND

PA LUZERNE

PA ERIE

PA LANCASTER

PA ALLEGHENY

PA ALLEGHENY

PA MONTGOMERY

PA PHILADELPHIA

PA DAUPHIN

WV BERKELEY

WV BOONE

WV PUTNAM

WV MONONGALIA

KY PIKE

KY FAYETTE

KY GREENUP

KY ESTILL

OH LUCAS

OH CUYAHOGA

OH DELAWARE

OH ERIE

OH PORTAGE

OH LAKE

OH BUTLER

OH CUYAHOGA

OH HANCOCK

OH MADISON

OH MONTGOMERY

PA MONROE

PA FRANKLIN

OH PUTNAM

OH BUTLER

OH SCIOTO

OH WOOD

OH WARREN

KY JEFFERSON

KY MARSHALL

KY BARREN

KY LOGAN

KY JEFFERSON

KY CAMPBELL

OH HAMILTON

PA BUCKS

PA PHILADELPHIA

MI OCEANA

MI OTTAWA

MI BERRIEN

MI LENAWEE

MI OAKLAND

MI OAKLAND

MI MONTCALM

ZIP

PHONE

44685 (330)-899-0406

40212 (502)-776-1596

42765 (270)-524-3669

40322 (606)-768-2161

41465 (606)-349-3136

41503 (606)-237-1735

44109 (216)-398-6900

45241 (513)-563-0717

44266 (330)-296-3871

45030 (513)-367-4836

16201 (724)-548-5500

17033 (717)-312-0729

15425 (724)-628-7500

17111 (717)-920-1323

15010 (724)-843-1800

19403 (610)-630-0882

48126 (313)-425-4440

48201 (313)-832-2050

49649 (231)-263-7701

49286 (517)-423-3250

49451 (231)-853-2261

48221 (313)-342-1555

48072 (248)-546-9111

48185 (734)-641-0310

48238 (313)-934-0150

49036 (517)-278-5897

15068 (724)-335-4111

18612 (570)-675-1076

16504 (814)-825-2333

17545 (717)-665-7171

15236 (412)-655-9455

15205 (412)-921-2060

19038 (215)-887-4577

19107 (215)-503-1135

17033 (717)-533-2941

25401 (304)-267-8903

25206 (304)-245-8255

25526 (304)-760-1123

26501 (304)-225-7979

41501 (606)-432-6180

40503 (859)-260-6197

41101 (606)-325-0611

40336 (606)-723-0044

43606 (419)-530-3471

44107 (216)-521-2191

43065 (614)-766-8399

44870 (419)-627-7910

44241 (330)-626-1866

44095 (440)-918-0700

45069 (513)-942-3670

44104 (216)-752-8656

45840 (419)-420-9485

43064 (614)-873-0880

45420 (937)-781-9561

18301 (570)-424-0830

17257 (717)-530-9111

45831 (419)-596-3898

45011 (513)-645-5447

45662 (740)-351-1501

43402 (419)-419-0104

45040 (513)-770-0084

40217 (502)-637-7612

42025 (270)-527-9374

42141 (270)-651-8889

42256 (270)-755-4831

40207 (502)-897-0622

41075 (859)-441-1140

45238 (513)-471-1605

18914 (215)-822-5383

19104 (215)-386-2093

49421 (231)-854-6605

49404 (616)-837-6394

49085 (269)-983-4802

49221 (517)-265-1565

48371 (248)-628-7990

48083 (248)-689-1051

48811 (989)-584-3272

NCPDP 2340622 2342931 2347652 3904895 3915482 3918173 3925560 5001122 5006285 5006994 5011058 5011426 5011933 1826582 1828447 1830202 1830365 1832624 2377035 2379027 2383153 2383545 2384167 2384179 2384662 2385753 2385816 2386539 3685039 3685902 3687855 1800285 1810541 1813763 3686221 3687146 3687172 3687297 1836204 1836381 1836420 1837105 1837650 1838260 1838537 2348882 2349973 2351409 2352780 2353768 2353833 2354645 2357021 2357538 2358934 2359075 2360105 2360143 2360220 3656026 3658498 3663033 3663348 3664148 1839010 2349466 2349505 2351877 2352300 2356651 2356726 2359239 2359455 2359924 2360131 2360232 3658626

NPI 1780796623 1538180542 1801801915 1699766832 1710995071 1386633709 1194866319 1407959158 1255434916 1629001961 1407959166 1881628675 1225191224 1053345819 1558386250 1306047485 1508052119 1023398443 1417203399 1386060382 1255879193 1255869293 1740792449 1366954067 1598262420 1285100032 1467922054 1255994778 1457891830 1073018438 1740816453 1689689812 1679571830 1164558912 1518451780 1518529700 1790242675 1700434214 1760909402 1295258663 1356864623 1790208734 1134629207 1962055863 1679116446 1770685018 1326096629 1295847143 1396779138 1679682140 1295844769 1447200159 1780618512 1760416515 1174617575 1760532055 1427167196 1669406419 1700893799 1629013644 1710080536 1346274040 1275636730 1366464174 1699378489 1215961057 1740207950 1588698328 1083716369 1447369921 1841206141 1194725705 1114951969 1578670410 1124137740 1568477693 1043233752

PHARMACY NAME CVS PHARMACY CAMPBELL PHARMACY WALGREENS MCKEESPORT PRESCRIPTION CENTER BROCKWAY DRUG CO. INC. HAZLE DRUGS INC LION PHARMACY CVS PHARMACY CVS PHARMACY WEIS PHARMACY CVS PHARMACY KROGER PHARMACY FRITZS PHCY AND WELLNESS CTR KROGER PHARMACY KROGER PHARMACY EFILLRX LLC WALGREENS KB PHARMACY MERCURY DRUGS CREDO PHARMACY SOUTHFIELD PHARMACY WARREN CARE PHARMACY KNIGHT DRUGS JEFFFERSON KNIGHT DRUGS EAST DAVISON LINCOLN RX WALGREENS VERNOR PHARMACY PLLC BEAUMONT PHARMACY GROSSE POINTE PLAIN CITY DRUGGIST GENTRY HEALTH SERVICES INC LAGRANGE PHARMACY WALGREENS OAKWOOD PHARMACY BETSY LAYNE PHARMACY INC CENTRAL PHARMACY ROYAL PHARMACY SUNRISE TREATMENT CENTER KRATZERS HOMETOWN MIDDLETOWN BISHOP STREET PHARMACY WALGREENS WALGREENS WALGREENS STERLING HEALTH PHARMACY DEACONESS FAMILY PHCY BELL DRUG CVS PHARMACY HOMEMED INFUSION PHARMACY SER CVS PHARMACY KROGER PHARMACY RITE AID PHARMACY RITE AID PHARMACY AMBULATORY INFUSION CARE NORTH KROGER PHARMACY KROGER PHARMACY HENRY FORD MEDICAL CENTER PHARMACY MEIJER PHARMACY SPRINGWELLS CLINICAL PHARMACY KROGER PHARMACY WALGREENS DISCOUNT DRUG MART CVS PHARMACY KROGER PHARMACY CVS PHARMACY CVS PHARMACY HOMETOWN PHARMACY KROGER PHARMACY WALMART PHARMACY KROGER PHARMACY CVS PHARMACY RITE AID PHARMACY RITE AID PHARMACY GABECARE DIRECT RX KROGER PHARMACY HOMETOWN PHARMACY STATE STREET PHCY & WELLNESS CENTER WALGREENS RITE AID PHARMACY

ADDRESS 22421 PONTIAC TRL 102 S MAIN ST 1010 S STATE ST 2301 VERSAILLES AVE 1365 MAIN ST 1 E BROAD ST 10 W BROADWAY 1327 PLAZA E 2907 STATE ST 1102 N QUEEN ST 1827 HARPER RD 1439 MACCORKLE AVE 8706 SENECA TRAIL S 12450 LA GRANGE RD 375 CROSS ROADS BLVD 100 E LIBERTY ST - STE 700 2045 BYPASS RD 320 S MAIN ST 22150 COOLIDGE HWY 752 SOUTHFIELD RD 26237 SOUTHFIELD 11460 E 12 MILE RD 8367 E JEFFERSON 4420 E. DAVISON 25901 COOLIDGE HWY 1900 COLUMBUS AVE 7649 W VERNOR HWY 468 CADIEUX RD 480 S JEFFERSON AVE 33381 WALKER RD STE A 540 N CENTER ST 4025 TAYLORSVILLE RD 2441 S HIGHWAY 27 11155 US HIGHWAY 23 S 9117 CINCINNATI COLUMBUS RD 730 CORYLUS DR 25 WHITNEY DR STE 122 711 S BREIEL BLVD 121 BISHOP ST 59 HIGHWAY 15 N 21287 HWY 421 4209 N MAYO TRL 209 N. MAYSVILLE ST STE 200 1305 N ELM ST 114 N PINE ST 15300 EUREKA RD 2850 S INDUSTRIAL HWY STE 50 2950 S NEWBURGH RD 1550 W LAKE LANSING RD 25610 PONTIAC TRL 715 E FRONT ST 854 N CENTER AVE, STE 1 670 HIGHLAND AVE 1905 N CANTON CENTER RD 6100 N HAGGERTY RD 8605 E 34 RD 2117 SPRINGWELLS ST 7000 MONROE BLVD 6020 KALAMAZOO AVE SE 1005 HIGH ST 297 S MAIN ST 12164 LEBANON RD 1500 LOCKBOURNE RD 9841 WATERSTONE BLVD 1185 GLENSBORO RD STE 5 28250 DEQUINDRE RD 3921 WILDER RD 26233 HOOVER RD 15051 E 13 MILE RD 681 N MAIN 47300 PONTIAC TRL 830 KIRTS BLVD STE 300 4888 N ADAMS RD 4252 KALAMAZOO AVE SE 192 N STATE ST 1700 WEST RD 340 W MAIN ST

CITY SOUTH LYON PLAINWELL BIG RAPIDS MCKEESPORT BROCKWAY HAZLETON RED LION CHARLESTON GASSAWAY MARTINSBURG BECKLEY SAINT ALBANS RONCEVERTE LOUISVILLE COLD SPRING LOUISVILLE WINCHESTER MARION OAK PARK LINCOLN PARK LATHRUP VILLAGE WARREN DETROIT DETROIT OAK PARK BAY CITY DETROIT GROSSE POINTE PLAIN CITY AVON LAKE LAGRANGE LOUISVILLE SOMERSET BETSY LAYNE WEST CHESTER PATASKALA MILFORD MIDDLETOWN CORBIN JACKSON HYDEN PIKEVILLE MOUNT STERLING HENDERSON PINEVILLE SOUTHGATE ANN ARBOR WAYNE EAST LANSING SOUTH LYON BUCHANAN GAYLORD MILFORD CANTON CANTON CADILLAC DETROIT TAYLOR KENTWOOD WADSWORTH OBERLIN CINCINNATI COLUMBUS CINCINNATI LAWRENCEBURG WARREN BAY CITY WARREN WARREN PERRY WIXOM TROY OAKLAND TWP GRAND RAPIDS CARO TRENTON CARROLLTON

STATE

COUNTY

MI OAKLAND

MI ALLEGAN

MI MECOSTA

PA ALLEGHENY

PA JEFFERSON

PA LUZERNE

PA YORK

WV KANAWHA

WV BRAXTON

WV BERKELEY

WV RALEIGH

WV KANAWHA

WV GREENBRIER

KY JEFFERSON

KY CAMPBELL

KY JEFFERSON

KY CLARK

KY CRITTENDEN

MI OAKLAND

MI WAYNE

MI OAKLAND

MI MACOMB

MI WAYNE

MI WAYNE

MI OAKLAND

MI BAY

MI WAYNE

MI WAYNE

OH MADISON

OH LORAIN

OH LORAIN

KY JEFFERSON

KY PULASKI

KY FLOYD

OH BUTLER

OH LICKING

OH CLERMONT

OH BUTLER

KY WHITLEY

KY BREATHITT

KY LESLIE

KY PIKE

KY MONTGOMERY

KY HENDERSON

KY BELL

MI WAYNE

MI WASHTENAW

MI WAYNE

MI INGHAM

MI OAKLAND

MI BERRIEN

MI OTSEGO

MI OAKLAND

MI WAYNE

MI WAYNE

MI WEXFORD

MI WAYNE

MI WAYNE

MI KENT

OH MEDINA

OH LORAIN

OH HAMILTON

OH FRANKLIN

OH WARREN

KY ANDERSON

MI MACOMB

MI BAY

MI MACOMB

MI MACOMB

MI SHIAWASSEE

MI OAKLAND

MI OAKLAND

MI OAKLAND

MI KENT

MI TUSCOLA

MI WAYNE

OH CARROLL

ZIP

PHONE

48178 (248)-437-8131

49080 (269)-685-6808

49307 (231)-592-0385

15132 (412)-673-7147

15824 (814)-268-3305

18201 (570)-454-2476

17356 (717)-244-4450

25301 (304)-343-9497

26624 (304)-364-5161

25404 (304)-260-9185

25801 (304)-253-3088

25177 (304)-722-5086

24970 (304)-645-1890

40245 (502)-241-6770

41076 (859)-448-1220

40202 (502)-568-8830

40391 (859)-744-1377

42064 (270)-967-9007

48237 (245)-545-3600

48146 (313)-436-4501

48076 (248)-728-4960

48093 (586)-722-2842

48214 (313)-925-7890

48212 (313)-334-6711

48237 (248)-543-7848

48708 (989)-894-3744

48209 (313)-395-2887

48230 (313)-473-1700

43064 (614)-873-0880

44012 (844)-443-6879

44050 (440)-613-1300

40220 (502)-451-9200

42501 (606)-677-4068

41605 (606)-478-9474

45069 (513)-229-7585

43062 (740)-306-3000

45150 (513)-941-4999

45044 (513)-217-6222

40701 (606)-528-2124

41339 (606)-666-2883

41749 (606)-672-3811

41501 (606)-432-0331

40353 (859)-404-7686

42420 (812)-450-3784

40977 (606)-337-5050

48195 (734)-283-9500

48104 (734)-975-3006

48184 (734)-728-6500

48823 (517)-351-9445

48178 (248)-486-9100

49107 (269)-695-2000

49735 (989)-732-4879

48381 (248)-685-0100

48187 (734)-844-2677

48187 (734)-981-3002

49601 (231)-876-2810

48209 (313)-841-8000

48180 (313)-299-1943

49508 (616)-698-9165

44281 (330)-334-5811

44074 (440)-774-3531

45241 (513)-733-4945

43206 (614)-449-9771

45249 (513)-677-3879

40342 (502)-517-0888

48092 (586)-558-2089

48706 (989)-684-1887

48089 (586)-754-1191

48088 (586)-415-6565

48872 (517)-625-3322

48393 (248)-960-0352

48084 (248)-280-2270

48306 (248)-276-3261

49508 (616)-281-1323

48723 (989)-672-3500

48183 (734)-675-2997

44615 (330)-627-5229

NCPDP 3663704 3664073 3666166 3667930 3668273 3668348 2302420 2302583 2302963 2306101 2310819 2317279 2320808 2330811 2330986 2334821 2340191 2341131 2341294 2343084 2344163 2346674 3902788 3913387 3913440 3926283 5000170 5007251 5009255 5009546 5011755 5054224 1827281 1828017 1831836 1832903 2369571 2370512 2371425 2372770 3641986 1836595 1836975 1838169 1838347 1838599 1838917 2352324 2356233 2356308 2356601 2357312 2358299 2358958 2359203 3656519 3661851 3665239 3665443 3667562 3667726 1819880 1823536 1825605 3663007 3664516 3666027 3668083 3668223 2305440 2309525 2310237 2322674 2324488 2328878 2329678 2338879

NPI 1922101765 1326055328 1659386589 1447347604 1578585287 1811902752 1407995632 1336277094 1417069337 1174532592 1396758041 1386756377 1326157843 1750493680 1962511493 1720190655 1235241167 1619987419 1992717698 1699782284 1720196199 1811006364 1740389006 1306973391 1811090665 1851396675 1407950181 1750379632 1619050754 1992722029 1093732133 1538192877 1730285545 1174595003 1689991176 1174898746 1730201427 1003098344 1386809291 1649404526 1093749897 1386167443 1366965881 1821655580 1033750187 1003446162 1811505233 1912019860 1982706271 1205850559 1740346600 1043320864 1851312854 1336159995 1366457483 1841224540 1497842991 1508871419 1023030731 1477570679 1669494373 1275564767 1154344216 1326072026 1972518884 1568565307 1417962333 1316971021 1811912520 1104871045 1053338939 1649388000 1306883319 1861582611 1598771891 1275740219 1437299914

PHARMACY NAME CVS PHARMACY WALGREENS ACME PHARMACY MEIJER PHARMACY CVS PHARMACY MARCS MEIJER PHARMACY TWIN VALLEY PHARMACY CVS PHARMACY LTC WELCOME PHARMACY SOUTH MEMPHIS DRUGS HOPPS COLONIAL PHARMACY RITE AID PHARMACY CVS PHARMACY RITE AID PHARMACY CVS PHARMACY CVS PHARMACY RITE AID PHARMACY RITE AID PHARMACY VALUE DRUGS FAIRWAY SAV MOR DRUGS RITE AID PHARMACY RITE AID PHARMACY VACCARES PHARMACY CVS PHARMACY COOK'S PHARMACY OF SHAVERTOWN CVS PHARMACY KINGWOOD PHARMACY LLC CRAB ORCHARD PHARMACY WALMART PHARMACY WALMART PHARMACY WEIS PHARMACY STANFORD DRUG DAVIS DRUGS LONE OAK MEIJER PHARMACY EAST MAIN STREET PHARMACY MEIJER PHARMACY WALGREENS TOWN CENTER PHARMACY BENZER PHARMACY KROGER SAV-ON WALGREENS WALGREENS MED SAVE NICHOLASVILLE BOURBONTOWN PHARMACY OPTIMUM WELLNESS CENTER BAPTIST HEALTH BARDSTOWN PHARMACY CVS PHARMACY CVS PHARMACY RITE AID PHARMACY HEALTH DIMENSIONS INC RITE AID PHARMACY RITE AID PHARMACY RITE AID PHARMACY WALGREENS KROGER SAV-ON GOOD SAMARITAN HOSP O/P PHARMACY GIANT EAGLE PHARMACY CVS PHARMACY WALMART PHARMACY CVS PHARMACY JEFF'S PHARMACY WALMART PHARMACY KROGER PHARMACY GIANT EAGLE PHARMACY CVS PHARMACY GIANT EAGLE PHARMACY KROGER PHARMACY KROGER PHARMACY PLUMBROOK PRESCRIPTION CENTER TAYLER PRESCRIPTION PITKIN DRUG AND GIFT SHOPPE THE APOTHECARY-HANCOCK CLINTON MEMORIAL HOSPITAL PHCY RITE AID PHARMACY CLARK PROFESSIONAL PHARMACY MEIJER PHARMACY

ADDRESS 1137 STATE ROUTE 131 4265 STATE RD 3200 GREENWICH RD 100 POLARIS PKWY 5225 MONROE ST 1664 N MAIN ST 2425 ALPINE AVE NW 1250 COLUMBIA AVE E 15325 MICHIGAN AVE 303 W PROSPECT ST 80850 MAIN ST 126 W MAIN ST 501 E HOUGHTON AVE 4295 ORCHARD LAKE RD 1341 WRIGHT AVE 19120 MIDDLEBELT RD 22000 ECORSE RD 1950 W CENTRE AVE 4350 DIXIE HWY 100 MONROE ST 19332 E TEN MILE RD 1301 W 14 MILE RD 1241 BLAKESLEE BLVD DR E STE 2 110 N MAIN ST 175 W BEAU ST 1909 MEMORIAL HWY 1200 EDWIN MILLER BLVD 220 W MAIN ST 1299 ROBERT C BYRD DR 32 TYGART MALL LOOP 201 GREASY RIDGE RD 217 OAK LEE DR 107 METKER TRAIL SUITE D 2855 LONE OAK RD 2013 LANTERN RIDGE DR 279 E MAIN ST 3565 FAIRLANE DR 22318 PONTIAC TRL 1201 FLUSHING RD STE 2 16311 GRAND RIVER AVE 1375 CHAMBERS RD 551 MAIN ST N 2307 E MAIN ST 1025 N MAIN ST STE A 1822 MAIN STREET 716 BROADWAY ST 3615 E JOHN ROWAN BLVD STE 103 1025 SAINT CLAIR RIVER DR 13500 22 MILE RD 1339 E GRAND RIVER AVE 39303 COUNTRY CLUB DR STE A26 37355 8 MILE RD 13916 S WEST BAY SHORE DR 2855 S COUNTY ROAD 489 3016 S WESTNEDGE AVE 725 W CENTRAL AVE 375 DIXMYTH AVE 2201 KRESGE DR 2490 N FAIRFIELD RD 2793 TAYLOR ROAD EXT 2300 MIAMISBURG CENTERVILLE RD 120 LOTHBURY AVE 1255 N 12TH ST 170 BELLERIVE BLVD 2390 W PROSPECT RD 4996 BRANDT PIKE 14650 SNOW RD 10595 SPRINGFIELD PIKE 1165 WESTERN AVE 39880 VAN DYKE AVE 32316 GRAND RIVER AVE 101 W COLBY ROAD 500 CAMPUS DR 901 S OAKLAND ST 9155 TELEGRAPH RD 3280 WASHTENAW AVE 4200 HIGHLAND RD

CITY MILFORD CLEVELAND NORTON WESTERVILLE TOLEDO NORTH CANTON GRAND RAPIDS BATTLE CREEK DEARBORN JACKSON MEMPHIS HOMER WEST BRANCH WEST BLOOMFIELD ALMA LIVONIA TAYLOR PORTAGE WATERFORD ALLEGAN EASTPOINTE CLAWSON LEHIGHTON GREENSBURG WASHINGTON SHAVERTOWN MARTINSBURG KINGWOOD CRAB ORCHARD WHITE HALL PRINCETON RANSON STANFORD PADUCAH RICHMOND HAZARD ALLEN PARK SOUTH LYON FLINT DETROIT COLUMBUS MCKEE CUMBERLAND NICHOLASVILLE PARIS PAINTSVILLE BARDSTOWN ALGONAC SHELBY TOWNSHIP PORTLAND FARMINGTON HILLS LIVONIA TRAVERSE CITY LEWISTON KALAMAZOO SPRINGBORO CINCINNATI AMHERST BEAVERCREEK REYNOLDSBURG DAYTON MIDDLESBORO MIDDLESBORO NICHOLASVILLE ASHTABULA HUBER HEIGHTS BROOKPARK CINCINNATI CHILLICOTHE STERLING HEIGHTS FARMINGTON WHITEHALL HANCOCK SAINT JOHNS TAYLOR ANN ARBOR WATERFORD

STATE

COUNTY

OH CLERMONT

OH CUYAHOGA

OH SUMMIT

OH DELAWARE

OH LUCAS

OH STARK

MI KENT

MI CALHOUN

MI WAYNE

MI JACKSON

MI MACOMB

MI CALHOUN

MI OGEMAW

MI OAKLAND

MI GRATIOT

MI WAYNE

MI WAYNE

MI KALAMAZOO

MI OAKLAND

MI ALLEGAN

MI MACOMB

MI OAKLAND

PA CARBON

PA WESTMORELAND

PA WASHINGTON

PA LUZERNE

WV BERKELEY

WV PRESTON

WV RALEIGH

WV MARION

WV MERCER

WV JEFFERSON

KY LINCOLN

KY MCCRACKEN

KY MADISON

KY PERRY

MI WAYNE

MI OAKLAND

MI GENESEE

MI WAYNE

OH FRANKLIN

KY JACKSON

KY HARLAN

KY JESSAMINE

KY BOURBON

KY JOHNSON

KY NELSON

MI ST. CLAIR

MI MACOMB

MI IONIA

MI OAKLAND

MI WAYNE

MI LEELANAU

MI MONTMORENCY

MI KALAMAZOO

OH WARREN

OH HAMILTON

OH LORAIN

OH GREENE

OH FAIRFIELD

OH MONTGOMERY

KY BELL

KY BELL

KY JESSAMINE

OH ASHTABULA

OH MONTGOMERY

OH CUYAHOGA

OH HAMILTON

OH ROSS

MI MACOMB

MI OAKLAND

MI MUSKEGON

MI HOUGHTON

MI CLINTON

MI WAYNE

MI WASHTENAW

MI OAKLAND

ZIP

PHONE

45150 (513)-831-8225

44109 (216)-739-9659

44203 (330)-825-2573

43082 (614)-865-2010

43623 (419)-843-1622

44720 (330)-244-1042

49544 (616)-363-9849

49014 (269)-964-9467

48126 (313)-582-9422

49203 (517)-787-2132

48041 (810)-392-2424

49245 (517)-568-3400

48661 (989)-345-0080

48323 (248)-626-5434

48801 (989)-463-6111

48152 (248)-476-5085

48180 (313)-295-3031

49024 (269)-321-0664

48329 (248)-674-0466

49010 (269)-673-6749

48021 (586)-771-0030

48017 (248)-435-2410

18235 (570)-386-5838

15601 (724)-837-1260

15301 (724)-222-0470

18708 (570)-675-1191

25404 (304)-263-4951

26537 (304)-329-3600

25827 (304)-253-7474

26554 (304)-366-9115

24739 (304)-431-2105

25438 (304)-728-9041

40484 (606)-365-2100

42003 (270)-554-5099

40475 (859)-575-5010

41701 (606)-487-0107

48101 (313)-253-1110

48178 (248)-486-5216

48504 (810)-232-9100

48227 (313)-838-1100

43212 (614)-488-4062

40447 (606)-287-7187

40823 (606)-589-2234

40356 (859)-354-2100

40361 (859)-900-0330

41240 (606)-220-2553

40004 (502)-331-4740

48001 (810)-794-4941

48315 (586)-997-2050

48875 (517)-647-4704

48331 (248)-489-1573

48152 (248)-474-8657

49684 (231)-946-7400

49756 (989)-786-2239

49008 (269)-552-1518

45066 (937)-743-5990

45220 (513)-862-1559

44001 (440)-282-7651

45431 (937)-431-8672

43068 (614)-367-1021

45459 (937)-435-4096

40965 (606)-248-0171

40965 (606)-248-6288

40356 (859)-219-2148

44004 (440)-992-6165

45424 (937)-233-3324

44142 (216)-267-2185

45215 (513)-771-2970

45601 (740)-772-4062

48313 (586)-939-9580

48336 (248)-474-8290

49461 (231)-893-5495

49930 (906)-483-1919

48879 (989)-224-8155

48180 (313)-291-6050

48104 (734)-369-8782

48328 (248)-738-7810

NCPDP 2339732 2340230 2344149 2344214 2345482 2346446 3665734 3665924 3666659 3666673 3961251 3964411 3965805 3687398 3687451 3687918 1800108 1808510 1814638 1815262 3601122 3610210 3610791 3614737 3976543 3978597 3980807 3980819 3981188 3981405 3983194 3984716 3985198 3987128 3667916 2306769 2308890 2311239 2312926 2323498 2327953 2332839 2337586 3902322 3902699 3902904 3904491 3931246 5007617 5011971 5012163 1820819 1823473 1824588 1821633 1823310 1827952 1829057 1829425 1834832 2375598 2375904 2376970 2379851 2382377 2383759 2386678 3682033 3685522 3685786 3686233 3687071 1837511 1838777 2348010 2352273 2355243

NPI 1609988534 1881706331 1053327858 1093818122 1457385213 1447344841 1457455271 1598874877 1245246552 1144235060 1215038773 1033136189 1033217641 1578105805 1295378008 1871125542 1962500934 1073682852 1467555821 1285737924 1790888402 1619994357 1447353164 1164517215 1710081591 1538194576 1730283524 1154353175 1114942729 1609898337 1750308995 1184728974 1336154236 1114001450 1053326082 1053306845 1881703304 1659440352 1144269085 1679645469 1528073145 1689601916 1760591200 1962501213 1104925460 1568561827 1255435095 1295803021 1770517559 1740202449 1811914955 1457378770 1891713368 1700803038 1972521441 1245323997 1891717534 1083631329 1457376154 1780078782 1114217833 1033492632 1942565585 1114328614 1255787610 1417472697 1164082103 1386059228 1437668183 1962901314 1265824874 1235790031 1184122160 1477187334 1720005036 1174625453 1790719557

PHARMACY NAME CVS PHARMACY ST JOHN PHARMACY SNYDER DRUG OMNICARE OF WEST BRANCH KROGER PHARMACY HENRY FORD MEDICAL CENTER PHARMACY CVS PHARMACY RITE AID PHARMACY RITE AID PHARMACY GIANT EAGLE PHARMACY CVS PHARMACY WALMART PHARMACY CVS PHARMACY DISCOUNT DRUG MART BUCKEYE DRUGS CARDINAL HEALTH WELL CNTR PHCY GRANT CO DRUGS INC MCDONALD PHARMACY CVS PHARMACY CVS PHARMACY CVS PHARMACY SCHWIETERMANS DRUG STORE INC CVS PHARMACY BERRY PHARMACY CO INC CVS PHARMACY WEIS PHARMACY CVS PHARMACY GIANT PHARMACY THE HOMETOWN PHARMACY CVS PHARMACY WALMART PHARMACY CVS PHARMACY WALGREENS RITE AID PHARMACY WALGREENS HOMETOWN PHARMACY RITE AID PHARMACY REDFORD INC FOX HILLS MEDI-MART, LTD CUSTOM CARE PHARMACY WAKEFIELD PHARMACY PAW PAW VILLAGE PHARMACY RITE AID PHARMACY RITE AID PHARMACY RITE AID PHARMACY RITE AID PHARMACY CVS PHARMACY VALLEY PHARMACY KROGER PHARMACY CVS PHARMACY WALMART PHARMACY WALMART PHARMACY WALMART PHARMACY WALMART PHARMACY WALMART PHARMACY HINES PHARMACY CVS PHARMACY WALMART PHARMACY KROGER PHARMACY TOTAL PHARMACY CARE #3 KBIC PHARMACY CARE-MOR PHARMACY CET PHARMACY SERVICE CASSOPOLIS FAMILY CLINIC HEALTHPLUS PHARMACY OF ANN ARBOR JP PHARMACY WRIGLEYS PHARMACY 4 LLC SOMC PHARMACY WEST UNION ONU HEALTHWISE PHARMACY COLUMBUS PHARMACY DAYTON PHYSICIANS UROLOGY DISCOUNT DRUG MART SAINT JOSEPH HEALTH COMM PHCY BARBOURVILLE PRESCRIPTION CTR WALMART PHARMACY CVS PHARMACY KROGER PHARMACY

ADDRESS 2235 E GRAND RIVER AVE 22101 MOROSS RD STE G1502 5091 US 41 SOUTH 522 E HOUGHTON AVE STE 102 400 S MAPLE RD 3500 15 MILE RD 9151 S OLD STATE RD 267 NORTH MAIN STREET 530 W MARKET ST 8515 TANGLEWOOD SQ 3519 NAZARETH RD 5900 PERKIOMEN AVE 1101 N ATHERTON ST 9318 BROADVIEW RD 825 S CABLE RD STE A1 7200 CARDINAL PL W 24 S MAIN ST 437 JAMES HANNAH DR 3275 IRVIN COBB DR 3311 HIGHWAY 54 1885 HENDERSON RD 2 N WASHINGTON ST 60 N STYGLER RD 1041 B OLD US 52 751 W LANCASTER AVE 601 PLEASANT VALLEY BLVD 3425 SCHUYLKILL RD 2180 W CHESTER PIKE 730 EAST PITTSBURGH STREET 200 BUTLER CMNS 2711 ELM ST 3015 LINCOLN HWY 1 YORKTOWN PLZ 301 EISENHOWER DR 925 WOODVILLE RD 1181 WALKER AVE NW 2480 LAPEER RD 17364 LAHSER RD 1539 S OPDYKE RD 3535 W 13 MILE RD STE 124 408 SUNDAY LAKE ST 322 E MICHIGAN AVE 1490 W CENTER RD 1700 PINE HOLLOW RD 4830 WILLIAM PENN HWY 5990 UNIVERSITY BLVD STE 30 101 N STATE ST 647 STATE ROUTE 93 HWY 5717 MACCORKLE AVE SE 2070 THUNDERING HERD DR 25 NICHOLS DR 240 WAL MART WAY 1000 BYPASS N 500 TAYLORSVILLE RD 1589 KENTUCKY HIGHWAY 15 S 1340 KY HIGHWAY 185 7311 JEFFERSON BLVD 175 OUTER LOOP 12611 TAYLORSVILLE RD 4842 KY RT 321 102 SUPERIOR AVE 17256 WEST 7 MILE RD 25880 OUTER DR 261 M 62 4350 JACKSON RD STE 250 27301 SCHONHERR ROAD SUIT 106 14313 GREENFIELD RD 90 CIC BLVD 511 W LINCOLN AVE 246 LINCOLN CIR STE B 2350 MIAMI VALLEY DR SUITE 500 7626 STATE ROUTE 45 120 N EAGLE CREEK DR STE 101 1881 S US HIGHWAY 25E 1680 PACKARD HWY 5529 SASHABAW RD 8920 W 8 MILE RD

CITY HOWELL DETROIT MARQUETTE WEST BRANCH ANN ARBOR STERLING HEIGHTS LEWIS CENTER WELLINGTON TIFFIN CHAGRIN FALLS EASTON READING STATE COLLEGE BROADVIEW HEIGHTS LIMA DUBLIN DRY RIDGE SOUTH SHORE PADUCAH OWENSBORO UPPER ARLINGTON NEW BREMEN GAHANNA NEW RICHMOND DOWNINGTOWN ALTOONA SPRING CITY BROOMALL GREENSBURG BUTLER ERIE THORNDALE ELKINS PARK HANOVER TOLEDO GRAND RAPIDS AUBURN HILLS DETROIT BLOOMFIELD HILLS ROYAL OAK WAKEFIELD PAW PAW ESSEXVILLE MC KEES ROCKS MURRYSVILLE MOON TOWNSHIP CLARKS SUMMIT SUGARLOAF CHARLESTON BARBOURSVILLE BARBOURSVILLE MAYSVILLE LAWRENCEBURG SHELBYVILLE JACKSON BOWLING GREEN LOUISVILLE LOUISVILLE LOUISVILLE PRESTONSBURG BARAGA DETROIT LINCOLN PARK CASSOPOLIS ANN ARBOR WARREN DETROIT WEST UNION ADA GAHANNA CENTERVILLE LISBON LEXINGTON BARBOURVILLE CHARLOTTE CLARKSTON FERNDALE

STATE

COUNTY

MI LIVINGSTON

MI WAYNE

MI MARQUETTE

MI OGEMAW

MI WASHTENAW

MI MACOMB

OH DELAWARE

OH LORAIN

OH SENECA

OH GEAUGA

PA NORTHAMPTON

PA BERKS

PA CENTRE

OH CUYAHOGA

OH ALLEN

OH FRANKLIN

KY GRANT

KY GREENUP

KY MCCRACKEN

KY DAVIESS

OH FRANKLIN

OH AUGLAIZE

OH FRANKLIN

OH CLERMONT

PA CHESTER

PA BLAIR

PA CHESTER

PA DELAWARE

PA WESTMORELAND

PA BUTLER

PA ERIE

PA CHESTER

PA MONTGOMERY

PA YORK

OH LUCAS

MI KENT

MI OAKLAND

MI WAYNE

MI OAKLAND

MI OAKLAND

MI GOGEBIC

MI VAN BUREN

MI BAY

PA ALLEGHENY

PA WESTMORELAND

PA ALLEGHENY

PA LACKAWANNA

PA LUZERNE

WV KANAWHA

WV CABELL

WV CABELL

KY MASON

KY ANDERSON

KY SHELBY

KY BREATHITT

KY WARREN

KY JEFFERSON

KY JEFFERSON

KY JEFFERSON

KY FLOYD

MI BARAGA

MI WAYNE

MI WAYNE

MI CASS

MI WASHTENAW

MI MACOMB

MI WAYNE

OH ADAMS

OH HARDIN

OH FRANKLIN

OH MONTGOMERY

OH COLUMBIANA

KY FAYETTE

KY KNOX

MI EATON

MI OAKLAND

MI OAKLAND

ZIP

PHONE

48843 (517)-548-2401

48236 (313)-343-4720

49855 (906)-249-1441

48661 (989)-345-2297

48103 (734)-213-2340

48310 (586)-977-9971

43035 (614)-846-8027

44090 (440)-647-2121

44883 (419)-443-0189

44023 (440)-708-1277

18045 (610)-258-3961

19606 (610)-582-7288

16803 (814)-234-4761

44147 (440)-652-4115

45805 (567)-242-0099

43017 (614)-356-4014

41035 (859)-823-5271

41175 (606)-932-3614

42003 (270)-443-4885

42303 (270)-926-0476

43220 (614)-451-6555

45869 (419)-629-2336

43230 (614)-475-2014

45157 (513)-553-4131

19335 (610)-518-1841

16602 (814)-949-6414

19475 (610)-792-2061

19008 (610)-355-9244

15601 (724)-853-3254

16001 (724)-283-7269

16504 (814)-459-3653

19372 (610)-380-7180

19027 (215)-481-9562

17331 (717)-637-3744

43605 (419)-693-4086

49504 (616)-458-9640

48326 (248)-373-7700

48219 (313)-532-5920

48304 (248)-858-2225

48073 (248)-551-8290

49968 (906)-229-5966

49079 (269)-657-6073

48732 (989)-892-1565

15136 (412)-771-6366

15632 (724)-327-8233

15108 (412)-262-2161

18411 (570)-587-1205

18249 (570)-788-4444

25304 (304)-925-8400

25504 (304)-736-7651

25504 (304)-733-6188

41056 (606)-759-5050

40342 (502)-839-1482

40065 (502)-633-2592

41339 (606)-666-2622

42101 (270)-842-4341

40219 (502)-968-9256

40214 (502)-361-8299

40299 (502)-261-7042

41653 (606)-889-8570

49908 (906)-353-4555

48235 (313)-838-2500

48146 (313)-633-0021

49031 (269)-228-8505

48103 (734)-929-5668

48088 (586)-203-8444

48227 (313)-969-3668

45693 (937)-544-8989

45810 (419)-772-3784

43230 (614)-371-6843

45459 (937)-280-8036

44432 (330)-870-1190

40509 (859)-967-5923

40906 (606)-546-6337

48813 (517)-543-0700

48346 (248)-620-6663

48220 (248)-414-7232

NCPDP 2356790 2357540 2357677 2357689 2357994 3645009 3648005 3648726 3648942 3651545 1837256 1837864 1838359 1839161 2349745 2350320 2350370 2350394 2350762 2354152 2354455 2354722 2355940 2362236 3656456 3661166 3662245 3662360 3663956 3666003 3666267 3669251 3669528 3967316 3688249 1807392 1807467 1809613 1810894 1812228 1813244 1817420 3600714 3606437 3976834 3979513 3980100 3985782 3985910 3988396 3668259 3668312 3668398 3668475 3669009 3669530 2304739 2305159 2305743 2305933 2324565 2327193 2330809 2331976 2339441 2344822 2345177 2346698 3905532 3905568 3908576 3908716 3915557 2376829 2377009 2379825 2380412

NPI 1811911597 1013026590 1043220106 1922192277 1487618906 1316962020 1619086956 1134144843 1114932050 1942223763 1477076867 1962987826 1447807458 1639762149 1952318933 1528177086 1144248576 1427068246 1760591226 1366554214 1760536007 1437252475 1164524450 1760499768 1417012212 1538243787 1922025113 1265535090 1952316978 1093730707 1417962432 1770517484 1770517492 1568491124 1790397784 1386714715 1871684068 1073609731 1982789459 1447390588 1437158730 1750315578 1609979301 1619993193 1215952825 1265401814 1306831193 1861447724 1225100498 1780895474 1871508804 1770598690 1225062938 1851373476 1063448314 1902907033 1336230879 1326157603 1568501468 1962418269 1356384697 1962511485 1538261813 1730229287 1669581112 1043312382 1275645111 1639288186 1194828939 1912000753 1699864330 1396834032 1336169895 1497014757 1750636080 1528460516 1316361819

PHARMACY NAME RITE AID PHARMACY RITE AID PHARMACY RITE AID PHARMACY HENRY FORD MEDICAL CENTER PHARMACY MARTZ & SHAPLEY PHARMACY KROGER SAV-ON RITE AID PHARMACY KROGER SAV-ON MARCS RITE AID PHARMACY WALGREENS GENOA HEALTHCARE LLC COMMUNITY PHCY ST JOSEPH HOSP ARH OUR LADY OF THE WAY PHARMACY WALGREENS RITE AID PHARMACY WALMART PHARMACY RITE AID PHARMACY RITE AID PHARMACY CVS PHARMACY LAC VIEUX DESERT PHARMACY OMNICARE OF GRAND RAPIDS CVS PHARMACY WALGREENS MEIJER PHARMACY ELM STREET HLTH CTR PHARMACY WALMART PHARMACY CVS PHARMACY WALGREENS KROGER PHARMACY WALGREENS KROGER PHARMACY KROGER PHARMACY JEFFERSON SPECIALTY PHARMACY SOMC DISCHARGE PHARMACY FAMILY DRUG OF NEON NEWPORT DRUG CENTER UK KENTUCKY CLINIC PHARMACY FAMILY HEALTH CENTER PHARMACY SUPERIOR DRUG CENTER BLUEGRASS PHARMACY KROGER PHARMACY CVS PHARMACY OMNICARE OF AKRON MED-FAST PHARMACY WEGMANS PHARMACY WILEY'S PHARMACY OF MILLERSVILLE WALGREENS GENOA HEALTHCARE LLC CVS PHARMACY WALGREENS GIANT EAGLE PHARMACY KROGER PHARMACY CLEVELAND CLINIC TAUSSIG DISCOUNT DRUG MART CVS PHARMACY CENTRAL PHARMACY-CHESANING LLC RITE AID PHARMACY MEIJER PHARMACY RITE AID PHARMACY WILLIAM BEAUMONT HOSP OP PHCY RITE AID PHARMACY CVS PHARMACY MEIJER PHARMACY RITE AID PHARMACY CVS PHARMACY CVS PHARMACY RITE AID PHARMACY CVS PHARMACY CVS PHARMACY RITE AID PHARMACY RITE AID PHARMACY PARVIN'S PHARMACY COSTCO PHARMACY SMART CHOICE PHARMACY PHARMOR PHARMACY - GREENFIELD NEW SAMARITAN PHARMACY

ADDRESS 4016 OAKWOOD BLVD 402 POINTE TREMBLE RD 5370 E HILL RD 2799 W GRAND BLVD 101 MAPLE ST 1141 E MAIN ST 1540 CANTON RD 6165 GLENWAY AVE 21661 CENTER RIDGE RD 1221 W HIGH ST 1401 KEENE RD 380 SUWANNEE TRAIL ST STE 109 1401 HARRODSBURG RD STE B375 12579 MAIN ST 1601 KALAMAZOO AVE SE 222 S CHESTNUT ST 3763 I 75 BUSINESS SPUR 250 S LAKE ST STE A 425 N 5TH ST 2045 SOUTH BLVD W N5241 US HIGHWAY 45 3650 BROADMOOR AVE SE STE 108 539 E 9 MILE RD 27750 GRAND RIVER AVE 1900 W MAIN ST 1525 ELM ST 5900 BRITTON PKWY 4840 GLENWAY AVE 5881 SOM CENTER RD 1608 MARION MOUNT GILEAD RD 12777 ROCKSIDE RD 1996 TIFFIN AVE 548 CLINTON AVE 3500 HORIZON DR 1805 27TH ST 972 HIGHWAY 317 39 W 10TH ST 740 SOUTH LIMESTONE ST 2215 PORTLAND AVE 251-C MEDICAL PLAZA 1128 N MAIN ST 111 TOWNE DR 934 E MCMILLAN ST 3509 EMBASSY PKWY 2003 SHEFFIELD RD STE B 5000 WEGMANS DR 507 LEAMAN AVE 6201 SALTSBURG RD 2600 N AMERICAN ST 1530 COWPATH RD 320 S WATER ST 1201 MENTOR AVE 610 CARROLL ST 10201 CARNEGIE AVE 592 12TH ST NW 605 W MAIN ST 126 W BROAD ST 35250 S GRATIOT AVE 2777 AIRPORT RD 1002 E M 21 3601 W 13 MILE RD 24850 GREENFIELD RD 31010 JOHN R RD 8650 W GRAND RIVER AVE 419 W MAIN ST 10335 W WARREN AVE 37050 S GRATIOT AVE 25922 MIDDLEBELT RD 544 PENN ST 820 EDGEWOOD RD 1305 W CHESTER PIKE STE 8 1781 STEFKO BLVD 30 N BRYN MAWR AVE 771 AIRPORT BLVD 14379 LIVERNOIS AVE 15627 W 9 MILE RD 5575 CONNER ST STE 103

CITY MELVINDALE ALGONAC GRAND BLANC DETROIT BIG RAPIDS LANCASTER AKRON CINCINNATI ROCKY RIVER BRYAN NICHOLASVILLE BOWLING GREEN LEXINGTON MARTIN GRAND RAPIDS REED CITY SAULT S MARIE EAST JORDAN ROSCOMMON TROY WATERSMEET GRAND RAPIDS FERNDALE FARMINGTON HILLS TROY CINCINNATI DUBLIN CINCINNATI WILLOUGHBY MARION GARFIELD HEIGHTS FINDLAY WASHINGTON COURT HOUSE KING OF PRUSSIA PORTSMOUTH NEON NEWPORT LEXINGTON LOUISVILLE WHITESBURG MADISONVILLE ELIZABETHTOWN CINCINNATI AKRON ALIQUIPPA BETHLEHEM MILLERSVILLE PITTSBURGH PHILADELPHIA HATFIELD KENT PAINESVILLE NEW LEXINGTON CLEVELAND CARROLLTON NEW LEBANON CHESANING CLINTON TOWNSHIP JACKSON OWOSSO ROYAL OAK OAK PARK MADISON HEIGHTS BRIGHTON GAYLORD DEARBORN CLINTON TOWNSHIP FARMINGTON HILLS READING YORK HAVERTOWN BETHLEHEM BRYN MAWR ANN ARBOR DETROIT SOUTHFIELD DETROIT

STATE

COUNTY

MI WAYNE

MI ST. CLAIR

MI GENESEE

MI WAYNE

MI MECOSTA

OH FAIRFIELD

OH SUMMIT

OH HAMILTON

OH CUYAHOGA

OH WILLIAMS

KY JESSAMINE

KY WARREN

KY FAYETTE

KY FLOYD

MI KENT

MI OSCEOLA

MI CHIPPEWA

MI CHARLEVOIX

MI ROSCOMMON

MI OAKLAND

MI GOGEBIC

MI KENT

MI OAKLAND

MI OAKLAND

OH MIAMI

OH HAMILTON

OH FRANKLIN

OH HAMILTON

OH LAKE

OH MARION

OH CUYAHOGA

OH HANCOCK

OH FAYETTE

PA MONTGOMERY

OH SCIOTO

KY LETCHER

KY CAMPBELL

KY FAYETTE

KY JEFFERSON

KY LETCHER

KY HOPKINS

KY HARDIN

OH HAMILTON

OH SUMMIT

PA BEAVER

PA NORTHAMPTON

PA LANCASTER

PA ALLEGHENY

PA PHILADELPHIA

PA MONTGOMERY

OH PORTAGE

OH LAKE

OH PERRY

OH CUYAHOGA

OH CARROLL

OH MONTGOMERY

MI SAGINAW

MI MACOMB

MI JACKSON

MI SHIAWASSEE

MI OAKLAND

MI OAKLAND

MI OAKLAND

MI LIVINGSTON

MI OTSEGO

MI WAYNE

MI MACOMB

MI OAKLAND

PA BERKS

PA YORK

PA DELAWARE

PA NORTHAMPTON

PA MONTGOMERY

MI WASHTENAW

MI WAYNE

MI OAKLAND

MI WAYNE

ZIP

PHONE

48122 (313)-386-8345

48001 (810)-794-4985

48439 (810)-694-4775

48202 (313)-916-1233

49307 (231)-796-7621

43130 (740)-653-2369

44312 (330)-733-8378

45211 (513)-719-2420

44116 (440)-356-6240

43506 (419)-636-6142

40356 (859)-881-3682

42103 (270)-495-0240

40504 (859)-313-1471

41649 (606)-285-6464

49507 (616)-247-5521

49677 (231)-832-5542

49783 (906)-632-0582

49727 (231)-536-0901

48653 (989)-275-5161

48098 (248)-879-8322

49969 (906)-358-4905

49512 (616)-365-9702

48220 (248)-414-5761

48336 (248)-478-4115

45373 (937)-332-0510

45202 (513)-352-3094

43016 (614)-717-9672

45238 (513)-921-0831

44094 (440)-946-4357

43302 (740)-389-2144

44125 (216)-587-2943

45840 (419)-427-3662

43160 (740)-335-4062

19406 (215)-955-8154

45662 (740)-356-6401

41840 (606)-855-4428

41071 (859)-291-2578

40536 (859)-323-5855

40212 (502)-772-8625

41858 (606)-633-0197

42431 (270)-825-2775

42701 (270)-737-1710

45206 (513)-281-6334

44333 (330)-665-9145

15001 (800)-850-3396

18017 (610)-317-1345

17551 (717)-871-1100

15235 (412)-793-7328

19133 (215)-426-1007

19440 (215)-361-2542

44240 (330)-677-5650

44077 (440)-358-7769

43764 (740)-342-5649

44195 (216)-445-2124

44615 (330)-627-9005

45345 (937)-687-0677

48616 (989)-845-3609

48035 (586)-791-1550

49202 (517)-783-0010

48867 (989)-723-6756

48073 (248)-898-4097

48237 (248)-968-2383

48071 (248)-589-1554

48116 (810)-220-3110

49735 (989)-732-5220

48126 (313)-581-4010

48036 (586)-463-3110

48336 (248)-477-4740

19602 (610)-376-3438

17402 (717)-757-6252

19083 (610)-446-2795

18017 (610)-865-0761

19010 (610)-525-6664

48108 (734)-213-8011

48238 (313)-491-7450

48075 (248)-809-6024

48213 (313)-571-3095

NCPDP 2383115 2383937 2384181 2385854 3681776 3682110 3682425 3683112 3684695 3685104 3687615 3687653 3688338 1801364 1811101 1818028 3607744 3608392 3611856 3976896 3978357 3980035 2383925 2384319 2385385 2385981 3681764 3682716 3684164 3684265 3686928 1837838 1838955 2349694 2355572 2357211 2357831 2357932 2358326 3660962 3662310 3662966 3663766 3664960 3666039 3666041 3666318 3667106 3668158 3668588 3688453 1807289 1818092 3604089 3604976 3605675 3610640 3614927 3980833 2358439 2360167 2360206 2360410 2360852 3656913 3660114 3662308 3663362 3663475 3663576 3665936 3668691 3961275 3961720 3687324 3688960 1812329

NPI 1053856419 1942719836 1720590425 1104393842 1629484225 1962428136 1871996306 1215330212 1295286680 1932632973 1851856561 1033756713 1477150951 1952316192 1700863495 1366469785 1487757845 1891878583 1447397443 1740202472 1326053216 1649275835 1154840346 1720595465 1609359496 1164991055 1215351077 1770981136 1871959551 1134582398 1154882496 1669954681 1124646633 1225048978 1346342631 1821052341 1740351907 1396855912 1467467589 1801950290 1043368046 1740391846 1831292671 1932218294 1790859171 1588698286 1326053349 1831200096 1174673362 1598770521 1629617352 1992885842 1659305472 1194828806 1275636987 1659471654 1013010479 1376646000 1336123389 1265526669 1003840851 1740295872 1912912049 1487643953 1538278882 1043225055 1639103336 1609882919 1306861018 1982638680 1013028042 1477560480 1811091663 1336154251 1467000638 1215505490 1659474393

PHARMACY NAME CENTRAL PHARMACY - CHARLOTTE HEALTH POINTE PHARMACY LLC KNIGHT DRUGS HIGHLAND PARK H AND A HEALTH PHARMACY LAKE HLTH UNV HOSP SIEDMAN CC SOUTHWEST UROLOGY DISCOUNT DRUG MART COSTCO PHARMACY LINWORTHS PHARMACY THORNCHERRY FULTON DRUGS KRATZERS HOMETOWN PHCY MAINEVILLE GENESIS OUTPATIENT PHARMACY WALGREENS MIDWAY PHARMACY OF CLARKSON, INC. WALMART PHARMACY CVS PHARMACY MONROE PHARMACY HAPPY DRUGGIST MD CVS PHARMACY WALGREENS REDNER'S PHARMACY COSTCO PHARMACY HARDINGS PHARMACY ABBEY PHARMACY - EASTPOINTE HEALTHPLUS PHARMACY OF HOWELL JACKSON PHCY & WELLNESS CENTER BUCKEYE PHARMACY UC HEALTH PHARMACY COMMUNITY, A WALGREENS PHARMACY DEDICATED SENIOR MED CENTER HERITAGE PHARMACY LLC GENOA HEALTHCARE LLC ALLEGAN COMMUNITY PHARMACY CVS PHARMACY OCEANA PHARMACY BRONSON BATTLE CREEK OUTPT PHARM COSTCO PHARMACY WALGREENS MEIJER PHARMACY KROGER PHARMACY RITE AID PHARMACY CVS PHARMACY RITE AID PHARMACY KHN PHARMACY SYCAMORE KROGER PHARMACY WALGREENS RITE AID PHARMACY BUDERER DRUG CO WALGREENS MAC PHARMACY CLEMENTS PHARMACY KROGER PHARMACY CVS PHARMACY CVS PHARMACY KLEIN PHARMACY CVS PHARMACY CVS PHARMACY WEGMANS PHARMACY HENRY FORD MEDICAL CENTER PHARMACY KROGER PHARMACY WALGREENS WALGREENS COBBS STREET PHARMACY RITE AID PHARMACY WALGREENS KROGER PHARMACY RITE AID PHARMACY KROGER PHARMACY KROGER PHARMACY PHARMERICA WALGREENS CVS PHARMACY GIANT EAGLE PHARMACY MED CONNECT PHARMACY PHARMCARE USA OF WEST CHESTER CVS PHARMACY

ADDRESS 354 S COCHRAN AVE STE 3 26000 HOOVER RD STE 107 13821 WOODWARD AVE SUITE B 1207 S WAYNE RD 9485 MENTOR AVE STE 3 6900 PEARL RD 2ND FLOOR 5923 WOOSTER PIKE 26400 DIXIE HWY 2245 W DUBLIN GRANVILLE RD 1607 AMHERST RD NE 1657 25TH ST NW 6647 S STATE RTE 48 945 BETHESDA DR STE 20 1825 DIXIE HWY 627 W MAIN ST 1851 HIGHWAY 192 W 190 S SANDUSKY ST 4122 MONROE ST 26 S MAIN ST 1717 ROUTE 228 2 BALTIMORE PIKE 3 GOLD STAR PLAZA 125 E SOUTH AIRPORT RD 6430 STADIUM DR 14976 E 10 MILE RD 1225 S LATSON RD STE 100 101 E PIKE ST STE B 27 NORTON RD 3200 BURNET AVE 114 W 3RD AVE STE 114 5156 E MAIN ST 870 PARKWAY DR 1030 MONARCH ST STE 120 115 LOCUST ST 27660 MIDDLEBELT RD 819 S STATE ST 363 FREMONT ST STE 111 13700 MIDDLEBELT RD 32201 HARPER AVE 1560 MAIN ST 155 N HEINCKE RD 1081 MOUNT VERNON AVE 1785 WOODMAN DR 5498 MAHONING AVE 4000 MIAMISBURG CENTERVILLE RD 3387 MAPLE AVE 1542 WAYNE AVE 2840 YOUNGSTOWN RD SE 26611 N DIXIE HWY STE 119 4497 FAR HILLS AVE 10414 SAINT CLAIR AVE 225 N MORGAN ST 6900 BARDSTOWN RD 32 N LUDLOW ST 265 E ERIE ST 2015 STATE RD STE 1 4400 CLEVELAND AVE 600 E STATE ST 1056 E LANCASTER AVE 24725 JEFFERSON AVE 5111 HIGHLAND RD 15450 MICHIGAN AVE 4019 METROPOLITAN PKWY 520 COBB ST 4 E WALTON ST 16400 CHAGRIN BLVD 1 W CORRY ST 4205 E MARKET ST 1365 STONERIDGE DR 9939 MONTGOMERY RD 720 LAKEVIEW PLAZA BLVD STE H 6320 E MAIN ST 3498 N 5TH STREET HWY 1521 N MAIN STREET EXT 5320 E MAIN ST STE 700 5207 MUHLHAUSER RD 144 N HIGHWAY 27

CITY CHARLOTTE WARREN HIGHLAND PARK WESTLAND MENTOR MIDDLEBURG HGTS MEDINA PERRYSBURG WORTHINGTON MASSILLON CANTON MAINEVILLE ZANESVILLE FT WRIGHT CLARKSON LONDON DELAWARE TOLEDO MECHANICSBURG CRANBERRY TOWNSHIP SPRINGFIELD SHENANDOAH TRAVERSE CITY KALAMAZOO EASTPOINTE HOWELL JACKSON CENTER COLUMBUS CINCINNATI COLUMBUS COLUMBUS SALYERSVILLE LEXINGTON ALLEGAN FARMINGTON HILLS HART BATTLE CREEK LIVONIA SAINT CLAIR SHORES HAMILTON MIAMISBURG MARION KETTERING YOUNGSTOWN MIAMISBURG ZANESVILLE DAYTON WARREN PERRYSBURG KETTERING CLEVELAND MORGANFIELD LOUISVILLE DAYTON PAINESVILLE CUYAHOGA FALLS COLUMBUS FREMONT DOWNINGTOWN SAINT CLAIR SHORES WATERFORD DEARBORN STERLING HEIGHTS CADILLAC WILLARD SHAKER HEIGHTS CINCINNATI WARREN GAHANNA CINCINNATI WORTHINGTON REYNOLDSBURG READING BUTLER COLUMBUS WEST CHESTER SOMERSET

STATE

COUNTY

MI EATON

MI MACOMB

MI WAYNE

MI WAYNE

OH LAKE

OH CUYAHOGA

OH MEDINA

OH WOOD

OH FRANKLIN

OH STARK

OH STARK

OH WARREN

OH MUSKINGUM

KY KENTON

KY GRAYSON

KY LAUREL

OH DELAWARE

OH LUCAS

OH CHAMPAIGN

PA BUTLER

PA DELAWARE

PA SCHUYLKILL

MI GRAND TRAVERSE

MI KALAMAZOO

MI MACOMB

MI LIVINGSTON

OH SHELBY

OH FRANKLIN

OH HAMILTON

OH FRANKLIN

OH FRANKLIN

KY MAGOFFIN

KY FAYETTE

MI ALLEGAN

MI OAKLAND

MI OCEANA

MI CALHOUN

MI WAYNE

MI MACOMB

OH BUTLER

OH MONTGOMERY

OH MARION

OH MONTGOMERY

OH MAHONING

OH MONTGOMERY

OH MUSKINGUM

OH MONTGOMERY

OH TRUMBULL

OH WOOD

OH MONTGOMERY

OH CUYAHOGA

KY UNION

KY JEFFERSON

OH MONTGOMERY

OH LAKE

OH SUMMIT

OH FRANKLIN

OH SANDUSKY

PA CHESTER

MI MACOMB

MI OAKLAND

MI WAYNE

MI MACOMB

MI WEXFORD

OH HURON

OH CUYAHOGA

OH HAMILTON

OH TRUMBULL

OH FRANKLIN

OH HAMILTON

OH FRANKLIN

OH FRANKLIN

PA BERKS

PA BUTLER

OH FRANKLIN

OH BUTLER

KY PULASKI

ZIP

PHONE

48813 (517)-543-9990

48089 (586)-859-5588

48203 (313)-334-6722

48186 (734)-398-1802

44060 (440)-205-5711

44130 (440)-845-0900

44256 (330)-721-0600

43551 (567)-368-6010

43085 (614)-392-0960

44646 (330)-413-1509

44709 (330)-456-2476

45039 (513)-880-0023

43701 (740)-454-4044

41011 (859)-331-0370

42726 (270)-242-2331

40741 (606)-878-6143

43015 (740)-363-1181

43606 (419)-473-1531

43044 (937)-834-2270

16066 (724)-778-9007

19064 (610)-259-7850

17976 (570)-462-9651

49686 (231)-252-7010

49009 (269)-375-5369

48021 (586)-933-1583

48843 (517)-579-2797

45334 (937)-596-8100

43228 (614)-465-7070

45229 (513)-585-9700

43201 (614)-456-1108

43213 (614)-702-7655

41465 (606)-349-7733

40513 (859)-963-2343

49010 (269)-673-4188

48334 (248)-442-8130

49420 (231)-873-2540

49017 (269)-245-8646

48150 (734)-427-2866

48082 (586)-293-5152

45013 (513)-896-2610

45342 (937)-847-2834

43302 (740)-389-2700

45420 (937)-253-3242

44515 (330)-793-4409

45342 (937)-384-3868

43701 (740)-453-8837

45410 (937)-254-2156

44484 (330)-369-8444

43551 (419)-873-2800

45429 (937)-396-1358

44108 (216)-800-0223

42437 (270)-389-2440

40291 (502)-239-2322

45402 (937)-228-9145

44077 (440)-354-4432

44223 (330)-929-9183

43224 (614)-475-3611

43420 (419)-332-1505

19335 (610)-518-7845

48080 (586)-447-3680

48327 (248)-673-4324

48126 (313)-584-5820

48310 (586)-446-8104

49601 (231)-876-6740

44890 (419)-935-3900

44120 (216)-561-4007

45219 (513)-872-1520

44484 (330)-856-1794

43230 (614)-418-1529

45242 (513)-793-1620

43085 (614)-430-9720

43068 (614)-759-8048

19605 (610)-929-9864

16001 (724)-282-9160

43213 (614)-868-3506

45011 (513)-409-5286

42503 (606)-679-7395

NCPDP 1817002 1819032 3606336 3614636 3976644 3979638 3981342 3986669 3987712 3988257 3988411 1834490 1503677 1514226 3919149 3923516 3925279 3927095 5003835 5012098 5054084 1825225 1825439 1825732 1826227 1826378 1826405 1826532 1827142 1830012 1831266 1833309 1835620 2378950 2380943 2382404 2382947 3659248 3664794 3665203 3667497 3961629 1822976 1823776 1830086 1830860 1830935 1831038 1832939 1835492 1835593 2376297 2376374 2376425 2377996 2379596 2384775 2384888 2385397 3681803 3681839 1828980 1829691 1831848 1832547 1832799 1833018 2377302 2378241 2379180 2379774 2380020 2381616 2382238 2385880 2386755 3681651

NPI 1285749473 1710904131 1386747004 1407867062 1538263314 1487743035 1720187909 1922183821 1891858411 1952523557 1104033620 1417364662 1386747871 1457366098 1184620221 1295876217 1376680736 1326164138 1902993108 1912900614 1427063361 1700810546 1528085859 1790862423 1609800440 1134134380 1518006048 1730104431 1346211869 1588797690 1063648384 1184973984 1780139949 1699198606 1033505771 1750837670 1346419223 1659474484 1033124052 1104841816 1346402609 1427063346 1538186861 1891712121 1932227014 1346498698 1043455264 1245478007 1285900860 1952754475 1649726258 1124399670 1629341102 1114290582 1104260066 1689080319 1225526601 1548750714 1639652415 1366869521 1447676952 1467470948 1790867166 1083930838 1619263308 1801164348 1649556374 1487907960 1861824583 1003235458 1578962395 1336545953 1144689811 1134577273 1134691041 1578118006 1033530985

PHARMACY NAME CLINIC PHARMACY WALMART PHARMACY CVS PHARMACY BRISTOW PHARMACY CVS PHARMACY FAMILY PHARMACY OF JESSUP INC RITE AID PHARMACY WALGREENS BLUEGRASS PHARMACY INSTITUTE HILL PHARMACY INC CVS PHARMACY NORTH CENTURY PHARMACY CVS PHARMACY A P & S PHARMACY INC LEWISTOWN PHARMACY INC PINE GROVE PHARMACY ROANS PRESCRIPTION DRUG STORE UNIVERSITY HEALTH SVCS PHCY FLAT IRON DRUG STORE GREENBRIER MEDICAL ARTS PHCY N FRUTH PHARMACY KROGER PHARMACY WALMART PHARMACY PHARMACY EXPRESS KROGER PHARMACY WALGREENS FAMILY PHARMACY OF JACKSON KROGER PHARMACY VALUE-MED PHARMACY WALMART PHARMACY HOWARD FAMILY PHARMACY INC MADISON DRUG MEDICA PHARMACY ELITE ACCESS PHARMACY BELLEVILLE PHARMACY KROGER PHARMACY MICHIGAN HOME VISITING PHYSICIANS P CVS PHARMACY WALGREENS KROGER PHARMACY HARNESS HEALTH PHARMACY GIANT EAGLE PHARMACY WALMART PHARMACY WALMART PHARMACY GENOA HEALTHCARE LLC WALGREENS SAM'S CLUB PHARMACY EASTRIDGE PHELPS PHARMACY BLUEGRASS DRUG STORE PROSPECT PHARMACY CVS PHARMACY BENZER PHARMACY PORT HURON PHARMACY OMEGA PHARMACY BENZER PHARMACY SOLEO HEALTH INC HERITAGE MEDICAL PHARMACY PRESTIGE SPECIALTY PHARMACY ABBEY PHARMACY - BAY CITY WALMART PHARMACY SOLEO HEALTH INC. WALMART PHARMACY CVS PHARMACY YOUR HOMETOWN PHARMACY WALGREENS APOTHECARE PHARMACY III RADCLIFF OPTION CARE GRANT PHARMACY KROGER PHARMACY RIGLEY'S PHARMACY PAR WICK PHARMACY REMEDY RX WEST STERLING CITY PHARMACY INC BEECHER RD FAMILY PHARMACY CVS PHARMACY MERCY HEALTH PHCY NORTH MUSKEGON HOPE PHARMACY LTD

ADDRESS 412 LIBERTY RD 301 PARKWAY PLZ 200 S 2ND ST 100 MAIN ST 701 DEKALB ST 128 CONSTITUTION AVE 644 W LANCASTER AVE 1955 SULLIVAN TRL 2417 WELSH RD UNIT 15 937 E JEFFERSON ST 6416 CARLISLE PIKE 3058 CAMPBELLSVILLE RD 2423 N NATIONAL RD 1429 N 6TH ST 7 N WAYNE ST 10 E POTTSVILLE ST 159 E MAIN ST 202C STUDENT HEALTH CTR 69 MCDOWELL ST 3558 JEFFERSON ST N STE 1 4539 TEAYS VALLEY RD 1700 DECLARATION DR 4051 NICHOLASVILLE RD 415 S L ROGERS WELLS BLVD 2200 BROWNSBORO RD 11930 STANDIFORD PLAZA DR 265 KY HWY 15 S STE 2 2630 FREDERICA ST 209B N MAYO TRL 4230 SARON DR 327 KY ROUTE 550 110 BIG HILL AVE 100 DEPOT ST 6450 MAPLE RD 25 OWEN ST 2200 E 12 MILE RD 24418 MICHIGAN AVE 4460 MAYFIELD RD 6495 TROY PIKE 1441 PARSONS AVE 7160 INDUSTRIAL ROW DR STE 330 8901 STATE ROUTE 30 499 INDIAN MOUND DR 2988 BURKESVILLE RD 2225 W BROADWAY FL 1 1121 S US HIGHWAY 25E 1500 RING RD 500 N BYPASS RD 150 WAR ADMIRAL STE 1 9549-B US HIGHWAY 42 157 S BUCKMAN ST 15348 FORT ST 515 10TH ST 420 W HURON ST 25014 LITTLEMACK AVE 26800 MEADOWBROOK RD STE 119 14661 TELEGRAPH RD 3739 15 MILE RD 4 COLUMBUS AVE STE 145 7730 SAWMILL RD 6190 SHAMROCK CT STE 100 3151 LEITCHFIELD RD 5151 FREDERICA ST 913 TAYLORSVILLE RD 2824 SCOTTSVILLE RD 189 E LINCOLN TRAIL BLVD 4380 13TH ST 29355 NORTHWESTERN HWY STE 220 2905 UNION LAKE RD 12266 GRATIOT AVE 22350 WICK RD 13403 W 7 MILE RD 35450 DEQUINDRE RD STE 102 3169 BEECHER RD 10 COLUMBIA AVE E 2006 HOLTON RD STE 100 5791 CLEVELAND AVE

CITY WEST LIBERTY BARBOURVILLE COSHOCTON RIPLEY NORRISTOWN JESSUP WAYNE EASTON PHILADELPHIA BUTLER MECHANICSBURG COLUMBIA COLUMBUS TERRE HAUTE LEWISTOWN PINE GROVE PLYMOUTH UNIVERSITY PARK WELCH LEWISBURG SCOTT DEPOT INDEPENDENCE LEXINGTON GLASGOW LOUISVILLE LOUISVILLE JACKSON OWENSBORO PAINTSVILLE LEXINGTON EASTERN RICHMOND SPRINGFIELD DEARBORN BELLEVILLE ROYAL OAK DEARBORN SOUTH EUCLID HUBER HEIGHTS COLUMBUS MASON NORTH HUNTINGDON MOUNT STERLING COLUMBIA LOUISVILLE BARBOURVILLE ELIZABETHTOWN CAMPBELLSVILLE DANVILLE PROSPECT SHEPHERDSVILLE SOUTHGATE PORT HURON PONTIAC SAINT CLAIR SHORES NOVI REDFORD STERLING HEIGHTS BAY CITY DUBLIN DUBLIN OWENSBORO OWENSBORO TAYLORSVILLE BOWLING GREEN RADCLIFF ASHLAND SOUTHFIELD COMMERCE TOWNSHIP DETROIT TAYLOR DETROIT STERLING HEIGHTS FLINT BATTLE CREEK MUSKEGON COLUMBUS

STATE

COUNTY

KY MORGAN

KY KNOX

OH COSHOCTON

OH BROWN

PA MONTGOMERY

PA LACKAWANNA

PA DELAWARE

PA NORTHAMPTON

PA PHILADELPHIA

PA BUTLER

PA CUMBERLAND

KY ADAIR

IN

BARTHOLOMEW

IN

VIGO

PA MIFFLIN

PA SCHUYLKILL

PA LUZERNE

PA CENTRE

WV MCDOWELL

WV GREENBRIER

WV PUTNAM

KY KENTON

KY FAYETTE

KY BARREN

KY JEFFERSON

KY JEFFERSON

KY BREATHITT

KY DAVIESS

KY JOHNSON

KY FAYETTE

KY FLOYD

KY MADISON

KY WASHINGTON

MI WAYNE

MI WAYNE

MI OAKLAND

MI WAYNE

OH CUYAHOGA

OH MONTGOMERY

OH FRANKLIN

OH WARREN

PA WESTMORELAND

KY MONTGOMERY

KY ADAIR

KY JEFFERSON

KY KNOX

KY HARDIN

KY TAYLOR

KY BOYLE

KY JEFFERSON

KY BULLITT

MI WAYNE

MI ST. CLAIR

MI OAKLAND

MI MACOMB

MI OAKLAND

MI WAYNE

MI MACOMB

MI BAY

OH FRANKLIN

OH FRANKLIN

KY DAVIESS

KY DAVIESS

KY SPENCER

KY WARREN

KY HARDIN

KY BOYD

MI OAKLAND

MI OAKLAND

MI WAYNE

MI WAYNE

MI WAYNE

MI MACOMB

MI GENESEE

MI CALHOUN

MI MUSKEGON

OH FRANKLIN

ZIP

PHONE

41472 (606)-743-4957

40906 (606)-546-5477

43812 (740)-622-5641

45167 (937)-392-1122

19401 (610)-278-8301

18434 (570)-383-7311

19087 (610)-964-8981

18040 (610)-258-7439

19114 (215)-676-7650

16001 (724)-285-3693

17050 (717)-796-5781

42728 (270)-380-1230

47201 (812)-372-7804

47807 (812)-242-3855

17044 (717)-248-0041

17963 (570)-345-4422

18651 (570)-779-9503

16802 (814)-865-9321

24801 (304)-436-3380

24901 (304)-647-1377

25560 (304)-201-1630

41051 (859)-898-1620

40503 (859)-971-0583

42141 (270)-651-7948

40206 (502)-894-8759

40229 (502)-961-5843

41339 (606)-666-5519

42301 (270)-926-4977

41240 (606)-789-5995

40515 (859)-272-1201

41622 (606)-358-4800

40475 (859)-624-1565

40069 (859)-481-7100

48126 (313)-216-2213

48111 (734)-325-7658

48067 (248)-397-1530

48124 (313)-427-8826

44121 (216)-382-6780

45424 (937)-236-6054

43207 (614)-445-5734

45040 (866)-775-5767

15642 (724)-864-7481

40353 (859)-498-1392

42728 (270)-384-3913

40211 (502)-774-8296

40906 (606)-545-7314

42701 (270)-763-0755

42718 (270)-789-0577

40422 (859)-236-3535

40059 (502)-785-3000

40165 (502)-921-0094

48195 (734)-324-4000

48060 (810)-989-5990

48341 (248)-481-9004

48080 (586)-359-6517

48377 (248)-513-8687

48239 (313)-681-5441

48310 (877)-742-7621

48708 (989)-607-9007

43016 (614)-943-6505

43016 (614)-467-8200

42303 (270)-683-4099

42301 (270)-684-4362

40071 (502)-477-1973

42104 (270)-393-2115

40160 (270)-352-0303

41102 (866)-324-4427

48034 (248)-799-3900

48382 (248)-779-6210

48205 (313)-372-6661

48180 (313)-292-3750

48235 (313)-340-1300

48310 (248)-268-1641

48503 (810)-337-1121

49015 (269)-962-1965

49445 (231)-672-7824

43231 (614)-426-4160

NCPDP 3684429 3685712 3685750 3686055 3688883 1807152 1809219 1814715 3663425 3663689 3664629 3664845 3665544 3666231 3669112 1823409 1828524 1828574 1829499 1829906 1830442 1831987 1832193 1834971 1835858 2375500 2376817 2377213 2377655 2378405 2378669 2379837 2380056 3664035 3665998 3667699 3668401 3961655 1801895 1809954 1817470 3604887 3606893 3607871 3977507 3977711 3980946 3982320 3984881 3985441 3986392 3986897 3988423 1834224 1503817 1507257 1523732 2353706 2353782 2357235 2357691 2359429 2361727 2361842 2362565 3657775 3658981 3659488 3660102 3660227 3660518 3660532 3660948 3661786 3663297 3665760 3666089

NPI 1679026157 1942718713 1073020806 1548767395 1326622168 1700885001 1205963691 1467555102 1487757225 1013010859 1760499784 1598799298 1376631457 1831116037 1851306773 1558446849 1154348480 1972520203 1124072772 1184772659 1437330040 1801100169 1891099669 1063897015 1861935835 1023308822 1063772192 1063762219 1679812622 1912334343 1871924902 1871994210 1073911996 1730298084 1013932722 1144235177 1689689507 1396839601 1538297858 1255478434 1467564310 1811090525 1003919721 1255447884 1083648067 1043314826 1790707420 1528089877 1134151152 1760405054 1790705606 1285738971 1720295629 1194149682 1780787465 1649285750 1013924000 1033228507 1942310859 1548334063 1831283183 1235231523 1184639213 1699725283 1356375109 1902961709 1144337817 1356379440 1134134141 1467555292 1467486167 1083767750 1285668988 1154336063 1730190976 1780793067 1275637092

PHARMACY NAME LIFECARE PHARMACY MERCY HEALTH LORAIN OTPT PHCY THOMPSONS PHCY GEORGESVILLE PREMIER PHARMACY HEIDIS PHARMACY FOUNTAIN SQUARE PHARMACY BENTON DISCOUNT PHARMACY CVS PHARMACY CVS PHARMACY CVS PHARMACY GIANT EAGLE PHARMACY KROGER PHARMACY OPTION CARE WALMART PHARMACY GIANT EAGLE PHARMACY TOTAL PHARMACY CARE WALMART PHARMACY WALMART PHARMACY WALGREENS BRENTWOOD PHARMACY WALMART PHARMACY THE VILLAGE PHARMACY SAV-RITE FAMILY PHARMACY SHELBYVILLE PHARMACY ONCO360 PEAK PHARMACY SCHEURER FAMILY PHARMACY HAMILTON MAIN PHARMACY WALGREENS INDEX PARK PHARMACY WALGREENS ICARE PHARMACY VCARE PHARMACY #1 RITE AID PHARMACY KROGER PHARMACY WALGREENS GIANT EAGLE PHARMACY AMERICUS PHARMACY G & O PHARMACY THRIFTY PHARMACY KYVA PHARMACY CVS PHARMACY CVS PHARMACY KOEHLER DRUG KENNIE'S PHARMACY-SPRING GROVE CVS PHARMACY CVS PHARMACY WALGREENS MARTINS PHARMACY CVS PHARMACY RITE AID PHARMACY RITE AID PHARMACY CVS PHARMACY OWENSBORO HEALTH OUTPATIENT PHCY CVS PHARMACY WALGREENS WALGREENS RITE AID PHARMACY RITE AID PHARMACY PGPA PHARMACY INC HENRY FORD MEDICAL CENTER PHARMACY CVS PHARMACY WALGREENS PINNY PHARMACY KROGER PHARMACY MEIJER PHARMACY SARDINIA PHARMACY INC DISCOUNT DRUG MART WALGREENS CVS PHARMACY KROGER PHARMACY PREMIER HEALTH PHCY-GOOD SAM N KROGER PHARMACY GIANT EAGLE PHARMACY UCMC HOLMES DIVISION PHARMACY RITE AID PHARMACY CVS PHARMACY

ADDRESS 4730 N SUMMIT ST 3600 KOLBE RD STE 102 421 GEORGESVILLE RD 4925 W MAIN ST 1790 EAGLE PASS STE 2 1928 CUMBERLAND AVE 2606 MAIN ST 3516 DIXIE HWY 804 W MAIN ST 1140 PORTAGE TRAIL EXT 1201 DORAL DR 300 S LOCUST ST 50 W TECHNE CENTER DR STE J 1868 WARRENSVILLE CENTER RD 907 W MAPLE ST 533 HAMBLEY BLVD 143 THIERMAN LN 3450 VALLEY PLAZA PKWY 101 E REYNOLDS RD 108 BRENTWOOD PLACE 3735 PALOMAR CENTRE DR 1100 EAST MARKET STREET 1150 MASTER ST 182 FRANKFORT RD 13410 EASTPOINT CENTRE DR 101 20008 FARMINGTON RD 4970 RAILROAD ST 2900 N SAGINAW ST 34300 WOODWARD AVE 2255 FORT ST 317 S STATE ST 9607 CONANT ST 360 E CHICAGO ST 142 BROAD ST 2555 GLENDALE AVE 11701 DETROIT AVE 30275 DETROIT RD 723 N 19TH ST 2338 BROADWAY ST 127 E MAIN ST 109 E MAIN ST 22001 LAKE SHORE BLVD 3499 CLIME RD 136 N SANDUSKY AVE 440 N MAIN ST 7350 OXFORD AVE STE C 1140 COMMERCE BLVD 600 GAP NEWPORT PIKE 800 VANDERBILT RD 288 MOUNT NEBO POINTE RD 1390 S VALLEY FORGE RD 4770 MCKNIGHT RD 610 N WEST END BLVD 1301 PLEASANT VALLY RD STE 104 943 E WASHINGTON ST 6097 BROADWAY 1520 S COURT ST 1607 24TH ST 3106 E SAGINAW ST 3544 MERIDIAN XING DR STE 120 2799 W GRAND BLVD 13545 EUREKA RD 409 W GENESEE AVE 704 S MABLE ST 16705 FORT ST 3298 ELIDA RD 7110 BACHMAN RD 1695 N MAIN ST 1130 S ARLINGTON ST 415 N MAIN ST 1700 W PARK SQ 9000 N MAIN ST 2900 W US HIGHWAY 22 AND 3 7229 WARREN SHARON RD EDEN & ALBERT SABIN WAY ML0443 27175 CENTER RIDGE RD 7217 CINCINNATI DAYTON RD

CITY TOLEDO LORAIN COLUMBUS BERLIN WOOSTER MIDDLESBORO BENTON ERLANGER TROY AKRON YOUNGSTOWN OXFORD MILFORD SOUTH EUCLID HARTVILLE PIKEVILLE ST MATTHEWS FT MITCHELL LEXINGTON CORBIN LEXINGTON LOUISVILLE CORBIN SHELBYVILLE LOUISVILLE LIVONIA ELKTON FLINT BIRMINGHAM LINCOLN PARK ANN ARBOR HAMTRAMCK COLDWATER ELYRIA TOLEDO LAKEWOOD WESTLAKE ALLENTOWN PADUCAH PROVIDENCE WHITESBURG EUCLID COLUMBUS UPPER SANDUSKY SPRING GROVE PHILADELPHIA DICKSON CITY AVONDALE CONNELLSVILLE PITTSBURGH LANSDALE PITTSBURGH QUAKERTOWN OWENSBORO WINCHESTER MERRILLVILLE CROWN POINT PORT HURON LANSING OKEMOS DETROIT SOUTHGATE SAGINAW PINCONNING SOUTHGATE LIMA SARDINIA NORTH CANTON AKRON ORRVILLE XENIA DAYTON MAINEVILLE BROOKFIELD CINCINNATI WESTLAKE WEST CHESTER

STATE

COUNTY

OH LUCAS

OH LORAIN

OH FRANKLIN

OH HOLMES

OH WAYNE

KY BELL

KY MARSHALL

KY KENTON

OH MIAMI

OH SUMMIT

OH MAHONING

OH BUTLER

OH CLERMONT

OH CUYAHOGA

OH STARK

KY PIKE

KY JEFFERSON

KY KENTON

KY FAYETTE

KY LAUREL

KY FAYETTE

KY JEFFERSON

KY KNOX

KY SHELBY

KY JEFFERSON

MI WAYNE

MI HURON

MI GENESEE

MI OAKLAND

MI WAYNE

MI WASHTENAW

MI WAYNE

MI BRANCH

OH LORAIN

OH LUCAS

OH CUYAHOGA

OH CUYAHOGA

PA LEHIGH

KY MCCRACKEN

KY WEBSTER

KY LETCHER

OH CUYAHOGA

OH FRANKLIN

OH WYANDOT

PA YORK

PA PHILADELPHIA

PA LACKAWANNA

PA CHESTER

PA FAYETTE

PA ALLEGHENY

PA MONTGOMERY

PA ALLEGHENY

PA BUCKS

KY DAVIESS

IN

RANDOLPH

IN

LAKE

IN

LAKE

MI ST. CLAIR

MI INGHAM

MI INGHAM

MI WAYNE

MI WAYNE

MI SAGINAW

MI BAY

MI WAYNE

OH ALLEN

OH BROWN

OH STARK

OH SUMMIT

OH WAYNE

OH GREENE

OH MONTGOMERY

OH WARREN

OH TRUMBULL

OH HAMILTON

OH CUYAHOGA

OH BUTLER

ZIP

PHONE

43611 (419)-720-0055

44053 (440)-960-4508

43228 (614)-591-3991

44610 (330)-893-0290

44691 (330)-439-5139

40965 (606)-248-1052

42025 (270)-527-1409

41018 (859)-331-6878

45373 (937)-335-5688

44313 (330)-929-2023

44514 (330)-726-7142

45056 (513)-523-7323

45150 (800)-243-1090

44121 (216)-382-2358

44632 (330)-877-0221

41501 (606)-433-0555

40207 (502)-893-8110

41017 (859)-341-3714

40517 (859)-272-0476

40701 (606)-258-9110

40513 (913)-535-5122

40206 (502)-596-1232

40701 (606)-528-7770

40065 (502)-437-3008

40223 (877)-662-6633

48152 (248)-530-0930

48731 (989)-375-2121

48505 (810)-787-5092

48009 (248)-593-8450

48146 (313)-357-7500

48104 (734)-352-3623

48212 (313)-265-3808

49036 (517)-924-1400

44035 (440)-322-7780

43614 (419)-385-4675

44107 (216)-227-0819

44145 (440)-871-5710

18104 (610)-437-4874

42001 (270)-442-3571

42450 (270)-667-2049

41858 (606)-633-4488

44123 (216)-731-2155

43223 (614)-276-2651

43351 (419)-294-1916

17362 (717)-225-9382

19111 (215)-342-7700

18519 (570)-383-7129

19311 (610)-268-8110

15425 (724)-626-7690

15237 (412)-536-8201

19446 (215)-361-1759

15237 (412)-364-8100

18951 (215)-529-2721

42303 (270)-417-6701

47394 (765)-584-1001

46410 (219)-980-5223

46307 (219)-663-0336

48060 (810)-984-5108

48912 (517)-337-1681

48864 (517)-381-7472

48202 (313)-916-1231

48195 (734)-283-2367

48602 (989)-755-2251

48650 (989)-879-7705

48195 (734)-286-9220

45805 (419)-331-6410

45171 (937)-446-2545

44720 (330)-497-9393

44306 (330)-773-0857

44667 (330)-684-2602

45385 (937)-376-5534

45415 (937)-734-5833

45039 (513)-683-4224

44403 (330)-448-6480

45219 (513)-584-8819

44145 (440)-871-7177

45069 (513)-759-3301

NCPDP 3666546 3686411 3688314 3688388 1808988 2364470 2367058 2373138 2374394 3631719 3633749 3634905 3638155 3638799 3643269 3646215 1821962 1824627 1824855 1825150 1828384 1831507 1832749 1835632 2375803 2377566 2378708 2381010 2382303 2382757 2383026 2384321 2384890 2385107 2385587 3681586 3684760 3685053 1533353 1560172 1560754 1561011 1561150 1561237 1562190 2363327 2363480 2364913 2365888 2367274 2368238 2368670 2371033 3901976 3902055 3902081 3908603 3914606 3915824 3920813 3927615 3928869 3935270 5004089 5053993 1819397 1819688 1823031 1824576 1829348 1829716 1833094 1835341 1835579 2377542 2379116 2385727

NPI 1245389840 1912488586 1407474844 1528686763 1700862026 1982703286 1639233638 1316179815 1689989022 1780620179 1578628996 1558464206 1063410504 1891898540 1891807806 1225043227 1912071382 1740237312 1770573974 1508960451 1114933504 1902039092 1295010833 1952859274 1629357645 1508103292 1801226063 1114393196 1376096552 1821549742 1518405000 1134509656 1114415668 1003302191 1770059990 1609204767 1710429709 1659803740 1417042003 1326145814 1578507935 1497786578 1912092826 1215026901 1073773123 1588679625 1013012236 1962565895 1730228008 1629083928 1477504827 1356553200 1922271162 1982703237 1336248681 1063511319 1326137068 1003857228 1306997390 1578541413 1336351949 1699782664 1477687903 1750441960 1588733430 1659389864 1902918857 1356368682 1487672960 1114962552 1639263031 1407042138 1518328806 1831540368 1902143118 1093132003 1124597190

PHARMACY NAME MEIJER PHARMACY PREMIERX PHARMACY INC DAVES PHARMACY LORAIN CHEMISTS INC MIDDLESBORO ARH PHARMACY CVS PHARMACY MEIJER PHARMACY CAREMONT PHARMACY SUNSHINE PHARMACY DISCOUNT DRUG MART MEDICINE SHOPPE CVS PHARMACY SKILLED CARE PHARMACY INC CVS PHARMACY ARIES PHARMACY WALGREENS MCDOWELL PROFESSIONAL PHARMACY KINGS DAUGHTERS FAMILY PHCY VALUMARKET PHARMACY CVS PHARMACY WALGREENS WALGREENS ETOWN VITAL CARE WALMART PHARMACY ADVANCE CARE PHARMACY PC WAYNE PROFESSIONAL PHARMACY WALMART PHARMACY MEDSTOP PHARMACY BUNTE'S PHARMACY VILLAGE SCRIPT EAST THE MEDICINE CABINET EPIC PHARMACY PLLC O2 PHARMACY ALAVAR SPECIALTY PHARMACY LLC MARSHALL CITY PHARMACY PROMEDICA SPECIALTY PHARMACY WELLNESS1 PHARMACY MERCY HLTH OP PHCY SPRINGFIELD GRASSY CREEK COMM HEALTH CNT PHRCY CVS PHARMACY CVS PHARMACY WALGREENS GENOA HEALTHCARE LLC CVS PHARMACY WALGREENS WALGREENS GULL POINTE PHARMACY ADVANCED CARE PHARMACY SERVICES MEIJER PHARMACY WALGREENS THOMPSON PHARMACY OLESONS EAST PRO CARE PHARMACY CVS PHARMACY RITE AID PHARMACY RITE AID PHARMACY RITE AID PHARMACY RITE AID PHARMACY THOMPSON PHARMACY CANTON PHARMACY PATTON PHARMACY WERNERSVILLE STATE HOSP PHCY HOSP OF THE UNIV OF PENNA PHCY WESTMORELAND HOSP OUTPATIENT PHCY HURLEY DRUG COMPANY INC NEWPOINTE PHARMACY LLC DRAFFENVILLE PHARMACY PLAZA PHARMACY WALMART PHARMACY WALMART PHARMACY HINKLE HOMETOWN DRUG STORE INC COSTCO PHARMACY MEIJER PHARMACY MEIJER PHARMACY CORDANT PHARMACY SOLUTIONS RX CARE PHARMACY WALMART PHARMACY WOODWARD SQUARE PHARMACY

ADDRESS 2111 E WOOSTER ST 4633 MORSE CENTRE RD 411 W 5TH ST 3815 LORAIN AVE 3600 WEST CUMBERLAND AVE 1545 FRED W MOORE HWY 315 WILSON AVE NW 44344 DEQUINDRE RD STE 120 43009 HAYES RD 3700 MILAN RD 465 W PERRY ST 305 W BRIDGE ST 6175 HI TEK COURT 7470 SAWMILL RD 8200 STATE ROUTE 366 6204 MONTGOMERY RD 9549 KY ROUTE 122 613 23RD ST STE 110 7519 OUTER LOOP 709 E MAIN ST 9801 BROWNSBORO RD 4310 OUTER LOOP 914 N DIXIE AVE STE 101 3106 CANTON PIKE 24822 JOHN R RD 34841 VETERANS PLAZA 29176 VAN DYKE AVE 10041 FENKELL AVE 115 E MAIN AVE 5728 SCHAEFER RD SUITE 102 27159 GREENFIELD RD 911 E 9 MILE ROAD 39765 GRAND RIVER AVE 18877 W 10 MILE RD SUITE 107 120 REDFIELD PLAZA STE 120 2100 W CENTRAL AVE STE 140 2092 S ALEX RD 100 MEDICAL CENTER DR 9443 E 38TH ST 7930 MADISON AVE 4403 W WESTERN AVE 14625 N GRAY RD 404 SPRING ST STE 242 14835 SUNNY DELL LN 8945 MADISON AVE 44300 FORD RD 5585 GULL RD STE 120 2136 ROBINSON RD STE 2 3710 DIX HWY 830 N VAN DYKE RD 1100 E HAMMOND RD 13111 WOODWARD AVE 15521 W 7 MILE RD 10 CLAY PIKE 160 N GULPH RD STE 1088 284 E LANCASTER AVE 104 E 3RD ST 602 E CHESTNUT AVE 7 TROY ST 503 RAILROAD AVE STE 2 160 MAIN ST 3400 SPRUCE ST 532 W PITTSBURGH ST 210 LOGAN ST 463 EMILY DR 153 US HIGHWAY 68 E 1220 RICHMOND RD 20 FERGUSON BLVD 3706 DIANN MARIE RD 590 OLD 25E 5020 NORTON HEALTHCARE BLVD 2155 PAUL JONES WAY STE 100 2951 HEARTLAND CROSSING BLVD 10503 TIMBERWOOD CIR STE 202 6300 COMMERCE DR 1013 S KALAMAZOO ST 43121 WOODWARD AVE

CITY BOWLING GREEN COLUMBUS MARYSVILLE CLEVELAND MIDDLESBORO SAINT CLAIR GRAND RAPIDS STERLING HEIGHTS STERLING HEIGHTS SANDUSKY TIFFIN DUBLIN MASON DUBLIN RUSSELLS POINT CINCINNATI MC DOWELL ASHLAND LOUISVILLE FRANKFORT LOUISVILLE LOUISVILLE ELIZABETHTOWN HOPKINSVILLE HAZEL PARK WAYNE WARREN DETROIT ZEELAND DEARBORN SOUTHFIELD FERNDALE NOVI SOUTHFIELD MARSHALL TOLEDO WEST CARROLLTON SPRINGFIELD INDIANAPOLIS INDIANAPOLIS SOUTH BEND WESTFIELD JEFFERSONVILLE NOBLESVILLE INDIANAPOLIS CANTON KALAMAZOO JACKSON LINCOLN PARK BAD AXE TRAVERSE CITY HIGHLAND PARK DETROIT NORTH HUNTINGDON KING OF PRUSSIA WYNNEWOOD BETHLEHEM ALTOONA CANTON PATTON WERNERSVILLE PHILADELPHIA GREENSBURG WILLIAMSON CLARKSBURG BENTON IRVINE DRY RIDGE LOUISVILLE BARBOURVILLE LOUISVILLE LEXINGTON OWENSBORO LOUISVILLE WESTLAND PAW PAW BLOOMFIELD HILLS

STATE

COUNTY

OH WOOD

OH FRANKLIN

OH UNION

OH CUYAHOGA

KY BELL

MI ST. CLAIR

MI KENT

MI MACOMB

MI MACOMB

OH ERIE

OH SENECA

OH FRANKLIN

OH WARREN

OH FRANKLIN

OH LOGAN

OH HAMILTON

KY FLOYD

KY BOYD

KY JEFFERSON

KY FRANKLIN

KY JEFFERSON

KY JEFFERSON

KY HARDIN

KY CHRISTIAN

MI OAKLAND

MI WAYNE

MI MACOMB

MI WAYNE

MI OTTAWA

MI WAYNE

MI OAKLAND

MI OAKLAND

MI OAKLAND

MI OAKLAND

MI CALHOUN

OH LUCAS

OH MONTGOMERY

OH CLARK

IN MARION

IN MARION

IN ST. JOSEPH

IN HAMILTON

IN CLARK

IN HAMILTON

IN MARION

MI WAYNE

MI KALAMAZOO

MI JACKSON

MI WAYNE

MI HURON

MI GRAND TRAVERSE

MI WAYNE

MI WAYNE

PA WESTMORELAND

PA MONTGOMERY

PA MONTGOMERY

PA NORTHAMPTON

PA BLAIR

PA BRADFORD

PA CAMBRIA

PA BERKS

PA PHILADELPHIA

PA WESTMORELAND

WV MINGO

WV HARRISON

KY MARSHALL

KY ESTILL

KY GRANT

KY JEFFERSON

KY KNOX

KY JEFFERSON

KY FAYETTE

KY DAVIESS

KY JEFFERSON

MI WAYNE

MI VAN BUREN

MI OAKLAND

ZIP

PHONE

43402 (419)-373-8610

43229 (614)-924-2124

43040 (937)-644-1322

44113 (216)-262-3988

40965 (606)-242-1166

48079 (810)-326-1381

49534 (616)-735-2110

48314 (586)-323-6400

48313 (586)-286-5005

44870 (419)-625-0733

44883 (419)-447-0282

43017 (614)-889-6530

45040 (513)-459-7455

43016 (614)-889-8662

43348 (937)-843-3700

45213 (513)-731-2272

41647 (606)-377-1088

41101 (606)-324-0092

40228 (502)-231-2424

40601 (502)-226-7049

40241 (502)-327-7342

40219 (502)-962-2876

42701 (270)-506-2463

42240 (270)-962-4120

48030 (248)-545-5515

48184 (734)-728-8306

48093 (586)-467-0265

48238 (313)-933-0630

49464 (616)-772-4685

48126 (313)-581-4626

48076 (248)-557-8840

48220 (248)-309-6640

48375 (248)-987-2024

48075 (248)-509-8379

49068 (269)-558-8150

43606 (419)-291-4496

45449 (937)-384-7777

45504 (937)-523-6000

46235 (317)-890-2121

46227 (317)-885-2360

46619 (574)-234-3241

46062 (317)-815-6619

47130 (812)-284-6418

46062 (317)-569-1392

46227 (317)-859-0496

48187 (734)-459-3875

49048 (269)-553-5000

49203 (517)-750-2180

48146 (313)-294-1710

48413 (989)-269-6973

49686 (231)-947-2203

48203 (313)-865-9900

48235 (313)-272-3296

15642 (724)-863-2350

19406 (610)-265-3044

19096 (610)-649-3798

18015 (610)-867-3981

16601 (814)-944-6139

17724 (570)-673-5153

16668 (814)-674-3693

19565 (610)-670-4115

19104 (215)-662-2920

15601 (724)-832-4255

25661 (304)-235-3535

26301 (304)-423-5000

42025 (270)-527-1404

40336 (606)-723-5315

41035 (859)-824-5091

40241 (502)-326-0805

40906 (606)-546-8860

40241 (502)-420-0169

40509 (859)-264-3010

42303 (270)-359-7510

40223 (502)-272-4339

48185 (734)-728-4030

49079 (269)-415-6004

48302 (248)-499-7840

NCPDP 2386185 2385789 2386565 3681308 3681461 3682209 3682641 3683263 1836331 1837220 1839109 2348212 2349884 2350293 2352615 2353857 2354532 2355419 2355495 3656418 3658905 3659060 3659109 3682324 3682704 3685875 3687223 3687273 3687540 3688059 1809788 1819107 3604128 3604318 3610638 3976884 3978220 3981467 3981520 3981633 3981823 3984855 3987661 3987798 2358198 2359912 2359962 2360030 2361359 2361979 3655721 3659363 3660075 3660126 3661318 3661724 3663259 3664883 3665099 3665291 3667194 3668184 3686067 3686358 3686687 3687716 1802936 1808534 1815286 1817432 3605978 3614472 3659224 3660568 3662233 3662396 3662409

NPI 1316405848 1528538618 1588220297 1770915571 1730518796 1487062055 1114320017 1639557838 1144734054 1396268694 1164013603 1841363975 1255496048 1326102385 1093732208 1205859923 1639196843 1891807756 1467561936 1699878165 1083717805 1528161346 1982610291 1861892283 1467857821 1396243069 1588123608 1437705068 1144868597 1295368397 1316938210 1194759910 1962505461 1669575171 1538262258 1922020650 1689778466 1780699678 1407803968 1679519599 1215975461 1205925963 1770634735 1851449854 1659388643 1194742312 1023042876 1174538292 1457366585 1033124177 1659316578 1760497762 1407861412 1952316960 1407878200 1407861420 1568489755 1699763276 1235233909 1760416465 1871508796 1962417998 1134618762 1588142806 1205300209 1215569256 1437172418 1386756237 1073670352 1669406484 1023023959 1073616595 1003821943 1285737015 1396719076 1427167774 1457385155

PHARMACY NAME LIFETIME RX LLC VILLAGE CARE PHARMACY KRX PHARMACY MIDVIEW DRUG MAIN ST PHCY & WELLNESS CENTER GIANT EAGLE PHARMACY PHARMSCRIPT OF OH LLC SAM'S CLUB PHARMACY CLINIC PHARMACY POWDERLY WALGREENS J AND M PHARMACY LLC SALEM'S PHARMACY MEIJER PHARMACY FAMILY HEALTH CENTER PHARMACY WALMART PHARMACY RITE AID PHARMACY WALMART PHARMACY CVS PHARMACY RITE AID PHARMACY OHIOHEALTH INFUSION PHARMACY CVS PHARMACY CVS PHARMACY RITE AID PHARMACY WALGREENS AVITA ONTARIO PHARMACY ANSON PHARMACY DANVILLE HC INC GOODMED PHARMACY LLC HARRYS PHARMACY DEDICATED SENIOR MEDICAL CENTER DAUGHERTYS DRUG STORE INC KROGER PHARMACY CVS PHARMACY CVS PHARMACY CVS PHARMACY CVS PHARMACY CVS PHARMACY WALGREENS SAV-ON PHARMACY NEWHARD PHARMACY LTC SAV-ON PHARMACY RITE AID PHARMACY WALGREENS THE HOMETOWN PHARMACY WALGREENS WALMART PHARMACY KROGER PHARMACY WALGREENS WALGREENS WALGREENS DISCOUNT DRUG MART WALGREENS WALGREENS WALGREENS CVS PHARMACY WALGREENS WALMART PHARMACY DIAMOND PHARMACY CVS PHARMACY KROGER PHARMACY GIANT EAGLE PHARMACY WALGREENS REEDS PHARMACY CUSTER PHARMACY PHARMACY SPECIALTY GROUP LTC MEIJER PHARMACY EDMONSON DRUG CO COLEMANS DRUG STORE WALTER'S FAMILY PHARMACY KROGER PHARMACY ACME PHARMACY CVS PHARMACY MARCS CVS PHARMACY ABSOLUTE PHARMACY SERVICES RITE AID PHARMACY KROGER PHARMACY

ADDRESS 1022 N TELEGRAPH RD 427 W MAIN ST 32932 WARREN RD STE C 35053 ROYALTON RD 120 N MAIN ST 4001 BRITTON PKWY 1685 WESTBELT DR 23300 BROADWAY AVE 2025 W EVERLY BROTHERS BLVD 9145 BEAUTY RD 1587 COMBS RD STE 2 313 ECORSE RD 7300 EASTMAN AVE 117 W PATERSON ST 6020 B DR N 6535 PAW PAW AVE 5323 E COURT ST N 8811 NEWBURGH RD 1002 E GRAND RIVER AVE 404 E WILSON BRIDGE RD STE B 375 LEAR RD 4610 CEMETERY RD 11702 LORAIN AVE 110 LINCOLN WAY W 715 RICHLAND MALL STE J 209 BIERLEY AVE 14 EAST MAIN ST 3433 AGLER RD STE 1400 930 SHERIDEN DR STE C 13719 LORAIN AVE 4160 S HIGHWAY 27 9080 TAYLORSVILLE RD 1300 WILMINGTON AVE 440 OXFORD STATE RD 3307 E BROAD ST 360 E WATERFRONT DR 744 WERTZVILLE RD 152 E LANCASTER AVE 567 SPROUL RD 1001A MAIN STREET 527 E BALTIMORE PIKE 20480 ROUTE 19 3229 E STATE ST 4969 TUSCARAWAS ROAD 8 68TH ST SW 9190 HIGHLAND RD 44525 ANN ARBOR RD W 23007 TELEGRAPH RD 500 E CHICAGO ST 3730 DIXIE HWY 201 CLINE ST 9580 KENWOOD RD 1303 COPLEY RD 1925 W MARKET ST 18200 ROYALTON RD 5400 PEARL RD 2322 FERGUSON RD 503 CADIZ RD 3 N CLEVELAND AVE 175 LANCASTER PIKE 6556 N RIDGE RD 840 BRITTAIN RD 428 N WOLF CREEK ST 241 S MAIN ST 757 BROOKSEDGE PLAZA DRIVE 247 TALLMADGE RD 100 PARK PLACE STE 8 105 W MAIN ST 604 S 12TH ST 4101 TATES CREEK CENTRE DR 2147 EAST AVE 840 EUCLID AVE 4499 MAYFIELD RD 2160 LEE RD 7167 KECK PARK CIR NW 218 CHESTNUT ST 5210 STATE ROUTE 741

CITY DEARBORN OWOSSO WESTLAND GRAFTON ORRVILLE HILLIARD COLUMBUS OAKWOOD VILLIAGE POWDERLY WARFIELD HAZARD YPSILANTI MIDLAND KALAMAZOO BATTLE CREEK COLOMA BURTON LIVONIA HOWELL WORTHINGTON AVON LAKE HILLIARD CLEVELAND MASSILLON MANSFIELD PEMBERVILLE DANVILLE COLUMBUS CAREY CLEVELAND PINE KNOT LOUISVILLE DAYTON MIDDLETOWN COLUMBUS HOMESTEAD ENOLA PAOLI BROOMALL NORTHAMPTON MEDIA CRANBERRY TOWNSHIP HERMITAGE BEAVER GRAND RAPIDS WHITE LAKE PLYMOUTH FLAT ROCK COLDWATER SAGINAW NORWALK BLUE ASH AKRON AKRON STRONGSVILLE PARMA CINCINNATI WINTERSVILLE MOGADORE CIRCLEVILLE MADISON AKRON BROOKVILLE CADIZ WESTERVILLE KENT BROWNSVILLE STANFORD MURRAY LEXINGTON AKRON CLEVELAND SOUTH EUCLID CLEVELAND HEIGHTS NORTH CANTON COSHOCTON MASON

STATE

COUNTY

MI WAYNE

MI SHIAWASSEE

MI WAYNE

OH LORAIN

OH WAYNE

OH FRANKLIN

OH FRANKLIN

OH CUYAHOGA

KY MUHLENBERG

KY MARTIN

KY PERRY

MI WASHTENAW

MI MIDLAND

MI KALAMAZOO

MI CALHOUN

MI BERRIEN

MI GENESEE

MI WAYNE

MI LIVINGSTON

OH FRANKLIN

OH LORAIN

OH FRANKLIN

OH CUYAHOGA

OH STARK

OH RICHLAND

OH WOOD

OH KNOX

OH FRANKLIN

OH WYANDOT

OH CUYAHOGA

KY MCCREARY

KY JEFFERSON

OH MONTGOMERY

OH BUTLER

OH FRANKLIN

PA ALLEGHENY

PA CUMBERLAND

PA CHESTER

PA DELAWARE

PA NORTHAMPTON

PA DELAWARE

PA BUTLER

PA MERCER

PA BEAVER

MI KENT

MI OAKLAND

MI WAYNE

MI WAYNE

MI BRANCH

MI SAGINAW

OH HURON

OH HAMILTON

OH SUMMIT

OH SUMMIT

OH CUYAHOGA

OH CUYAHOGA

OH HAMILTON

OH JEFFERSON

OH PORTAGE

OH PICKAWAY

OH LAKE

OH SUMMIT

OH MONTGOMERY

OH HARRISON

OH FRANKLIN

OH PORTAGE

KY EDMONSON

KY LINCOLN

KY CALLOWAY

KY FAYETTE

OH SUMMIT

OH CUYAHOGA

OH CUYAHOGA

OH CUYAHOGA

OH STARK

OH COSHOCTON

OH WARREN

ZIP

PHONE

48128 (313)-908-9722

48867 (989)-720-4545

48185 (734)-427-2850

44044 (440)-748-2137

44667 (330)-682-2905

43026 (614)-921-8260

43228 (908)-389-1818

44146 (440)-201-1187

42367 (270)-377-0123

41267 (606)-395-0522

41701 (606)-910-0555

48198 (734)-487-8500

48642 (989)-837-5310

49007 (269)-488-0835

49014 (269)-979-4727

49038 (269)-468-3858

48509 (810)-744-2984

48150 (734)-432-1975

48843 (517)-546-8701

43085 (614)-566-0888

44012 (440)-933-2525

43026 (614)-777-5988

44111 (216)-671-1411

44647 (330)-481-2042

44906 (567)-307-7570

43450 (419)-287-7088

43014 (740)-481-2300

43219 (614)-476-6336

43316 (419)-396-7977

44111 (216)-307-3005

42635 (606)-354-2222

40299 (502)-499-7044

45420 (937)-254-6223

45044 (513)-423-9243

43213 (614)-235-8605

15120 (412)-464-2623

17025 (717)-728-4701

19301 (610)-296-5430

19008 (610)-356-3504

18067 (610)-261-1777

19063 (610)-565-0657

16066 (724)-778-8989

16148 (724)-342-4603

15009 (724)-495-6583

49548 (616)-827-0270

48386 (248)-698-9680

48170 (734)-414-9348

48134 (734)-675-6663

49036 (517)-278-8272

48601 (989)-753-9688

44857 (419)-668-3024

45242 (513)-791-4390

44320 (330)-869-5896

44313 (330)-869-2097

44136 (440)-238-3807

44129 (440)-886-6233

45238 (513)-922-8441

43953 (740)-264-6500

44260 (330)-628-1717

43113 (740)-477-5763

44057 (440)-428-6111

44305 (330)-784-3907

45309 (937)-770-4381

43907 (740)-942-2726

43081 (844)-969-7999

44240 (330)-977-5610

42210 (270)-975-0007

40484 (606)-365-2164

42071 (270)-753-7688

40517 (859)-272-2575

44314 (330)-753-5021

44114 (216)-621-6019

44121 (216)-691-8990

44118 (216)-932-4808

44720 (800)-858-7393

43812 (740)-622-7284

45040 (513)-398-8820

NCPDP 3664592 3664744 3667512 3669491 3686699 3687499 3687968 1815060 3600928 3610222 3612303 3615070 3978371 3980453 3980910 3982368 3985376 3987762 2380727 2381349 2381476 2383684 2383785 2385791 2386135 3681485 3682449 3682639 3685457 1838323 1838727 2348337 2351942 2354900 2357665 3655858 3660912 3661267 3667788 3668526 1800805 1809029 1811365 1519315 1519529 1520558 1520938 1523617 1525736 1526118 2387264 2387606 2388139 2388709 3989944 3989970 3990822 2349632 2354164 2354710 2356598 2356625 3660253 3665455 3667764 3669453 3963786 3964687 3965879 3966821 3966895 3967253 3687083 3688047 1811264 1818143 3604851

NPI 1508975855 1538170170 1609818681 1366457202 1639652084 1811531122 1689200461 1942389069 1427151125 1821096314 1225194947 1881789394 1033136262 1306863543 1649374430 1043225931 1295840239 1982767257 1609255793 1417327966 1003273202 1932624954 1609309913 1083184063 1043783285 1033549712 1306249503 1225435597 1366961278 1982253613 1407484199 1770517518 1417029034 1033212154 1922117407 1750396107 1366545196 1538186721 1992892152 1114962123 1013010750 1235160284 1770598914 1588767925 1861565483 1588679690 1497760516 1487661476 1205853512 1841217155 1154963023 1982264826 1235751306 1104424530 1003094798 1861660474 1518000686 1891804357 1164456927 1205908092 1982611331 1275550485 1689689697 1881609808 1699873414 1598799215 1487687711 1447349105 1326142175 1619076882 1023037090 1427147180 1588223838 1821629932 1336120138 1275550691 1093818700

PHARMACY NAME RITE AID PHARMACY STEUBENVILLE HEALTH CARE METROHEALTH PLAZA PHARMACY MARCS SUNRISE TREATMENT CENTER LLC EQUITAS HEALTH PHARMACY CROSS POINT PHARMACY FAMILY DRUG CENTER CVS PHARMACY FOSTER'S PHARMACY CVS PHARMACY YOST PHARMACY INC WALMART PHARMACY WALMART PHARMACY CVS PHARMACY WALGREENS MEDICINE SHOPPE PHARMACY GENOA HEALTHCARE LLC CHASE MEDICAL PHARMACY LLC LAHSER MEDICAL CAMPUS PHARMACY DIVINE PHARMACY LLC NASSER PHARMACY PARK PHARMACY SCS LLC CENTRAL PHARMACY EAST LANSING REXALL GRAND BLANC CC INDEPENDENCE AMBULATORY PHY CARLISLE PHARMACY CCHW PHARMACY HOMETOWN PHARMACY TAYLOR DRUG STORE HOMETOWN PHARMACY OF HAZARD KROGER PHARMACY ST JOSEPH MERCY PHCY TOWERS CVS PHARMACY RITE AID PHARMACY MEDICINE SHOPPE PHARMACY CVS PHARMACY WALMART PHARMACY MEIJER PHARMACY DISCOUNT DRUG MART CVS PHARMACY H & N DRUG INC WALGREENS CVS PHARMACY KROGER SAVON PHCY WALGREENS WALGREENS WALGREENS WALMART PHARMACY WALMART PHARMACY RITE HEALTH PHARMACY - LANSING CHCWM HOLLAND YPSILANTI FAMILY PHARMACY ADVANCED CARERX LLC WALGREENS BIG SPRING PHARMACY INC EINSTEIN APOTHECARY RITE AID PHARMACY KROGER PHARMACY ST JOSEPH MERCY PHARMACY - HO SNYDER RX EXPRESS WALMART PHARMACY WALGREENS WALGREENS CVS PHARMACY KROGER PHARMACY WEIS PHARMACY RITE AID PHARMACY CVS PHARMACY RITE AID PHARMACY LG HEALTH CONVENIENCE PHCY DUK RITE AID PHARMACY MEDMARX PHARMACY DOCTORS PHARMACY HILLTOP FAMILY DRUG OF WHEELWRIGHT WALMART PHARMACY CVS PHARMACY

ADDRESS 201 WASHINGTON BLVD 100 WELDAY AVE STE B 2500 METROHEALTH DR 1145 E MAIN ST 1435 CINCINNATI ST 2805 GILBERT AVE 800 CROSS POINTE RD STE P 284 TOWN MOUNTAIN RD 28 N BROOKWOOD AVE 207 W HIGH ST 21 GRANT ST 120 W MAIN ST 605 CONCHESTER HWY 21920 ROUTE 119 215 TOWN CENTER BLVD 1211 BRISTOL OXFORD VALLEY RD 105 WHEATFIELD DR 793 OLD ROUTE 119 HWY N 5901 CHASE RD STE 100 27207 LAHSER RD SUITE 102 16191 LIVERNOIS AVE 5237 OAKMAN BLVD STE C 20225 E 9 MILE RD STE 120A 3340 E LAKE LANSING RD. STE 1 8483 HOLLY RD SUITE 202 5001 ROCKSIDE RD 771 CENTRAL AVE 12395 MCCRACKEN RD STE A UP 3899 INDIAN RIPPLE RD STE A 308 S PINE STREET 221 E MAIN S 2641 PLYMOUTH RD 5301 E HURON RIV DR RM 110 15255 17 MILE RD 35350 23 MILE RD 234 W MAIN ST 2846 MAHONING AVE 485 AIRPORT HWY 137 ELLIOTT RD 1575 LYONS RD 1221 LEXINGTON AVE 515 MEMORIAL DR STE 2 8193 MALL RD 11588 ALLISONVILLE RD 901 JOHNSON ST 7236 CALUMET AVE 1939 INDIANAPOLIS BLVD 742 W OLD RIDGE RD 5555 S US HIGHWAY 41 410 GRAND VALLEY BLVD 1515 LAKE LANSING RD STE B 12460 RILEY ST 2287 ELLSWORTH RD SUITE A 500 N CASS ST 2319 YORK RD 91 S HIGH ST 5501 OLD YORK RD 5789 S MAIN ST 47060 W PONTIAC TRL 620 BYRON RD 110 S MAIN ST 1850 ANDERSON RD 1000 S MAIN ST 6901 MIAMI AVE 13027 LORAIN AVE 575 HARRY SAUNER RD 4300 LINGLESTOWN RD 1528 N BROAD ST 3100 SHILLINGTON RD 135 S MARKET ST 555 N DUKE ST 155 CHARTIERS AVE 347 W OLENTANGY ST 2575 WEST BROAD ST 107 KY ROUTE 306 1195 BARRETT BLVD 3171 WEST BLVD

CITY BELPRE WINTERSVILLE CLEVELAND RAVENNA DAYTON CINCINNATI GAHANNA PIKEVILLE HAMILTON MOUNT VERNON DENNISON MASON BOOTHWYN PUNXSUTAWNEY EASTON LEVITTOWN MILFORD INDIANA DEARBORN SOUTHFIELD DETROIT DEARBORN SAINT CLAIR SHORES EAST LANSING GRAND BLANC INDEPENDENCE CARLISLE GARFIELD HTS BEAVERCREEK PINEVILLE HAZARD ANN ARBOR ANN ARBOR CLINTON TOWNSHIP NEW BALTIMORE BELLEVUE YOUNGSTOWN WAUSEON DEFIANCE CENTERVILLE ASHLAND MANCHESTER FLORENCE FISHERS ELKHART HAMMOND WHITING HOBART TERRE HAUTE MARTINSVILLE LANSING HOLLAND YPSILANTI BERRIEN SPRINGS JAMISON NEWVILLE PHILADELPHIA CLARKSTON COMMERCE TWP HOWELL ISHPEMING PETOSKEY NORTH CANTON MADEIRA CLEVELAND HILLSBORO HARRISBURG PHILADELPHIA SINKING SPRING NEW WILMINGTON LANCASTER MC KEES ROCKS POWELL COLUMBUS BYPRO HENDERSON CLEVELAND

STATE

COUNTY

OH WASHINGTON

OH JEFFERSON

OH CUYAHOGA

OH PORTAGE

OH MONTGOMERY

OH HAMILTON

OH FRANKLIN

KY PIKE

OH BUTLER

OH KNOX

OH TUSCARAWAS

OH WARREN

PA DELAWARE

PA JEFFERSON

PA NORTHAMPTON

PA BUCKS

PA PIKE

PA INDIANA

MI WAYNE

MI OAKLAND

MI WAYNE

MI WAYNE

MI MACOMB

MI INGHAM

MI GENESEE

OH CUYAHOGA

OH WARREN

OH CUYAHOGA

OH GREENE

KY BELL

KY PERRY

MI WASHTENAW

MI WASHTENAW

MI MACOMB

MI MACOMB

OH SANDUSKY

OH MAHONING

OH FULTON

OH DEFIANCE

OH MONTGOMERY

KY BOYD

KY CLAY

KY BOONE

IN HAMILTON

IN ELKHART

IN LAKE

IN LAKE

IN LAKE

IN VIGO

IN MORGAN

MI INGHAM

MI OTTAWA

MI WASHTENAW

MI BERRIEN

PA BUCKS

PA CUMBERLAND

PA PHILADELPHIA

MI OAKLAND

MI OAKLAND

MI LIVINGSTON

MI MARQUETTE

MI EMMET

OH STARK

OH HAMILTON

OH CUYAHOGA

OH HIGHLAND

PA DAUPHIN

PA PHILADELPHIA

PA BERKS

PA LAWRENCE

PA LANCASTER

PA ALLEGHENY

OH DELAWARE

OH FRANKLIN

KY FLOYD

KY HENDERSON

OH CUYAHOGA

ZIP

PHONE

45714 (740)-423-4894

43953 (740)-284-1810

44109 (216)-778-4039

44266 (330)-298-3654

45417 (513)-941-4999

45206 (513)-978-5858

43230 (614)-694-0022

41501 (606)-432-5588

45013 (513)-863-8906

43050 (740)-392-0911

44621 (740)-922-2591

45040 (513)-398-5010

19061 (610)-494-6384

15767 (814)-938-8100

18040 (610)-250-3651

19057 (215)-946-6736

18337 (570)-296-5138

15701 (724)-349-7060

48126 (313)-791-7390

48034 (248)-262-7679

48221 (313)-651-9059

48126 (313)-908-2399

48080 (586)-999-8200

48823 (517)-580-4216

48439 (810)-344-6422

44131 (216)-986-4610

45005 (937)-806-8470

44125 (216)-504-3646

45440 (937)-320-1500

40977 (606)-337-8300

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48105 (734)-994-0180

48106 (734)-712-3333

48038 (586)-412-6755

48047 (586)-725-3640

44811 (419)-483-3784

44509 (330)-792-8668

43567 (419)-337-8122

43512 (419)-783-2810

45458 (937)-439-9779

41101 (606)-324-2128

40962 (606)-598-5025

41042 (859)-525-6230

46038 (317)-842-7773

46514 (574)-264-5996

46324 (219)-937-0337

46394 (219)-659-3541

46342 (219)-942-8517

47802 (812)-299-2210

46151 (765)-349-1138

48912 (517)-730-0999

49424 (616)-399-1308

48197 (734)-434-2448

49103 (269)-815-5418

18929 (215)-343-1488

17241 (717)-776-0288

19141 (215)-456-7880

48346 (248)-625-5271

48390 (248)-960-8297

48843 (517)-545-6666

49849 (906)-486-4405

49770 (231)-439-0071

44720 (330)-497-8316

45243 (513)-272-3409

44111 (216)-688-1046

45133 (937)-840-9374

17112 (717)-540-6011

19121 (215)-765-9332

19608 (610)-678-9054

16142 (724)-946-3531

17602 (717)-544-5929

15136 (412)-331-0106

43065 (614)-698-0042

43204 (614)-272-8188

41612 (606)-452-4134

42420 (270)-826-6926

44111 (216)-281-3061

NCPDP 3607100 3613444 3976668 3977139 3977519 3978547 3979777 3981417 3981948 3981974 3982748 3984499 3984843 3986912 3988435 1834666 1505912 1506736 1506964 1521473 1526106 1530852 2387175 2387199 2387238 2388898 1824879 1824932 1830276 1830719 1832143 1835036 1835531 2375233 2375548 2378885 2380537 2380880 2385018 3681360 3683605 3684481 3685510 3687108 3688251 1808697 1814183 3976721 3976909 3978737 3978941 3981063 3981164 3981784 3982178 3982584 3985136 3985150 3985794 3986986 1833727 1833765 3600233 1813155 1814575 3603936 3976771 3977836 3979688 3979791 3980059 3982192 3982510 3983017 1502295 1507738 1518173

NPI 1821191545 1780695346 1497772628 1184656100 1871697656 1104923697 1770687568 1891706461 1699707612 1316952203 1417979154 1225183460 1841330396 1851475370 1265633457 1518362581 1083615603 1346343035 1790888485 1396848016 1932126240 1295808715 1356992317 1386286615 1841833456 1366032328 1780699934 1881619567 1700077831 1528225224 1891097952 1023489549 1386198745 1437457728 1639461551 1932522687 1295817799 1447635388 1801388020 1033545991 1912375601 1487108932 1457862088 1730748708 1548874316 1861585028 1609867290 1457384786 1811919541 1588681712 1063492296 1063444081 1790731321 1356369128 1588681720 1023035268 1699792846 1417974668 1619085792 1902974124 1942643184 1578903142 1073501144 1386747020 1164512802 1699780692 1235233016 1184646812 1619971660 1609808625 1497859284 1164478665 1083715635 1801936125 1740295856 1386747087 1679676381

PHARMACY NAME CVS PHARMACY BENZER PHARMACY WALMART PHARMACY MARTINS PHARMACY CVS PHARMACY CVS PHARMACY CVS PHARMACY SPARTAN PHARMACY GIANT PHARMACY WALGREENS CVS PHARMACY DELMAR PHARMACY NEW CARE CVS PHARMACY RITE AID PHARMACY CASEY COUNTY PHARMACY LLC PAUL'S PHARMACY CVS PHARMACY CVS PHARMACY CVS PHARMACY WALMART PHARMACY KROGER PHARMACY MONAS PHARMACY CAMPUS MEDICAL PHARMACY WELLNESS PHARMACY GRAND BLANC PHARMACY WALGREENS KROGER PHARMACY WALGREENS WALGREENS NORTHVIEW PHARMACY FRANKLIN PHARMACY GREENVILLE PHARMACY HEARTLAND DRUGS PHARMOR PHARMACY-EVERGREEN MERCY HEALTH MUSKEGON CMH PHAR MICHIGAN INSTITUTE OF UROLOGY PC MEIJER PHARMACY COMMUNITY A WALGREENS PHCY CVS PHARMACY LAKE HEALTH PHARMACY WEST DAYTON CHILDRENS SOUTH CAMPUS THE LIBERTY PHARMACY TIFFIN COMMUNITY HLTH CTR PHCY HARVEST GROVE LTC VALLEY DISCOUNT PHARMACY CAYCES PHARMACY WEIS PHARMACY CVS PHARMACY SAM'S CLUB PHARMACY A & F PHARMACY GIANT PHARMACY SAV-ON PHARMACY WALMART PHARMACY WALMART PHARMACY WALMART PHARMACY SAM'S CLUB PHARMACY WALMART PHARMACY THE MEDICINE SHOPPE PHARMACY WALGREENS THOMPSONS PHARMACY CVS PHARMACY MARTY'S FAMILY PHARMACY CVS PHARMACY JAMESTOWN VALURITE WALGREENS CVS PHARMACY CVS PHARMACY WHITEMARSH PHARMACY GIANT PHARMACY CVS PHARMACY SAV-ON PHARMACY HERITAGE VALLEY PHCY BEAVER PMC PHARMACY WALGREENS CVS PHARMACY CVS PHARMACY

ADDRESS 35 S ALLISON AVE 57 W MAIN ST 300 WALMART DR 2032 E PLEASANT VALLEY BLVD 590 W TRENTON AVE 4290 TOWNSHIP LINE RD 901 BRISTOL PIKE 3526 BROWNSVILLE RD 14635 MOUNT AIRY RD 119 E DEKALB PIKE 2251 YORK CROSSING DR 1934 DELMAR DR 711 BUSTLETON PIKE 1824 E RIDGE PIKE 101 5TH ST 187 WOLFORD AVE STE A 2345 W FRANKLIN ST 11115 W 133RD AVE 907 S HEATON ST 711 W MILL ST 650 KIMMELL RD 1600 S OHIO ST 15031 EUREKA RD 1065 N HURON RIVER DR STE 600 1001 WELCH ROAD SUITE 101 2227 E HILL RD 9702 WESTPORT RD 3040 DOLPHIN DR 2005 CENTENNIAL BLVD 824 N 3RD ST 638 NORTHVIEW DR 810 N MAIN ST 117 N MAIN ST 43614 GARFIELD RD 20250 W 7 MILE RD 376 APPLE AVE E 130 TOWN CENTER DR STE 101 100 MICHIGAN ST NE STE 1830 2284 S BALLENGER HWY STE F 3761 MASSILON RD 36000 EUCLID AVE 3333 WEST TECH RD 4875 HIGBEE AVE NW 1344 WEST SENECA AVE 1113 MEDINA RD STE 700 6758 US HIGHWAY 23 S STE 7 1112 W 7TH ST 3440 GRANDVIEW DRIVE 155 POCONO CMNS 249 SUMMIT PARK DR 3200 FRANKFORD AVE 830 NORTH US 15 8200 ROOSEVELT BLVD 4600 ROOSEVELT BLVD BLDG G 516 SCHOOL HOUSE RD 300 RESORT PLAZA DR 6211 ROUTE 30 6716 TOWNE CENTER BLVD 110 S 17TH ST 324 HULTON RD 1064 N COLLEGE ST 4894 N MAIN ST 2249 LISBON ST 100 S 6TH ST 1417 N MAIN ST STE A 406 MAIN ST 1306 MACDADE BLVD 6700 PEACH ST 553 E GERMANTOWN PIKE 2651 MACARTHUR RD 857 W BALTIMORE PIKE 1901 JOHNSTON ST 1000 DUTCH RIDGE RD 1250 EASTON RD STE 201N 220 E LEWIS AND CLARK PKWY 1407 LINCOLNWAY 103 E HACKBERRY ST

CITY XENIA NEWARK GIBSONIA ALTOONA MORRISVILLE SCHWENKSVILLE CROYDON PITTSBURGH SHREWSBURY KING OF PRUSSIA YORK FOLCROFT FEASTERVILLE TREVOSE ROYERSFORD CHARLEROI LIBERTY EVANSVILLE CEDAR LAKE KNOX MIDDLETOWN VINCENNES MARTINSVILLE SOUTHGATE YPSILANTI COMMERCE TWP GRAND BLANC LOUISVILLE ELIZABETHTOWN INDEPENDENCE BARDSTOWN MOUNT STERLING FRANKLIN GREENVILLE CLINTON TWP DETROIT MUSKEGON TROY GRAND RAPIDS FLINT GREEN WILLOUGHBY MIAMISBURG CANTON TIFFIN MEDINA PIKEVILLE HOPKINSVILLE MACUNGIE STROUDSBURG PITTSBURGH PHILADELPHIA DILLSBURG PHILADELPHIA PHILADELPHIA KENNETT SQUARE BLAIRSVILLE GREENSBURG HUNTINGDON HARRISBURG OAKMONT HARRODSBURG EMINENCE EAST LIVERPOOL MAYFIELD JAMESTOWN CINCINNATI WOODLYN ERIE LAFAYETTE HILL WHITEHALL WEST GROVE PHILADELPHIA BEAVER HORSHAM CLARKSVILLE LAPORTE SALEM

STATE

COUNTY

OH GREENE

OH LICKING

PA ALLEGHENY

PA BLAIR

PA BUCKS

PA MONTGOMERY

PA BUCKS

PA ALLEGHENY

PA YORK

PA MONTGOMERY

PA YORK

PA DELAWARE

PA BUCKS

PA MONTGOMERY

PA WASHINGTON

KY CASEY

IN

VANDERBURGH

IN

LAKE

IN

STARKE

IN

HENRY

IN

KNOX

IN

MORGAN

MI WAYNE

MI WASHTENAW

MI OAKLAND

MI GENESEE

KY JEFFERSON

KY HARDIN

KY KENTON

KY NELSON

KY MONTGOMERY

KY SIMPSON

KY MUHLENBERG

MI MACOMB

MI WAYNE

MI MUSKEGON

MI OAKLAND

MI KENT

MI GENESEE

OH SUMMIT

OH LAKE

OH MONTGOMERY

OH STARK

OH SENECA

OH MEDINA

KY PIKE

KY CHRISTIAN

PA LEHIGH

PA MONROE

PA ALLEGHENY

PA PHILADELPHIA

PA YORK

PA PHILADELPHIA

PA PHILADELPHIA

PA CHESTER

PA INDIANA

PA WESTMORELAND

PA HUNTINGDON

PA DAUPHIN

PA ALLEGHENY

KY MERCER

KY HENRY

OH COLUMBIANA

KY GRAVES

KY RUSSELL

OH HAMILTON

PA DELAWARE

PA ERIE

PA MONTGOMERY

PA LEHIGH

PA CHESTER

PA PHILADELPHIA

PA BEAVER

PA MONTGOMERY

IN

CLARK

IN

LAPORTE

IN

WASHINGTON

ZIP

PHONE

45385 (937)-372-8047

43055 (740)-345-9761

15044 (724)-449-2787

16602 (814)-944-9998

19067 (215)-736-9003

19473 (610)-222-2563

19021 (215)-785-6345

15227 (412)-884-4400

17361 (717)-227-2017

19406 (610)-962-9627

17408 (717)-767-2362

19032 (484)-494-8899

19053 (215)-357-7737

19468 (610)-226-2152

15022 (724)-489-9334

42539 (606)-787-0119

47712 (812)-425-4364

46303 (219)-374-5688

46534 (574)-772-6544

47356 (765)-354-4692

47591 (812)-886-0006

46151 (765)-342-6213

48195 (734)-285-1740

48197 (734)-547-5995

48390 (248)-859-2804

48439 (810)-498-4334

40241 (502)-425-1434

42701 (270)-737-4578

41051 (859)-363-3605

40004 (502)-348-2985

40353 (859)-498-7700

42135 (270)-813-1101

42345 (270)-338-3800

48038 (586)-228-1551

48219 (313)-535-9755

49442 (231)-722-4632

48084 (248)-740-0670

49503 (616)-249-6210

48503 (810)-275-9084

44685 (330)-899-9085

44094 (440)-602-6701

45342 (937)-641-5080

44718 (330)-490-9034

44883 (567)-938-0300

44256 (888)-322-6216

41501 (606)-639-2415

42240 (270)-886-4466

18062 (484)-232-6863

18360 (570)-426-1044

15275 (412)-788-6313

19134 (215)-425-5881

17019 (717)-638-1234

19152 (215)-338-4967

19124 (215)-288-3900

19348 (610)-444-5941

15717 (724)-459-6419

15601 (724)-850-7306

16652 (814)-644-6922

17104 (717)-236-7588

15139 (412)-826-8303

40330 (859)-734-3004

40019 (502)-845-5027

43920 (330)-386-5521

42066 (270)-247-4073

42629 (270)-343-4443

45202 (513)-721-0840

19094 (610)-521-7011

16509 (814)-860-8711

19444 (610)-828-5222

18052 (484)-245-0084

19390 (610)-869-5501

19145 (215)-336-5553

15009 (724)-773-7777

19044 (215)-922-2502

47129 (812)-944-4466

46350 (219)-362-3446

47167 (812)-883-6929

NCPDP 1519389 1520267 1520899 1523124 2387517 2387795 2388999 3990543 2356980 2357057 2357108 2357514 2357879 2358996 2359518 2360585 2361549 2361614 3659349 3662738 3664100 3665152 3665405 3667322 3668893 3669061 3686372 3686649 3686966 3686992 3688439 3688655 1805209 3979119 3979878 3977076 3978523 3979195 3980047 3981241 3983360 3985148 3987089 3988562 3988625 1833842 1503386 1513325 1517626 1522639 1523631 1523681 1523857 1836723 1837674 1838309 2348387 2351384 2357502 3656773 3657698 3657751 3659034 3659250 3660645 3663300 3664047 3664415 3664821 3667219 3668196 3961299 3685192 3685419 3685661 3686663 3688263

NPI 1295838902 1033130356 1215000831 1942215066 1003453879 1033749395 1306439229 1982865077 1417055567 1669581146 1417069378 1568477685 1912912031 1568489789 1912071374 1720187024 1871693218 1821015041 1194828921 1063521318 1013982446 1295750909 1942213269 1417981127 1225043250 1003838715 1730668708 1457834830 1982163853 1124683826 1326648601 1861083800 1619950615 1104835115 1962435016 1275565293 1972609477 1316964554 1518999531 1285738070 1265450035 1871511675 1699863993 1780888792 1316153430 1720115009 1760585442 1376647321 1124121835 1215942339 1396750410 1932114055 1831106822 1285157545 1942799309 1184274912 1205908233 1659583045 1245332535 1104989276 1801814652 1477598399 1356305585 1477656205 1720181555 1659388676 1801907910 1689689606 1972607646 1598770414 1174627996 1841391307 1407383524 1689191710 1669997532 1730688987 1083228852

PHARMACY NAME CVS PHARMACY CVS PHARMACY KROGER SAVON PHCY WALGREENS GET WELL PHARMACY ORCHARD TRAILS PHARMACY CENTER POINTE PHARMACY CVS PHARMACY MISSION PHARMACY RITE AID PHARMACY CVS PHARMACY WALGREENS WALGREENS WALMART PHARMACY THOMPSON PHARMACY - OLESON WEST CVS PHARMACY CVS PHARMACY SAM'S CLUB PHARMACY CVS PHARMACY RITE AID PHARMACY JAKS PUBLIC PHARMACY KROGER PHARMACY MERCY DEFIANCE CLINIC PHARMACY KROGER PHARMACY WALGREENS CVS PHARMACY HOCKS PIQUA PHARMACY GIFTHEALTH INC CAA EAST LIVERPOOL PHARMACY OSU OUTPATIENT PHARMACY EAST HOSP GENOA HEALTHCARE LLC MEIJER PHARMACY DUNAWAY'S IMPERIAL PHARMACY WEST END SERVICES NICKMAN'S DRUG GIANT PHARMACY RX PARTNERS LTC WALMART PHARMACY GIANT PHARMACY CVS PHARMACY WALMART PHARMACY SAM'S CLUB PHARMACY GIANT PHARMACY MILL RUN COMMUNITY PHARMACY WEIS PHARMACY KELLY RAFF ANUNCIATO DO PSC CVS PHARMACY BALL STATE UNIVERSITY PHARMACY CVS PHARMACY WALGREENS WALGREENS WALGREENS WALGREENS WALGREENS BRACKEN COUNTY FAMILY HLTH CTR PHCY CVS PHARMACY B AND C PHARMACY CHERRY HILL PROFESSIONAL PHCY CVS PHARMACY CHEFFY DRUGS WALMART PHARMACY DISCOUNT DRUG MART YOUNGSTOWN PHARMACY CARE CVS PHARMACY CVS PHARMACY FRUTH PHARMACY RITE AID PHARMACY WALGREENS CVS PHARMACY GIANT EAGLE PHARMACY CVS PHARMACY CVS PHARMACY GLOBAL RX PHARMACY BARRS HOMETOWN PHARMACY WALGREENS EDGEPARK MEDICAL SUPPLIES HARVEST GROVE LTC

ADDRESS 1900 N MICHIGAN ST 10809 RANDOLPH ST 1175 S COLLEGE MALL RD 2401 RIDGE RD 1770 FORT ST 23133 ORCHARD LAKE RD STE 101 2065 S CENTER RD 170 S LYCOMING MALL RD 926 S MISSION ST 715 S MAIN ST 919 S MONROE ST 6790 CASCADE RD SE 1965 E BIG BEAVER RD 44575 MOUND RD 3850 N LONG LAKE RD STE 101 39350 9 MILE RD 1155 FULLER AVE NE 15700 NORTHLINE RD 34 SHOPPING PLZ 2709 BROADWAY 970 W WOOSTER ST RM 121 5250 NEWTOWN DR 1400 E 2ND ST 220 WAVERLY PLZ 132 RICHMOND ST 9666 OLDE US 20 649 W HIGH ST 1057 BETHEL RD 16480 ST CLAIR AVE 181 TAYLOR AVE 225 CARLTON DAVIDSON LN RM 1 7701 BROADVIEW RD 110 3RD ST 6620 GRANT WAY STE B 107 MEMORIAL BLVD 700 NUTT RD 500 OLD POND RD STE 406 108 WASHINGTON TOWNE BLVD N 1880 LEITHSVILLE RD 7065 LINCOLN DR 2200 WASHINGTON PIKE 2000 VILLAGE CENTER DR 1824 E RIDGE PIKE STE 104 404 NORTH ST RTE 611 RR1 400 2605 KENTUCKY AVE #502 BLDG 3 200 S HARRISON ST 1500 NEELEY AVE 815 W MCCLAIN AVE 1701 E PAULDING RD 6905 KENNEDY AVE 1302 W STATE ROAD 2 2755 CHARLESTOWN RD 125 N MAIN ST 1551 AUGUSTA CHATHAM RD 3905 TAYLORSVILLE RD 223 W SILVER LAKE RD FENTON 23100 CHERRY HILL ST STE 12 106 W GRAND RIVER AVE 148 E MAIN ST 131 W GYPSY LN 4730 HILLS AND DALES RD NW 11 E MAIN ST 5901 MAYFIELD RD 3066 STATE ROUTE 160 204 2ND AVE 3875 SALEM AVE 2086 GRAHAM RD 379 E MAIN ST 30320 LAKE SHORE BLVD 36008 DETROIT RD 28 N CLAUDE A LORD BLVD 881 EAST MAIN ST SUITE 201 28 W MAIN ST 400 PUBLIC RD 1810 SUMMIT COMMERCE PARK 10335 S MEDALLION DR

CITY PLYMOUTH CROWN POINT BLOOMINGTON HIGHLAND LINCOLN PARK FARMINGTON BURTON MUNCY MOUNT PLEASANT EATON RAPIDS MONROE GRAND RAPIDS TROY STERLING HEIGHTS TRAVERSE CITY NORTHVILLE GRAND RAPIDS SOUTHGATE CHAGRIN FALLS LORAIN BOWLING GREEN LIBERTY TWP DEFIANCE WAVERLY PAINESVILLE ROSSFORD PIQUA COLUMBUS EAST LIVERPOOL COLUMBUS COAL GROVE SEVEN HILLS HENDERSON ALLENTOWN CONNELLSVILLE PHOENIXVILLE BRIDGEVILLE EDINBORO HELLERTOWN PHILADELPHIA CARNEGIE TARENTUM ROYERSFORD MEADVILLE TANNERSVILLE PADUCAH SHELBYVILLE MUNCIE SCOTTSBURG FORT WAYNE HAMMOND LAPORTE NEW ALBANY STANTON AUGUSTA LOUISVILLE FENTON DEARBORN BRIGHTON BARNESVILLE BOWLING GREEN CANTON CANFIELD MAYFIELD HEIGHTS GALLIPOLIS GALLIPOLIS DAYTON STOW NEWARK WILLOWICK AVON POTTSVILLE COLUMBUS XENIA YORKVILLE TWINSBURG CINCINNATI

STATE

COUNTY

IN

MARSHALL

IN

LAKE

IN

MONROE

IN

LAKE

MI WAYNE

MI OAKLAND

MI GENESEE

PA LYCOMING

MI ISABELLA

MI EATON

MI MONROE

MI KENT

MI OAKLAND

MI MACOMB

MI GRAND TRAVERSE

MI OAKLAND

MI KENT

MI WAYNE

OH CUYAHOGA

OH LORAIN

OH WOOD

OH BUTLER

OH DEFIANCE

OH PIKE

OH LAKE

OH WOOD

OH MIAMI

OH FRANKLIN

OH COLUMBIANA

OH FRANKLIN

OH LAWRENCE

OH CUYAHOGA

KY HENDERSON

PA LEHIGH

PA FAYETTE

PA CHESTER

PA ALLEGHENY

PA ERIE

PA NORTHAMPTON

PA PHILADELPHIA

PA ALLEGHENY

PA ALLEGHENY

PA MONTGOMERY

PA CRAWFORD

PA MONROE

KY MCCRACKEN

IN SHELBY

IN DELAWARE

IN SCOTT

IN ALLEN

IN LAKE

IN LAPORTE

IN

FLOYD

KY POWELL

KY BRACKEN

KY JEFFERSON

MI GENESEE

MI WAYNE

MI LIVINGSTON

OH BELMONT

OH WOOD

OH STARK

OH MAHONING

OH CUYAHOGA

OH GALLIA

OH GALLIA

OH MONTGOMERY

OH SUMMIT

OH LICKING

OH LAKE

OH LORAIN

PA SCHUYLKILL

OH FRANKLIN

OH GREENE

OH JEFFERSON

OH SUMMIT

OH HAMILTON

ZIP

PHONE

46563 (574)-935-5697

46307 (219)-663-9075

47401 (812)-333-5760

46322 (219)-838-1412

48146 (313)-381-4444

48336 (313)-333-7111

48519 (810)-820-9900

17756 (570)-940-1001

48858 (989)-773-8200

48827 (517)-663-8430

48161 (734)-384-9559

49546 (616)-954-2408

48083 (248)-526-9775

48314 (586)-323-2570

49684 (231)-947-2880

48167 (248)-735-6081

49503 (616)-774-1041

48195 (734)-281-4863

44022 (440)-247-8132

44052 (440)-244-1950

43402 (419)-352-6423

45011 (513)-887-8464

43512 (419)-783-3376

45690 (740)-947-0128

44077 (440)-350-1928

43460 (419)-872-9126

45356 (937)-381-6550

43220 (614)-725-3335

43920 (330)-870-1145

43203 (614)-257-2628

45638 (740)-414-4383

44131 (216)-238-9720

42420 (270)-826-6565

18106 (610)-437-8850

15425 (724)-628-8125

19460 (610)-917-9310

15017 (412)-257-1263

16412 (814)-734-3770

18055 (610)-838-3007

19119 (215)-242-1869

15106 (412)-429-1649

15084 (724)-274-1730

19468 (610)-831-5805

16335 (814)-337-6600

18372 (570)-619-5413

42003 (270)-444-6274

46176 (317)-398-9791

47303 (765)-285-1079

47170 (812)-752-4448

46816 (260)-456-3429

46323 (219)-844-5034

46350 (219)-362-7009

47150 (812)-944-8859

40380 (606)-663-2521

41002 (606)-402-2064

40220 (502)-975-3517

48430 (810)-629-4002

48124 (313)-274-5990

48116 (810)-220-8804

43713 (740)-425-1582

43402 (419)-352-3396

44708 (330)-477-1558

44406 (330)-286-0226

44124 (440)-646-1555

45631 (740)-446-7459

45631 (740)-441-0781

45406 (937)-277-1611

44224 (330)-688-4372

43055 (740)-345-4201

44095 (440)-944-6963

44011 (440)-937-4027

17901 (570)-429-0215

43205 (614)-420-2007

45385 (937)-347-1200

43971 (740)-859-2449

44087 (877)-852-3512

45241 (800)-321-4756

NCPDP 3688275 1805235 1813674 1815868 3600637 3609534 1837268 2348197 2348363 2350255 2352742 2353403 2353679 2354467 2355926 2356702 2358314 2362539 3655846 3657597 3658741 3662207 3662322 3668716 3668843 3668855 3669136 3669148 3961504 1823295 1824324 1825592 1827558 1830517 1831331 1833284 1834731 1837523 1838133 1839084 2349923 2350899 2355421 2360294 2361296 2361955 2362503 3657220 3657434 3659084 3659197 3660366 3660544 3664023 3664061 2383088 2383090 2383127 2383406 2383444 2384004 3682401 3683427 3686409 3687641 1804170 1804411 1810363 1817406 3605005 3976579 3978319 3978345 3979765 3981099 3983714 2356106

NPI 1902418148 1497797286 1427142496 1730221672 1982707683 1255340733 1740703131 1710992821 1629083738 1194742304 1922163351 1447368816 1376652834 1275617599 1467561944 1922112812 1558376673 1609898378 1831104777 1275636094 1194760017 1912055484 1548294242 1538263363 1639194343 1952335663 1891899621 1952316986 1225055379 1013092576 1609800424 1346267671 1467439083 1821275421 1871721712 1861740615 1205226933 1407367410 1306309067 1942847686 1801945407 1710095187 1619089570 1588776454 1558395301 1801801931 1073535746 1093818817 1730106923 1194730036 1811914005 1821003765 1942246863 1922117274 1467467308 1285173112 1851830079 1932649811 1063942944 1043748569 1831608108 1992105472 1386022010 1497236533 1346880689 1376631481 1063507648 1629097779 1548287964 1992808604 1346296845 1316041106 1760428684 1861419004 1457384794 1851306740 1154433019

PHARMACY NAME MILFORD PHARMACY AND WELLNESS T & T DRUG STORE WARFIELD PRESCRIPTION CENTER RUWE FAMILY PHARMACY CVS PHARMACY RITE AID PHARMACY WALGREENS WALGREENS WALGREENS WALMART PHARMACY HOMETOWN PHARMACY CVS PHARMACY RITE AID PHARMACY CHASS PHARMACY RITE AID PHARMACY HANNAHVILLE HEALTH CENTER PHARMACY WALGREENS CVS PHARMACY MARCS CVS PHARMACY DISCOUNT DRUG MART CHILDRENS HOSP MED CTR OF AKRO KROGER PHARMACY CVS PHARMACY KROGER PHARMACY KROGER PHARMACY CVS PHARMACY WALGREENS WALMART PHARMACY RX DISCOUNT PHARMACY KROGER PHARMACY WALMART PHARMACY MIDWAY PHARMACY CANEYVILLE WALGREENS WALGREENS CVS PHARMACY TAYLOR RGNL OUTPATIENT PHCY ST MATTHEWS SPECIALTY PHARMACY GILLUM DRUG BURGESS DRUG STORE 4 MEIJER PHARMACY LS SAV-MOR PHARMACY CVS PHARMACY CVS PHARMACY KROGER PHARMACY WALGREENS CVS PHARMACY CVS PHARMACY WALMART PHARMACY MARCS WALMART PHARMACY MARCS WORTHINGTON INDUSTRIES PHARMACY RITE AID PHARMACY MARCS PHARMCITY WALMART PHARMACY PURE HEALTH PHARMACY LLC FOREST COMMUNITY PHARMACY ROMEO PLANK PHARMACY LAKE O RX SOUTHSIDE PHARMACY OF LORAIN GENOA HEALTHCARE LLC DISCOUNT DRUG MART GENOA HEALTHCARE LLC BLANKS PHARMACY WOODBURN PHARMACY LLC MUHLENBERG COMMUNITY HOSPITAL WALMART PHARMACY CVS PHARMACY SAV-ON PHARMACY CVS PHARMACY LIFE TREE PHARMACY SAM'S CLUB PHARMACY WEIS PHARMACY WALGREENS CVS PHARMACY

ADDRESS 931 BUSINESS 28 UNIT 205 1331 CLAY ST 9251 BEAUTY RD 434 SCOTT ST 1495 W 5TH AVE 590 W MAIN ST 517 N GREEN ST 33 S PERE MARQUETTE HWY 710 SPRING ST 701 OLDS ST 1 S WASHINGTON ST 6510 TELEGRAPH RD 5 S GROESBECK HWY 5635 W FORT ST 22346 WOODWARD AVE W365 US2 & 41 30852 WOODWARD AVE 6839 S WESTNEDGE AVE 170 SHEFFIELD CTR 1725 W CENTRAL AVE 1631 CLAREMONT AVE 215 W BOWERY ST RM C3220 2100 MICHIGAN ST 27713 LORAIN RD 7545 SYLVANIA AVE 1060 ASHLAND RD 5525 PARKSIDE DR 1910 S REYNOLDS RD 1270 YORK RD 500 MORTON BLVD 4750 HARTLAND PKWY 11901 STANDIFORD PLAZA DR 408 E MAPLE ST 1 VIEWPOINT DR 14659 N US HIGHWAY 25 E STE C 405 MAIN ST 1700 OLD LEBANON RD 3922 WILLIS AVE 1237 CARTER AVE 1 S CREEK DR STE 122 2591 E M 21 1455 S LAPEER RD STE 101 71220 VAN DYKE RD 4963 JOHN R RD 47650 GRAND RIVER AVE 2485 W GLENLORD RD 15901 FORD RD 3195 LINWOOD AVE 3750 W MARKET ST UNIT I 1413 AMHERST RD NE 10000 BROOKPARK RD 7511 W RIDGEWOOD DR 1250 DEARBORN DR 501 E EMMITT AVE 2487 E STATE ST 3735 MONROE ST STE B 2755 HOLTON WHITEHALL RD 441 S LIVERNOIS RD STE 160 2316 SOUTH CEDAR STREET 64580 VAN DYKE AVE STE D 802 4TH AVE 2811 FULTON RD STE B 625 CLEVELAND AVE NW STE 301 2710 EASTON ST NE STE A 5760 PATRIOT BLVD STE P 272 W PIKE ST 400 E ARCADIA AVE 440 HOPKINSVILLE ST 809 N 12TH ST 1819 E PROSPECT RD 5927 RIDGE AVE 342 N LEWIS RD 5 BLUE HERON DR 5314 ALLENTOWN PIKE 1272 E PENN ST 900 E STATE ST 3053 UNION LAKE RD

CITY MILFORD HENDERSON WARFIELD COVINGTON COLUMBUS NEW LEBANON HENDERSON LUDINGTON PETOSKEY JONESVILLE OXFORD BLOOMFIELD HILLS MOUNT CLEMENS DETROIT FERNDALE WILSON ROYAL OAK PORTAGE LORAIN DELAWARE ASHLAND AKRON SIDNEY NORTH OLMSTED SYLVANIA MANSFIELD MASON TOLEDO GETTYSBURG HAZARD LEXINGTON LOUISVILLE CANEYVILLE ALEXANDRIA CORBIN BENTON CAMPBELLSVILLE LOUISVILLE ASHLAND MONTICELLO CORUNNA LAKE ORION ROMEO TROY NOVI STEVENSVILLE DEARBORN CINCINNATI FAIRLAWN MASSILLON CLEVELAND PARMA COLUMBUS WAVERLY SALEM DEARBORN WHITEHALL ROCHESTER HILLS LANSING WASHINGTON LAKE ODESSA LORAIN CANTON CANTON AUSTINTOWN COVINGTON DAWSON SPRINGS GREENVILLE MURRAY ASHTABULA PHILADELPHIA ROYERSFORD COLLEGEVILLE TEMPLE MUNCY SHARON COMMERCE TOWNSHIP

STATE

COUNTY

OH CLERMONT

KY HENDERSON

KY MARTIN

KY KENTON

OH FRANKLIN

OH MONTGOMERY

KY HENDERSON

MI MASON

MI EMMET

MI HILLSDALE

MI OAKLAND

MI OAKLAND

MI MACOMB

MI WAYNE

MI OAKLAND

MI MENOMINEE

MI OAKLAND

MI KALAMAZOO

OH LORAIN

OH DELAWARE

OH ASHLAND

OH SUMMIT

OH SHELBY

OH CUYAHOGA

OH LUCAS

OH RICHLAND

OH WARREN

OH LUCAS

PA ADAMS

KY PERRY

KY FAYETTE

KY JEFFERSON

KY GRAYSON

KY CAMPBELL

KY KNOX

KY MARSHALL

KY TAYLOR

KY JEFFERSON

KY BOYD

KY WAYNE

MI SHIAWASSEE

MI OAKLAND

MI MACOMB

MI OAKLAND

MI OAKLAND

MI BERRIEN

MI WAYNE

OH HAMILTON

OH SUMMIT

OH STARK

OH CUYAHOGA

OH CUYAHOGA

OH FRANKLIN

OH PIKE

OH COLUMBIANA

MI WAYNE

MI MUSKEGON

MI OAKLAND

MI INGHAM

MI MACOMB

MI IONIA

OH LORAIN

OH STARK

OH STARK

OH MAHONING

KY KENTON

KY HOPKINS

KY MUHLENBERG

KY CALLOWAY

OH ASHTABULA

PA PHILADELPHIA

PA MONTGOMERY

PA MONTGOMERY

PA BERKS

PA LYCOMING

PA MERCER

MI OAKLAND

ZIP

PHONE

45150 (513)-831-8211

42420 (270)-827-3503

41267 (606)-395-6477

41011 (859)-431-3304

43212 (614)-486-7159

45345 (937)-687-3456

42420 (270)-827-1897

49431 (231)-845-5399

49770 (231)-348-5556

49250 (517)-849-7011

48371 (248)-628-2538

48301 (248)-626-2525

48043 (586)-468-0978

48209 (313)-849-3920

48220 (248)-542-1925

49896 (906)-723-2560

48073 (248)-549-2628

49002 (269)-327-9646

44055 (440)-233-7874

43015 (740)-363-8171

44805 (419)-281-7880

44308 (330)-543-8322

45365 (513)-498-4116

44070 (440)-716-5166

43560 (419)-841-6468

44905 (419)-589-3693

45040 (513)-398-7609

43614 (419)-867-3529

17325 (717)-334-1313

41701 (606)-436-2891

40515 (859)-245-5855

40229 (502)-968-6766

42721 (270)-879-6355

41001 (859)-635-1420

40701 (606)-258-7980

42025 (270)-527-8636

42718 (270)-789-5826

40207 (502)-690-4462

41101 (606)-393-5588

42633 (606)-348-0016

48817 (989)-743-2510

48360 (248)-693-6219

48065 (586)-336-1905

48085 (248)-689-2157

48374 (248)-374-9706

49127 (269)-429-7044

48126 (313)-768-0293

45208 (513)-321-2470

44333 (330)-666-0742

44646 (330)-830-2600

44130 (216)-741-7386

44129 (440)-843-5495

43085 (614)-840-3571

45690 (740)-941-3017

44460 (330)-337-7358

48124 (313)-914-7224

49461 (231)-893-5488

48307 (248)-923-2699

48910 (517)-318-3414

48095 (586)-315-2290

48849 (877)-855-9777

44055 (440)-277-0655

44702 (234)-203-1825

44721 (330)-526-7423

44515 (330)-750-7896

41011 (859)-261-1313

42408 (270)-797-2761

42345 (270)-338-8406

42071 (270)-753-0287

44004 (440)-998-2216

19128 (215)-487-3419

19468 (610)-792-1901

19426 (610)-489-6640

19560 (610)-929-5357

17756 (570)-546-7228

16146 (724)-342-3291

48382 (248)-363-3086

NCPDP 2359013 2359417 2360509 2360573 2360701 2361210 2361525 2361777 2362438 3657903 3659907 3662017 3663045 3663184 3663451 3664807 3665378 3667156 3961390 3686877 3687007 3687564 1800538 1800982 1801958 1816327 1824817 1824881 1826950 2376879 2377554 2378114 2382163 2382290 2383331 2384345 2385032 2385347 3681384 3683326 3684493 3684657 3687552 3688225 1808356 1808560 1817367 1817797 3610044 3615246 3977393 1837369 2351574 2354291 2355407 2355534 2355712 2357780 2359758 2361551 2362515 3656901 3658587 3660657 3663350 3664364 3664770 3665645 3666786 3667207 3668728 3961302 3686497 3687932 3688035 1800590 1807556

NPI 1669490520 1376646471 1811096118 1255348249 1982712352 1053475392 1346262011 1619017225 1316904337 1659420057 1780699793 1629171459 1790791002 1043225063 1073547774 1336243005 1053326967 1750303467 1518061365 1164983946 1790340404 1720627763 1750484499 1750376588 1942257720 1376648659 1598782070 1891851002 1861407017 1760742019 1043569338 1104265511 1164871448 1346793817 1609302181 1437664893 1740770460 1477031185 1619303435 1417336447 1467906206 1205385333 1811534829 1619580966 1255463287 1710929054 1639196058 1356327571 1275636797 1093818726 1124045356 1609399898 1700891819 1902811367 1528160819 1568563294 1811907082 1154423440 1053413344 1275632572 1982626651 1235128034 1285651471 1730194671 1528080454 1487679197 1215942230 1659388668 1053326975 1780699603 1356445183 1720182579 1326522913 1619506110 1205455508 1295838936 1144213406

PHARMACY NAME WALMART PHARMACY CVS PHARMACY CVS PHARMACY WALGREENS RX UNIV COMPOUNDING PHCY MEIJER PHARMACY CVS PHARMACY OAKMAN MEDICAL PHARMACY BAY MILLS PHARMACY MEIJER PHARMACY WALGREENS CVS PHARMACY RITE AID PHARMACY WALGREENS KROGER PHARMACY CVS PHARMACY GIANT EAGLE PHARMACY CVS PHARMACY CVS PHARMACY FRANKLIN PARK PHARMACY OSU OUTPATIENT PHARMACY DOAN HALL MEDEX PHARMACY CVS PHARMACY STONES HEALTH MART PHCY LYON DRUG STORE PIKE PHARMACIST GROUP FOOD CITY PHARMACY CAPPS PHARMACY WALGREENS HAMILTON BURTON PHARMACY LIVE WELL PHARMACY INFINITY DRUGS AROGYA PHARMACY FERNDALE FAMILY PHARMACY UTICA PHARMACY MAXCARE RX PHARMACY TRUE RX LLC UMHS BRIGHTON CENTER FOR SPEC CARE MERCY HEALTH WEST RETAIL PHCY ROYAL PHARMACY GENOA HEALTHCARE LLC ESSENTRA PHARMACY MILESTONE PHARMACY LLC WELLCARE PHARMACY STOVALL'S PRESCRIPTION SHOP CORNER DRUG STORE OF STURGIS LLC WALMART PHARMACY HAZARD ARH REG MED CTR CLINIC PHCY CVS PHARMACY CVS PHARMACY SAM'S CLUB PHARMACY WALGREENS WALGREENS EHARDTS PHARMACY INC MARLETTE CVS PHARMACY FAMILY FARE PHARMACY RITE AID PHARMACY CVS PHARMACY CVS PHARMACY CVS PHARMACY CVS PHARMACY ST AUGUSTINE SERVICES CORP WALMART PHARMACY MARCS DAVIES DRUG KROGER PHARMACY WALGREENS WALGREENS GIANT EAGLE PHARMACY GIANT EAGLE PHARMACY CVS PHARMACY CVS PHARMACY UN HSP AHUJA MED CNTR OP PHCY NEIGHBORHOOD FAMILY PRACTICE PHCY SUNRISE TREATMENT CENTER - PIQUA CVS PHARMACY DANHAUER DRUGS

ADDRESS 3301 N PONTIAC TRL 23881 GREENFIELD RD 1791 S HAGGERTY RD 1815 ROCHESTER RD 6054 LIVERNOIS ROAD 8401 26 MILE RD 5609 W SAGINAW HWY 5280 OAKMAN BLVD 12124 W LAKESHORE DR 1725 S WHEELING ST 834 W MARKET ST 2375 BEECHWOOD DR 16207 DETROIT AVE 1223 CLEVELAND AVE NW 1095 S MAIN ST 11611 HAMILTON AVE 22160 CENTER RIDGE RD 240 MARKET DR 1101 S WEST END BLVD 4020 SECOR RD UNIT A 410 W 10TH AVE ROOM 111 7967 CINCINNATI DAYTON RD 24 W LEXINGTON AVE 414 S 9TH ST 201 MAIN ST 137 N LEVISA RD 2478 US-421 331 KEEN STREET 521 LONE OAK RD G-3375 S SAGINAW ST 23411 JOHN R RD 11521 JOSEPH CAMPAU ST 5470 GRATIOT RD 753 W NINE MILE RD 49310 VAN DYKE AVE STE 100 7847 N.TELEGRAPH RD 38300 VAN DYKE AVE STE 102 7500 CHALLIS RD 3300 MERCY HEALTH BLVD 2575 S HAMILTON RD 741 SCHOLL RD STE P1 73 SPORTSMAN'S DR STE B 3350 CLEVELAND AVE STE 1946 7584 E MAIN ST 202 S COURT ST 424 N ADAMS ST 177 WASHINGTON DR 200 MEDICAL CENTER DR 14000 RIDGE RD 1711 STATE RD 80 TRINITY POINT DR 103 ASH DR 760 W MICHIGAN AVE 6451 PLAZA DR 3090 CARPENTER RD 6480 28TH AVE 1589 HASLETT RD 31501 JOY RD 3575 WEST RD 12907 E JEFFERSON AVE 14099 PARDEE RD 7801 DETROIT AVE 340 WESTWIND DR 900 W MAPLE ST 6046 WHIPPLE AVE NW 3675 E BROAD ST 1260 E CENTRAL AVE 12110 LEBANON RD 3440 CENTER RD 5321 WARRENSVILLE ROAD 2801 FAR HILLS AVE 20 E LOCUST ST 3999 RICHMOND RD 14625 PURITAS AVE 1130 GARBRY RD 214 MOORELAND AVE 330 FREDERICA ST

CITY COMMERCE TOWNSHIP SOUTHFIELD CANTON ROYAL OAK TROY WASHINGTON LANSING DEARBORN BRIMLEY OREGON AKRON GERMANTOWN LAKEWOOD CANTON CENTERVILLE CINCINNATI ROCKY RIVER ELYRIA QUAKERTOWN TOLEDO COLUMBUS WEST CHESTER WINCHESTER MAYFIELD EDDYVILLE MOUTHCARD HARLAN BURKESVILLE PADUCAH BURTON HAZEL PARK HAMTRAMCK SAGINAW FERNDALE SHELBY TOWNSHIP TAYLOR STERLING HEIGHTS BRIGHTON CINCINNATI COLUMBUS MANSFIELD MARENGO COLUMBUS REYNOLDSBURG SCOTTSVILLE STURGIS SOMERSET HAZARD NORTH ROYALTON CUYAHOGA FALLS WASHINGTON PARIS KALAMAZOO MARLETTE YPSILANTI HUDSONVILLE HASLETT WESTLAND TRENTON DETROIT TAYLOR CLEVELAND NORWALK HARTVILLE NORTH CANTON WHITEHALL MIAMISBURG SHARONVILLE BRUNSWICK MAPLE HEIGHTS OAKWOOD NESQUEHONING BEACHWOOD CLEVELAND PIQUA HARRODSBURG OWENSBORO

STATE

COUNTY

MI OAKLAND

MI OAKLAND

MI WAYNE

MI OAKLAND

MI OAKLAND

MI MACOMB

MI EATON

MI WAYNE

MI CHIPPEWA

OH LUCAS

OH SUMMIT

OH MONTGOMERY

OH CUYAHOGA

OH STARK

OH MONTGOMERY

OH HAMILTON

OH CUYAHOGA

OH LORAIN

PA BUCKS

OH LUCAS

OH FRANKLIN

OH BUTLER

KY CLARK

KY GRAVES

KY LYON

KY PIKE

KY HARLAN

KY CUMBERLAND

KY MCCRACKEN

MI GENESEE

MI OAKLAND

MI WAYNE

MI SAGINAW

MI OAKLAND

MI MACOMB

MI WAYNE

MI MACOMB

MI LIVINGSTON

OH HAMILTON

OH FRANKLIN

OH RICHLAND

OH MORROW

OH FRANKLIN

OH FRANKLIN

KY ALLEN

KY UNION

KY PULASKI

KY PERRY

OH CUYAHOGA

OH SUMMIT

PA WASHINGTON

KY BOURBON

MI KALAMAZOO

MI SANILAC

MI WASHTENAW

MI OTTAWA

MI INGHAM

MI WAYNE

MI WAYNE

MI WAYNE

MI WAYNE

OH CUYAHOGA

OH HURON

OH STARK

OH STARK

OH FRANKLIN

OH MONTGOMERY

OH HAMILTON

OH MEDINA

OH CUYAHOGA

OH MONTGOMERY

PA CARBON

OH CUYAHOGA

OH CUYAHOGA

OH MIAMI

KY MERCER

KY DAVIESS

ZIP

PHONE

48390 (248)-668-0282

48075 (248)-424-5002

48188 (734)-394-2460

48073 (248)-546-6572

48098 (877)-531-1147

48094 (586)-677-8010

48917 (517)-327-0620

48126 (313)-846-1941

49715 (906)-248-2031

43616 (419)-697-2010

44303 (330)-434-4997

45327 (937)-855-7296

44107 (216)-521-8826

44703 (330)-453-4874

45458 (937)-439-6420

45231 (513)-742-1155

44116 (440)-356-3287

44035 (440)-324-2339

18951 (215)-536-0414

43623 (567)-315-8780

43210 (614)-293-9795

45069 (513)-755-1891

40391 (859)-744-7701

42066 (270)-247-3232

42038 (270)-388-2236

41548 (606)-835-4991

40831 (606)-573-7200

42717 (270)-864-1606

42003 (270)-442-6659

48529 (810)-406-4001

48030 (248)-381-4000

48212 (313)-733-6098

48638 (989)-607-3379

48220 (248)-565-8031

48317 (586)-884-7710

48180 (313)-291-7000

48312 (586)-275-0422

48116 (810)-263-4111

45211 (513)-215-1880

43232 (614)-547-0707

44907 (567)-307-4600

43334 (419)-253-0632

43224 (614)-600-5524

43068 (614)-604-6632

42164 (270)-237-5402

42459 (270)-333-5341

42501 (606)-679-8466

41701 (606)-439-6776

44133 (440)-237-3400

44223 (330)-929-4203

15301 (724)-229-5394

40361 (859)-987-1210

49007 (269)-344-1185

48453 (989)-635-7777

48197 (734)-973-7402

49426 (616)-669-8518

48840 (517)-339-5832

48185 (734)-427-9100

48183 (734)-362-0441

48215 (313)-926-8918

48180 (734)-288-0005

44102 (216)-634-7440

44857 (419)-663-2413

44632 (330)-877-4018

44720 (330)-305-9075

43213 (614)-239-0404

45342 (937)-859-3879

45241 (513)-769-8188

44212 (330)-225-1159

44137 (216)-332-9592

45419 (937)-395-4681

18240 (570)-669-6600

44122 (216)-593-1674

44135 (216)-961-2085

45356 (513)-941-4999

40330 (859)-734-5476

42301 (270)-684-2341

NCPDP 1808801 1813220 1813511 1814474 3603900 3604899 3607085 3608607 3609712 3610626 3980302 3982089 3982382 3982786 3983170 3987407 3987774 3987875 1834248 1504097 2354974 2356550 2359493 2360713 2360787 2362161 3658436 3659111 3659604 3660380 3662219 3662764 3662916 3663805 3666457 3667625 3667687 3669504 3961326 3686308 3686889 3687437 3688491 3688643 1803370 1503007 1509388 1515571 2388331 3989209 3990086 3990428 3990909 3984146 3984160 3984312 3985578 3987813 1833981 1504023 1505506 1506332 1518820 1523225 1524621 1529796 2388115 3988675 3988714 3988788 3991672 3993347 3995125 3996204 3999173 1569613 1570729

NPI 1184728149 1194828830 1073504981 1306922018 1477656189 1639272347 1063433373 1104929561 1669546081 1710080437 1922105410 1902900798 1679659726 1598795981 1548364334 1992880124 1447315866 1972641967 1437577988 1457454142 1063512622 1174610877 1568479558 1548369846 1023030897 1851308852 1467479659 1619086964 1003851924 1558395251 1609985951 1831116029 1821133869 1447295464 1740207943 1417962440 1235144262 1891716999 1639273485 1922597533 1093276628 1689216236 1871180026 1013507102 1497754923 1588767255 1366545063 1538262233 1316569908 1548449168 1306933346 1629245436 1528216520 1679588560 1174559801 1033221049 1528032802 1134279482 1750717344 1598868283 1184727877 1144323585 1750484465 1851464473 1861426678 1114932241 1770104192 1518166412 1457550709 1144411430 1912145103 1619299690 1568760270 1790061547 1881885333 1932672888 1134748825

PHARMACY NAME GRANT COUNTY DRUGS WILLIAMSTOW CVS PHARMACY MURRAY CALLOWAY CO HOSP RX EPHRAIM MCDOWELL REG MED CTR CVS PHARMACY CVS PHARMACY CVS PHARMACY CVS PHARMACY DAYTON CHILDRENS HOSP O/P CVS PHARMACY CVS PHARMACY CVS PHARMACY HAEUN PHARMACY GEISINGER PHARMACY CVS PHARMACY CVS PHARMACY GIRARD PHARMACY BEAVER HEALTH MART PHARMACY ONCO360 CVS PHARMACY A & S PHARMACY WOODHAVEN MEDICAL CENTER PHARMACY WALGREENS CVS PHARMACY MEIJER PHARMACY WALGREENS WALMART PHARMACY RITE AID PHARMACY DISCOUNT DRUG MART KROGER SAV-ON RITE AID PHARMACY WALMART PHARMACY BENZER PHARMACY DISCOUNT DRUG MART WALMART PHARMACY WALGREENS WALGREENS COMMUNITY MARKETS PHARMACY CVS PHARMACY UN PORTAGE MED CNTR OTPT PHCY MEDCARE PHARMACY AXESSPOINTE PHARMACY BARBERTON METROHEALTH OHIO CITY PHARMACY PELPHREYS PHARMACY DYER DRUG CVS PHARMACY CVS PHARMACY CVS PHARMACY DICKINSON COUNTY HEALTHCARE SYSTEM RITE AID PHARMACY ESPERANZA HEALTH CENTER 5TH STREET RITE AID PHARMACY FUTURE PHARMACY WALGREENS OXFORD PHARMACY GOOD DAY PHARMACY BROWNS PHARMACY CVS PHARMACY WALMART PHARMACY CVS PHARMACY CVS PHARMACY CVS PHARMACY CVS PHARMACY KROGER PHARMACY KROGER PHARMACY WALGREENS HAZELWOOD PHARMACY LLC RITE AID PHARMACY WALGREENS DIERKEN'S PHARMACY WALMART PHARMACY CVS PHARMACY RICCIO FAMILY PHARMACY TANG PHARMACY IV CROSSROAD DISPENSARY METHODIST HOSP NORTHLAKE PHCY GENOA HEALTHCARE LLC

ADDRESS 302 BARNES RD 197 APPALACHIAN PLZ 803 POPLAR ST 217 S 3RD ST 1009 E MAIN ST 23351 LORAIN RD 1323 COPLEY RD 2007 BROOKPARK RD 1 CHILDRENS PLZ 918 HIGH ST 1351 WILMINGTON PIKE 863 BALTIMORE PIKE 7300 OLD YORK RD STE 210 126 MARKET WAY 1218 E LANCASTER AVE 840 S VALLEY FORGE RD 83 MAIN ST W 533 3RD ST 13410 EASTPOINT CENTRE DR #101 3918 S CALHOUN ST 14716 W WARREN AVE 4700 GREENFIELD RD 2050 S ROCHESTER RD 37100 GREEN ST 620 E CHICAGO RD 24900 SCHOENHERR RD 8160 MACEDONIA COMMONS BLVD 220 3RD ST 5500 WALLINGS RD 1428 MARION WALDO RD 325 W BROAD ST 50739 VALLEY PLAZA DR 263 XENIA AVE 3015 N WOOSTER AVE 3579 S HIGH ST # US23 25524 CENTER RIDGE RD 4121 HOOVER AVE 702 MAIN ST 1300 N CHARLOTTE ST 6847 N CHESTNUT ST 3029 SMITH RD STE 100 390 ROBINSON AVE STE E 4757 LORAIN AVE 7208 TAYLORSVILLE RD 100 E CUMBERLAND ST 3705 KENTUCKY AVE 150 MORTHLAND DR 8830 STATE ROAD 60 W 1721 S STEPHENSON AVE SUITE A 201 DEVINE DR 2940 N 5TH ST 2108 MACARTHUR RD 9831 BUSTLETON AVE STE 6 1741 WASHINGTON RD 3254 N FRONT ST 2025 TECHNOLOGY PKWY STE G04 63 CANTON ST 913 NORLAND AVE 1001 CHERRY BLOSSOM WAY GATE 7 301 N GRAND AVE 2975 LAFAYETTE RD 8935 E 21ST ST 31 METAMORA RD 905 N GREEN ST 880 W EADS PKWY 1808 ALBANY ST 624 EAST NINE MILE ROAD STE C 115 LEADERS HEIGHTS RD 99 JEFFERSON AVE 100 E MAIN ST 405 MURTHA DR 401 SPRING GARDEN ST 2217 BRISTOL PIKE STE 2 900 N BROAD ST 3465 NAZARETH RD STE 102 600 GRANT STREET 1860 NORTHWOOD PLZ STE 119

CITY WILLIAMSTOWN SOUTH WILLIAMSON MURRAY DANVILLE GREENVILLE NORTH OLMSTED AKRON CLEVELAND DAYTON WORTHINGTON WEST CHESTER GLEN MILLS ELKINS PARK MOUNT POCONO BRYN MAWR LANSDALE GIRARD BEAVER LOUISVILLE FORT WAYNE DEARBORN DEARBORN ROCHESTER HILLS NEW BALTIMORE COLDWATER WARREN MACEDONIA WELLSVILLE NORTH ROYALTON MARION NEWTON FALLS SAINT CLAIRSVILLE YELLOW SPRINGS DOVER COLUMBUS WESTLAKE DAYTON DELTA POTTSTOWN RAVENNA FAIRLAWN BARBERTON CLEVELAND HUBER HEIGHTS ALBANY INDIANAPOLIS VALPARAISO MITCHELL IRON MOUNTAIN WEXFORD PHILADELPHIA WHITEHALL PHILADELPHIA PITTSBURGH PHILADELPHIA MECHANICSBURG TROY CHAMBERSBURG GEORGETOWN CONNERSVILLE INDIANAPOLIS INDIANAPOLIS BROOKVILLE BROWNSBURG LAWRENCEBURG BEECH GROVE HAZEL PARK YORK WASHINGTON MONONGAHELA WAYNESBURG PHILADELPHIA BENSALEM PHILADELPHIA EASTON GARY FRANKLIN

STATE

COUNTY

KY GRANT

KY PIKE

KY CALLOWAY

KY BOYLE

OH DARKE

OH CUYAHOGA

OH SUMMIT

OH CUYAHOGA

OH MONTGOMERY

OH FRANKLIN

PA CHESTER

PA DELAWARE

PA MONTGOMERY

PA MONROE

PA MONTGOMERY

PA MONTGOMERY

PA ERIE

PA BEAVER

KY JEFFERSON

IN

ALLEN

MI WAYNE

MI WAYNE

MI OAKLAND

MI MACOMB

MI BRANCH

MI MACOMB

OH SUMMIT

OH COLUMBIANA

OH CUYAHOGA

OH MARION

OH TRUMBULL

OH BELMONT

OH GREENE

OH TUSCARAWAS

OH FRANKLIN

OH CUYAHOGA

OH MONTGOMERY

OH FULTON

PA MONTGOMERY

OH PORTAGE

OH SUMMIT

OH SUMMIT

OH CUYAHOGA

OH MONTGOMERY

KY CLINTON

IN MARION

IN PORTER

IN LAWRENCE

MI DICKINSON

PA ALLEGHENY

PA PHILADELPHIA

PA LEHIGH

PA PHILADELPHIA

PA ALLEGHENY

PA PHILADELPHIA

PA CUMBERLAND

PA BRADFORD

PA FRANKLIN

KY SCOTT

IN

FAYETTE

IN

MARION

IN

MARION

IN

FRANKLIN

IN

HENDRICKS

IN

DEARBORN

IN

MARION

MI OAKLAND

PA YORK

PA WASHINGTON

PA WASHINGTON

PA GREENE

PA PHILADELPHIA

PA BUCKS

PA PHILADELPHIA

PA NORTHAMPTON

IN

LAKE

IN

JOHNSON

ZIP

PHONE

41097 (859)-824-4239

41503 (606)-237-6230

42071 (270)-762-1391

40422 (859)-239-1706

45331 (937)-548-8730

44070 (440)-686-1586

44320 (330)-867-8780

44109 (216)-351-2944

45404 (937)-641-5500

43085 (614)-888-6366

19382 (610)-399-3961

19342 (610)-361-2822

19027 (215)-635-6532

18344 (570)-895-5055

19010 (610)-519-1920

19446 (215)-362-6303

16417 (814)-774-3700

15009 (724)-774-0919

40223 (877)-662-6633

46807 (260)-744-2310

48126 (313)-582-1350

48126 (313)-581-8200

48307 (248)-652-4429

48047 (586)-716-1202

49036 (517)-279-3310

48089 (586)-774-3385

44056 (330)-468-0110

43968 (330)-532-5889

44133 (440)-230-9100

43302 (740)-386-2321

44444 (330)-872-4442

43950 (303)-481-3922

45387 (937)-767-1070

44622 (330)-343-7700

43207 (614)-409-0689

44145 (440)-892-0525

45402 (937)-263-2836

43515 (419)-822-0306

19464 (610)-326-6949

44266 (330)-297-2788

44333 (330)-960-1014

44203 (330)-785-2054

44102 (216)-957-6337

45424 (937)-813-1301

42602 (606)-387-6444

46221 (317)-856-1253

46383 (219)-462-2994

47446 (812)-849-2425

49801 (906)-776-5615

15090 (724)-935-1880

19133 (215)-221-6633

18052 (610)-740-9401

19115 (215)-671-0980

15241 (412)-835-3549

19140 (215)-425-1422

17050 (717)-728-4200

16947 (570)-297-5400

17201 (717)-709-2061

40324 (502)-570-4608

47331 (765)-825-3661

46222 (317)-283-6713

46219 (317)-897-6536

47012 (765)-647-3533

46112 (317)-852-3340

47025 (812)-532-7360

46107 (317)-786-1031

48030 (248)-955-1991

17403 (717)-741-0823

15301 (724)-228-3201

15063 (724)-258-5530

15370 (724)-627-3546

19123 (215)-418-3065

19020 (215)-639-6680

19130 (215)-235-1400

18045 (610)-330-2630

46402 (219)-883-1710

46131 (317)-474-6298

NCPDP 3670785 3671460 3671725 3672385 3672486 3674480 3674947 3674997 3675898 2305969 2317457 2319879 2328638 2331572 2336635 1812898 1813826 1814296 1818155 1818345 3600978 3604130 3604902 3611577 3977002 3980376 3980465 3981049 3981479 3984552 1833587 3600500 1506344 1508538 1508918 1518488 3648548 3649425 3651747 3652876 1837509 1837775 1838866 2352956 2353807 2356889 2360511 2362197 3660215 3661128 3661457 3662776 3663653 3664390 3665265 3667170 3667447 3669073 3669085 3965831 3687110 3687336 3687350 3687449 3976997 3979448 3987306 1833323 1833599 1833690 1503247 1503437 1503778 1514416 1521194 1523605 1523643

NPI 1093812927 1063427003 1912091075 1164437117 1649301557 1760409866 1952487092 1154418325 1568667350 1699846246 1568576544 1740364959 1962410431 1568574499 1740290519 1740397876 1306902572 1306851100 1295805968 1477587293 1154424851 1912000621 1548363252 1912000647 1962506741 1306940192 1245262260 1184787889 1326151432 1013014513 1285973313 1972518975 1083717771 1376646075 1811090459 1043383664 1790719599 1932114873 1710993027 1538186713 1902314396 1649766270 1376161588 1730298290 1023127594 1831248459 1710063276 1255353926 1659305357 1659468809 1447277637 1063427979 1205920618 1376558213 1972518991 1679580690 1538263355 1912929621 1821010539 1508960352 1639730369 1477112308 1700449428 1356984181 1710090295 1225055460 1295824845 1770864852 1487997359 1407291982 1215030994 1396848073 1053414730 1184736027 1679529101 1679588792 1205841327

PHARMACY NAME OLD VILLAGE PHARMACY WALGREENS PRESCRIPTION SOLUTIONS WALGREENS SEHC AMBULATORY PHARMACY WALMART PHARMACY WALGREENS CVS PHARMACY DISCOUNT DRUG MART RITE AID PHARMACY MORRISONS DRUGSTORE ARFSTROM PHARMACY GALESBURG PHARMACY LLC CVS PHARMACY RITE AID PHARMACY CLAY DRUG STORE INC FAMILY DRUG REYNOLDS PHARMACY JOHNS CREEK DRUG CENTER KROGER PHARMACY CVS PHARMACY CVS PHARMACY CVS PHARMACY CVS PHARMACY CVS PHARMACY CVS PHARMACY GIANT PHARMACY CHESTNUT RIDGE PHARMACY MEDICAP PHARMACY CVS PHARMACY ROBERTS' PHARMACY LLC WALGREENS CVS PHARMACY CVS PHARMACY CVS PHARMACY KROGER SAVON PHCY KROGER SAV-ON MARCS RITE AID PHARMACY WALMART PHARMACY HFP OF ALLEN FAMILY DISCOUNT DRUGS ARH CUMBERLAND VALLEY PHARMACY RITE AID PHARMACY RITE AID PHARMACY MEIJER PHARMACY HENRY FORD ALLEGIANCE PHCY CVS PHARMACY KROGER PHARMACY MEIJER PHARMACY WALMART PHARMACY GIANT EAGLE PHARMACY MEDICAP PHARMACY MARCS WALGREENS GIANT EAGLE PHARMACY CVS PHARMACY CVS PHARMACY CVS PHARMACY CVS PHARMACY CENTERVILLE LTC PHARMACY AMBROSE CLEMENT HEALTH CTR PHY COMMUNITY FIRST PHARMACY SYMBRIA RX SERVICES GREAT LAKES PRICE CHOPPER PHARMACY WALMART PHARMACY FAIRMOUNT PHARMACY SERVICES LLC GREEN RIVER PHARMACY NORTON PHARMACY GEORGETOWN APOTHECARY CVS PHARMACY CVS PHARMACY CVS PHARMACY VALPARAISO PRO PHARMACY PC OSCO PHARMACY WALGREENS WALGREENS

ADDRESS 978 GALLOWAY RD 2150 E DUBLIN GRANVILLE RD 1809 S MAIN ST 2110 STRINGTOWN RD 1044 BELMONT AVE 1855 E WYANDOT AVE 7888 YORK RD 3575 BROADWAY 739 CARTER DR 5983 HIGHLAND ROAD 901 LAKESHORE DR STE 202 415 ASHMUN ST 10310 MILLER DR 23115 MICHIGAN AVE 3050 BAY RD 9055 STATE ROUTE 132 W 415 RICHMOND RD STE B 216 MAIN ST 6162 ZEBULON HWY 5533 NEW CUT RD 106 MILAN AVE 4329 W 3RD ST 15501 DETROIT AVE 219 3RD AVE 421 S 2ND ST 1675 YARDLEY LANGHORNE RD 1550 N MAIN ST 2262 QUAKER VALLEY ROAD 1896 E LAKE RD 3 S PENNELL RD 190 WESTVIEW SHOPPING CTR 3822 PAXTON AVE 1000 W BROADWAY ST 7990 E US HIGHWAY 36 4444 W STATE ROAD 46 2140 FORT HARRISON RD 5080 DELHI RD 6231 SOM CENTER RD 1415 BELLEFONTAINE AVE 1530 WALMART DR 6363 KY ROUTE 1428 60 SLATE AVE 3504 W CUMBERLAND AVE 1001 N LEROY ST 102 N CENTERVILLE RD 4775 24TH AVE 2200 SPRINGPORT RD 1301 COOLIDGE HWY 780 NORTHWOODS BLVD 2900 COLUMBUS LANCASTER RD NW 8585 PEARL RD 4300 KENT RD 2012 LINCOLN WAY WEST 2891 E WATERLOO RD 4855 N MAIN ST 15325 EDGECLIFF AVE 625 DOVER CENTER RD 1285 SOM CENTER RD 35830 DETROIT RD 1310 YORK RD 434 ALEXANDERSVILLE RD 3559 READING RD STE 101 300 FOREST AVE 23350 MERCANTILE RD 1026 WYOMING AVE 650 S TROOPER RD 1900 GREEN ST STE 2F 50 DILLON ST 200 E CHESTNUT STE 200 1002 S BROADWAY STE 7 7325 W 10TH ST 2419 NICHOL AVE 101 W 1ST ST 2101 ROOSEVELT RD 716 RIDGE RD 1207 S HEATON ST 720 N BROADWAY

CITY GALLOWAY COLUMBUS FINDLAY GROVE CITY YOUNGSTOWN UPPER SANDUSKY PARMA GROVE CITY GALION WATERFORD ISHPEMING SAULT SAINTE MARIE GALESBURG DEARBORN SAGINAW CLAY MANCHESTER AUGUSTA PIKEVILLE LOUISVILLE NORWALK DAYTON LAKEWOOD CHESAPEAKE PHILADELPHIA YARDLEY DICKSON CITY FISHERTOWN ERIE MEDIA ALBANY CINCINNATI PRINCETON AVON BLOOMINGTON TERRE HAUTE CINCINNATI SOLON LIMA LEBANON ALLEN OWINGSVILLE MIDDLESBORO FENTON STURGIS FORT GRATIOT JACKSON TROY VANDALIA LANCASTER STRONGSVILLE STOW MASSILLON AKRON DAYTON CLEVELAND BAY VILLAGE MAYFIELD HEIGHTS AVON GETTYSBURG MIAMISBURG CINCINNATI DAYTON BEACHWOOD WYOMING NORRISTOWN PHILADELPHIA LIBERTY LOUISVILLE GEORGETOWN INDIANAPOLIS ANDERSON RUSHVILLE VALPARAISO MUNSTER KNOX PERU

STATE

COUNTY

OH FRANKLIN

OH FRANKLIN

OH HANCOCK

OH FRANKLIN

OH MAHONING

OH WYANDOT

OH CUYAHOGA

OH FRANKLIN

OH CRAWFORD

MI OAKLAND

MI MARQUETTE

MI CHIPPEWA

MI KALAMAZOO

MI WAYNE

MI SAGINAW

KY WEBSTER

KY CLAY

KY BRACKEN

KY PIKE

KY JEFFERSON

OH HURON

OH MONTGOMERY

OH CUYAHOGA

OH LAWRENCE

PA PHILADELPHIA

PA BUCKS

PA LACKAWANNA

PA BEDFORD

PA ERIE

PA DELAWARE

KY CLINTON

OH HAMILTON

IN GIBSON

IN HENDRICKS

IN MONROE

IN VIGO

OH HAMILTON

OH CUYAHOGA

OH ALLEN

OH WARREN

KY FLOYD

KY BATH

KY BELL

MI GENESEE

MI ST. JOSEPH

MI ST. CLAIR

MI JACKSON

MI OAKLAND

OH MONTGOMERY

OH FAIRFIELD

OH CUYAHOGA

OH SUMMIT

OH STARK

OH SUMMIT

OH MONTGOMERY

OH CUYAHOGA

OH CUYAHOGA

OH CUYAHOGA

OH LORAIN

PA ADAMS

OH MONTGOMERY

OH HAMILTON

OH MONTGOMERY

OH CUYAHOGA

PA LUZERNE

PA MONTGOMERY

PA PHILADELPHIA

KY CASEY

KY JEFFERSON

KY SCOTT

IN

MARION

IN

MADISON

IN

RUSH

IN

PORTER

IN

LAKE

IN

STARKE

IN

MIAMI

ZIP

PHONE

43119 (614)-853-3498

43229 (614)-523-1165

45840 (419)-423-1513

43123 (614)-277-1325

44501 (330)-480-3804

43351 (419)-294-3721

44130 (440)-845-4903

43123 (614)-875-0261

44833 (419)-468-3139

48327 (248)-666-2510

49849 (906)-486-4443

49783 (906)-632-9661

49053 (269)-665-9727

48124 (313)-562-7612

48603 (989)-792-9606

42404 (270)-664-2270

40962 (606)-598-8831

41002 (606)-756-2204

41501 (606)-631-9137

40214 (502)-361-7238

44857 (419)-668-8268

45417 (937)-268-6816

44107 (216)-221-7961

45619 (740)-867-5211

19147 (215)-627-3983

19067 (215)-321-2461

18447 (570)-307-1322

15539 (814)-839-9950

16511 (814)-456-4108

19063 (610)-565-7720

42602 (606)-557-1213

45209 (513)-871-4615

47670 (812)-385-3747

46123 (317)-272-0242

47404 (812)-876-2915

47804 (812)-466-6545

45238 (513)-451-7050

44139 (440)-248-9239

45804 (419)-228-2296

45036 (513)-932-6210

41601 (606)-949-4800

40360 (606)-674-6979

40965 (606)-248-0737

48430 (810)-750-1923

49091 (269)-651-7818

48059 (810)-385-2110

49202 (517)-205-7486

48084 (248)-614-2801

45377 (937)-264-2420

43130 (740)-681-2410

44136 (440)-826-0644

44224 (330)-686-9121

44647 (330)-832-2226

44312 (330)-628-0781

45405 (937)-279-0468

44111 (216)-671-6550

44140 (440)-808-3921

44124 (440)-995-9919

44011 (440)-937-4308

17325 (717)-337-2812

45342 (937)-435-5751

45229 (513)-357-7403

45405 (937)-813-4967

44122 (216)-514-4944

18644 (570)-693-4572

19403 (610)-630-2944

19130 (215)-564-9300

42539 (606)-787-2100

40202 (502)-629-3800

40324 (502)-370-4336

46214 (317)-271-2469

46016 (765)-643-4313

46173 (765)-932-4070

46383 (219)-462-1484

46321 (219)-836-7978

46534 (574)-772-4529

46970 (765)-473-5542

NCPDP 1525659 1529328 1530511 3685255 3685267 3686954 3687730 3688201 1836812 1837294 1837915 1838183 2349997 2350205 2353794 2354859 2361866 3656468 3657559 3658056 3658690 3658878 3660760 3663019 3663867 3664679 3666368 3666483 3668247 3668374 3961352 3962758 1817090 1817735 3976822 3976959 3977848 3978307 3980148 3981722 3983156 3983233 3983562 3984704 3986811 3988194 1833385 1833753 1834630 1501267 1503463 1518490 1519618 1523287 2385208 2385323 2385652 2386008 2386577 3682398 3683782 3685774 3687057 1838056 1838967 2353035 2353554 2354417 2356497 2357196 2358352 2360307 2360600 3659185 3661116 3665289 3666508

NPI 1396848024 1841363363 1023035243 1952832990 1326562661 1992266506 1518599117 1407475643 1083137012 1518480888 1144799719 1780247288 1992751119 1619086170 1205945771 1184711699 1992710024 1295822443 1174669782 1982619813 1386689206 1265535082 1376577072 1184658882 1306938345 1760531362 1801990627 1922032630 1790703544 1629172457 1457455206 1952328007 1841224664 1790897890 1245353846 1053415836 1992727622 1417962309 1427080449 1619988284 1447271770 1851476949 1922032804 1235151978 1093722134 1174740278 1437401957 1508206434 1952706756 1982650420 1114020898 1952474579 1831292549 1811090327 1114413085 1619457264 1770050759 1790258069 1437716958 1083016299 1619353190 1609378611 1124590575 1043776768 1780298075 1891807350 1700806593 1467485045 1710096292 1427150713 1659480135 1821022674 1649285776 1528177870 1275636003 1235144148 1043329329

PHARMACY NAME CVS PHARMACY KROGER SAVON PHCY WALMART PHARMACY GENOA HEALTHCARE LLC THE OAK CLINIC PHARMACY FRANKLINTON PHARMACY HOWARD WAXMAN DPM DEDICATED SENIOR MEDICAL CTR WALGREENS WALGREENS PINE MOUNTAIN PHARMACY ELY EXTENDED CARE INC HOMETOWN PHARMACY RITE AID PHARMACY RITE AID PHARMACY SCHMIDT & SONS PHCY OF CLINTON INC WALGREENS MEIJER PHARMACY BENZER PHARMACY FRUTH PHARMACY DISCOUNT DRUG MART CVS PHARMACY KROGER SAV-ON KROGER PHARMACY MERCY HLTH CARE INF YOUNGSTOWN MEIJER PHARMACY CVS PHARMACY KROGER PHARMACY SAM'S CLUB PHARMACY CVS PHARMACY CVS PHARMACY WALMART PHARMACY KROGER PHARMACY PROFESSIONAL CARE PHARMACY LATROBE HOSPITAL PHARMACY CVS PHARMACY CVS PHARMACY WALGREENS GIANT PHARMACY BRIGHT MEDICAL TECHNOLOGY INC WALGREENS BILLS SHOPRITE PHARMACY WEIS PHARMACY CVS PHARMACY EAST SHORE PHARMACY CAMBRIDGE SPRINGS PHARMACY LEXMARK EMPLOYEE HEALTH CENTER CVS PHARMACY THOMPSON DRUG KINGSTON HOMETOWN PHARMACY CVS PHARMACY KROGER SAVON PHCY CVS PHARMACY CVS PHARMACY QUALITY CARE PHARMACY LLC MDH COMPOUNDING PHARMACY SHELBY COMMUNITY PHARMACY MED X PHARMACY APOLLO PHARMACY OF WYANDOTTE TWINSBURG HEALTH MART PHARMACY RITEWAY PHARMACY KAUP PHARMACY MARCS PHARMACY CLAY COMMUNITY PHARMACY MAYSVILLE PRIMARY PLUS PACK PHCY ST JOHN PHARMACY MEIJER PHARMACY PHARMERICA RITE AID PHARMACY CVS PHARMACY RITE AID PHARMACY KROGER PHARMACY WALGREENS RITE AID PHARMACY CVS PHARMACY GIANT EAGLE PHARMACY RITE AID PHARMACY

ADDRESS 5110 E 38TH ST 5718 CRAWFORDSVILLE RD 1920 E MARKLAND AVE 103 W MARKET ST STE P 3838 MASSILLON RD STE 365 867 W TOWN ST STE 103-104 35000 CHARDON RD STE 220 6121 COLERIAN AVE 654 UNIVERSITY SHOPPING CTR 104 PEDRO WAY 421 HIGHWAY 119 N 109 MYRTLE ST 10587 MAIN ST 3939 S LAPEER RD 15893 W MICHIGAN AVE 140 W MICHIGAN AVE 2815 DAVISON RD 1661 HILLIARD ROME RD 26 EAST 3RD ST 101 JAMES RD 711 CANTON RD 8001 W 130TH ST 1500 LEXINGTON AVE 4777 KENARD AVE 979 TIBBETTS WICK RD STE A 1082 STATE ROAD 28 4777 SAWMILL RD 2257 N HOLLAND SYLVANIA RD 10250 BROOKPARK RD 4280 MORSE RD 801 E PHILADELPHIA AVE 1135 BERKSHIRE BLVD 1808 ALEXANDRIA DR 207 PLUMMERS LN 1 MELLON WAY 4849 MARKET ST 315 COLONNADE BLVD 1702 W TILGHMAN ST 967 S TOWNSHIP LINE RD 2020 NAPFLE ST # 2040 2235 BALTIMORE PIKE 3430 ROUTE 940 STE 102 800 S 12TH ST 2701 CASTOR AVE 2723 AGATE ST 227 S MAIN ST 740 W NEW CIRCLE RD 397 N WALLACE WILKERSON BLVD 2760 BATTLEFIELD MEMORIAL HWY 606 N MAIN ST 265 S SCATTERFIELD RD 4714 S US HIGHWAY 41 201 W HIGH ST 5611 GEORGETOWN RD 33740 SCHOENHERR RD 2021 MONROE ST STE 103 54770 MOUND RD 14993 E 9 MILE RD 2000 EUREKA RD 10735 RAVENNA RD STE J 1969 MORSE ROAD 102 N WAYNE ST 1799 PORTAGE RD 118 CLAY CONTY SHOPPING CTR 910 KENTON STATION DR 21000 E 12 MILE RD STE 124 34835 UTICA RD 3410 E 12 MILE RD STE A 39000 VAN DYKE AVE 18901 W 8 MILE RD 2635 HENRY ST 31200 SCHOENHERR RD 13550 W 9 MILE RD 114 12TH ST NE 500 S WATER ST 11031 STATE ROUTE 212 NE 3710 SHAWNEE RD

CITY INDIANAPOLIS INDIANAPOLIS KOKOMO WARREN UNIONTOWN COLUMBUS WILLOUGHBY HILLS CINCINNATI RICHMOND WINCHESTER WHITESBURG GLASGOW HONOR METAMORA MARSHALL CLINTON FLINT COLUMBUS FRAZEYSBURG WAVERLY AKRON NORTH ROYALTON MANSFIELD CINCINNATI GIRARD MILFORD COLUMBUS TOLEDO CLEVELAND COLUMBUS BOYERTOWN WYOMISSING LEXINGTON VANCEBURG LATROBE PHILADELPHIA STATE COLLEGE ALLENTOWN ROYERSFORD PHILADELPHIA OXFORD MOUNT POCONO LEBANON PHILADELPHIA HARRISBURG CAMBRIDGE SPRINGS LEXINGTON LIBERTY BEREA MISHAWAKA ANDERSON TERRE HAUTE LIBERTY INDIANAPOLIS STERLING HEIGHTS DEARBORN SHELBY TOWNSHIP EASTPOINTE WYANDOTTE TWINSBURG COLUMBUS FORT RECOVERY WOOSTER MANCHESTER MAYSVILLE SAINT CLAIR SHORES FRASER WARREN STERLING HEIGHTS DETROIT MUSKEGON WARREN OAK PARK CANTON KENT BOLIVAR LIMA

STATE

COUNTY

IN

MARION

IN

MARION

IN

HOWARD

OH TRUMBULL

OH SUMMIT

OH FRANKLIN

OH LAKE

OH HAMILTON

KY MADISON

KY CLARK

KY LETCHER

KY BARREN

MI BENZIE

MI LAPEER

MI CALHOUN

MI LENAWEE

MI GENESEE

OH FRANKLIN

OH MUSKINGUM

OH PIKE

OH SUMMIT

OH CUYAHOGA

OH RICHLAND

OH HAMILTON

OH TRUMBULL

OH CLERMONT

OH FRANKLIN

OH LUCAS

OH CUYAHOGA

OH FRANKLIN

PA MONTGOMERY

PA BERKS

KY FAYETTE

KY LEWIS

PA WESTMORELAND

PA PHILADELPHIA

PA CENTRE

PA LEHIGH

PA MONTGOMERY

PA PHILADELPHIA

PA CHESTER

PA MONROE

PA LEBANON

PA PHILADELPHIA

PA DAUPHIN

PA CRAWFORD

KY FAYETTE

KY CASEY

KY MADISON

IN ST. JOSEPH

IN MADISON

IN VIGO

IN

UNION

IN

MARION

MI MACOMB

MI WAYNE

MI MACOMB

MI MACOMB

MI WAYNE

OH SUMMIT

OH FRANKLIN

OH MERCER

OH WAYNE

KY CLAY

KY MASON

MI MACOMB

MI MACOMB

MI MACOMB

MI MACOMB

MI WAYNE

MI MUSKEGON

MI MACOMB

MI OAKLAND

OH STARK

OH PORTAGE

OH TUSCARAWAS

OH ALLEN

ZIP

PHONE

46218 (317)-549-1891

46224 (317)-240-5007

46901 (765)-456-3641

44481 (330)-306-9008

44685 (330)-896-9625

43222 (614)-725-1340

44094 (440)-571-5515

45239 (513)-354-2466

40475 (859)-623-7326

40391 (859)-745-7870

41858 (606)-633-5003

42141 (270)-479-0340

49640 (231)-325-2735

48455 (810)-678-2331

49068 (269)-781-1191

49236 (517)-456-4150

48506 (810)-234-0317

43228 (614)-529-5110

43822 (740)-828-2601

45690 (740)-947-5018

44312 (330)-794-1181

44133 (440)-845-6444

44907 (419)-756-7023

45232 (513)-681-7916

44420 (330)-480-4599

45150 (513)-576-5510

43220 (614)-459-7641

43615 (419)-578-6465

44130 (216)-898-1133

43230 (614)-473-1123

19512 (610)-369-9375

19610 (610)-376-5911

40504 (859)-277-0767

41179 (606)-796-6100

15650 (724)-537-1256

19139 (215)-474-4801

16803 (814)-861-8935

18104 (610)-435-3605

19468 (610)-792-9388

19152 (215)-725-6337

19363 (484)-365-1010

18344 (570)-839-5340

17042 (717)-273-8170

19134 (215)-305-9051

17110 (717)-213-0968

16403 (814)-398-4600

40511 (859)-232-4611

42539 (606)-787-1976

40403 (859)-228-0005

46545 (574)-255-2988

46012 (765)-643-3400

47802 (812)-232-8379

47353 (765)-458-6882

46254 (317)-299-9596

48312 (586)-693-5755

48124 (877)-751-9010

48316 (586)-330-4900

48021 (586)-859-5866

48192 (734)-550-0850

44087 (330)-405-0501

43229 (614)-261-0700

45846 (419)-375-2323

44691 (330)-234-5601

40962 (606)-599-0209

41056 (606)-956-0160

48081 (586)-447-5030

48026 (586)-415-6410

48092 (800)-231-8155

48313 (586)-268-2500

48219 (313)-387-4120

49441 (231)-755-0500

48088 (586)-238-4570

48237 (248)-548-4251

44704 (330)-456-4791

44240 (330)-678-4009

44612 (330)-874-3723

45806 (419)-991-2867

NCPDP 3668108 3668881 1800540 1806960 1807330 1814208 1816721 1818054 3606108 3606514 3610688 3976555 3976620 3980679 3982091 3983916 3985922 3987863 1833450 1833830 1503792 1508603 1515521 2353441 2354885 2355801 2356081 2356219 2356396 2356637 2358338 2359811 2360460 2360927 3656141 3657953 3663247 3663401 3666344 3666356 3668499 3668538 3669263 3961477 3688706 1800261 1808611 1818989 3606122 3607097 3608087 3610436 3613230 3614321 3977026 2337043 2342412 2342587 2347107 3900948 3901027 3981378 3981582 3982560 3983435 3984401 3985453 3987091 3987851 3988029 1834628 1834678 1503879 1509073 1515329 1516256 1521245

NPI 1952316879 1316952344 1669575304 1164519351 1164598074 1063566933 1124033360 1295769016 1659474377 1285723973 1275642381 1376642553 1427065309 1477650968 1760409908 1750329603 1831296334 1063550051 1861737686 1932532066 1871696559 1093818791 1629171327 1174631543 1619079902 1821107301 1285743765 1063524924 1083638662 1184641391 1376558494 1629083746 1902905201 1376558403 1245245158 1669406369 1659398840 1164456869 1326053240 1235144155 1003833203 1306851225 1437164464 1013017474 1952997439 1770598906 1952419046 1801813225 1871696419 1912000639 1508871500 1639272354 1649373374 1649301748 1487751970 1407966393 1730298282 1205948148 1649382631 1902900749 1366546103 1871508762 1598770489 1205853447 1366546152 1972520120 1144242884 1467510131 1700922325 1740314590 1689079840 1376949362 1134222813 1225131667 1801999503 1194929646 1588610018

PHARMACY NAME GIANT EAGLE PHARMACY WALGREENS CVS PHARMACY MADISONVILLE PHARMACY CARRINGTON DRUG PROFESSIONAL PHARMACY WALGREENS KROGER PHARMACY CVS PHARMACY ERIE DRUG UPTOWN PHARMACY INC RITE AID PHARMACY WALGREENS CVS PHARMACY WALMART PHARMACY CHESPENN HEALTH SERVICES EASTSIDE CVS PHARMACY CONTRACT PHARMACY SERVICES SLONE'S DISCOUNT PHARMACY COSTCO PHARMACY CVS PHARMACY CVS PHARMACY CVS PHARMACY CVS PHARMACY CVS PHARMACY RITE AID PHARMACY RITE AID PHARMACY CVS PHARMACY RITE AID PHARMACY WALMART PHARMACY WALGREENS WALGREENS CVS PHARMACY WALGREENS GIANT EAGLE PHARMACY KROGER SAV-ON WALMART PHARMACY KROGER PHARMACY GIANT EAGLE PHARMACY GIANT EAGLE PHARMACY SAM'S CLUB PHARMACY GIANT EAGLE PHARMACY WALGREENS RITE AID PHARMACY MEDCENTRIC PHARMACY WALGREENS TOMPKINSVILLE DRUG WALMART PHARMACY CVS PHARMACY CVS PHARMACY WALGREENS CVS PHARMACY CVS PHARMACY HUGHES DRUG STORE CVS PHARMACY RITE AID PHARMACY RITE AID PHARMACY CVS PHARMACY NORWAY PHARMACY CVS PHARMACY CVS PHARMACY WALGREENS WALGREENS WALMART PHARMACY CVS PHARMACY SAM'S CLUB PHARMACY CVS PHARMACY WALGREENS NOCKLEY FAMILY PHARMACY WALMART PHARMACY HEALTHFIRST BLUEGRASS PHCY PHARMACY CARE CENTER CVS PHARMACY CVS PHARMACY CVS PHARMACY ST VINCENT PHARMACY OSCO DRUG

ADDRESS 50 W BRIDGE ST 2770 W BROAD ST 199 LEXINGTON ST 200 CLINIC DR STE 101 506 MAYSVILLE RD 1 3050 HARRODSBURG RD 1602 N DIXIE HWY 50 STONEGATE CTR 235 E CUYAHOGA FALLS AVE 4502 LEWIS AVE 23 N STATE ST 7418 32 OXFORD AVE 2240 SCHOENERSVILLE RD 116 W COLLEGE AVE 2030 FRUITVILLE PIKE 125 E 9TH ST 402 W ROUTE 313 1400 WAVERLY RD 145 CITIZENS LN 1500 FITZGERALD CT 105 N PARK AVE 302 E MAIN ST 529 W MAIN ST 8900 MACOMB ST 1402 W 14 MILE RD 2255 S JACKSON RD 66711 GRATIOT AVE 18500 GRAND RIVER AVE 19150 WYOMING ST 2640 CROSSING CIR 17071 FORT ST 1045 S GRATIOT AVE 350 E WARREN AVE 3425 E SAGINAW ST 3100 CROMER AVE NW 7000 E BROAD ST 1300 DORAL DR 2090 CROWN PLAZA DR 909 E MAIN ST 1700 CORPORATE WOODS PKWY 6955 MILLER LN 6000 ROYALTON RD 700 S BREIEL BLVD 801 GROW AVE 1280 AIDA DR 3980 DIXIE HWY 1513 EDMONTON RD 2345 HAPPY VALLEY RD 1949 W MARKET ST 115 N COLLEGE ST 6918 HAMILTON AVE 7700 HAMILTON AVE 1112 PEARL RD 302 MAIN ST 791 SUMNEYTOWN PIKE # 799 2410 BURTON ST SE 1010 E CENTER ST 3010 WALTON BLVD 514 MAIN ST 615 LOCUST ST 1624 LINCOLN HWY E 2060 STREET RD 1617 JOHN F KENNEDY BLVD 100 COLONY LN 550 LANCASTER AVE 3621 WILLIAM PENN HWY 246 WESTMINSTER DR 5200 NEW FALLS RD 1198 S MAIN ST 35 PLAZA DR 496 SOUTHLAND DR 101 TOWN AND COUNTRY LN STE 10 651 E MAIN ST 5765 E STATE ROAD 10 4026 S 00 EAST W 2001 W 86TH ST 805 JOLIET ST

CITY BEREA COLUMBUS VERSAILLES MADISONVILLE MOUNT STERLING LEXINGTON ELIZABETHTOWN SOMERSET AKRON TOLEDO WESTERVILLE PHILADELPHIA BETHLEHEM STATE COLLEGE LANCASTER CHESTER PERKASIE GLADWYNE HAZARD LEXINGTON ALEXANDRIA NORTH MANCHESTER BUTLER GROSSE ILE CLAWSON JACKSON RICHMOND DETROIT DETROIT TRAVERSE CITY RIVERVIEW CLINTON TOWNSHIP DETROIT LANSING CANTON COLUMBUS POLAND COLUMBUS RAVENNA UNIONTOWN DAYTON NORTH ROYALTON MIDDLETOWN MONTROSE REYNOLDSBURG LOUISVILLE TOMPKINSVILLE GLASGOW AKRON PIQUA CINCINNATI MOUNT HEALTHY BRUNSWICK HAMILTON LANSDALE GRAND RAPIDS ITHACA ROCHESTER HILLS NORWAY COLUMBIA LANCASTER WARRINGTON PHILADELPHIA LATROBE BERWYN MONROEVILLE CARLISLE LEVITTOWN HANOVER TOWNSHIP TAMAQUA LEXINGTON HAZARD DANVILLE DEMOTTE KOKOMO INDIANAPOLIS DYER

STATE

COUNTY

OH CUYAHOGA

OH FRANKLIN

KY WOODFORD

KY HOPKINS

KY MONTGOMERY

KY FAYETTE

KY HARDIN

KY PULASKI

OH SUMMIT

OH LUCAS

OH FRANKLIN

PA PHILADELPHIA

PA NORTHAMPTON

PA CENTRE

PA LANCASTER

PA DELAWARE

PA BUCKS

PA MONTGOMERY

KY PERRY

KY FAYETTE

IN

MADISON

IN

WABASH

IN DEKALB

MI WAYNE

MI OAKLAND

MI JACKSON

MI MACOMB

MI WAYNE

MI WAYNE

MI GRAND TRAVERSE

MI WAYNE

MI MACOMB

MI WAYNE

MI INGHAM

OH STARK

OH FRANKLIN

OH MAHONING

OH FRANKLIN

OH PORTAGE

OH SUMMIT

OH MONTGOMERY

OH CUYAHOGA

OH BUTLER

PA SUSQUEHANNA

OH FRANKLIN

KY JEFFERSON

KY MONROE

KY BARREN

OH SUMMIT

OH MIAMI

OH HAMILTON

OH HAMILTON

OH MEDINA

OH BUTLER

PA MONTGOMERY

MI KENT

MI GRATIOT

MI OAKLAND

MI DICKINSON

PA LANCASTER

PA LANCASTER

PA BUCKS

PA PHILADELPHIA

PA WESTMORELAND

PA CHESTER

PA ALLEGHENY

PA CUMBERLAND

PA BUCKS

PA LUZERNE

PA SCHUYLKILL

KY FAYETTE

KY PERRY

IN

HENDRICKS

IN

NEWTON

IN

HOWARD

IN

MARION

IN

LAKE

ZIP

PHONE

44017 (440)-826-9104

43204 (614)-276-9745

40383 (859)-873-5451

42431 (270)-824-2264

40353 (859)-498-3464

40503 (859)-278-6449

42701 (270)-737-3713

42501 (606)-678-4012

44310 (330)-762-6231

43612 (419)-476-4322

43081 (614)-882-2392

19111 (215)-725-6660

18017 (610)-861-7494

16801 (814)-238-6797

17601 (717)-581-1500

19013 (610)-872-6131

18944 (215)-249-4750

19035 (610)-645-4848

41701 (606)-439-0207

40509 (859)-245-3630

46001 (765)-724-2210

46962 (260)-982-4713

46721 (260)-868-2427

48138 (734)-676-6000

48017 (248)-435-7314

49201 (517)-780-9535

48062 (586)-727-9715

48223 (313)-272-5256

48221 (313)-341-9700

49684 (231)-933-7095

48193 (734)-281-2927

48036 (586)-954-4905

48201 (313)-833-0201

48912 (517)-351-0249

44709 (330)-493-9404

43213 (614)-575-3741

44514 (330)-758-0040

43235 (614)-326-5650

44266 (330)-297-7366

44685 (330)-896-9787

45414 (937)-415-0198

44133 (440)-582-6430

45044 (513)-425-8702

18801 (570)-278-9602

43068 (614)-655-2275

40216 (502)-447-4232

42167 (270)-487-6155

42141 (270)-678-7350

44313 (330)-867-5410

45356 (937)-773-3784

45231 (513)-931-1717

45231 (513)-729-1630

44212 (330)-225-1555

45013 (513)-868-1199

19446 (215)-616-4632

49546 (616)-949-5710

48847 (989)-875-3380

48309 (248)-375-2810

49870 (906)-563-5151

17512 (717)-684-6361

17602 (717)-394-5121

18976 (215)-491-0728

19103 (215)-561-1316

15650 (724)-537-8902

19312 (610)-644-7192

15146 (412)-372-4097

17013 (717)-249-3509

19056 (215)-943-2448

18706 (570)-208-5500

18252 (570)-668-2481

40503 (859)-721-2551

41701 (606)-435-0460

46122 (317)-745-5828

46310 (219)-345-4742

46902 (765)-453-3979

46260 (317)-338-3950

46311 (219)-864-4314

NCPDP 1528150 1528617 2388622 3990454 3990860 3992395 3998486 3999476 1567479 1567861 1569081 1569954 1570096 3669693 3670533 3673135 3673414 3674000 3675014 3678781 3680027 2317685 2329034 2336623 2340521 2340925 3980340 3982572 3983839 1834286 1503449 1503502 1505607 1507461 1519505 1521435 1525039 1529176 1530977 2386983 2387961 3989499 3991141 3991836 3992078 1837446 2349783 2351500 2353148 2354087 2357704 2357956 2358073 2358364 2359772 2361157 3657838 3658804 3658842 3659969 3661762 3661875 3663160 3961770 3962669 3964029 3965386 3688097 1802417 1806201 1808736 1811935 1815224 1819056 3604116 3606211 3613280

NPI 1578580783 1851318075 1487269122 1538334149 1295981082 1104056522 1770834137 1497712046 1588015010 1164972212 1275034860 1073079521 1093361867 1467479667 1265457972 1376577098 1306863402 1063427029 1215018601 1144552464 1467738732 1346647617 1073697124 1477662377 1144332073 1811908320 1497772636 1114944352 1497810782 1417377151 1205939980 1568565059 1518060953 1366407603 1922101633 1588767206 1841363462 1942215074 1033133681 1457905259 1114556859 1437332848 1255582037 1821238981 1750525242 1144743402 1659314409 1730106949 1649389107 1861409849 1477568590 1114037736 1679507420 1336159441 1609988575 1841374584 1700997806 1164438479 1447353263 1710905567 1801999636 1437552866 1225043243 1982706404 1952470809 1427063353 1174534747 1427673185 1639273691 1295748051 1992871768 1689689820 1043391139 1558388876 1003919713 1992895726 1063565927

PHARMACY NAME WALMART PHARMACY WALMART PHARMACY CANFIELD PHARMACY LLC FAIRDALE PHARMACY GIANT PHARMACY SPARTAN PHARMACY MARTELLAS PHARMACY REGIONAL HEMATOLOGY ONCOLOGY CORDANT PHARMACY SOLUTIONS NEPHEW PHARMACY MEIJER PHARMACY COSTCO PHARMACY CAMERON RETAIL PHARMACY WALMART PHARMACY KROGER PHARMACY KROGER PHARMACY WALMART PHARMACY WALGREENS CVS PHARMACY FRIENDS PHARMACY, INC ST. LUKE'S LOWCOST PHARMACY KALKASKA MEMORIAL HLTH CTR ST JOHN PHARMACY RITE AID PHARMACY CVS PHARMACY WAYLAND VILLAGE DRUG INC WALMART PHARMACY WALMART PHARMACY PAOLI APOTHECARY NORTON PHARMACY CVS PHARMACY CVS PHARMACY CVS PHARMACY PARKVIEW RANDALLIA OUTPATIENT CVS PHARMACY CVS PHARMACY KROGER SAVON PHCY WALGREENS CROWDER'S INSTITUTIONAL PHCY SENIOR CARE RX LLC BUENA SALUD LLC WALGREENS GENOA HEALTHCARE LLC SUNRAY DRUGS 56TH AND MRKT STS THE MEDICINE SHOPPE PHARMACY WALGREENS MERCY MEMORIAL MACOMB OUT PT WALMART PHARMACY RITE AID PHARMACY WALGREENS WALGREENS COSTCO PHARMACY KROGER PHARMACY RITE AID PHARMACY CVS PHARMACY HOMETOWN PHARMACY RITE AID PHARMACY RITE AID PHARMACY CVS PHARMACY WALMART PHARMACY CVS PHARMACY ACMC HEALTH SYSTEM PHCY WALGREENS STANDARD PHARMACY GABLER'S DRUG GIANT EAGLE PHARMACY APPLEBY'S DRUG STORE OHIOHEALTH GRANT RETAIL PHARMACY PRINCETON DRUG STORE LOUISA DRUG STORE PEYTONS PHARMACY INC WALGREENS J & L PHARMACY WALMART PHARMACY CVS PHARMACY DARTMOUTH PHARMACY INC MANTUA PHARMACY INC

ADDRESS 4205 COMMERCE DR 2016 N WAYNE ST 4673 CONNER ST 4019 FAIRDALE RD 4320 N 5TH ST HIGHWAY 3528 BROWNSVILLE RD 901 GRAHAM AVE 240 MIDDLETOWN BLVD STE 205 5250 E US HIGHWAY 36 STE 660 2824 ELKHART RD 405 PORTERS VALE BOULEVARD 260 LOGISTICS AVE STE B 306 E MAUMEE ST STE 106 61205 SOUTHGATE RD 7132 HAMILTON AVE 1240 PARK AVE W 15050 S SPRINGDALE AVE 27251 WOLF RD 200 BROADWAY E 2872 W BROAD ST STE 101 11201 SHAKER BLVD STE 126 419 S CORAL ST 22250 PROVIDENCE DR 1705 W MOUNT HOPE AVE 8710 N BEECH DALY RD 300 RENO DR 100 COMMONS DR 5741 BUFFALO RD 255 W LANCASTER AVE STE 107 4960 NORTON HEALTHCARE BLVD 106 E MARKET ST 2701 E 3RD ST 2340 W SYCAMORE ST 2200 RANDALLIA DR 610 N MAIN ST 7202 MICHIGAN RD 2550 LAKE CIRCLE DR 1530 N MERIDIAN ST 629 16TH ST 34794 WARREN RD 7607 W VERNOR HWY 4309 BUFFALO RD 11 ROBINSON ST 5537 MARKET ST 412 EAST COMMONS SUITE 110 4311 HWY 2565 730 N MACOMB ST STE 305 2107 S 11TH ST 511 S GARFIELD AVE 918 RIVERVIEW DR 4800 DIXIE HWY 2343 S TELEGRAPH RD 685 E MAPLE RD 890 MICHIGAN AVE E 4816 N ADAMS RD 301 W MAIN ST 2916 LINDEN AVE 109 JEFFERSON ST 7412 STATE RD 231 BLUEBELL DR SW 900 BELLEFONTAINE AVE 2420 LAKE AVE 719 OHIO PIKE 619 BROAD AVE 106 S MARKET ST 2501 W 12TH ST 133 E SHIRLEY ST 111 SOUTH GRANT AVE 103 W MAIN ST 408 N LOCK AVE 414 MAIN ST 2209 RICHMOND RD 705 SOUTH BROADWAY ST 120 SAM WALTON DR 3920 LINDEN AVE 2801 TUSCARAWAS ST W 10870 STATE ROUTE 44

CITY LAFAYETTE ANGOLA DETROIT PHILADELPHIA TEMPLE PITTSBURGH WINDBER LANGHORNE AVON GOSHEN VALPARAISO JEFFERSONVLLE ANGOLA CAMBRIDGE CINCINNATI MANSFIELD MIDDLEFIELD BAY VILLAGE GRANVILLE COLUMBUS CLEVELAND KALKASKA SOUTHFIELD LANSING DEARBORN HEIGHTS WAYLAND PARKESBURG HARBORCREEK PAOLI LOUISVILLE CRAWFORDSVILLE BLOOMINGTON KOKOMO FORT WAYNE HUNTINGBURG INDIANAPOLIS INDIANAPOLIS INDIANAPOLIS BEDFORD WESTLAND DETROIT ERIE POTTSTOWN PHILADELPHIA PITTSBURGH LOUISA MONROE NILES TRAVERSE CITY KALAMAZOO WATERFORD BLOOMFIELD BIRMINGHAM BATTLE CREEK OAKLAND TOWNSHIP BELDING DAYTON GREENFIELD PARMA NEW PHILADELPHIA LIMA ASHTABULA CINCINNATI BELLE VERNON CARMICHAELS ERIE MOUNT UNION COLUMBUS PRINCETON LOUISA WEST LIBERTY LEXINGTON GEORGETOWN RUSSELLVILLE DAYTON CANTON MANTUA

STATE

COUNTY

IN

TIPPECANOE

IN

STEUBEN

MI WAYNE

PA PHILADELPHIA

PA BERKS

PA ALLEGHENY

PA SOMERSET

PA BUCKS

IN

HENDRICKS

IN

ELKHART

IN

PORTER

IN

CLARK

IN

STEUBEN

OH GUERNSEY

OH HAMILTON

OH RICHLAND

OH GEAUGA

OH CUYAHOGA

OH LICKING

OH FRANKLIN

OH CUYAHOGA

MI KALKASKA

MI OAKLAND

MI INGHAM

MI WAYNE

MI ALLEGAN

PA CHESTER

PA ERIE

PA CHESTER

KY JEFFERSON

IN MONTGOMERY

IN MONROE

IN HOWARD

IN ALLEN

IN DUBOIS

IN MARION

IN MARION

IN MARION

IN

LAWRENCE

MI WAYNE

MI WAYNE

PA ERIE

PA MONTGOMERY

PA PHILADELPHIA

PA ALLEGHENY

KY LAWRENCE

MI MONROE

MI BERRIEN

MI GRAND TRAVERSE

MI KALAMAZOO

MI OAKLAND

MI OAKLAND

MI OAKLAND

MI CALHOUN

MI OAKLAND

MI IONIA

OH MONTGOMERY

OH HIGHLAND

OH CUYAHOGA

OH TUSCARAWAS

OH ALLEN

OH ASHTABULA

OH CLERMONT

PA WESTMORELAND

PA GREENE

PA ERIE

PA HUNTINGDON

OH FRANKLIN

KY CALDWELL

KY LAWRENCE

KY MORGAN

KY FAYETTE

KY SCOTT

KY LOGAN

OH MONTGOMERY

OH STARK

OH PORTAGE

ZIP

PHONE

47905 (765)-446-1278

46703 (260)-665-7033

48215 (313)-458-7529

19154 (215)-632-2828

19560 (610)-939-2644

15227 (412)-885-4700

15963 (814)-467-9700

19047 (215)-752-2424

46123 (317)-282-0283

46526 (574)-537-1111

46383 (219)-300-8010

47130 (800)-607-6861

46703 (260)-667-5645

43725 (740)-439-5903

45231 (513)-728-2720

44906 (419)-528-1862

44062 (440)-632-0460

44140 (440)-835-1450

43023 (740)-587-0268

43204 (614)-279-9550

44104 (216)-795-4000

49646 (231)-258-7790

48075 (248)-849-3939

48910 (517)-372-6700

48127 (313)-278-1000

49348 (269)-792-6223

19365 (610)-857-0600

16421 (814)-899-6280

19301 (610)-251-2295

40241 (502)-446-8850

47933 (765)-362-1139

47401 (812)-332-1419

46901 (765)-452-4437

46805 (260)-373-3456

47542 (812)-683-3309

46268 (317)-291-1220

46268 (317)-879-2465

46202 (317)-261-1753

47421 (812)-275-7427

48185 (313)-424-4464

48209 (313)-932-0198

16510 (814)-897-7871

19464 (610)-970-6970

19139 (215)-474-1700

15212 (412)-442-1925

41230 (606)-638-3110

48162 (734)-240-4100

49120 (269)-683-5573

49686 (231)-941-5332

49048 (269)-382-8181

48329 (248)-673-6710

48302 (248)-972-0725

48009 (248)-723-1156

49014 (269)-660-9509

48306 (248)-276-5063

48809 (616)-794-4053

45410 (937)-256-3111

45123 (937)-981-7133

44134 (440)-887-8038

44663 (330)-339-6163

45804 (419)-227-7970

44004 (440)-994-7538

45245 (513)-753-7578

15012 (724)-929-5445

15320 (724)-966-2020

16505 (814)-838-7710

17066 (814)-542-4412

43215 (614)-788-4840

42445 (270)-365-5585

41230 (606)-638-4155

41472 (606)-743-3163

40502 (859)-269-8832

40324 (502)-863-9823

42276 (270)-726-2966

45432 (937)-254-6165

44708 (330)-454-9045

44255 (330)-274-2209

NCPDP 3978232 3978648 3983740 3988182 1833359 1525976 1529758 2387187 2387454 2387529 2387543 2387694 3990101 3991797 1838501 2348539 2354176 2358035 2358922 2359289 2361501 3657078 3662132 3664566 3666332 3688465 1814791 3604940 3610272 3610981 3613470 3976846 3977191 3977874 3980388 3981138 3983372 3985059 3985326 3986001 3987736 1834034 1500227 1503576 1503918 1807936 1811579 1815464 1816694 1817482 1818953 3603998 3614307 3979866 3982039 3982483 3985364 3988550 1834147 1503780 1506306 1506584 1512789 2350560 2351930 2352805 2353249 2353744 2354897 2356891 2357970 2358453 2358465 2360218 2362072 3658549 3658854

NPI 1598869380 1679590806 1295832798 1386862290 1508114463 1114020849 1669545182 1164065314 1578109377 1750928313 1518504091 1558901124 1487824744 1568976496 1295372068 1841293651 1073547832 1972605269 1578961306 1275548398 1366457491 1073559167 1073622320 1497760417 1144235169 1073114013 1851325674 1457454167 1720181449 1528177847 1225074321 1073534160 1437238102 1952405730 1003910894 1467556258 1518984764 1679588297 1184654469 1861442543 1053476002 1740615491 1770586141 1699878371 1952404634 1255346805 1093852592 1194828848 1932260700 1578597399 1760497903 1386747095 1770681827 1578519575 1417989435 1275616625 1992809784 1457557969 1265853741 1962505644 1174626865 1619070307 1508892852 1851403703 1831201789 1346331584 1710092747 1851400329 1255443107 1053345884 1750491379 1902811029 1588698336 1659386787 1083764385 1568477404 1356444178

PHARMACY NAME CVS PHARMACY WALMART PHARMACY CVS PHARMACY WALGREENS SOUTH DIXIE PHARMACY CVS PHARMACY KROGER PHARMACY HENRY FORD PHCY MGM VENOY FAMILY PHARMACY LLC MACOMB PHARMACY AND WELLNESS EAST PARIS PHARMACY STOCKBRIDGE PHARMACY WALGREENS PSHCMG ANDREWS PATEL EAST HOMETOWN PHARMACY ROSE CITY DRUG KROGER PHARMACY CVS PHARMACY NEW SCHAEFER PHARMACY WALGREENS WALGREENS DISCOUNT DRUG MART RITE AID PHARMACY WALGREENS WALGREENS NORTH LINDEN PHARMACY KROGER SAV-ON CVS PHARMACY CVS PHARMACY RITE AID PHARMACY DISCOUNT DRUG MART PROFESSIONAL PHCY SOLUTIONS PDC PHARMACY CVS PHARMACY CVS PHARMACY CVS PHARMACY WALMART PHARMACY PICKWICK PHARMACY GEISINGER PHARMACY HOPE PHARMACY WALMART PHARMACY YATES PHARMACY CROWDERS UPTOWN DRUG STORE CVS PHARMACY CVS PHARMACY ECONOMY DRUG TOWNE & COUNTRY DISCOUNT DRUGS CVS PHARMACY LAUREL HEIGHTS NURSING HOME PMCY KROGER PHARMACY WALGREENS CVS PHARMACY GRUND DRUG CO SAV-ON PHARMACY GIANT PHARMACY BURRELL PHARMACY CVS PHARMACY WALGREENS MED-SAVE CARTER CVS PHARMACY CVS PHARMACY CVS PHARMACY PHIL'S DISCOUNT DRUG CVS PHARMACY CVS PHARMACY LAMBERT TRIBAL HLTH CLINIC PHARMACY MSU KALAMAZOO CTR PHCY RITE AID PHARMACY CVS PHARMACY KROGER PHARMACY COSTCO PHARMACY WALGREENS KROGER PHARMACY WALGREENS MEIJER PHARMACY MARCS CVS PHARMACY

ADDRESS 1046 MARKET ST 500 TERRY RICH BLVD 104 POTTSTOWN PIKE 2460 MEMORIAL HWY 12134 S DIXIE HWY 415 S MAIN ST 1900 APPLEWOOD CENTER DR 1777 3RD ST 4020 VENOY RD STE 900B 37035 S GRATIOT AVE 2060 EAST PARIS AVE SE STE 102 110 S CLINTON ST 100 CAVASINA DR 4518 UNION DEPOSIT ROAD 2860 RICHMOND RD STE 190 2640 S M 33 3200 CARPENTER RD 49485 ANN ARBOR RD W 6635 SCHAEFER RD 378 BALDWIN ST 4010 E 13 MILE RD 13123 DETROIT AVE 15596 W HIGH ST 6300 PEARL RD 100 CLEVELAND ST 1000 GEORGESVILLE RD STE B 1525 MADISON AVE 17120 CHAGRIN BLVD 3230 OBERLIN AVE 900 UNION BLVD 500 ABBE RD N 3124 WILMINGTON RD STE 204 100 PASSAVANT WAY 3943 HULMEVILLE RD 1456 FERRY RD 613 FAYETTE ST 9745 ROOSEVELT BLVD STE A 1700 MARKET ST 529 TERRY REILLEY WAY 7050 TERMINAL SQ STE 208 1881 BALTIMORE PIKE 432 HOPKINSVILLE RD 631 16TH ST 2550 CONNER ST 789 STATE ROAD 39 BYPASS 180 TOWN MTN RD STE 115 3217 LAFAYETTE RD 30 S KENTUCKY HWY 15 208 W 12TH ST 3141 PARK AVE 12101 SHELBYVILLE RD 123 W SPRING ST 227 S FRONT ST 503 MACDADE BLVD 1000 SCOTT TOWN CTR 2889 LEECHBURG RD 160 S MAIN ST 30 PINE CREEK RD 136 JESSICA LN STE E 401 E MORGAN ST 930 N GOSPEL ST 850 N PLYMOUTH RD 702 E LINCOLNWAY 295 S BROADWAY ST 6862 MICHIGAN AVE 1140 N STATE ST STE 2805 1000 OAKLAND DR # MSU 39 KRISTIAN ST 18600 LIVERNOIS AVE 2808 ASHMAN ST 27118 GRATIOT AVE 32732 MICHIGAN AVE 460 N LAPEER RD 2932 E LONG LAKE RD 5645 JACKSON RD 3732 DARROW RD 779 SOM CENTER RD

CITY PHILADELPHIA SAINT CLAIR CHESTER SPRINGS DALLAS SONORA BROWNSTOWN ANDERSON DETROIT WAYNE CLINTON TOWNSHIP GRAND RAPIDS STOCKBRIDGE CANONSBURG HARRISBURG LEXINGTON ROSE CITY YPSILANTI PLYMOUTH DEARBORN JENISON WARREN LAKEWOOD MIDDLEFIELD PARMA HEIGHTS ELYRIA COLUMBUS COVINGTON SHAKER HEIGHTS LORAIN ENGLEWOOD ELYRIA NEW CASTLE PITTSBURGH BENSALEM DOYLESTOWN CONSHOHOCKEN PHILADELPHIA PHILADELPHIA POTTSVILLE UPPER DARBY HANOVER RUSSELLVILLE BEDFORD NOBLESVILLE MARTINSVILLE PIKEVILLE HOPKINSVILLE HAZARD LONDON PADUCAH MIDDLETOWN OXFORD FREMONT HOLMES BLOOMSBURG LOWER BURRELL DOYLESTOWN WEXFORD OLIVE HILL KOKOMO PAOLI WINAMAC LA PORTE LAKE ORION DETROIT SAINT IGNACE KALAMAZOO SANDUSKY DETROIT MIDLAND ROSEVILLE WAYNE LAKE ORION TROY ANN ARBOR STOW MAYFIELD VILLAGE

STATE

COUNTY

PA PHILADELPHIA

PA SCHUYLKILL

PA CHESTER

PA LUZERNE

KY LARUE

IN

JACKSON

IN

MADISON

MI WAYNE

MI WAYNE

MI MACOMB

MI KENT

MI INGHAM

PA WASHINGTON

PA DAUPHIN

KY FAYETTE

MI OGEMAW

MI WASHTENAW

MI WAYNE

MI WAYNE

MI OTTAWA

MI MACOMB

OH CUYAHOGA

OH GEAUGA

OH CUYAHOGA

OH LORAIN

OH FRANKLIN

KY KENTON

OH CUYAHOGA

OH LORAIN

OH MONTGOMERY

OH LORAIN

PA LAWRENCE

PA ALLEGHENY

PA BUCKS

PA BUCKS

PA MONTGOMERY

PA PHILADELPHIA

PA PHILADELPHIA

PA SCHUYLKILL

PA DELAWARE

PA YORK

KY LOGAN

IN

LAWRENCE

IN HAMILTON

IN MORGAN

KY PIKE

KY CHRISTIAN

KY PERRY

KY LAUREL

KY MCCRACKEN

KY JEFFERSON

OH BUTLER

OH SANDUSKY

PA DELAWARE

PA COLUMBIA

PA WESTMORELAND

PA BUCKS

PA ALLEGHENY

KY CARTER

IN

HOWARD

IN

ORANGE

IN

PULASKI

IN

LAPORTE

MI OAKLAND

MI WAYNE

MI MACKINAC

MI KALAMAZOO

MI SANILAC

MI WAYNE

MI MIDLAND

MI MACOMB

MI WAYNE

MI OAKLAND

MI OAKLAND

MI WASHTENAW

OH SUMMIT

OH CUYAHOGA

ZIP

PHONE

19107 (215)-592-1543

17970 (570)-429-2004

19425 (610)-458-3401

18612 (570)-675-4807

42776 (270)-949-3494

47220 (812)-358-3671

46013 (765)-649-8026

48226 (313)-230-1206

48184 (734)-729-2882

48036 (586)-303-7386

49546 (616)-805-4601

49285 (517)-851-7575

15317 (724)-873-8790

17111 (717)-526-1030

40509 (859)-407-4135

48654 (989)-685-2141

48197 (734)-971-7283

48170 (734)-354-9220

48126 (313)-582-1800

49428 (616)-667-8695

48092 (586)-575-9346

44107 (216)-529-9100

44062 (440)-632-5201

44130 (440)-886-0775

44035 (440)-322-7604

43228 (614)-591-3611

41011 (859)-431-5566

44120 (216)-921-1288

44053 (440)-282-9189

45322 (937)-836-5204

44035 (440)-365-8319

16105 (724)-657-2565

15238 (412)-820-9150

19020 (215)-244-7002

18901 (215)-340-2613

19428 (610)-238-4763

19114 (215)-698-1236

19103 (215)-563-4860

17901 (570)-624-4120

19082 (610)-352-7372

17331 (717)-630-9989

42276 (270)-726-8451

47421 (812)-275-5949

46060 (317)-773-0194

46151 (765)-342-2121

41501 (606)-437-7333

42240 (270)-885-6131

41701 (606)-436-3128

40741 (606)-864-4155

42001 (270)-443-9459

40243 (502)-244-7037

45056 (513)-523-6378

43420 (419)-332-5585

19043 (610)-586-2096

17815 (570)-389-9909

15068 (724)-334-1067

18901 (215)-230-1690

15090 (412)-366-2456

41164 (606)-286-2029

46901 (765)-452-0552

47454 (812)-723-2650

46996 (574)-946-3554

46350 (219)-362-7133

48362 (248)-814-6521

48210 (313)-849-6110

49781 (906)-643-4996

49008 (269)-337-6330

48471 (810)-648-4668

48221 (313)-345-6020

48640 (989)-835-3959

48066 (586)-447-1436

48184 (734)-595-9956

48362 (248)-693-3284

48085 (248)-689-2473

48103 (734)-222-0310

44224 (330)-686-5285

44143 (440)-449-4818

NCPDP 3660443 3661332 3661976 3662512 3663324 3663677 3664388 3666320 3687754 3688441 1802710 1807215 1810349 1817393 3600790 3606362 3609887 3978636 3978965 3981607 3982279 3985528 3987938 3988586 1503728 1503893 1505734 1507548 1508398 1521714 1524746 2351865 2355382 2355611 2357223 2358263 2359001 2362363 2362527 2362577 3656254 3659705 3659729 3659921 3660138 3664009 3664706 3667550 3961249 3961706 3966580 3966756 3687689 3688768 1800172 1804459 1814107 1815870 3600992 3604142 3604712 3608897 3977444 3979626 3979676 3977898 3980504 3980528 3981544 3981669 3985857 3987685 1503350 1516561 1517929 1518337 1523578

NPI 1801813092 1316969116 1033268305 1013028117 1457373268 1104929942 1518061282 1235144254 1194359224 1194323162 1548364508 1699782755 1801944517 1184600280 1518060219 1194828814 1669487591 1447280797 1174555197 1275675563 1699797332 1275598146 1326179250 1477759728 1235232919 1043313729 1710080403 1316040751 1558464255 1437252889 1740295864 1144376914 1629183652 1093822249 1487763967 1205948163 1477570695 1780784124 1790707461 1265466015 1346333143 1679588677 1689699399 1144236589 1861407876 1053345751 1336155647 1568489763 1902900756 1023025046 1770686537 1447369129 1013547835 1073198131 1225043458 1972503126 1912000654 1912012949 1972606671 1821191537 1578666087 1801886601 1548282270 1952328197 1164454187 1477598175 1821192618 1740390376 1255387759 1881626802 1780602581 1083767867 1033212717 1134128705 1295761716 1396848008 1578570560

PHARMACY NAME WALMART PHARMACY CVS PHARMACY MEIJER PHARMACY RITE AID PHARMACY CVS PHARMACY CVS PHARMACY CVS PHARMACY WALGREENS GENOA HEALTHCARE LLC EAST OHIO HOMETOWN PHARMACY HURST DISCOUNT DRUGS F & H DRUGS METHODIST HOSPITAL PHARMACY CAPITAL PHARMACY AND MEDICAL EQUIP CVS PHARMACY CVS PHARMACY ACME PHARMACY GEISINGER PHARMACY GIANT PHARMACY CORNERSTONE PHARMACY CVS PHARMACY AMBER PHARMACY COSTCO PHARMACY RITE AID PHARMACY CVS PHARMACY CVS PHARMACY CVS PHARMACY CVS PHARMACY CVS PHARMACY CVS PHARMACY WALGREENS COLLIE DRUG INC MEDICINE SHOPPE PHARMACY HARDINGS PHARMACY RITE AID PHARMACY CVS PHARMACY WALMART PHARMACY CVS PHARMACY CVS PHARMACY KROGER PHARMACY MEDICINE SHOPPE PHARMACY WALGREENS KROGER PHARMACY GIANT EAGLE PHARMACY WALGREENS KROGER PHARMACY RITE AID PHARMACY SAM'S CLUB PHARMACY CVS PHARMACY GIANT EAGLE PHARMACY CVS PHARMACY TRUE CARE PHARMACY INC ADENA COMMUNITY PHCY WOODLANDS PREMIER PHARMACY SERVICES INC WALGREENS METCALFE DRUG CVS PHARMACY L.B. CLINIC PHARMACY CVS PHARMACY CVS PHARMACY CVS PHARMACY JAMES PHARMACY CVS PHARMACY SAM'S CLUB PHARMACY MARTINS PHARMACY PCA MISSION PHARMACY CVS PHARMACY COSTCO PHARMACY SAV-ON PHARMACY GIANT PHARMACY WALMART PHARMACY WALGREENS CVS PHARMACY ELKHART GENERAL HOSPITAL CVS PHARMACY CVS PHARMACY WALGREENS

ADDRESS 4000 RED BANK RD 4200 KENT RD 8870 COLUMBUS PIKE 1115 WEST PROSPECT AVENUE 1717 OLENTANGY RIVER RD 7541 N MAIN ST 1443 RICHMOND RD 4024 FULTON DR NW 299 CRAMER CREEK CT RM P 90 N 4TH STREET 102 N THIRD ST 70 N MAIN ST 1305 NORTH ELM ST 662 E MAIN ST 2217 SUNSET BLVD 3352 KENT RD 4445 KENT RD 132 ABIGAIL LANE 3175 CAPE HORN RD 41 EASTON RD 3400 WILKES BARRE TWP CMNS 323 NORRISTOWN RD STE 100 501 W WATERFRONT DR 2270 NOBLESTOWN RD 1512 N LINCOLN ST 901 N KARWICK RD 307 E NATIONAL HWY 640 S STATE ROAD 135 300 LIBERTY ST 9550 ALLISONVILLE RD 2845 W CLEVELAND RD 21728 HARPER AVE 3979 17 MILE RD 6330 S WESTNEDGE AVE 1124 N BALLENGER HWY 4031 GRANGE HALL RD 910 JOE MANN BLVD 5118 S MARTIN LUTHER KING BLVD 500 E EDGEWOOD BLVD 23303 MICHIGAN AVE 4405 MAHONING AVE 8210 WINTON RD 6480 WILMINGTON PIKE 2061 ELM RD NE 14501 EUCLID AVE 400 28TH ST 222 S MAIN ST 5870 SAWMILL RD 1802 LEHIGH ST 2611 FREEPORT RD US HWY 40 9 W MAIN AVE 311 CALDWELL ST 2105 GLEN DRIVE 4299 WINSTON AVE 115 E STOCKTON ST 533 SKIDMORE DR 464 KY HIGHWAY 699 4548 E MAIN ST 200 E DAYTON YELLOW SPRINGS RD 4961 MONTICELLO BLVD 623 LAGRANGE ST 5125 JONESTOWN RD STE 331 921 VIEWMONT DR 1570 OAKLAND AVE 307 23RD STREET EXT # 164 55 PARK AVE 202 COSTCO DR 400 SIMPSON DR UNIT A 849 W BALTIMORE PIKE 12751 WASHINGTON TOWNSHIP BLVD 1262 LITITZ PIKE 201 S JACKSON ST 600 EAST BLVD 3700 1ST AVE 1206 16TH ST 407 W GLEN PARK AVE

CITY CINCINNATI STOW LEWIS CENTER ASHTABULA COLUMBUS DAYTON LYNDHURST CANTON DUBLIN MARTINS FERRY BARDSTOWN MONTICELLO HENDERSON FRANKFORT STEUBENVILLE STOW STOW PORT MATILDA RED LION WILLOW GROVE WILKES BARRE AMBLER HOMESTEAD PITTSBURGH GREENSBURG MICHIGAN CITY WASHINGTON GREENWOOD WALKERTON INDIANAPOLIS SOUTH BEND SAINT CLAIR SHORES STERLING HEIGHTS PORTAGE FLINT HOLLY MIDLAND LANSING LANSING DEARBORN YOUNGSTOWN CINCINNATI CENTERVILLE WARREN CLEVELAND BELLAIRE ORRVILLE DUBLIN ALLENTOWN PITTSBURGH RICHEYVILLE MYERSTOWN CHIILLICOTHE MILLERSBURG COVINGTON EDMONTON HARLAN CORNETTSVILLE WHITEHALL FAIRBORN RICHMOND HEIGHTS TOLEDO HARRISBURG SCRANTON INDIANA SHARPSBURG COLLEGEVILLE PITTSBURGH CHESTER SPRINGS WEST GROVE WAYNESBORO LANCASTER FRANKFORT ELKHART EVANSVILLE BEDFORD GRIFFITH

STATE

COUNTY

OH HAMILTON

OH SUMMIT

OH DELAWARE

OH ASHTABULA

OH FRANKLIN

OH MONTGOMERY

OH CUYAHOGA

OH STARK

OH FRANKLIN

OH BELMONT

KY NELSON

KY WAYNE

KY HENDERSON

KY FRANKLIN

OH JEFFERSON

OH SUMMIT

OH SUMMIT

PA CENTRE

PA YORK

PA MONTGOMERY

PA LUZERNE

PA MONTGOMERY

PA ALLEGHENY

PA ALLEGHENY

IN DECATUR

IN LAPORTE

IN DAVIESS

IN JOHNSON

IN ST. JOSEPH

IN MARION

IN ST. JOSEPH

MI MACOMB

MI MACOMB

MI KALAMAZOO

MI GENESEE

MI OAKLAND

MI MIDLAND

MI INGHAM

MI INGHAM

MI WAYNE

OH MAHONING

OH HAMILTON

OH GREENE

OH TRUMBULL

OH CUYAHOGA

OH BELMONT

OH WAYNE

OH FRANKLIN

PA LEHIGH

PA ALLEGHENY

PA WASHINGTON

PA LEBANON

OH ROSS

OH HOLMES

KY KENTON

KY METCALFE

KY HARLAN

KY PERRY

OH FRANKLIN

OH GREENE

OH CUYAHOGA

OH LUCAS

PA DAUPHIN

PA LACKAWANNA

PA INDIANA

PA ALLEGHENY

PA MONTGOMERY

PA ALLEGHENY

PA CHESTER

PA CHESTER

PA FRANKLIN

PA LANCASTER

IN

CLINTON

IN

ELKHART

IN

VANDERBURGH

IN

LAWRENCE

IN

LAKE

ZIP

PHONE

45227 (513)-351-9710

44224 (330)-688-7450

43035 (740)-548-0010

44004 (440)-998-3777

43212 (614)-298-1078

45415 (937)-277-2024

44124 (216)-381-4300

44718 (330)-493-8431

43017 (614)-763-2968

43935 (740)-633-4344

40004 (502)-348-9261

42633 (606)-348-9263

42420 (270)-830-4798

40601 (502)-223-2827

43952 (740)-264-5562

44224 (330)-688-6031

44224 (330)-673-1559

16870 (814)-272-1006

17356 (717)-246-7478

19090 (215)-706-2001

18702 (570)-829-4983

19002 (888)-370-1724

15120 (412)-205-1009

15205 (412)-920-6190

47240 (812)-663-2756

46360 (219)-872-6811

47501 (812)-254-6298

46142 (317)-882-0465

46574 (574)-586-7154

46250 (317)-842-4458

46628 (574)-277-1538

48080 (586)-776-6122

48310 (586)-268-6266

49002 (269)-327-4508

48504 (810)-233-6765

48442 (248)-634-8294

48642 (989)-835-6364

48911 (517)-272-5424

48911 (517)-882-4845

48124 (313)-562-2232

44515 (330)-792-6585

45231 (513)-931-5411

45459 (937)-848-5985

44483 (330)-372-7003

44112 (216)-851-1472

43906 (740)-671-5169

44667 (330)-683-8711

43017 (614)-760-9222

18103 (610)-797-1018

15238 (412)-828-2277

15358 (724)-632-6555

17067 (717)-866-4800

45601 (740)-779-5600

44654 (234)-301-9166

41015 (859)-291-4722

42129 (270)-432-3051

40831 (606)-573-7334

41731 (606)-476-2863

43213 (614)-235-7076

45324 (937)-878-3991

44143 (216)-291-1250

43604 (419)-243-9161

17112 (717)-671-6903

18519 (570)-558-7696

15701 (724)-465-5943

15215 (877)-240-9581

19426 (610)-409-2604

15205 (412)-490-2203

19425 (610)-458-5275

19390 (610)-345-1426

17268 (717)-762-7112

17601 (717)-290-2012

46041 (765)-659-2462

46514 (574)-523-3101

47710 (812)-464-3952

47421 (812)-275-3393

46319 (219)-924-2701

NCPDP 1524265 1528744 2354506 2355320 2356423 2358491 2359102 2359304 2360775 2362248 3657686 3658652 3661229 3661926 3662637 3662865 3663134 3666736 3668386 3961516 3962986 3607895 3615575 3978270 3980364 3980403 3981431 3983663 3984867 3985100 3987229 1833664 3600613 1506356 1515204 1521978 1527324 3979690 3981645 3983473 3984956 3987914 1833943 1503083 1516028 1523629 1523718 1525116 1528162 1529239 3656088 3658599 3659894 3660859 3661027 3661623 3664655 3666750 3668653 3962998 3963027 3964358 1802277 1804992 1811694 1819044 3610614 3977660 3978600 3979462 3979498 3980150 3983219 3983726 1833917 1503754 1503932

NPI 1588737100 1760409981 1164524443 1174677611 1275642753 1932135126 1548275662 1538181201 1346261088 1679580674 1558388744 1104850809 1447268230 1699782698 1336258680 1740207935 1144339490 1831123546 1376612119 1134146285 1689691735 1295838654 1811090541 1043225972 1750482576 1831106855 1700897378 1417094624 1518972413 1043423171 1952436131 1225472343 1073616777 1780747154 1992808695 1023111747 1114944329 1073545091 1144289299 1407899693 1427063320 1356474480 1114353018 1730282278 1558463992 1588679609 1750396875 1609940816 1487671699 1629171145 1457381782 1487688180 1871508887 1457454282 1881601888 1326066176 1306851324 1730124652 1710999586 1750314084 1669405999 1477651081 1174539746 1720081763 1821163700 1629095047 1801999529 1992735294 1790841062 1225698186 1952405748 1598760639 1689689572 1316979339 1063847671 1598868036 1770686453

PHARMACY NAME KROGER SAV-ON WALMART PHARMACY CVS PHARMACY WOODBRIDGE PHARMACY RITE AID PHARMACY CENTRAL PHARMACY-PERRY LLC WALGREENS CVS PHARMACY MEIJER PHARMACY WALGREENS WALMART PHARMACY KROGER SAV-ON CSI INFUSION SERVICES WALGREENS RITE AID PHARMACY WALMART PHARMACY RITE AID PHARMACY KROGER PHARMACY HEALTHSOURCE OF OHIO SEAMAN PHCY WALMART PHARMACY WALMART PHARMACY CVS PHARMACY CVS PHARMACY GIANT EAGLE PHARMACY RITE AID PHARMACY GIANT EAGLE PHARMACY PROVIDENCE PHARMACY SERVICES LP MILTON S HERSHEY MED CTR O/P PHCY WALGREENS NORRISTOWN STATE HOSPITAL CVS PHARMACY HOLBROOK DRUG CVS PHARMACY CVS PHARMACY CVS PHARMACY CVS PHARMACY WALMART PHARMACY GIANT PHARMACY VALENTINE PHARMACY HOMETOWN PHARMACY WALGREENS WALMART PHARMACY RITE VALUE PHARMACY CVS PHARMACY PARKSIDE PHARMACY WALGREENS WALGREENS DR AZIZ PHARMACY WALMART PHARMACY CVS PHARMACY CLEVELAND CLINIC HOMECARE SER KROGER SAV-ON WALGREENS CVS PHARMACY WALGREENS WALMART PHARMACY WALGREENS DISCOUNT DRUG MART GAHM'S PHARMACY II WEIS PHARMACY WEIS PHARMACY CVS PHARMACY REIDLAND PHARMACY, INC TOWNE AND COUNTRY PHARMACY INC ADAMS PHARMACY WALMART PHARMACY CVS PHARMACY RITE AID PHARMACY BROCKIE PHARMATECH CHESTER COUNTY HOSPITAL O/P PH CVS PHARMACY GLENDALE PRESCRIPTION CENTER INC WALGREENS GIANT PHARMACY SCRIPTS PHARMACY CVS PHARMACY CVS PHARMACY

ADDRESS 1217 E IRELAND RD 3601 E MAIN ST 18640 E 9 MILE RD 7901 ANGLING RD 10 S ORTONVILLE RD 150 S MAIN ST STE A 5703 S SAGINAW RD 2772 TITTABAWASSEE RD 3900 W US HIGHWAY 10 3915 W SAGINAW HWY 2887 S ARLINGTON RD 7385 WOOSTER PIKE 6288 HUDSON CROSSING PKWY 2335 JOHN GRAY RD 1403 WOOSTER RD W 4572 MEGA ST NW 1914 BAILEY RD 1161 E DAYTON YELLOW SPGS RD 218 STERN DR 1665 N ATHERTON ST 6535 GRAYSON RD 426 ROBINSON AVE 7230 MARKET ST 999 N EIGHTY EIGHT RD 129 GRAND AVENUE 9001 FRANKSTOWN RD 615 N PIKE RD 500 UNIVERSITY DR # 1200 2350 E MARKET ST 1001 STERIGERE ST 755 DURHAM RD 208 E MAIN ST 418 E MAIN ST 802 N MERIDIAN ST 700 E 4TH ST 860 W MORGAN ST 2373 E MAIN ST 2130 PALOMINO RD 92 N MORGANTOWN ST 2362 GOLDEN MILE HWY 2 E STREET RD 200 KOCHER LN 94 B0ARDWALK 505 E THOMPSON RD 1639 N LEBANON ST 8930 CALUMET AVE 1704 E COMMERCIAL AVE 7320 E 82ND ST STE D 505 TOURING DR 2800 ENTERPRISE ST STE 5 6801 BRECKSVILLE RD STE 10 3637 S HIGH ST 22401 LAKE SHORE BLVD 443 CLEVELAND ST 11401 UNION AVE 5200 WESTPOINTE PLAZA DR 9400 MENTOR AVE 3032 N RIDGE RD E 1565 GALENA PIKE 110 ROLLING RIDGE DR 2600 WILLOW STREET PIKE N 958 ROUTE 390 5433 REIDLAND RD 675 E HWY 60 125 W MAIN ST 470 N MAYO TRL 109 S HIGH ST 6327 43 TORRESDALE AVE 118 PLEASANT ACRES RD 701 E MARSHALL ST 700 ROUTE 113 7601 CASTOR AVE STE 100 330 S MAIN AVE 801 S 25TH ST 101 BLAKENROD BLVD 210 N MAIN ST 1709 E STATE HIGHWAY 54

CITY SOUTH BEND RICHMOND EASTPOINTE PORTAGE ORTONVILLE PERRY GRAND BLANC SAGINAW LUDINGTON LANSING AKRON CINCINNATI HUDSON CINCINNATI BARBERTON NORTH CANTON CUYAHOGA FALLS FAIRBORN SEAMAN STATE COLLEGE HARRISBURG BARBERTON BOARDMAN RICES LANDING MARS PITTSBURGH CABOT HERSHEY YORK NORRISTOWN WRIGHTSTOWN MOREHEAD ASHLAND PORTLAND MOUNT VERNON SPENCER PLAINFIELD DOVER FAIRCHANCE PITTSBURGH FEASTERVILLE TREVOSE ELIZABETHVILLE INEZ INDIANAPOLIS LEBANON MUNSTER LOWELL INDIANAPOLIS AUBURN INDIANAPOLIS INDEPENDENCE COLUMBUS EUCLID ELYRIA CLEVELAND COLUMBUS MENTOR ASHTABULA WEST PORTSMOUTH STATE COLLEGE WILLOW STREET CRESCO PADUCAH HARDINSBURG LEBANON PAINTSVILLE COLUMBUS PHILADELPHIA YORK WEST CHESTER SOUDERTON PHILADELPHIA SCRANTON EASTON COXS CREEK MISHAWAKA LINTON

STATE

COUNTY

IN

ST. JOSEPH

IN

WAYNE

MI MACOMB

MI KALAMAZOO

MI OAKLAND

MI SHIAWASSEE

MI GENESEE

MI SAGINAW

MI MASON

MI EATON

OH SUMMIT

OH HAMILTON

OH SUMMIT

OH HAMILTON

OH SUMMIT

OH STARK

OH SUMMIT

OH GREENE

OH ADAMS

PA CENTRE

PA DAUPHIN

OH SUMMIT

OH MAHONING

PA GREENE

PA BUTLER

PA ALLEGHENY

PA BUTLER

PA DAUPHIN

PA YORK

PA MONTGOMERY

PA BUCKS

KY ROWAN

OH ASHLAND

IN JAY

IN POSEY

IN OWEN

IN HENDRICKS

PA YORK

PA FAYETTE

PA ALLEGHENY

PA BUCKS

PA DAUPHIN

KY MARTIN

IN MARION

IN BOONE

IN LAKE

IN LAKE

IN MARION

IN DEKALB

IN MARION

OH CUYAHOGA

OH FRANKLIN

OH CUYAHOGA

OH LORAIN

OH CUYAHOGA

OH FRANKLIN

OH LAKE

OH ASHTABULA

OH SCIOTO

PA CENTRE

PA LANCASTER

PA MONROE

KY MCCRACKEN

KY BRECKINRIDGE

KY MARION

KY JOHNSON

OH FRANKLIN

PA PHILADELPHIA

PA YORK

PA CHESTER

PA BUCKS

PA PHILADELPHIA

PA LACKAWANNA

PA NORTHAMPTON

KY NELSON

IN

ST. JOSEPH

IN

GREENE

ZIP

PHONE

46614 (574)-291-0740

47374 (765)-935-9078

48021 (586)-447-4370

49024 (269)-324-8409

48462 (248)-627-2888

48872 (517)-625-8640

48507 (810)-695-4623

48604 (989)-793-5701

49431 (231)-845-3710

48917 (517)-703-0593

44312 (330)-645-9557

45227 (513)-271-9320

44236 (888)-873-8999

45231 (513)-825-3862

44203 (330)-706-1004

44720 (330)-305-0037

44221 (330)-922-4466

45324 (937)-318-3920

45679 (937)-386-0049

16803 (814)-237-8415

17111 (717)-561-2905

44203 (330)-753-1013

44512 (330)-758-4549

15357 (724)-592-6057

16046 (724)-625-3196

15235 (412)-371-0040

16023 (724)-352-8822

17033 (717)-531-5899

17402 (717)-840-3846

19401 (610)-313-5867

18940 (215)-598-2890

40351 (606)-784-4784

44805 (419)-281-0525

47371 (260)-726-9393

47620 (812)-838-5089

47460 (812)-829-2484

46168 (317)-839-3881

17315 (717)-292-3043

15436 (724)-564-1700

15239 (724)-387-2260

19053 (215)-364-4249

17023 (717)-362-4379

41224 (606)-298-2080

46227 (317)-784-9716

46052 (765)-482-1600

46321 (219)-513-0894

46356 (219)-696-6638

46256 (317)-842-5771

46706 (260)-925-8083

46219 (800)-753-0596

44131 (216)-636-8700

43207 (614)-492-1081

44123 (216)-261-4497

44035 (440)-365-7162

44105 (216)-751-2902

43228 (614)-876-7165

44060 (440)-255-6247

44004 (440)-998-0663

45663 (740)-858-5000

16801 (814)-231-8399

17584 (717)-464-9613

18326 (570)-595-7131

42003 (270)-898-7313

40143 (270)-756-2151

40033 (270)-692-9115

41240 (606)-789-8925

43215 (614)-224-4261

19135 (215)-331-9929

17402 (717)-840-7144

19380 (610)-738-2888

18964 (215)-799-2341

19152 (215)-722-6200

18504 (570)-341-1429

18045 (484)-546-0216

40013 (502)-348-8338

46544 (574)-259-1130

47441 (812)-847-2226

NCPDP 1507497 1517931 1524532 1527235 1528201 1528542 1529203 2387668 3900734 3902221 3902548 3980542 3980667 3980681 3981493 3981796 3982306 3982433 3986924 3986936 3987445 1500063 1503401 1505873 1519822 1521980 1523693 2387872 3991470 3992484 3992597 3993664 3997787 3998640 3999147 1568902 3671030 3671371 3672044 3672993 3675317 3677171 3680976 2312673 2326379 2326583 2332245 2336914 2337120 2337156 2338401 2339100 2339996 2345913 3905912 3920015 3996470 3999084 3999197 3999921 1570503 3670064 3670305 3671268 3672169 3672210 3983853 3984095 3985388 1503184 1507966 1517753 1524479 1526980 2388038 3988663 3989223

NPI 1871696211 1306881313 1346268760 1215972229 1922025139 1861411845 1760497895 1881231991 1811091648 1508965856 1265536007 1073536355 1679542203 1538187307 1285650861 1497799894 1811091606 1720182512 1942384474 1235212861 1235214644 1063465904 1588767263 1447353131 1740383454 1932202652 1295742286 1528692464 1225286404 1336370980 1982837795 1467779769 1114282191 1932446911 1164866208 1710490206 1952513814 1427063460 1831237270 1881609832 1992846737 1194980714 1427492735 1922167873 1588684419 1083624373 1386684033 1790896983 1770692212 1497765275 1912917261 1326057308 1104935659 1356453294 1235261405 1255466116 1760770382 1225471204 1033459847 1275954059 1598315400 1609881630 1689691883 1114944311 1922013846 1386659209 1477651404 1760497655 1801990692 1679676167 1730282435 1134292758 1427114651 1750308060 1063031698 1073724050 1114107216

PHARMACY NAME CVS PHARMACY CVS PHARMACY WALMART PHARMACY CVS PHARMACY WALMART PHARMACY WALMART PHARMACY WALGREENS PHARMOR PHARMACY SIX MILE CVS PHARMACY RITE AID PHARMACY CVS PHARMACY CVS PHARMACY WEGMANS PHARMACY WALMART PHARMACY CONTRACT PHARMACY SERVICES INC OMNICARE OF SCRANTON CVS PHARMACY CVS PHARMACY CVS PHARMACY CVS PHARMACY GIANT PHARMACY PARKSIDE PHARMACY CVS PHARMACY CVS PHARMACY CVS PHARMACY CVS PHARMACY WALGREENS UBLY PHARMACY FAMILY 1 PHARMACY OPTUM INFUSION SERVICES MOUNTAIN VIEW PHARMACY CVS PHARMACY DELAWARE VALLEY VETS HOME PHCY CLARION PHARMACY TANG PHARMACY V MEDICAP PHARMACY FISHER TITUS MEM HOSP PHARMACY WALGREENS PHILLIPS PHARMACY INC WALGREENS GIANT EAGLE PHARMACY WALGREENS LOWER LIGHTS PHARMACY HOMETOWN PHARMACY MEIJER PHARMACY RITE AID PHARMACY THE WELLNESS PLAN MCLEAN PHARMACY RITE AID PHARMACY RITE AID PHARMACY RITE AID PHARMACY FOWLERVILLE PHARMACY RITE AID PHARMACY CVS PHARMACY FOUNTAIN HILL PHARMACY INC JANOSIKS PHARMACY HEALING PHARMACY PHARMACY OF AMERICA V ALEXA PHARMACY CARE PLUS PHARMACY INC NATIONS MEDICINES WALGREENS SAM'S CLUB PHARMACY WALMART PHARMACY GIANT EAGLE PHARMACY GIANT EAGLE PHARMACY CARING PHARMACY WALGREENS CVS PHARMACY CVS PHARMACY CVS PHARMACY KROGER PHARMACY EAGLE HIGHLAND PHARMACY WALMART PHARMACY LTC WELCOME PHARMACY SOUTH WEGMANS PHARMACY LAUREL LTC PHARMACY

ADDRESS 900 E BRISTOL ST 5000 WASHINGTON AVE 3200 JOHN WILLIAMS BLVD 4500 W LLOYD EXPY 2395 MAIN ST 10617 E WASHINGTON ST 985 N ARLINGTON AVE 10420 W MCNICHOLS RD STE A 125 E MAIN ST 1140 TOWN SQUARE RD 125 W WASHINGTON ST 1 MIFFLIN ST 3791 EASTON NAZARETH HWY 270 INDIAN RUN ST 125 TITUS AVE 2400 STAFFORD AVE STE 800 1991 SPROUL RD 929 DEKALB PIKE 4600 HIGH POINTE BLVD 4801 MCKNIGHT RD STE 3 698 DOWNINGTOWN PIKE 2200 FERRY ST 425 E MEMORIAL DR 1901 N JEFFERSON ST 5005 E 56TH ST 703 E MAIN ST 6510 COLUMBIA AVE 2031 E MAIN ST 4005 VETERANS HWY 4 H RAYMOND DRIVE 144 4TH ST 201 FIELDCREST DR 2701 SOUTHAMPTON RD 30 PINNACLE DR 7452 OGONTZ AVE 987 S CREASY LN 272 BENEDICT AVE 701 N CABLE RD 1017 MOUNT VERNON AVE 5901 SPRINGBORO PIKE 24601 CHAGRIN BLVD 5644 MAYFIELD RD 1160 W BROAD ST 117 N MAIN ST 14640 PARDEE RD 3100 E MICHIGAN AVE 4909 E OUTER DR 229 N THIRD ST 4166 17 MILE RD NE 1401 W MAIN ST 1900 E 8 MILE RD 119 E GRAND RIVER 101 S MORENCI AVE 24001 HARPER AVE 1049 BROADWAY # 51 122 6TH ST 109 W CHELTEN AVE 232 W GIRARD AVE 919 TYSON AVE 110 W SUSQUEHANNA AVE 4849 POLLACK AVE 2560 BELMONT AVE 1189 BUCHHOLZER BLVD 3721 NAVARRE AVE 553 HEBRON RD 280 E WHITTIER ST 2541 KENSINGTON AVE 2803 W MAIN ST 3811 NESHAMINY BLVD 2320 CUNNINGHAM RD 103 S OHIO ST 3060 N NATIONAL RD 9010 CRAWFORDSVILLE RD 335 S RED BANK RD 303 W PROSPECT ST 6416 CARLISLE PIKE STE 2000 278 MCCLELLANDTOWN RD

CITY ELKHART EVANSVILLE BEDFORD EVANSVILLE ROCHESTER INDIANAPOLIS INDIANAPOLIS DETROIT PLYMOUTH POTTSTOWN CHAMBERSBURG PHILADELPHIA EASTON EXTON WARRINGTON SCRANTON BROOMALL BLUE BELL HARRISBURG PITTSBURGH WEST CHESTER LAFAYETTE MUNCIE HUNTINGTON INDIANAPOLIS VEVAY HAMMOND UBLY LEVITTOWN HAVERTOWN RENOVO NOTTINGHAM PHILADELPHIA CLARION PHILADELPHIA LAFAYETTE NORWALK LIMA COLUMBUS DAYTON BEACHWOOD LYNDHURST COLUMBUS BELLEVUE TAYLOR JACKSON DETROIT ROGERS CITY CEDAR SPRINGS LOWELL DETROIT FOWLERVILLE MIO SAINT CLAIR SHORES FOUNTAIN HILL MONESSEN PHILADELPHIA PHILADELPHIA PHILADELPHIA PHILADELPHIA EVANSVILLE YOUNGSTOWN CUYAHOGA FALLS OREGON NEWARK COLUMBUS PHILADELPHIA NORRISTOWN BENSALEM INDIANAPOLIS CULVER COLUMBUS INDIANAPOLIS EVANSVILLE JACKSON MECHANICSBURG UNIONTOWN

STATE

COUNTY

IN

ELKHART

IN

VANDERBURGH

IN

LAWRENCE

IN

VANDERBURGH

IN

FULTON

IN

MARION

IN

MARION

MI WAYNE

PA LUZERNE

PA CHESTER

PA FRANKLIN

PA PHILADELPHIA

PA NORTHAMPTON

PA CHESTER

PA BUCKS

PA LACKAWANNA

PA DELAWARE

PA MONTGOMERY

PA DAUPHIN

PA ALLEGHENY

PA CHESTER

IN

TIPPECANOE

IN DELAWARE

IN HUNTINGTON

IN MARION

IN SWITZERLAND

IN LAKE

MI HURON

PA BUCKS

PA DELAWARE

PA CLINTON

PA CHESTER

PA PHILADELPHIA

PA CLARION

PA PHILADELPHIA

IN TIPPECANOE

OH HURON

OH ALLEN

OH FRANKLIN

OH MONTGOMERY

OH CUYAHOGA

OH CUYAHOGA

OH FRANKLIN

MI EATON

MI WAYNE

MI JACKSON

MI WAYNE

MI PRESQUE ISLE

MI KENT

MI KENT

MI WAYNE

MI LIVINGSTON

MI OSCODA

MI MACOMB

PA LEHIGH

PA WESTMORELAND

PA PHILADELPHIA

PA PHILADELPHIA

PA PHILADELPHIA

PA PHILADELPHIA

IN

VANDERBURGH

OH MAHONING

OH SUMMIT

OH LUCAS

OH LICKING

OH FRANKLIN

PA PHILADELPHIA

PA MONTGOMERY

PA BUCKS

IN

MARION

IN

MARSHALL

IN

BARTHOLOMEW

IN

MARION

IN

VANDERBURGH

MI JACKSON

PA CUMBERLAND

PA FAYETTE

ZIP

PHONE

46514 (574)-206-8476

47715 (812)-473-0113

47421 (812)-275-0415

47712 (812)-422-6399

46975 (574)-223-9482

46229 (317)-895-0316

46219 (317)-351-5973

48221 (313)-635-2788

18651 (570)-779-5334

19465 (610)-323-4080

17201 (717)-263-9893

19148 (215)-463-3301

18045 (610)-515-2445

19341 (484)-875-9587

18976 (267)-487-8900

18505 (570)-961-9168

19008 (610)-325-8422

19422 (610)-292-2142

17111 (717)-558-4151

15237 (412)-536-1808

19380 (610)-430-6180

47904 (765)-447-1000

47302 (765)-288-2157

46750 (260)-356-6600

46226 (317)-254-8921

47043 (812)-427-3777

46320 (219)-931-3332

48475 (989)-658-3324

19056 (215)-943-2221

19083 (610)-536-9095

17764 (570)-923-1922

19362 (610)-932-8251

19154 (215)-856-2751

16214 (814)-226-4015

19138 (215)-548-1800

47905 (765)-237-3060

44857 (419)-668-8101

45805 (419)-222-9462

43203 (614)-253-2344

45449 (937)-433-1604

44122 (216)-831-8080

44124 (440)-646-2314

43222 (614)-947-7615

49021 (269)-763-9407

48180 (734)-374-4210

49202 (517)-782-9382

48234 (313)-369-3972

49779 (989)-734-4701

49319 (616)-696-9040

49331 (616)-897-9221

48234 (313)-892-4600

48836 (517)-223-9832

48647 (989)-826-3737

48080 (586)-774-1570

18015 (610)-866-6737

15062 (724)-684-8600

19144 (267)-297-6482

19123 (267)-858-4279

19111 (215)-437-7573

19122 (215)-279-7295

47715 (812)-962-4664

44505 (330)-746-4814

44221 (330)-929-4092

43616 (419)-698-5156

43056 (740)-522-6168

43206 (614)-443-5232

19125 (215)-739-9975

19403 (484)-636-5003

19020 (215)-396-5690

46224 (317)-241-6374

46511 (574)-842-3400

47201 (812)-376-9566

46234 (317)-299-3771

47712 (812)-426-1679

49203 (517)-787-2132

17050 (717)-791-4545

15401 (724)-437-5070

NCPDP 3990391 3991951 3992408 3992713 3993272 3996076 3996862 3999274 3671408 3671535 3671701 3674606 3674745 3675420 3675862 3678870 3679101 3680255 3680875 2317798 2321266 2329301 2330859 2332346 2336116 1504150 1507839 1508487 1509958 1512664 1530775 2388379 2388432 3991026 3991874 3992511 3997307 3998068 3998587 3998652 3666279 3667574 1822142 1825554 1830593 1835303 1835353 2375942 2376209 2376792 2380400 2380703 2381363 2384650 2385195 2386604 3681954 3686500 3686865 1804853 1812470 1818256 3607186 3977468 3979501 3982229 3983512 3986087 3986253 3988358 1833335 1833474 1833563 1834159 1502978 1504009 1506469

NPI 1922265271 1235376583 1730313131 1891889721 1790016608 1427338060 1194097287 1265879746 1336154376 1972518918 1881613875 1669414413 1831134733 1528123791 1518170323 1376868042 1033420484 1720350713 1538409545 1285769224 1912046111 1255471793 1861532319 1750365540 1881649986 1679676209 1912000613 1467555169 1104998624 1558422626 1356444871 1568099281 1699395459 1083861892 1265673586 1851523351 1043578826 1669737649 1932445558 1811234990 1992809719 1205871217 1043238512 1144324096 1841486156 1316306624 1427411313 1881977767 1407123953 1033479613 1265825574 1902284540 1134594898 1114428729 1093291387 1689232241 1447662903 1871076562 1558825281 1306878988 1225069487 1184641508 1649373366 1669555223 1013014505 1316918667 1124033014 1134159536 1992735054 1295943785 1275894123 1043555063 1013258649 1992128045 1851494348 1689777369 1407946536

PHARMACY NAME PHILADELPHIA PROF COMPOUNDING WALGREENS PENN STATE MILTON S HERSHEY MED CTR LANCASTER CANCER CENTER LTD WALGREENS 26TH AND LEHIGH PHARMACY WALMART PHARMACY PHOEBE SERVICES PHARMACY WALGREENS WALGREENS WALMART PHARMACY WALMART PHARMACY RITE AID PHARMACY WALMART PHARMACY CLEVELAND CLINIC NORTH COAST SAM'S CLUB PHARMACY ZIKS FAMILY PHARMACY HOME TOWN PHARMACY WELLNESS 1 PHARMACY THE APOTHECARY SHOP MEIJER PHARMACY MEIJER PHARMACY MEIJER PHARMACY PHARMACY CARE SNYDER'S LINCOLN PHARMACY INC CVS PHARMACY CVS PHARMACY CVS PHARMACY COLUMBUS REGIONAL HOSP PHCY HANGER DRUGS, INC. CVS PHARMACY MY PHARMACY LLC KROGER PHARMACY 751 WALMART PHARMACY MARCUS HOOK PHARMACY WALGREENS SPRINGFIELD PHARMACY SOUTHEASTERN VETERANS HOME PHC CVS PHARMACY CUSTOM CARE PHARMACY CVS PHARMACY DISCOUNT DRUG MART WALMART PHARMACY CVS PHARMACY PROFESSIONAL PHARMACY OF SOMERSET GIBSON'S PHARMACY RUWE FAMILY PHARMACY COVINGTON LTC ST JOHN PHARMACY DYNAMIC CARE PHARMACY PHARMASCRIPT OF SHELBY INC MEIJER PHARMACY CENTRAL PHARMACY EAST BLOSSOM CARE PHARMACY MEIJER PHARMACY CLIO COMMUNITY PHARMACY GUN LAKE TRIBE PHARMACY GENOA HEALTHCARE LLC EMBRACE HEALTHCARE FCHC PHARM LLC ELY DRUGS INC STULTZ PHARMACY INC WALMART PHARMACY CVS PHARMACY HARRISBURG PHARMACY CVS PHARMACY WHYSONGS PHARMACY WALGREENS CURTIS PHARMACY RITE AID PHARMACY WALGREENS WHEELERS CUSTOM COMPOUNDING INC CARLISLE DRUGS WHITESBURG MED CTR PHARMACY MT VERNON WHITE HOUSE PHCY CVS PHARMACY CVS PHARMACY WEBBS FAMILY PHARMACY

ADDRESS 23 S YORK RD FRNT 100 E LANCASTER AVE STE 12 500 UNIVERISTY DR 1858 CHARTER LN STE 202 1800 SOUTH ST 2602 W LEHIGH AVE 2200 WHEATSHEAF LN 1110 ENTERPRISE RD STE C 904 COLUMBUS AVE 20 W MARKET ST 2850 MAYSVILLE PIKE 3465 YORK COMMONS BLVD 610 S MAIN ST 3657 E MAIN ST 417 QUARRY LAKES DR 1150 GREELY CHAPEL RD 1130 W 3RD ST 3899 INDIAN RIPPLE RD STE A 2420 S.SMITHVILLE RD 737 N GRAND AVE 2191 COLUMBIA AVE W 8400 GRATIOT RD 2474 W HILL RD 4652 N M37 HWY 301 S SECOND ST 3253 FRANKLIN ST 8970 S MERIDIAN ST 8989 E US HIGHWAY 20 2400 E 17TH ST 207 SPARKS AVE STE 1 201 S TILLOTSON AVE 2200 MONROE ST STE 4A 26200 GREENFIELD RD 275 N GULPH RD 46 E 10TH ST 1375 FORTY FOOT RD 1154 BALTIMORE PIKE 1 VETERANS DR 201 S HILLS VLG 439 MARKET ST 955 N 21ST ST 1763 E MAIN ST 305 LETTON DR 3229 POPLAR LEVEL RD 342 BOGLE STREET 1206 PARIS RD 434 SCOTT ST 812 E JOLLY RD STE 208 4119 W 13 MILE RD 50505 SCHOENHERR RD STE 130 15 CABERFAE HWY # M-55 3097 N GENESEE RD 5250 AUTO CLUB DR STE 160 4075 32ND AVE 4180 W VIENNA RD STE 4 2880 MISSION DR 4966 GLENWAY AVE STE 101 3675 DOLSON CT 725 S SHOOP AVE 415 HAPPY VALLEY RD 1615 ASHLAND RD 10445 DIXIE HWY 201 S MAIN ST 2645 N 3RD ST STE 180 3201 MARKET ST 4186 CORTLAND DR 1456 BETHLEHEM PIKE 305 MAIN ST 7036 WERTZVILLE RD 1701 WILLIAM FLYNN HWY 327 ROMANY RD 126 E MAIN ST 226 MEDICAL PLAZA LANE 116 PROGRESS DR 5310 ROCKVILLE RD 1203 S MAIN ST 100 E ROCHESTER ST

CITY HATBORO WYNNEWOOD HERSHEY LANCASTER PHILADELPHIA PHILADELPHIA PHILADELPHIA EAST PETERSBURG LEBANON TROY ZANESVILLE DAYTON ADA WHITEHALL SANDUSKY LIMA DAYTON BEAVERCREEK KETTERING LANSING BATTLE CREEK SAGINAW FLINT MIDDLEVILLE LINCOLN MICHIGAN CITY INDIANAPOLIS NEW CARLISLE COLUMBUS JEFFERSONVILLE MUNCIE DEARBORN OAK PARK KING OF PRUSSIA MARCUS HOOK LANSDALE SPRINGFIELD SPRING CITY PITTSBURGH SUNBURY NEWARK KENT PARIS LOUISVILLE SOMERSET MAYFIELD COVINGTON LANSING ROYAL OAK SHELBY TWP MANISTEE FLINT DEARBORN HUDSONVILLE CLIO SHELBYVILLE CINCINNATI CARROLL WAUSEON GLASGOW GREENUP LOUISVILLE NEW CARLISLE HARRISBURG CAMP HILL NEW PARIS FLOURTOWN CLAYSVILLE MECHANICSBURG GLENSHAW LEXINGTON CARLISLE WHITESBURG MOUNT VERNON INDIANAPOLIS BLUFFTON AKRON

STATE

COUNTY

PA MONTGOMERY

PA MONTGOMERY

PA DAUPHIN

PA LANCASTER

PA PHILADELPHIA

PA PHILADELPHIA

PA PHILADELPHIA

PA LANCASTER

OH WARREN

OH MIAMI

OH MUSKINGUM

OH MONTGOMERY

OH HARDIN

OH FRANKLIN

OH ERIE

OH ALLEN

OH MONTGOMERY

OH GREENE

OH MONTGOMERY

MI INGHAM

MI CALHOUN

MI SAGINAW

MI GENESEE

MI BARRY

MI ALCONA

IN LAPORTE

IN MARION

IN LAPORTE

IN

BARTHOLOMEW

IN CLARK

IN DELAWARE

MI WAYNE

MI OAKLAND

PA MONTGOMERY

PA DELAWARE

PA MONTGOMERY

PA DELAWARE

PA CHESTER

PA ALLEGHENY

PA NORTHUMBERLAND

OH LICKING

OH PORTAGE

KY BOURBON

KY JEFFERSON

KY PULASKI

KY GRAVES

KY KENTON

MI INGHAM

MI OAKLAND

MI MACOMB

MI MANISTEE

MI GENESEE

MI WAYNE

MI OTTAWA

MI GENESEE

MI ALLEGAN

OH HAMILTON

OH FAIRFIELD

OH FULTON

KY BARREN

KY GREENUP

KY JEFFERSON

OH CLARK

PA DAUPHIN

PA CUMBERLAND

PA BEDFORD

PA MONTGOMERY

PA WASHINGTON

PA CUMBERLAND

PA ALLEGHENY

KY FAYETTE

KY NICHOLAS

KY LETCHER

KY ROCKCASTLE

IN

MARION

IN

WELLS

IN

FULTON

ZIP

PHONE

19040 (215)-672-8552

19096 (610)-658-8640

17033 (717)-531-1372

17605 (717)-291-1313

19146 (267)-273-7585

19132 (267)-687-2702

19137 (215)-613-1979

17520 (717)-925-2380

45036 (513)-934-1212

45373 (937)-339-8341

43701 (740)-452-2117

45414 (937)-454-6290

45810 (419)-634-0888

43213 (614)-239-7805

44870 (419)-609-2845

45804 (419)-221-1611

45402 (937)-225-9350

45440 (937)-320-1500

45420 (937)-256-4000

48906 (517)-482-0882

49015 (269)-966-0310

48609 (989)-781-6510

48507 (810)-766-8310

49333 (269)-795-7936

48742 (989)-736-8138

46360 (219)-872-5854

46217 (317)-882-0335

46552 (574)-654-3148

47201 (812)-376-5258

47130 (812)-283-3591

47304 (765)-287-0074

48124 (313)-406-6979

48237 (248)-721-4577

19406 (610)-768-0541

19061 (610)-485-7750

19446 (215)-362-4067

19064 (610)-544-4645

19475 (610)-948-2490

15241 (412)-595-9381

17801 (570)-495-4950

43055 (740)-366-9082

44240 (330)-678-3001

40361 (859)-987-4213

40213 (502)-634-3689

42503 (606)-679-1169

42066 (270)-247-1055

41011 (859)-431-3304

48910 (517)-394-5019

48073 (248)-850-1802

48315 (586)-803-0800

49660 (231)-887-5210

48506 (810)-744-9101

48126 (313)-436-5513

49426 (616)-229-9410

48420 (810)-547-7201

49344 (269)-397-1760

45238 (513)-337-9995

43112 (740)-653-0942

43567 (419)-335-3715

42141 (270)-651-8359

41144 (606)-473-7346

40272 (502)-935-3265

45344 (937)-845-3848

17110 (717)-232-0400

17011 (717)-303-3020

15554 (814)-839-9997

19031 (215)-836-4243

15323 (724)-663-7707

17050 (717)-697-3450

15116 (412)-492-7902

40502 (859)-554-2716

40311 (859)-289-2528

41858 (606)-633-1335

40456 (606)-256-2143

46224 (317)-241-8901

46714 (260)-824-1646

46910 (574)-893-4413

NCPDP 1508463 1524051 2387769 2387771 2388470 2389270 3990959 3992232 3686827 3687362 3687893 1836925 2350279 2350433 2350914 2351889 2356017 2357083 2358984 2360179 3662005 3662954 3667043 3667233 3668639 3669352 3669403 3669578 3961376 3964702 1800487 1809106 3609825 3979599 3982534 3985554 3986114 3987560 1833424 1833929 1502459 1514543 1524520 3925786 3982596 3983308 1503071 1503639 1503766 1505520 1515444 1525914 1528732 1529215 1529570 1530713 2387353 3988726 3991987 3992080 3992167 3993234 3993486 3994832 3999313 3999616 1568976 3670228 3670951 3671105 3672171 3672272 3672498 3672575 3673351 3673628 3675355

NPI 1659364487 1013934314 1225688229 1871131235 1205449543 1366016248 1003072323 1790911899 1750845889 1184284929 1912527979 1043733173 1689786535 1215049168 1053339481 1922110873 1326143603 1174684526 1659398873 1861459521 1710080544 1881703130 1871508895 1396780300 1154357408 1689608390 1841279676 1689608309 1275637027 1942227095 1023111762 1942371042 1467555185 1346272366 1962434985 1760451553 1639196090 1881758415 1790039956 1346680089 1912912023 1093819047 1659398956 1376642637 1932126174 1134265564 1306949086 1073616512 1144323825 1821003930 1710080411 1316958820 1902900954 1811903248 1750454278 1841217064 1295379667 1255531802 1427291178 1134353485 1952536187 1043547854 1861716078 1861795544 1306282157 1497181028 1265641195 1649292350 1689745606 1881609816 1831104751 1578580775 1194855825 1114944212 1497770119 1629090337 1760539217

PHARMACY NAME BUTT REXALL DRUG WALMART PHARMACY GUARDIAN PHARMACY OF MICHIGAN HILLSDALE FAMILY PHARMACY GENOA HEALTHCARE LLC BISHOP PHARMACY WALGREENS NORTHERN BEDFORD PHARMACY MEIJER PHARMACY GENESIS SPECIALTY PHARMACY WELLNESS 1 PHARMACY WALGREENS CVS PHARMACY CVS PHARMACY WALMART PHARMACY CVS PHARMACY LIBERTY PHARMACY WILCOX PHARMACY WALMART PHARMACY HOMETOWN PHARMACY CVS PHARMACY RITE AID PHARMACY WALGREENS DISCOUNT DRUG MART DISCOUNT DRUG MART KROGER PHARMACY SUMMAS HOME INFUSION KROGER PHARMACY CVS PHARMACY WALMART PHARMACY CVS PHARMACY EASTSIDE PHARMACY CVS PHARMACY GIANT PHARMACY GIANT PHARMACY RX BLUE STAR SOLUTIONS HOLMESBURG PHARMACY CVS PHARMACY RADCLIFF PHARMACY LLC CVS PHARMACY WALGREENS HOMETOWN PHARMACY WALMART PHARMACY RITE AID PHARMACY WALMART PHARMACY CARE OPTIONS RX LLC CVS PHARMACY CVS PHARMACY CVS PHARMACY WALGREENS CVS PHARMACY VYTO'S PHARMACY PAVILION PHARMACY WALGREENS KROGER PHARMACY WALMART PHARMACY NOVI PHARMACY LLC SAV MOR PHARMACY INC CVS PHARMACY ERICS RX SHOPPE WALGREENS SAM'S CLUB PHARMACY TRANS DRUG STORE APOTHECARE PHCY AT SHOP & SAVE BRIDESBURG PHARMACY VCARE DISCOUNT PHARMACY SUNITI MEDICAL CORPORATION CVS PHARMACY ARINGS COMPOUND CORNER INC WALGREENS GIANT EAGLE PHARMACY WALMART PHARMACY SJHC AMBULATORY PHARMACY WALMART PHARMACY KROGER PHARMACY CVS PHARMACY GIANT EAGLE PHARMACY

ADDRESS 115 E CHESTNUT ST 2363 HIGHWAY 135 NW 2930 29TH ST SE 3271 W CARLETON RD 608 WRIGHT AVE ROOM 106 2358 N CENTER RD 7628 PENN AVE 3499 BRUMBAUGH RD 1810 NAGEL RD 860 BETHESDA DR STE 1A 6681 WESTERN ROW RD 385 OLD GALLATIN RD 209 E 12 MILE RD 4101 TELEGRAPH RD 2629 N PARK DR 26026 W 12 MILE RD 4802 W VERNOR HWY 140 EAST RD 29555 PLYMOUTH RD 226 W RIVER VALLEY DR 1001 NORTON RD 332 S MAIN ST 1337 PEARL RD 240 W CENTRAL AVE 107 S CHESTNUT ST 530 E MAIN ST 2743 GILCHRIST RD STE 200 4001 HAMILTON CLEVES RD 1111 N 9TH ST 30 TRINITY POINT DR 3997 7TH STREET RD 430 E PLEASANT ST STE 2 353 E MAIN ST 859 NAZARETH PIKE 760 ROUTE 113 40 PENNWOOD PL # 200 8039 FRANKFORD AVE 305 W BALTIMORE ST 800 W LINCOLN TRAIL BLVD 102 VILLAGE LN 101 W US HIGHWAY 20 1775 E CENTER ST 1795 E STATE ROAD 163 1593 ELMIRA ST 1000 EASTON RD STE 200 940 OAK OVAL 5605 N POST RD 2650 S WALNUT ST 220 S MEMORIAL DR 505 COLLEGE AVE 366 W MAIN ST 6949 KENNEDY AVE STE C 2401 W UNIVERSITY AVE # 1635 8905 E 10TH ST 3050 MERIDIAN ST 905 S COLLEGE AVE 39575 W 10 MILE RD STE 203 2232 S 7TH ST 1200 WILMINGTON PIKE 810 WELSH RD 20260 ROUTE 19 901 AIRPORT CENTER DR 6218 WOODLAND AVE 150 WALNUT HILL RD 2608 ORTHODOX ST 108 S 5TH ST 929 RIDGE RD STE 5 100 RIVERS EDGE 6725 W CENTRAL AVE STE BB 5411 LEAVITT RD 2801 N HIGH ST 8303 W RIDGEWOOD DR 667 EASTLAND AVE SE 1221 GEORGESVILLE RD 3491 NORTH BEND RD 4211 TRUEMAN BLVD 3750 W MARKET ST

CITY CORYDON CORYDON GRAND RAPIDS HILLSDALE ALMA BURTON PITTSBURGH NEW ENTERPRISE AVON ZANESVILLE MASON SCOTTSVILLE ROYAL OAK BLOOMFIELD HILLS HOLLAND SOUTHFIELD DETROIT DIMONDALE LIVONIA NEWAYGO GALLOWAY MARION BRUNSWICK SPRINGBORO JEFFERSON JACKSON AKRON CLEVES STROUDSBURG WASHINGTON LOUISVILLE CYNTHIANA JACKSON NAZARETH SOUDERTON WARRENDALE PHILADELPHIA GREENCASTLE RADCLIFF HAZARD MICHIGAN CITY WARSAW CLINTON SAYRE WYNCOTE MECHANICSBURG INDIANAPOLIS BLOOMINGTON NEW CASTLE VINCENNES ROSSVILLE HAMMOND MUNCIE INDIANAPOLIS ANDERSON RENSSELAER NOVI PHILADELPHIA WEST CHESTER HORSHAM CRANBERRY TOWNSHIP ALLENTOWN PHILADELPHIA UNIONTOWN PHILADELPHIA READING MUNSTER MILFORD TOLEDO LORAIN COLUMBUS PARMA WARREN COLUMBUS CINCINNATI HILLIARD FAIRLAWN

STATE

COUNTY

IN

HARRISON

IN

HARRISON

MI KENT

MI HILLSDALE

MI GRATIOT

MI GENESEE

PA ALLEGHENY

PA BEDFORD

OH LORAIN

OH MUSKINGUM

OH WARREN

KY ALLEN

MI OAKLAND

MI OAKLAND

MI OTTAWA

MI OAKLAND

MI WAYNE

MI EATON

MI WAYNE

MI NEWAYGO

OH FRANKLIN

OH MARION

OH MEDINA

OH WARREN

OH ASHTABULA

OH JACKSON

OH SUMMIT

OH HAMILTON

PA MONROE

PA WASHINGTON

KY JEFFERSON

KY HARRISON

OH JACKSON

PA NORTHAMPTON

PA BUCKS

PA BUTLER

PA PHILADELPHIA

PA FRANKLIN

KY HARDIN

KY PERRY

IN LAPORTE

IN KOSCIUSKO

IN VERMILLION

PA BRADFORD

PA MONTGOMERY

PA CUMBERLAND

IN MARION

IN MONROE

IN HENRY

IN KNOX

IN

CLINTON

IN LAKE

IN

DELAWARE

IN

MARION

IN

MADISON

IN

JASPER

MI OAKLAND

PA PHILADELPHIA

PA CHESTER

PA MONTGOMERY

PA BUTLER

PA LEHIGH

PA PHILADELPHIA

PA FAYETTE

PA PHILADELPHIA

PA BERKS

IN

LAKE

OH CLERMONT

OH LUCAS

OH LORAIN

OH FRANKLIN

OH CUYAHOGA

OH TRUMBULL

OH FRANKLIN

OH HAMILTON

OH FRANKLIN

OH SUMMIT

ZIP

PHONE

47112 (812)-738-3272

47112 (812)-738-1294

49512 (616)-965-7480

49242 (517)-212-8958

48801 (989)-414-3786

48509 (810)-553-3266

15221 (412)-247-5601

16664 (814)-766-0124

44011 (440)-695-2450

43701 (740)-450-1620

45040 (513)-548-0022

42164 (270)-237-3738

48073 (248)-548-6180

48302 (248)-646-9132

49424 (616)-393-8071

48034 (248)-350-0280

48209 (313)-841-1990

48821 (517)-646-9274

48150 (734)-524-0568

49337 (231)-652-6914

43119 (614)-853-3836

43302 (740)-382-0650

44212 (330)-220-3225

45066 (937)-748-3000

44047 (440)-576-3111

45640 (740)-286-6400

44305 (330)-376-1325

45002 (513)-353-0860

18360 (570)-421-2703

15301 (724)-229-4022

40216 (502)-448-3383

41031 (859)-234-6800

45640 (740)-286-6401

18064 (610)-759-8368

18964 (215)-703-0169

15086 (412)-294-1985

19136 (215)-332-2400

17225 (717)-593-0170

40160 (270)-351-7400

41701 (606)-435-2363

46360 (219)-879-9650

46580 (574)-267-7356

47842 (765)-832-3539

18840 (570)-888-2369

19095 (215)-887-8523

17055 (717)-796-3611

46216 (317)-547-2926

47401 (812)-336-6223

47362 (765)-529-9209

47591 (812)-882-3896

46065 (765)-379-2424

46323 (219)-845-2900

47303 (765)-747-8461

46219 (317)-895-0023

46016 (765)-644-2421

47978 (219)-866-0466

48375 (248)-536-2020

19148 (215)-467-1220

19382 (610)-399-3605

19044 (215)-646-4800

16066 (724)-742-1040

18109 (610)-266-7354

19142 (215)-729-1703

15401 (724)-438-7455

19137 (215)-744-2277

19602 (610)-374-0911

46321 (219)-836-2000

45150 (513)-831-5167

43617 (419)-841-3833

44053 (440)-960-7225

43202 (614)-268-3223

44129 (440)-884-5709

44484 (330)-841-4602

43228 (614)-275-9832

45239 (513)-598-7520

43026 (614)-876-7089

44333 (330)-668-6605

NCPDP 3676939 3677424 3678539 3681219 2329399 2331027 2337524 2337928 2341256 2341523 3900568 3901483 3901748 3992131 2336469 2337536 2338083 2340228 2342727 2342943 2343692 2345432 2346434 3979018 3980439 3980643 3980908 3982750 3983182 3983637 3984247 3985605 3986633 3986796 3600574 1503336 1503855 1509009 1523706 1524001 1524138 1527463 1529126 1529708 2388002 3989463 3994337 3997927 1570971 3670329 3671814 3673058 3680851 3681194 2304068 2306137 2327838 2337738 3900950 3904150 3904580 3905873 3993563 3993690 3993878 3995644 3998537 1568748 3669807 3671307 3674579 3678933 2306795 2309830 2316897 2321088 2333487

NPI 1841457025 1831349786 1912959016 1558794602 1679685507 1407862709 1174635007 1043226343 1477662922 1275612855 1912001744 1700986155 1386743623 1326273137 1043329576 1083726913 1841309382 1528108743 1114039054 1932211877 1922169531 1548294309 1013001361 1891794665 1639102973 1417921669 1447278213 1073569570 1770598666 1184723363 1992804173 1144255357 1881755049 1902982028 1255434957 1124121801 1225131907 1548363245 1841205960 1295752590 1679646293 1932202660 1396762514 1538262050 1669012316 1972785616 1629384979 1376891408 1326647249 1891895942 1326116989 1467486183 1083955678 1619309127 1508975889 1225140148 1699884122 1396854832 1811091655 1548271117 1871691501 1457454290 1023332590 1922324920 1689993875 1578859260 1619212032 1679090195 1710069554 1225037617 1942389820 1376868463 1639234552 1922074772 1457408916 1598877425 1548235815

PHARMACY NAME SIGNATURE HEALTH INC RITE AID PHARMACY HEMATOLOGY ONCOLOGY CENTER INC. CVS PHARMACY CVS PHARMACY RITE AID PHARMACY CVS PHARMACY RITE AID PHARMACY RITE AID PHARMACY BIRCH RUN DRUGS CVS PHARMACY RITE AID PHARMACY RITE AID PHARMACY CVS PHARMACY RITE AID PHARMACY CVS PHARMACY RITE AID PHARMACY MEIJER PHARMACY CVS PHARMACY CVS PHARMACY LAKELAND MEDICAL CENTER OP PHARMACY KESSEL PHARMACY HENRY FORD MEDICAL CENTER PHARMACY FHP PHARMACY SERVICES WEIS PHARMACY WILLITS PHARMACY SERVICES INC SAM'S CLUB PHARMACY SAV-ON PHARMACY WALGREENS RITE AID PHARMACY RITE AID PHARMACY LIFESTREAM PHARMACY WALGREENS WALGREENS CVS PHARMACY CVS PHARMACY CVS PHARMACY CVS PHARMACY WALGREENS WALMART PHARMACY KROGER SAVON PHCY CVS PHARMACY WALMART PHARMACY CVS PHARMACY WARRIORS PHARMACY SAM'S CLUB PHARMACY DELUXE PHARMACY CONTRACT PHARMACY SERVICES WILLIAMS BROS RX EXPRESS CVS PHARMACY BIOSCRIP INFUSION SERVICES KROGER PHARMACY PREMIER HEALTH PHCY-UVMC TRIO PHARMACY RITE AID PHARMACY CVS PHARMACY RITE AID PHARMACY RITE AID PHARMACY CVS PHARMACY SEE-RIGHT PHARMACY, INC. CVS PHARMACY CVS PHARMACY GIANT PHARMACY TOPS PHARMACY CVS PHARMACY WALGREENS FISHTOWN PHARMACY WESTFIELD PHARMACY KAUP PHARMACY RIESBECKS PHARMACY KROGER PHARMACY DISCOUNT DRUG MART MEIJER PHARMACY BAARS PHARMACY INC HOMETOWN PHARMACY CVS PHARMACY BORGESS OUTPATIENT PHARMACY

ADDRESS 24200 CHAGRIN BLVD 3230 W ELM ST 41201 SCHADDEND RD SUITE 2 4121 MONROE ST 29500 5 MILE RD 2910 ASHMAN ST 13608 E 9 MILE RD 3669 W MAPLE RD 5018 CLIO RD 8501 MAIN ST 12 W INDEPENDENCE ST 2501 SAW MILL RUN BLVD 832 N LANSDOWNE AVE 912 AIRPORT CENTER DR 100 COVERED VLG 27700 HARPER AVE 1664 W GRAND RIVER AVE 3175 S ROCHESTER RD 13475 15 MILE RD 19900 VAN DYKE ST 1234 NAPIER AVE 7188 N SAGINAW RD 2825 LIVERNOIS RD 550 LOCUST ST 801 N LOYALSOCK AVE 21 S YORK RD 2500 PLANK ROAD CMNS 7010 GERMANTOWN AVE 112 W STEUBEN ST 100 SEVEN FIELDS BLVD 601 W PIKE ST 847 EASTON RD 840 E BALTIMORE PIKE 890 W MAIN ST 590 NILLES RD 207 S LEBANON ST 1122 S STATE ROAD 1 620 E STATE ST 770 JOLIET ST 2500 PROGRESS PKWY 218 E PETTIT AVE 1466 W OAK ST 1710 APPLE GLEN BLVD 1145 WASHINGTON AVE 5265 ANTHONY WAYNE DR 1000 FRANKLIN MILLS CIR 8749 FRANKFORD AVE 125 TITUS AVE 1998 STATE ST 430 ARLINGTON RD 3315 CENTENNIAL RD STE AA 4630 AICHOLTZ RD 3130 N COUNTY ROAD 25A 1570 CLEVELAND AVE 8701 W GRAND RIVER AVE 720 GENERAL MOTORS RD 35101 E MICHIGAN AVE 11609 S SAGINAW ST 841 E HIGH ST 2647 N 6TH ST 1849 LYCOMING CREEK RD 520 PENN AVE 173 HOLLY ROAD 712 W 38TH ST 3893 WILLIAM PENN HWY 300 N BRADFORD AVE 1802 FRANKFORD AVE 103 S UNION STREET 42 W MAIN ST 2200 JUNE PKWY 7625 SAWMILL RD 765 ALPHA DR 2770 S STATE RD 6 W MAIN ST 3270 M 65 27350 PLYMOUTH RD 1521 GULL RD

CITY BEACHWOOD LIMA ELYRIA TOLEDO LIVONIA MIDLAND WARREN BLOOMFIELD HILLS FLINT BIRCH RUN SHAMOKIN PITTSBURGH DREXEL HILL ALLENTOWN BELDING SAINT CLAIR SHORES OKEMOS ROCHESTER HILLS STERLING HEIGHTS DETROIT SAINT JOSEPH MOUNT MORRIS TROY SAINT MICHAEL MONTOURSVILLE HATBORO ALTOONA PHILADELPHIA CRAFTON SEVEN FIELDS CANONSBURG WARRINGTON KENNETT SQUARE LANSDALE FAIRFIELD LEBANON CAMBRIDGE CITY PENDLETON DYER SHELBYVILLE FORT WAYNE ZIONSVILLE FORT WAYNE EVANSVILLE DETROIT PHILADELPHIA PHILADELPHIA WARRINGTON WASHINGTON BROOKVILLE SYLVANIA CINCINNATI TROY COLUMBUS BRIGHTON MILFORD WAYNE GRAND BLANC CARLISLE HARRISBURG WILLIAMSPORT WILKINSBURG GILBERTSVILLE ERIE MONROEVILLE WEST CHESTER PHILADELPHIA WESTFIELD VERSAILLES SOUTH ZANESVILLE DUBLIN HIGHLAND HEIGHTS IONIA FREMONT HALE REDFORD KALAMAZOO

STATE

COUNTY

OH CUYAHOGA

OH ALLEN

OH LORAIN

OH LUCAS

MI WAYNE

MI MIDLAND

MI MACOMB

MI OAKLAND

MI GENESEE

MI SAGINAW

PA NORTHUMBERLAND

PA ALLEGHENY

PA DELAWARE

PA LEHIGH

MI IONIA

MI MACOMB

MI INGHAM

MI OAKLAND

MI MACOMB

MI WAYNE

MI BERRIEN

MI GENESEE

MI OAKLAND

PA CAMBRIA

PA LYCOMING

PA MONTGOMERY

PA BLAIR

PA PHILADELPHIA

PA ALLEGHENY

PA BUTLER

PA WASHINGTON

PA BUCKS

PA CHESTER

PA MONTGOMERY

OH BUTLER

IN BOONE

IN WAYNE

IN MADISON

IN LAKE

IN SHELBY

IN ALLEN

IN BOONE

IN ALLEN

IN VANDERBURGH

MI WAYNE

PA PHILADELPHIA

PA PHILADELPHIA

PA BUCKS

IN DAVIESS

OH MONTGOMERY

OH LUCAS

OH CLERMONT

OH MIAMI

OH FRANKLIN

MI LIVINGSTON

MI OAKLAND

MI WAYNE

MI GENESEE

PA CUMBERLAND

PA DAUPHIN

PA LYCOMING

PA ALLEGHENY

PA MONTGOMERY

PA ERIE

PA ALLEGHENY

PA CHESTER

PA PHILADELPHIA

IN

HAMILTON

OH DARKE

OH MUSKINGUM

OH FRANKLIN

OH CUYAHOGA

MI IONIA

MI NEWAYGO

MI IOSCO

MI WAYNE

MI KALAMAZOO

ZIP

PHONE

44122 (216)-453-2581

45805 (419)-221-3679

44035 (440)-324-0401

43606 (419)-475-4148

48154 (734)-261-1030

48640 (989)-631-0700

48089 (586)-771-9700

48301 (248)-647-4900

48504 (810)-787-2232

48415 (989)-624-9231

17872 (570)-648-6441

15234 (412)-882-0500

19026 (610)-449-7188

18109 (610)-573-5711

48809 (616)-794-2200

48081 (586)-773-0500

48864 (517)-349-4410

48307 (248)-844-5010

48312 (586)-268-2900

48234 (313)-368-3800

49085 (269)-983-8235

48458 (810)-670-2840

48083 (248)-680-6080

15951 (814)-495-7127

17754 (570)-368-5599

19040 (215)-675-7501

16601 (814)-946-9784

19119 (215)-247-4995

15205 (412)-928-0146

16046 (724)-742-0909

15317 (724)-745-5016

18976 (215)-491-0999

19348 (610)-444-2045

19446 (215)-393-1672

45014 (513)-829-8050

46052 (765)-482-3630

47327 (765)-478-3431

46064 (765)-778-4884

46311 (219)-322-5305

46176 (317)-392-4947

46806 (260)-456-4736

46077 (317)-873-6438

46804 (260)-432-9330

47714 (812)-468-8257

48202 (313)-622-3189

19154 (215)-281-1631

19136 (215)-941-7689

18976 (267)-487-8900

47501 (812)-257-8731

45309 (937)-770-1114

43560 (877)-578-2121

45244 (513)-528-8920

45373 (937)-440-4262

43211 (614)-298-8180

48116 (810)-220-5840

48381 (248)-684-1775

48184 (734)-729-7810

48439 (810)-694-4983

17013 (717)-243-1351

17110 (717)-236-9094

17701 (570)-323-1338

15221 (412)-243-6048

19525 (610)-473-3204

16508 (814)-864-0653

15146 (412)-372-4079

19380 (610)-696-0145

19125 (267)-687-7562

46074 (317)-896-9378

45380 (937)-526-3337

43701 (740)-450-7859

43016 (614)-923-2340

44143 (440)-684-1142

48846 (616)-527-5110

49412 (231)-924-2720

48739 (989)-728-9711

48239 (313)-937-2500

49048 (269)-226-8336

NCPDP 2337574 2338247 2344555 3901306 3901433 3907839 3914290 3917614 5001968 5002100 5006259 5008330 5011046 5054161 5054236 5054642 5055430 3645631 3647015 3647027 3650555 3650644 3651797 3936400 3936436 3940118 3943897 3944255 3952555 3955094 3990240 3992876 3993032 3611781 3613076 3976872 3982015 3987332 3988093 1834351 1520471 1528465 1528984 1529013 2388494 3990632 3991646 3992244 1830644 1831519 1833272 1835505 2376033 2377427 2377477 2380929 2380981 2382682 2382719 2383038 2383634 2384600 2385183 2386058 2386123 2386200 3682766 3683314 3683922 3685697 3686269 3687728 3687867 1800297 1802621 1803217 1804865

NPI 1194740464 1861408163 1194837039 1982703229 1679672919 1467452656 1467551721 1619944386 1659431898 1700874278 1184653909 1851386031 1821015967 1639196777 1154336097 1942487822 1033417530 1437183233 1538278866 1568478873 1235157074 1083717748 1629084934 1609970441 1740370865 1043310493 1124126867 1235238593 1104980952 1285738021 1659544609 1558698027 1124352760 1801966866 1356439558 1407861339 1134134026 1023199593 1538284732 1013328368 1033212758 1841393576 1750484481 1720126295 1851905707 1699939579 1245477835 1518194653 1487827259 1558593079 1134475619 1952754996 1023395993 1659615441 1427392976 1700260916 1760858500 1992257208 1457803629 1003354176 1912437351 1306340955 1912483819 1801350772 1346706405 1598220501 1215335401 1790164721 1801265889 1437675451 1568955136 1073144408 1659990620 1407861644 1861557290 1831292572 1639207996

PHARMACY NAME EHARDT'S PHARMACY RITE AID PHARMACY CVS PHARMACY RITE AID PHARMACY RITE AID PHARMACY PHILIP E PEPPER INC RITE AID PHARMACY KLINGENSMITH'S DRUG STORES HEALTH CENTER PHARMACY CARL WALKERS DRUG STORE RIVESVILLE COMMUNITY PHARMACY NEW RIVER FAMILY HLTH CTR PHCY WALMART PHARMACY WALMART PHARMACY FRUTH PHARMACY KINES FAMILY PHARMACY SHEPHERDSTOWN PHARMACY KROGER PHARMACY RITE AID PHARMACY RITE AID PHARMACY WALMART PHARMACY CVS PHARMACY RITE AID PHARMACY CVS PHARMACY RITE AID PHARMACY RITE AID PHARMACY CVS PHARMACY RITE AID PHARMACY DELCO PHARMACY CVS PHARMACY SUNRAY DRUGS BALTIMORE AVE CVS PHARMACY MAINLINE LTC PHARMACY HERBERTS PHARMACY HICKSVILLE PHCY AND HOME MEDICAL GIANT EAGLE PHARMACY WALGREENS GIANT PHARMACY SYNERGY PHARMACY SERVICES DIXIE PHARMACY CVS PHARMACY CVS PHARMACY CVS PHARMACY DEKALB PHARMACARE SKIDWAY PHARMACY PHARMSV A PATIENT ASSOCIATE PHCY WALGREENS PINT SIZE PRESCRIPTIONS KROGER PHARMACY VALUE MED PHARMACY INC CVS PHARMACY GENOA HEALTHCARE LLC RX EXPRESS PHARMACY YPSILANTI FAMILY PHARMACY GIANT PHARMACY MERCY HEALTH PHARMACY ROCKFORD MEIJER PHARMACY DISCOUNT RX-PORT HURON HAGGERTY PHARMACY KMED PHARMACY COMMERCE FAMILY PHARMACY PRESTIGE SPECIALTY PHARMACY FAST CARE PHARMACY LLC PRESTIGE SPECIALTY PHARMACY 2 HAMZAVI PHARMACY ADONAI PHARMACY GENOA HEALTHCARE LLC SEAWAY PHARMACY THOMPSON'S NEIGHBORHOOD PHARMACY WALGREENS KINGS PHARMACY MEIJER PHARMACY TUCKERS OTTAWA PHARMACY WALGREENS PRESCRIPTION SHOPPE CVS PHARMACY PARK AVENUE PHARMACY

ADDRESS 57 N HOWARD AVE 2603 JACKSON AVE 301 S COCHRAN AVE 1125 FREEPORT RD 3700 FORBES AVE 195-197 E PLUMSTEAD AVE 821 E BISHOP ST 313 FORD ST 812 GORMAN AVE 620 ELK ST 426 MAIN ST 908 SCARBRO RD 77 NORMAN MORGAN BLVD 10 WALMART DR 701 LEE ST EAST 6097 SISSONVILLE DR 7670 MARTINSBURG PIKE STE 2 8421 WINTON RD 10 W NATIONAL RD 2148 LAKE AVE 1840 E US HIGHWAY 36 7001 MIAMI AVE 1000 N WILLIAMS ST 205 S MARKET ST 1130 CUMBERLAND ST 165 BUTLER RD 630 CENTERVILLE RD 642 EASTON RD 5604 N BROAD ST 2434 CATASAUQUA RD 5006 BALTIMORE AVE 550 N PROGRESS AVE 1049 SHOEMAKER ST STE 2 270 E MAIN ST 116 EAST HIGH ST 420 E WATERFRONT DR 10000 BUSTLETON AVE 10 E RIDGE PIKE 2500 BOULEVARD OF THE GENERALS 8442 DIXIE HWY STE 100 225 12TH ST 2344 COVERT AVE 20 INDUSTRIAL PARK RD 1314 E 7TH ST STE 104 1830 GREENWOOD RD 232 W 25TH ST 508 E PLANK RD 4401 PENN AVE FLOOR 1 3105 N BEND RD 334 NORTH LAKE DRIVE 2169 MIDLAND TRL 708 MAGAZINE ST RM 101 6149 N WAYNE RD 2287 ELLSWORTH RD STE A 14040 GREENFIELD RD 6050 NORTHLAND DR NE STE 1107 4900 M 72 E 4190 24TH AVE STE 100 6200 N HAGGERTY RD STE 300 316 N DRAKE RD 2549 UNION LAKE RD 3739 15 MILE RD 1209 FORT ST 31700 VAN DYKE AVE STE B 2950 KEEWAHDIN RD 13641 E 7 MILE RD STE 2 901 WASHINGTON ST RM 135 1707 CHERRY ST 2343 CLEVELAND AVE 715 PARK AVE 7043 YANKEE RD 5350 LEAVITT RD 1831 E MAIN ST 5201 S 3RD ST 200 W GORDON ST 4305 WINSTON AVE 131 PARK AVE

CITY CROSWELL ANN ARBOR CHARLOTTE PITTSBURGH PITTSBURGH LANSDOWNE BELLEFONTE FORD CITY ELKINS GASSAWAY RIVESVILLE SCARBRO LOGAN MOUNDSVILLE CHARLESTON CHARLESTON SHEPHERDSTOWN CINCINNATI VANDALIA ASHTABULA URBANA CINCINNATI PAULDING MILLERSBURG LEBANON KITTANNING LANCASTER WARRINGTON PHILADELPHIA BETHLEHEM PHILADELPHIA HARRISBURG NANTY GLO ANDOVER HICKSVILLE HOMESTEAD PHILADELPHIA CONSHOHOCKEN NORRISTOWN LOUISVILLE TELL CITY EVANSVILLE FERDINAND AUBURN PRESCOTT ERIE ALTOONA PITTSBURGH HEBRON PRESTONSBURG SHELBYVILLE LOUISVILLE WESTLAND YPSILANTI DETROIT ROCKFORD WILLIAMSBURG FORT GRATIOT CANTON KALAMAZOO COMMERCE TOWNSHIP STERLING HEIGHTS WYANDOTTE WARREN FORT GRATIOT DETROIT PORTSMOUTH TOLEDO COLUMBUS IRONTON LIBERTY TOWNSHIP LORAIN OTTAWA LOUISVILLE CORBIN LATONIA GLASGOW

STATE

COUNTY

MI SANILAC

MI WASHTENAW

MI EATON

PA ALLEGHENY

PA ALLEGHENY

PA DELAWARE

PA CENTRE

PA ARMSTRONG

WV RANDOLPH

WV BRAXTON

WV MARION

WV FAYETTE

WV LOGAN

WV MARSHALL

WV KANAWHA

WV KANAWHA

WV JEFFERSON

OH HAMILTON

OH MONTGOMERY

OH ASHTABULA

OH CHAMPAIGN

OH HAMILTON

OH PAULDING

PA DAUPHIN

PA LEBANON

PA ARMSTRONG

PA LANCASTER

PA BUCKS

PA PHILADELPHIA

PA LEHIGH

PA PHILADELPHIA

PA DAUPHIN

PA CAMBRIA

OH ASHTABULA

OH DEFIANCE

PA ALLEGHENY

PA PHILADELPHIA

PA MONTGOMERY

PA MONTGOMERY

KY JEFFERSON

IN PERRY

IN VANDERBURGH

IN DUBOIS

IN DEKALB

MI OGEMAW

PA ERIE

PA BLAIR

PA ALLEGHENY

KY BOONE

KY FLOYD

KY SHELBY

KY JEFFERSON

MI WAYNE

MI WASHTENAW

MI WAYNE

MI KENT

MI GRAND TRAVERSE

MI ST. CLAIR

MI WAYNE

MI KALAMAZOO

MI OAKLAND

MI MACOMB

MI WAYNE

MI MACOMB

MI ST. CLAIR

MI WAYNE

OH SCIOTO

OH LUCAS

OH FRANKLIN

OH LAWRENCE

OH BUTLER

OH LORAIN

OH PUTNAM

KY JEFFERSON

KY WHITLEY

KY KENTON

KY BARREN

ZIP

PHONE

48422 (810)-679-3900

48103 (734)-663-1362

48813 (517)-543-4905

15238 (412)-782-2277

15213 (412)-681-1332

19050 (610)-626-4941

16823 (814)-355-1548

16226 (724)-763-1201

26241 (304)-636-6767

26624 (304)-364-5193

26588 (304)-278-7884

25917 (304)-469-3424

25601 (304)-752-7459

26041 (304)-843-1507

25301 (304)-720-8341

25312 (304)-984-1001

25443 (304)-876-9966

45231 (513)-728-8650

45377 (937)-898-8829

44004 (440)-993-0906

43078 (937)-653-5523

45243 (513)-561-7552

45879 (419)-399-5348

17061 (717)-692-4725

17042 (717)-273-2281

16201 (724)-543-2265

17601 (717)-898-0308

18976 (215)-343-2490

19141 (215)-927-0224

18018 (610)-868-5122

19143 (215)-748-1000

17109 (717)-657-1149

15943 (814)-736-3044

44003 (440)-293-6358

43526 (419)-542-6218

15120 (412)-462-5359

19116 (215)-698-1878

19428 (610)-825-3784

19403 (610)-539-5093

40258 (502)-812-1920

47586 (812)-547-4201

47714 (812)-479-8581

47532 (812)-367-2030

46706 (260)-925-8000

48756 (989)-296-1360

16544 (814)-452-5600

16602 (814)-944-3236

15224 (412)-692-9200

41048 (859)-962-4920

41653 (606)-886-3030

40065 (502)-633-2115

40203 (502)-694-6623

48185 (734)-525-6000

48197 (734)-434-2448

48227 (313)-272-7777

49341 (616)-685-7990

49690 (231)-534-9810

48059 (810)-216-3302

48187 (734)-667-2000

49009 (269)-888-4488

48382 (313)-587-9294

48310 (877)-742-7621

48192 (734)-876-8118

48093 (586)-800-8002

48059 (810)-689-1119

48205 (313)-372-4100

45662 (740)-370-0759

43608 (419)-214-5197

43211 (614)-388-8088

45638 (740)-532-5550

45044 (513)-804-3266

44053 (440)-538-0110

45875 (419)-523-6122

40214 (502)-361-2349

40701 (606)-528-9305

41015 (859)-491-6300

42141 (270)-651-5156

NCPDP 1806085 1808306 1813991 1815058 1525041 1525089 1525243 1525318 1528299 1529481 3988930 3990834 3991507 3995985 3996002 1525217 1527817 1529102 1529556 1529811 2386995 2388278 2388874 3988740 3989196 3990339 3990872 3991052 3992143 3993537 3995454 3996418 3997410 3997915 3998880 3999755 1567897 1570173 3669883 3672715 3672830 3674339 3676383 3677359 2303888 2328385 2328828 2329426 2330645 2332283 2334681 2341410 1528489 1530648 3989590 3989665 3990341 3992117 3992181 3994173 3995694 3996191 1567594 1568609 2360092 2361804 3656280 3656595 3656850 3659820 3661748 3662346 3662500 3665570 3666091 3668704 3669439

NPI 1316972987 1669566170 1790875581 1528073111 1134134265 1477570778 1679594998 1023181641 1770598807 1578666202 1649464181 1720234586 1194962571 1447532460 1083996409 1033136346 1841217056 1568491835 1649369299 1578636098 1811544661 1194341834 1801485305 1750373965 1164611307 1346414638 1275789133 1801045190 1063655389 1467776302 1356632913 1548537988 1205195757 1861751638 1730429721 1396173662 1558813097 1194370213 1073528006 1851337778 1932126034 1619912623 1831387646 1699923193 1073679593 1417066945 1063435634 1235248766 1225048523 1003967035 1366550725 1003925553 1679591523 1548389117 1669656864 1447434964 1700052669 1740415868 1790911600 1295049625 1083902860 1609151877 1538613146 1548770613 1568562833 1225059231 1073528907 1922106954 1861449043 1487692935 1992808729 1356444186 1336148949 1740297753 1497789101 1952386351 1548285257

PHARMACY NAME WHEELER PHARMACY CLINIC PHARMACY SAVE DISCOUNT DRUGS CITIZENS DRUG WALGREENS WALMART PHARMACY HORIZON PHARMACY OF LOWELL KROGER SAVON PHCY WALGREENS CVS PHARMACY CVS PHARMACY THOMPSON PHARMACY CVS PHARMACY KEYSTONE PHARMACY COSTCO PHARMACY WALMART PHARMACY WALMART PHARMACY OMNICARE OF INDIANAPOLIS PHARMACY 1 EXPRESS KROGER SAVON PHCY PREMIER CURE PHARMACY GREAT LAKES BAY HEALTH CENTER PHCY MILTONS PHARMACY PSH CMG ANDREWSPATEL WEST CVS PHARMACY WALGREENS CVS PHARMACY CVS PHARMACY PHARMACY OF AMERICA CVS PHARMACY CASTOR PHCY & SURGICAL SUPPLIES ALTOONA PHARMACY WEIS PHARMACY PARTNERS PHARMACY GIANT PHARMACY WHITEHALL PHARMACY WALGREENS GENOA HEALTHCARE LLC WALGREENS DIPLOMAT SPECIALTY INFUSION SAM'S CLUB PHARMACY DISCOUNT DRUG MART GIANT EAGLE PHARMACY WALGREENS CVS PHARMACY RITE AID PHARMACY RITE AID PHARMACY RITE AID PHARMACY RITE AID PHARMACY UNIV OF MI MEDICAL CENTER PHY WESTLAND MAPLE DRUGS INC RITE AID PHARMACY WALMART PHARMACY GOOD NEIGHBOR PHARMACY CVS PHARMACY WALGREENS CVS PHARMACY CVS PHARMACY PENNS VALLEY PHARMACY PACKER APOTHECARY GIANT PHARMACY VALUE SPECIALTY PHARMACY GENOA HEALTHCARE LLC SPECIAL T RX CADILLAC FAMILY PHARMACY LLC RITE AID PHARMACY FRUTH PHARMACY MEDI-RX PHARMACY INC ROSEVILLE PHARMACY INC HEARTLAND HEALTHCARE SERVICES CVS PHARMACY CVS PHARMACY FINNEYS INSTITUTIONAL WALGREENS KROGER PHARMACY TOLEDO LUCAS COUNTY HLTH DEPT PHCY KROGER PHARMACY

ADDRESS 336 ROMANY RD 141 HOSPITAL DR 716 MADISON AVE 13380 PHELPS 632 RD 9030 US HIGHWAY 24 W 1618 W MCCLAIN AVE 2080 E COMMERCIAL AVE 906 S MERRIFIELD AVE 2015 COVERT AVE 115 STATE ROAD 930 E 2801 EGYPT RD 510 BLAIR ST 180 EAGLEVIEW BLVD 830 5TH AVE STE 101 100 VETERANS WAY 100 SYCAMORE ESTATES DR 2400 MORTHLAND DR 8351 ROCKVILLE RD 730 W 2ND ST 5350 E THOMPSON RD 26611 W 7 MILE RD STE A 690 SOUTH TRUMBULL 248 MAIN ST 3912 TRINDLE RD 560 OLD YORK RD 2055 OLD WASHINGTON PIKE 8565 ALLENTOWN PIKE 3925 WALNUT ST 1500 E ERIE AVE 6701 RIDGE AVE 6449 CASTOR AVE 620 HOWARD AVE BLDG G STE 403 200 W RIDGE PIKE 3036 EMRICK BLVD 116 W TOWNSHIP LINE RD STE 100 4117 MAIN ST 1400 N RITTER AVE STE 140 3229 BROADWAY STE 107 7900 E BROAD ST 7167 E KEMPER RD 3750 W MARKET ST UNIT J 6172 TYLERSVILLE RD 34310 AURORA RD 2269 N FAIRFIELD RD 33877 WOODWARD AVE 13500 19 MILE RD 50290 GRATIOT AVE 107 KERCHEVAL AVE 640 N MILFORD RD 1500 E MEDICAL CENTER DR # 130 1949 N WAYNE RD 1026 N MAIN ST 730 US HIGHWAY 66 E 1030 E MAIN ST 5703 STEUBENVILLE PIKE 3727 PEACH ST 1201 N 5TH ST 100 UPLAND SQ DR 4576 PENNS VALLEY RD 1532 PACKER AVE 2550 GRANT AVE 1333 PLANK RD STE 200 1930 DOWLING ST STE P 702 BUFFALOVILLE RD 108 N MITCHELL ST 46977 ROMEO PLANK RD 1401 WASHINGTON BLVD 6401 OLDE STONE XING 157 S MAIN ST 4755 SOUTH AVE 5445 N HIGH ST 1400 PARSONS AVE 5930 MAYFAIR RD 2135 WARRENSVILLE CENTER RD 965 N BECHTLE AVE 635 N ERIE ST 801 N HOUK RD

CITY LEXINGTON SALEM COVINGTON PHELPS FORT WAYNE SCOTTSBURG LOWELL MISHAWAKA EVANSVILLE NEW HAVEN AUDUBON HOLLIDAYSBURG EXTON CHAMBERSBURG WARMINSTER AURORA VALPARAISO INDIANAPOLIS BLOOMINGTON INDIANAPOLIS REDFORD BAY CITY BELLEVILLE CAMP HILL NEW CUMBERLAND CARNEGIE BLANDON PHILADELPHIA PHILADELPHIA PHILADELPHIA PHILADELPHIA ALTOONA CONSHOHOCKEN BETHLEHEM HAVERTOWN WHITEHALL INDIANAPOLIS GARY BLACKLICK CINCINNATI FAIRLAWN MASON SOLON BEAVERCREEK BIRMINGHAM STERLING HEIGHTS CHESTERFIELD GROSSE POINTE FARMS MILFORD ANN ARBOR WESTLAND ROYAL OAK TELL CITY GAS CITY MCKEES ROCKS ERIE PERKASIE POTTSTOWN SPRING MILLS PHILADELPHIA PHILADELPHIA DUNCANSVILLE KENDALLVILLE DALE CADILLAC MACOMB BELPRE YOUNGSTOWN ROSEVILLE TOLEDO COLUMBUS COLUMBUS NORTH CANTON SOUTH EUCLID SPRINGFIELD TOLEDO DELAWARE

STATE

COUNTY

KY FAYETTE

KY LIVINGSTON

KY KENTON

KY PIKE

IN

ALLEN

IN

SCOTT

IN

LAKE

IN

ST. JOSEPH

IN

VANDERBURGH

IN

ALLEN

PA MONTGOMERY

PA BLAIR

PA CHESTER

PA FRANKLIN

PA BUCKS

IN

DEARBORN

IN

PORTER

IN

MARION

IN

MONROE

IN

MARION

MI WAYNE

MI BAY

MI WAYNE

PA CUMBERLAND

PA YORK

PA ALLEGHENY

PA BERKS

PA PHILADELPHIA

PA PHILADELPHIA

PA PHILADELPHIA

PA PHILADELPHIA

PA BLAIR

PA MONTGOMERY

PA NORTHAMPTON

PA DELAWARE

PA LEHIGH

IN MARION

IN LAKE

OH FRANKLIN

OH HAMILTON

OH SUMMIT

OH WARREN

OH CUYAHOGA

OH GREENE

MI OAKLAND

MI MACOMB

MI MACOMB

MI WAYNE

MI OAKLAND

MI WASHTENAW

MI WAYNE

MI OAKLAND

IN

PERRY

IN

GRANT

PA ALLEGHENY

PA ERIE

PA BUCKS

PA MONTGOMERY

PA CENTRE

PA PHILADELPHIA

PA PHILADELPHIA

PA BLAIR

IN

NOBLE

IN

SPENCER

MI WEXFORD

MI MACOMB

OH WASHINGTON

OH MAHONING

OH MUSKINGUM

OH LUCAS

OH FRANKLIN

OH FRANKLIN

OH SUMMIT

OH CUYAHOGA

OH CLARK

OH LUCAS

OH DELAWARE

ZIP

PHONE

40502 (859)-266-1131

42078 (270)-988-3230

41011 (859)-431-2857

41553 (606)-456-3446

46804 (260)-432-7413

47170 (812)-752-5589

46356 (219)-696-0212

46544 (574)-256-7522

47714 (812)-479-7155

46774 (260)-493-1514

19407 (610)-666-0512

16648 (814)-693-0270

19341 (484)-713-0151

17201 (717)-709-7977

18974 (215)-347-1951

47001 (812)-926-3034

46383 (219)-465-1717

46234 (317)-273-1552

47403 (812)-331-7979

46237 (317)-781-3566

48240 (313)-543-3435

48708 (989)-922-5710

48111 (734)-391-0190

17011 (717)-761-8740

17070 (717)-932-0226

15106 (412)-429-3601

19510 (610)-916-2499

19104 (215)-222-0829

19124 (215)-289-9500

19128 (215)-483-4179

19149 (267)-233-1758

16601 (814)-283-0602

19428 (610)-276-1010

18020 (610)-997-8460

19083 (610)-449-1414

18052 (610)-440-6337

46219 (317)-352-2365

46409 (219)-881-8796

43004 (614)-367-7923

45249 (513)-792-7080

44333 (330)-668-1176

45040 (513)-754-1361

44139 (440)-519-1028

45431 (937)-320-9112

48009 (248)-644-3214

48313 (586)-323-0286

48051 (586)-949-6110

48236 (313)-886-5655

48381 (248)-676-2916

48109 (734)-936-8260

48185 (734)-729-2200

48067 (248)-546-4620

47586 (812)-547-9950

46933 (765)-674-6976

15136 (412)-788-4676

16508 (814)-864-0292

18944 (215)-257-2680

19464 (484)-654-3581

16827 (814)-422-8911

19145 (267)-909-9814

19114 (215)-464-8140

16635 (855)-265-8008

46755 (260)-582-2151

47523 (812)-937-3648

49601 (231)-775-8200

48044 (586)-286-4285

45714 (740)-423-9561

44514 (330)-757-8555

43777 (740)-697-0348

43615 (419)-535-8435

43214 (614)-844-3699

43206 (614)-449-9399

44720 (800)-274-0176

44121 (216)-932-0937

45504 (937)-323-0282

43604 (419)-213-4026

43015 (740)-362-8426

NCPDP 3688326 3688718 3688895 1805920 1810262 1812266 1814119 1814171 1816581 3604445 3611298 3977608 3979183 3981619 3984968 3985112 3986479 1503223 1507601 1520015 1528302 2387733 1818371 1819020 3604825 3608568 3610993 3611678 3977153 3980162 3982281 3984300 3986176 1503843 1519137 2380892 2381414 2382048 2382896 2383507 2385878 3681841 3683376 3687158 3687247 1837559 1837597 1838070 2348983 2350522 2352069 2354809 2356120 2356928 2361905 3662411 3665114 3665227 3667435 3667675 3669198 3688681 1812189 1812761 1814664 1818232 3978535 3979967 3984449 3988459 2347018 3900556 3900998 3916422 3923528 3924380 3925774

NPI 1417567892 1629661699 1770164592 1366473621 1942246970 1275548802 1821191560 1104824424 1649382599 1649373358 1932232295 1316041197 1134149644 1780883181 1285774646 1053339853 1528079191 1437252061 1831292531 1770656399 1689689713 1184264889 1851306096 1922101674 1285737999 1629094859 1790874428 1033130166 1801828827 1720011067 1588716500 1063439214 1366552861 1316040090 1487757191 1841674868 1346629615 1801243050 1013453950 1124548292 1104397843 1073932588 1912385774 1225680457 1710530886 1275058513 1962906693 1629537212 1770593410 1033221981 1104935667 1619089562 1457378663 1750397055 1558388777 1366591943 1144324815 1851325559 1750392312 1568479574 1760471577 1578156543 1497760631 1629117403 1851325666 1568496388 1144275769 1285696120 1104923606 1437368651 1679585376 1003910837 1457455297 1295810711 1265438618 1770645822 1568461366

PHARMACY NAME MULLANEYS PHARMACY MEIJER PHARMACY METROHEALTH BEACHWOOD PHARMACY HUBBARD AND CURRY PHARMACY MUD CREEK CLINIC PHARMACY TOMS FAMILY PHARMACY CVS PHARMACY COLUMBIA PHARMACY THE PRESCRIPTION PAD CVS PHARMACY HOCKS VANDALIA PHARMACY CVS PHARMACY WALGREENS ONCOLOGY PHARMACY NORTH PHILLY PHARMACY WALMART PHARMACY GERRITYS PHARMACY HANOVER CVS PHARMACY CVS PHARMACY KROGER PHARMACY WALGREENS HOMETOWN PHARMACY ANN ARBOR WALGREENS CVS PHARMACY CVS PHARMACY RYAN PHARMACY RITE AID PHARMACY RINGS PHARMACY INC MARTINS PHARMACY WEIS PHARMACY BELLS PHARMACY WALMART PHARMACY GIANT EAGLE PHARMACY CVS PHARMACY CVS PHARMACY NCA PHARMACY JOHNS LTC PHARMACY TAYLOR CITY PHARMACY ABE'S PHARMACY STRAITS AREA PHARMACY HEALTHCENTER PHARMACY SIGNATURE HEALTH PHARMACY ARENA DISTRICT PHARMACY GENOA HEALTHCARE LLC FIVE RIVERS HEALTH CENTERS PHCY CYNTHIANA HOMETOWN PHARMACY APPALACHIAN DRUG HOMETOWN PHARMACY RITE AID PHARMACY CVS PHARMACY RITE AID PHARMACY CVS PHARMACY WALMART PHARMACY RITE AID PHARMACY WALMART PHARMACY MEIJER PHARMACY CVS PHARMACY KROGER PHARMACY CHOICE PHARMACY WALGREENS KRATZERS PHARMACY PARAGON RX WALGREENS SMITHLAND DRUGS KROGER PHARMACY KROGER PHARMACY KING OF PRUSSIA PHARMACY WEGMANS PHARMACY CVS PHARMACY FIGLIOMENI PHARMACY CARE RITE AID PHARMACY CVS PHARMACY CVS PHARMACY CONYNGHAM PHARMACY PHILS PHARMACY UPMC MERCY HEALTH CENTER PHCY BERTS PHARMACY INC

ADDRESS 6096 MONTGOMERY ROAD 1400 BOARDMAN CANFIELD RD. 3609 PARK DRIVE EAST 1ST FLOOR 2387 PROF HEIGHTS DR STE 160 7629 KY ROUTE 979 815 COUNTRY CLUB LN 2222 BARDSTOWN RD 803 BURKESVILLE ST 465 KEENE CENTRE DR 605 COLUMBUS AVE 535 S DIXIE DR 518 PORT ROYAL AVE 51 BALTIMORE PIKE 1020 FRANKLIN ST 118 DIAMOND ST 3461 HORIZON BLVD 2280 SANS SOUCI PKWY 6290 N COLLEGE AVE # 92 101 W US HIGHWAY 6 120 S MEMORIAL DR 4701 N 1ST AVE 2355 E STADIUM BLVD 3600 FERN VALLEY RD 3097 OLD TODDS RD 11706 CLIFTON BLVD 3340 DORR ST 2704 BELMONT AVE 221 W MAIN ST 200 E CHESTNUT AVE 1195 LOWTHER RD 8508 BUSTLETON AVE 1450 MORRELL AVE 300 TRI COUNTY LN 1700 N WALNUT ST 263 W MORGAN ST 7362 HIGHLAND RD 48887 HAYES RD STE B 23268 ECORSE RD 13760 E 12 MILE RD 1140 N. STATE ST. STE. 1500 21600 HARPER AVE STE 300 4726 MAIN AVE 262 NEIL AVE STE 130 2233 ROCKY LN RM 27 2261 PHILADELPHIA DR 1134 US HWY 27 S 9613 MILLARD HIGHWAY 190 VERSAILLES RD 1151 W RANDALL ST 31240 HARPER AVE 25100 HARPER AVE 25700 W 7 MILE RD 601 N LINCOLN RD 2701 S CEDAR ST 10562 BELLEVILLE RD 3911 W SR 22 3 1410 S CLEVELAND MASSILLON RD 3636 SPRINGDALE RD 4014 VENTURE CT 6101 ANDREWS RD 179 W LOCUST ST 34099 MELINZ PARKWAY UNIT H 7338 DIXIE HWY 203 E ADAIR ST 890 RICHMOND PLZ 844 S COLLEGE ST 23 W INDUSTRIAL BLVD 345 COLONNADE BLVD 1321 ALLEGHENY ST 19 DUNDAFF ST 2ND FL 2910 PINE GROVE AVE 401 DUKE ST 351 S MAIN ST 303 MAIN STREET 426 BROADWAY STE 1 1515 LOCUST ST 144 DESMOND ST

CITY CINCINNATI BOARDMAN CLEVELAND LEXINGTON GRETHEL HOPKINSVILLE LOUISVILLE COLUMBIA NICHOLASVILLE LEBANON VANDALIA PHILADELPHIA GLEN MILLS JOHNSTOWN PHILADELPHIA FEASTERVILLE TREVOSE HANOVER TOWNSHIP INDIANAPOLIS LIGONIER NEW CASTLE EVANSVILLE ANN ARBOR LOUISVILLE LEXINGTON LAKEWOOD TOLEDO YOUNGSTOWN MONTPELIER ALTOONA CAMP HILL PHILADELPHIA CONNELLSVILLE BELLE VERNON HARTFORD CITY KNIGHTSTOWN WATERFORD SHELBY TOWNSHIP TAYLOR WARREN SAINT IGNACE SAINT CLAIR SHORES ASHTABULA COLUMBUS ASHLAND DAYTON CYNTHIANA PIKEVILLE FRANKFORT COOPERSVILLE SAINT CLAIR SHORES SAINT CLAIR SHORES REDFORD ESCANABA LANSING BELLEVILLE LOVELAND COPLEY CINCINNATI COLUMBUS MENTOR ON THE LAKE WILMINGTON EASTLAKE LOUISVILLE SMITHLAND RICHMOND HARRODSBURG PAOLI STATE COLLEGE JERSEY SHORE CARBONDALE PORT HURON NORTHUMBERLAND WILKES BARRE CONYNGHAM PITCAIRN PITTSBURGH SAYRE

STATE

COUNTY

OH HAMILTON

OH MAHONING

OH CUYAHOGA

KY FAYETTE

KY FLOYD

KY CHRISTIAN

KY JEFFERSON

KY ADAIR

KY JESSAMINE

OH WARREN

OH MONTGOMERY

PA PHILADELPHIA

PA DELAWARE

PA CAMBRIA

PA PHILADELPHIA

PA BUCKS

PA LUZERNE

IN

MARION

IN

NOBLE

IN

HENRY

IN

VANDERBURGH

MI WASHTENAW

KY JEFFERSON

KY FAYETTE

OH CUYAHOGA

OH LUCAS

OH MAHONING

OH WILLIAMS

PA BLAIR

PA CUMBERLAND

PA PHILADELPHIA

PA FAYETTE

PA WESTMORELAND

IN BLACKFORD

IN HENRY

MI OAKLAND

MI MACOMB

MI WAYNE

MI MACOMB

MI MACKINAC

MI MACOMB

OH ASHTABULA

OH FRANKLIN

OH ASHLAND

OH MONTGOMERY

KY HARRISON

KY PIKE

KY FRANKLIN

MI OTTAWA

MI MACOMB

MI MACOMB

MI WAYNE

MI DELTA

MI INGHAM

MI WAYNE

OH WARREN

OH SUMMIT

OH HAMILTON

OH FRANKLIN

OH LAKE

OH CLINTON

OH LAKE

KY JEFFERSON

KY LIVINGSTON

KY MADISON

KY MERCER

PA CHESTER

PA CENTRE

PA LYCOMING

PA LACKAWANNA

MI ST. CLAIR

PA NORTHUMBERLAND

PA LUZERNE

PA LUZERNE

PA ALLEGHENY

PA ALLEGHENY

PA BRADFORD

ZIP

PHONE

45213 (513)-587-6202

44512 (234)-287-3010

44122 (216)-957-6337

40503 (859)-278-8408

41631 (606)-587-2232

42240 (270)-885-1524

40205 (502)-459-6563

42728 (270)-384-2118

40356 (859)-887-2841

45036 (513)-932-7040

45377 (937)-898-5803

19128 (215)-483-6680

19342 (610)-358-9725

15905 (814)-534-3720

19122 (215)-763-7080

19053 (215)-942-7483

18706 (570)-812-0016

46220 (317)-251-4145

46767 (260)-894-4700

47362 (765)-529-7330

47710 (812)-464-3656

48104 (734)-747-8080

40219 (502)-964-7114

40509 (859)-266-3202

44107 (216)-228-9296

43607 (419)-531-2836

44505 (330)-759-2062

43543 (419)-485-5115

16601 (814)-940-2554

17011 (717)-737-9230

19152 (215)-745-5700

15425 (724)-626-4482

15012 (724)-929-3789

47348 (765)-348-4134

46148 (765)-345-7163

48327 (248)-461-6509

48315 (586)-461-2900

48180 (313)-395-2120

48088 (586)-362-8404

49781 (906)-643-7298

48080 (586)-421-4003

44004 (440)-261-9200

43215 (614)-569-4479

44805 (567)-203-5473

45406 (937)-802-9381

41031 (859)-234-5600

41501 (606)-754-5186

40601 (502)-699-2690

49404 (616)-837-6219

48082 (586)-415-8002

48081 (586)-445-8181

48240 (313)-592-1202

49829 (906)-786-1232

48910 (517)-272-9190

48111 (734)-697-4784

45140 (513)-583-2110

44321 (330)-666-4101

45251 (513)-741-9240

43228 (614)-297-8244

44060 (440)-209-8391

45177 (937)-382-0081

44095 (216)-536-3923

40258 (502)-937-3747

42081 (270)-928-2161

40475 (859)-624-1093

40330 (859)-734-0081

19301 (610)-578-0411

16803 (814)-278-9045

17740 (570)-398-9861

18407 (570)-282-1080

48060 (810)-987-3663

17857 (570)-473-3221

18701 (570)-825-3215

18219 (570)-788-1344

15140 (412)-372-2480

15219 (412)-232-7672

18840 (570)-888-2394

NCPDP 5006968 3993842 3994248 3994818 3995923 3998830 1567392 1569928 1570185 3670901 3671799 3672246 3673402 3674834 3675406 3676016 3677830 3680368 2300375 2310009 2311885 2317419 2336899 2339097 2340658 2340696 2342638 2347765 3901546 3901825 3919086 3930167 3931462 3935066 5007299 5011705 5012125 5055000 3646001 3648043 3648485 3988752 3989095 3990214 3991064 3995846 3997256 3998373 3999919 1570717 1570832 3988524 1500481 1503300 1503906 1509821 1515646 1524203 1525091 1525154 1525255 1527209 2387579 2388571 3989831 3992092 3995264 3996090 3997511 1569699 3669679 3669845 3672664 3673274 3673325 3673616 3673781

NPI 1083784979 1831418441 1083933469 1750683504 1558641373 1407196926 1821460767 1477648566 1952951162 1679507396 1932126133 1255346201 1306864053 1831272871 1285731190 1356548408 1104062181 1780943209 1639184740 1821106287 1548275977 1497704456 1699885582 1588641682 1043322985 1447352729 1366548554 1861426793 1841399185 1467551705 1417042839 1053344101 1104916212 1033321609 1043244825 1083780191 1073737003 1003057811 1073528980 1437268778 1033228374 1386843712 1578759726 1205009941 1528217577 1659650018 1285992149 1023361631 1649601998 1447878426 1184250623 1710198650 1720098122 1588767073 1306949847 1326125600 1124121561 1952335762 1336167758 1386661684 1578558979 1396762506 1154969517 1225645781 1447437934 1336374362 1083903132 1811271141 1295994341 1710444740 1730101445 1306870027 1962419986 1770500878 1245331701 1710922737 1447272158

PHARMACY NAME NEW CUMBERLAND RX CENTER CVS PHARMACY WEATHERLY AREA COMMUNITY PHCY ST. CLARE PHARMACY MERCER PHARMACY NICKMAN'S DRUG COSTCO PHARMACY UROLOGIC SP OF NW INDIANA WILLOWBROOK PHARMACY KROGER PHARMACY WALMART PHARMACY WALGREENS WALMART PHARMACY DISCOUNT DRUG MART PHARMACY OVER THE RHINE WALGREENS QUALITY CMPNDNG & SPECIALTY RX GENOA HEALTHCARE LLC WALGREENS BENSON SAV-MOR PHARMACY RIVER PHARMACY THE CORNER DRUG STORE RITE AID PHARMACY MERCY HEALTH PHARMACY WEGE CTR CVS PHARMACY CVS PHARMACY CHECKER SPECIALTY PHARMACY ASHTON DRUGS RITE AID PHARMACY RITE AID PHARMACY REDNER'S PHARMACY NICKMANS DRUG RITE AID PHARMACY TORRANCE STATE HOSPITAL PHCY KROGER PHARMACY REEDS PHARMACY PROCARE PHARMACY, INC WALGREENS GIANT EAGLE PHARMACY RITE AID PHARMACY RITE AID PHARMACY HARROLDS PHCY INFUSION SVCS CVS PHARMACY RITE AID PHARMACY CVS PHARMACY ALBERT'S PHARMACY, INC. CVS PHARMACY MINERSVILLE PHARMACY BOOTHWYN APOTHECARY JANUS RX FRANCISCAN OUTPATIENT PHARMACY CROW WALGREENS RUSHVILLE PHARMACY CVS PHARMACY CVS PHARMACY FAMILY DRUG CVS PHARMACY KROGER PHARMACY WALMART PHARMACY WALMART PHARMACY PILL BOX PHARMACY INC WALMART PHARMACY PHARMACARE DRUGS GOOD CHOICE PHARMACY LANGHORNE PHARMACY CVS PHARMACY CVS PHARMACY QRX PHARMACY COMMUNITY HEALTH AND DENTAL CARE IN HIGHCARE PHARMACY CVS PHARMACY KROGER PHARMACY WALGREENS WALMART PHARMACY CVS PHARMACY DISCOUNT DRUG MART CVS PHARMACY

ADDRESS 107 LINCOLN ST 455 CARNEGIE BLVD 114 CARBON ST 1203 LANGHORNE NEWTOWN RD 737 GREENVILLE RD 1878 MCCLELLANDTOWN ROAD 4628 E COUNTY LINE RD 400 W 84TH DR 720 ADAMS ST STE 100 600 E MAIN ST 35901 CHESTER RD 15031 SR 224 E 1241 E COLUMBUS ST 7617 DAYTON SPRINGFIELD RD 5 E LIBERTY ST STE 1 2864 MCCARTNEY RD 7160 WARREN SHARON RD 799 S MAIN ST 797 CAPITAL AVE NE 961 SPRING ST 124 AMES ST 128 W GENESEE ST 1089 N WISNER ST 300 LAFAYETTE AVE SE 26081 HOOVER RD 18585 E WARREN AVE 36917 SCHOOLCRAFT RD 20500 GREENFIELD RD 314 E PITTSBURGH ST 510 WESTERLY PKWY 5471 POTTSVILLE PIKE 3 NICKMAN PLZ 1184 TEXAS PALMYRA HWY RENNER BUILDING RT 217 5450 BIG TYLER RD 71 COWARDLY LION DR STE A 720 PIKE ST 111 4TH AVE 4700 BELMONT AVE 4914 YOUNGSTOWN POLAND RD 227 MARKET AVE N 250 OLD RIVER RD STE B 1181 FREEDOM RD 3145 MAIN ST 1206 N GRAVEL PIKE 201 S MAIN ST STE 2 723 LOMBARD RD 106 SUNBURY ST 2341 CHICHESTER AVE 4733 S 7TH STREET 1201 S MAIN ST 234 S MAIN ST 302 N MAIN ST 5502 W 38TH ST 717 N 3RD ST 810 W COMMERCE ST 415 E MCGALLIARD RD 305 E LEWIS AND CLARK PKWY 790 GREENSBURG CMNS SC 2410 N STATE HIGHWAY 3 2306 DUBOIS DR 5311 COLDWATER RD 3439 E GRAND RIVER AVE 6750 E TEN MILE RD 172 N PINE ST 3835 DRYLAND WAY 4950 FREEMANSBURG AVE 7063 CASTOR AVE 351 W SCHUYKILL RD STE G-15A 9030 CLINE AVE STE B 2205 WALKER LAKE RD 3520 W SIEBENTHALER AVE 1140 N LIMESTONE ST 7725 HOKE RD 6300 SCIOTO DARBY RD 2290 STRINGTOWN RD 24646 BROOKPARK RD

CITY NEW CUMBERLAND MALVERN WEATHERLY LANGHORNE MERCER MASONTOWN INDIANAPOLIS MERRILLVILLE CARMEL HEBRON AVON FINDLAY KENTON FAIRBORN CINCINNATI YOUNGSTOWN BROOKFIELD LIMA BATTLE CREEK MUSKEGON ELK RAPIDS IRON RIVER JACKSON GRAND RAPIDS WARREN DETROIT LIVONIA DETROIT GREENSBURG STATE COLLEGE LEESPORT LEMONT FURNACE HONESDALE TORRANCE CROSS LANES HEDGESVILLE SHINNSTON HUNTINGTON YOUNGSTOWN YOUNGSTOWN CANTON WILKES BARRE CRANBERRY TOWNSHIP MORGANTOWN ZIEGLERSVILLE PITTSTON RED LION MINERSVILLE BOOTHWYN TERRE HAUTE CROWN POINT ZELIENOPLE RUSHVILLE INDIANAPOLIS LOGANSPORT BROWNSTOWN MUNCIE CLARKSVILLE GREENSBURG NORTH VERNON WARSAW FORT WAYNE HOWELL CENTER LINE LANGHORNE EASTON EASTON PHILADELPHIA POTTSTOWN HIGHLAND MANSFIELD DAYTON SPRINGFIELD CLAYTON HILLIARD GROVE CITY NORTH OLMSTED

STATE

COUNTY

WV HANCOCK

PA CHESTER

PA CARBON

PA BUCKS

PA MERCER

PA FAYETTE

IN

MARION

IN

LAKE

IN

HAMILTON

OH LICKING

OH LORAIN

OH HANCOCK

OH HARDIN

OH CLARK

OH HAMILTON

OH MAHONING

OH TRUMBULL

OH ALLEN

MI CALHOUN

MI MUSKEGON

MI ANTRIM

MI IRON

MI JACKSON

MI KENT

MI MACOMB

MI WAYNE

MI WAYNE

MI WAYNE

PA WESTMORELAND

PA CENTRE

PA BERKS

PA FAYETTE

PA WAYNE

PA WESTMORELAND

WV KANAWHA

WV BERKELEY

WV HARRISON

WV CABELL

OH TRUMBULL

OH MAHONING

OH STARK

PA LUZERNE

PA BUTLER

PA BERKS

PA MONTGOMERY

PA LUZERNE

PA YORK

PA SCHUYLKILL

PA DELAWARE

IN VIGO

IN LAKE

PA BUTLER

IN

RUSH

IN

MARION

IN

CASS

IN

JACKSON

IN

DELAWARE

IN

CLARK

IN

DECATUR

IN

JENNINGS

IN

KOSCIUSKO

IN

ALLEN

MI LIVINGSTON

MI MACOMB

PA BUCKS

PA NORTHAMPTON

PA NORTHAMPTON

PA PHILADELPHIA

PA CHESTER

IN

LAKE

OH RICHLAND

OH MONTGOMERY

OH CLARK

OH MONTGOMERY

OH FRANKLIN

OH FRANKLIN

OH CUYAHOGA

ZIP

PHONE

26047 (304)-564-3272

19355 (484)-913-3751

18255 (570)-427-4887

19047 (215)-710-7427

16137 (724)-662-1414

15461 (724)-952-1040

46237 (317)-360-7086

46410 (219)-769-8641

46032 (463)-333-7100

43025 (740)-928-2152

44011 (440)-937-4760

45840 (419)-420-0084

43326 (419)-675-1289

45324 (937)-863-0045

45202 (513)-579-0900

44505 (330)-743-1614

44403 (330)-505-1064

45804 (419)-371-2081

49017 (269)-965-3313

49442 (231)-722-2861

49629 (231)-264-8165

49935 (906)-265-2312

49202 (517)-782-0574

49503 (616)-685-6105

48089 (586)-754-7080

48236 (313)-884-4184

48150 (734)-462-1186

48235 (313)-340-1900

15601 (724)-834-0960

16801 (814)-238-1862

19533 (610)-926-3129

15456 (724)-437-1179

18431 (570)-253-0762

15779 (724)-459-4522

25313 (304)-776-5178

25427 (304)-754-5800

26431 (304)-592-2680

25701 (304)-523-3502

44505 (330)-759-9348

44514 (330)-755-2421

44702 (330)-452-7762

18702 (570)-208-1522

16066 (724)-742-1888

19543 (610)-286-0920

19492 (610)-287-1032

18640 (570)-299-5150

17356 (717)-244-4501

17954 (570)-399-5488

19061 (610)-485-1130

47802 (812)-917-0000

46307 (219)-681-6814

16063 (724)-452-7360

46173 (765)-932-3328

46254 (317)-293-7266

46947 (574)-722-2289

47220 (812)-358-4502

47303 (765)-288-7336

47129 (812)-948-8065

47240 (812)-663-3338

47265 (812)-346-6323

46580 (574)-267-4900

46825 (260)-484-4528

48843 (517)-518-8940

48015 (586)-393-5219

19047 (215)-752-1100

18045 (610)-250-5281

18045 (610)-694-8871

19149 (215)-725-3784

19465 (610)-326-9460

46322 (219)-513-9513

44903 (419)-747-1450

45406 (937)-567-9587

45503 (937)-325-7608

45315 (937)-836-9413

43026 (614)-529-2604

43123 (614)-539-4880

44070 (440)-414-0010

NCPDP 3674163 3674860 3676270 3676636 3678224 3678630 3679149 3679757 3680421 3680445 3680697 2302418 1814133 3604863 3605865 3606540 3609938 3613090 3976973 3980338 3982003 3983168 3983269 3984172 3985225 3988245 1833614 1503920 1508742 1517979 1518262 1524924 1837698 1838119 2349935 2351598 2352134 2353213 2353821 2356093 2356788 2357095 2357362 2361208 2361400 2361563 3656824 3658208 3661178 3663716 3664376 3664580 3664720 3665025 3665657 3668297 3669338 3688605 1802900 1804930 1503968 1506685 1506813 1519480 1525495 1529087 1529722 2387214 2388420 2388482 3991949 3686346 3688340 1837991 1839096 2351562 2352564

NPI 1881609840 1679584197 1801080841 1700063674 1578792974 1598094567 1376856062 1902844947 1508126707 1215214887 1013260785 1073652277 1063580066 1902909617 1629138979 1750396685 1285737908 1992734735 1366474389 1689691826 1225043110 1699700757 1457455248 1770598609 1902842891 1588877831 1497097745 1861595548 1720181423 1750373064 1588767297 1225043359 1184114613 1174083406 1942365739 1386753507 1922117480 1558470013 1578672044 1508876053 1932236221 1487711792 1003807413 1053475533 1467486217 1184723488 1194742387 1215086632 1316000920 1194747907 1770598799 1356363469 1992727705 1699879361 1871508788 1871601245 1255346284 1104412287 1912910027 1255428447 1750484192 1053414490 1982707675 1104929819 1851318166 1932272457 1205841335 1083257166 1821606310 1982216651 1932341229 1043798911 1013527498 1144790072 1811517725 1891700902 1184634792

PHARMACY NAME WALGREENS SAM'S CLUB PHARMACY CVS PHARMACY RITE AID PHARMACY WALGREENS MINGO PHARMACY CVS PHARMACY DAYTON PHYSICIANS NETWORK GENOA HEALTHCARE LLC COMMUNITY MARKET 320 PHARMACY KROGER PHARMACY MEIJER PHARMACY CROFTON PHARMACY CVS PHARMACY GROMOLL DRUG STORE INC ACME PHARMACY CVS PHARMACY B & W PHARMACY GIANT PHARMACY WALMART PHARMACY WALGREENS GIANT PHARMACY CVS PHARMACY GIANT EAGLE PHARMACY NORTHWEST PHARMACY SOLUTIONS WALGREENS HOMETOWN PHARMACY CVS PHARMACY CVS PHARMACY HERBST APOTHECARY INC CVS PHARMACY WALGREENS CRATER CITY PHARMACY CRUME DRUG STORE MEIJER PHARMACY DIX DRUG STORE CORP RITE AID PHARMACY RITE AID PHARMACY RITE AID PHARMACY RITE AID PHARMACY BEDFORD WELLNESS PHARMACY OBI MEDICAL PHARMACY PENINSULA PHARMACY MEIJER PHARMACY KROGER PHARMACY CVS PHARMACY WALMART PHARMACY MEIJER PHARMACY MILLVALE AT HOPPLE HLTH CTR PH CVS PHARMACY WALGREENS RITE AID PHARMACY CVS PHARMACY CVS PHARMACY GIANT EAGLE PHARMACY LAGRANGE SAV-MOR DRUGS WALGREENS UNIVERSITY HOSPITALS PHARMACY SMITH DRUG COMPANY INC HORTON BROTHERS AND BROWN PHCY CVS PHARMACY CVS PHARMACY CVS PHARMACY CVS PHARMACY WALMART PHARMACY KROGER SAVON PHCY WALGREENS CORNER MED PHARMACY LLC S AND K PHARMACY COSTCO PHARMACY WALGREENS OHIO GI PHARMACY MULLANEYS PHARMACY RAM PHARMACY WINDHAM DRUG NORTH WALGREENS RITE AID PHARMACY

ADDRESS 911 S MAIN ST 1270 N BRIDGE ST 1970 HILLIARD ROME RD 1233 SOM CENTER RD 1070 WESTERN AVE 116 MCLISTER AVE 8059 DARROW RD 3120 GOVERNORS PLACE BLVD 726 WICK AVE 262 SANDUSKY ST 10101 LANDING WAY 700 W NORTON AVE 235 S MADISONVILLE ST 7259 PEARL RD 227 N 15TH ST 116 W STREETSBORO ST 296 CENTER ST 501 DIETZ LANE 1201 KNAPP RD 3926 LINDEN ST 2727 W CHELTENHAM AVE 5301 SIMPSON FERRY RD STE 101 200 S LINCOLN AVE 206 SEVEN FIELDS BLVD 740 N MAIN STREET EXT STE 1 245 N BROAD ST 1502 OXFORD DR STE 150 831 N MAIN ST 511 3RD ST 201 N DIXON RD 7330 LIMA RD 1804 N JEFFERSON ST 1841 NORTH 25TH ST 111 W FLAGET ST 1703 HAGGERTY HWY 10066 DIX 4001 DAVISON RD STE A 15411 SOUTHFIELD RD 11 S 11TH ST 939 US HIGHWAY 31 S 7473 SECOR RD UNIT C 13701 W 7 MILE RD 1414 W FAIR AVE STE 133 800 BROWN RD 20730 PONTIAC TRL 47011 GRATIOT AVE 4380 LEAVITT RD 1355 N LEXINGTON SPRINGMILL RD 2750 BEEKMAN ST 4199 MORSE XING 7295 MARKET ST 825 MAIN ST 36195 EUCLID AVE 780 BRITTAIN RD 31990 WALKER RD 3103 LAGRANGE ST 6805 HOSPITAL DR 960 CLAGUE RD SUITE 1100 104 N LINCOLN BLVD 201 E MAIN ST 655 US HIGHWAY 31 S 2003 BROADWAY ST 292 S VAN BUREN ST 1500 HART ST 401 N BURKHARDT RD 785 E MAIN ST 1400 CASSOPOLIS ST 25302 W WARREN ST 1916 DAVISON RD 4816 BAY CITY RD 30 W RIDGE PIKE 2925 VERNON PL STE 203 5907 CHEVIOT ROAD 719 GREENUP AVE 475 N HWY 25 W STE 101 4365 LAKE MICHIGAN DR NW 11 E DIVISION ST

CITY CENTERVILLE CHILLICOTHE HILLIARD MAYFIELD HEIGHTS CHILLICOTHE MINGO JUNCTION TWINSBURG KETTERING YOUNGSTOWN PLYMOUTH MIAMISBURG MUSKEGON CROFTON MIDDLEBURG HEIGHTS SEBRING HUDSON CHARDON BEVERLY NORTH WALES BETHLEHEM WYNCOTE MECHANICSBURG NEWTOWN SEVEN FIELDS MEADVILLE PHILADELPHIA GEORGETOWN MONTICELLO COVINGTON KOKOMO FORT WAYNE HUNTINGTON MIDDLESBORO BARDSTOWN COMMERCE TOWNSHIP DEARBORN BURTON ALLEN PARK NILES TRAVERSE CITY LAMBERTVILLE DETROIT MARQUETTE AUBURN HILLS SOUTH LYON CHESTERFIELD LORAIN ONTARIO CINCINNATI COLUMBUS BOARDMAN ZANESVILLE WILLOUGHBY AKRON AVON LAKE TOLEDO DUBLIN WESTLAKE HODGENVILLE GRAYSON GREENWOOD ANDERSON NASHVILLE VINCENNES EVANSVILLE DANVILLE ELKHART DEARBORN HEIGHTS FLINT MIDLAND LIMERICK CINCINNATI CINCINNATI RACELAND WILLIAMSBURG WALKER SPARTA

STATE

COUNTY

OH MONTGOMERY

OH ROSS

OH FRANKLIN

OH CUYAHOGA

OH ROSS

OH JEFFERSON

OH SUMMIT

OH MONTGOMERY

OH MAHONING

OH HURON

OH MONTGOMERY

MI MUSKEGON

KY CHRISTIAN

OH CUYAHOGA

OH MAHONING

OH SUMMIT

OH GEAUGA

OH WASHINGTON

PA MONTGOMERY

PA NORTHAMPTON

PA MONTGOMERY

PA CUMBERLAND

PA BUCKS

PA BUTLER

PA CRAWFORD

PA PHILADELPHIA

KY SCOTT

IN WHITE

IN FOUNTAIN

IN HOWARD

IN ALLEN

IN HUNTINGTON

KY BELL

KY NELSON

MI OAKLAND

MI WAYNE

MI GENESEE

MI WAYNE

MI BERRIEN

MI GRAND TRAVERSE

MI MONROE

MI WAYNE

MI MARQUETTE

MI OAKLAND

MI OAKLAND

MI MACOMB

OH LORAIN

OH RICHLAND

OH HAMILTON

OH FRANKLIN

OH MAHONING

OH MUSKINGUM

OH LAKE

OH SUMMIT

OH LORAIN

OH LUCAS

OH FRANKLIN

OH CUYAHOGA

KY LARUE

KY CARTER

IN

JOHNSON

IN

MADISON

IN

BROWN

IN

KNOX

IN

VANDERBURGH

IN

HENDRICKS

IN

ELKHART

MI WAYNE

MI GENESEE

MI MIDLAND

PA MONTGOMERY

OH HAMILTON

OH HAMILTON

KY GREENUP

KY WHITLEY

MI KENT

MI KENT

ZIP

PHONE

45458 (937)-291-3707

45601 (740)-779-6716

43026 (614)-219-5161

44124 (440)-461-1416

45601 (740)-779-1637

43938 (740)-535-8068

44087 (330)-425-1344

45409 (937)-245-6320

44505 (330)-531-6029

44865 (419)-687-9491

45342 (937)-384-4220

49441 (231)-733-5710

42217 (270)-424-8965

44130 (440)-243-3391

44672 (330)-938-6670

44236 (330)-650-1608

44024 (440)-286-9445

45715 (740)-984-2305

19454 (215)-661-0547

18020 (610)-867-3800

19095 (215)-886-7399

17050 (717)-591-9565

18940 (215)-497-9231

16046 (724)-779-3232

16335 (814)-724-3107

19107 (215)-563-9809

40324 (502)-863-3784

47960 (574)-583-8220

47932 (765)-793-4511

46901 (765)-457-1191

46818 (260)-489-6064

46750 (260)-358-0014

40965 (606)-248-9330

40004 (502)-348-3938

48390 (248)-926-3110

48120 (313)-843-2400

48509 (810)-742-0217

48101 (313)-386-8604

49120 (269)-684-6556

49685 (231)-943-9288

48144 (734)-856-9123

48235 (313)-341-6123

49855 (906)-225-3902

48326 (248)-393-5110

48178 (248)-486-9182

48051 (586)-421-1021

44053 (440)-324-4205

44906 (419)-747-8310

45225 (513)-352-3195

43219 (614)-471-3264

44512 (330)-726-9374

43701 (740)-452-5485

44094 (440)-975-1983

44305 (330)-784-0994

44012 (440)-933-9598

43608 (419)-241-8065

43016 (614)-336-0431

44145 (440)-250-2433

42748 (270)-358-3306

41143 (606)-474-5655

46142 (317)-881-1655

46012 (765)-643-1515

47448 (812)-988-7463

47591 (812)-886-4869

47715 (812)-474-1715

46122 (317)-745-8027

46514 (574)-262-2756

48127 (313)-633-9364

48506 (810)-285-9118

48642 (989)-488-1563

19468 (610)-454-7295

45219 (513)-429-7548

45247 (513)-587-1474

41144 (606)-836-7267

40769 (606)-549-4646

49534 (616)-791-1655

49345 (616)-887-0600

NCPDP 2352691 2353542 2354873 2359114 2359506 2359847 2360737 3657016 3657799 3658880 3659301 3663780 3664554 3666180 3666988 3667346 3668677 1804726 1807784 1817862 3601110 3612454 3613824 3978117 3980491 3983524 3985566 3986051 3986417 1834565 1507663 1527211 2302432 2303915 2305464 2306872 2312128 2313156 2318384 1525205 1525798 1527805 1530395 3988764 3990226 3994274 3995733 3997105 3997371 3997977 3998323 3999022 3999375 3670848 3671636 3672854 3673010 3673236 3673832 3674113 3674187 3675177 3675557 3676674 3677296 3677791 3677993 3678426 3679226 3679517 3680483 3680596 2300438 2305921 2316873 2337877 2338514

NPI 1427076611 1184605099 1912016486 1457366577 1700980760 1356356471 1629098553 1811979420 1801999628 1174626998 1386747111 1881609790 1063523173 1013941723 1245266592 1457423071 1720003437 1154420271 1952481483 1902824436 1881797587 1255377347 1558464289 1770687550 1912001702 1245247121 1760402606 1144264888 1528163565 1992104442 1568565265 1205853413 1457490419 1154430437 1447244561 1962511246 1043310220 1831289735 1487665725 1124045430 1205939931 1932126141 1588685804 1407046121 1801060298 1760798359 1164710018 1447521190 1558620773 1891043592 1578587101 1477895944 1962842674 1124143037 1609891324 1891730800 1992727606 1144235193 1982619946 1992740427 1679595383 1568540078 1821124108 1013194604 1356599245 1710123278 1083854632 1336476308 1063726917 1114223948 1275810756 1083963029 1548275654 1144339425 1467539197 1194834093 1982691986

PHARMACY NAME MONROE PHARMACY CAREMARK SPECIALTY PHARMACY RITE AID PHARMACY WALGREENS COUNTRY MARKET PHARMACY WALGREENS MEIJER PHARMACY CLEVELAND CLINIC PHARMACY II CVS PHARMACY CVS PHARMACY CVS PHARMACY GIANT EAGLE PHARMACY RITE AID PHARMACY KROGER PHARMACY DISCOUNT DRUG MART JUST MEDS LLC KROGER PHARMACY SHELDONS EXPRESS PHARMACY OWINGSVILLE DRUG STORE WALMART PHARMACY CVS PHARMACY DISCOUNT DRUG MART CVS PHARMACY CVS PHARMACY CVS PHARMACY WALGREENS OLDE PHILLY PHARMACY SAM'S CLUB PHARMACY WALGREENS SILVERS HOMETOWN PHARMACY CVS PHARMACY WALMART PHARMACY MEIJER PHARMACY RITE AID PHARMACY HOMETOWN PHARMACY RITE AID PHARMACY MIDMICHIGAN MEDICAL CTR-ALPENA CENTRAL DRUG STORE INC UNIVERSITY HEALTH CENTER WALMART PHARMACY CVS PHARMACY WALMART PHARMACY CVS PHARMACY RITE AID PHARMACY ELWYN SPECIALTY CARE WYNNEFIELD PHARMACY ADVANCED PHARMACY SERVICES LLC HOMETECH ADVANCED THERAPIES MY PHARMACY LIVE WELL PHCY @ RISING SUN CANCER CARE ASSOCIATES OF YORK WELLCARE PHARMACY CVS PHARMACY OAKLAND PARK PHARMACY KROGER PHARMACY DISCOUNT DRUG MART CVS PHARMACY WALGREENS WALGREENS COAL GROVE PHARMACY INC CVS PHARMACY GENOA HEALTHCARE LLC WALGREENS CLEVELAND CLINIC BEACHWOOD WALGREENS WALGREENS MEIJER PHARMACY ZIKS FAMILY PHARMACY MARION PRESCRIPTION INST REED'S PHARMACY GREAT SCOT 90 PHARMACY FRUTH PHARMACY WALGREENS RITE AID PHARMACY NOTRE DAME PHARMACY RITE AID PHARMACY A & M PHARMACY

ADDRESS 2507 MONROE ST 1307 ALLEN DR STE H 902 N CEDAR ST 25016 GRATIOT AVE 1535 W MAUMEE ST 22950 VAN DYKE AVE 595 N PINE RD 2049 E 100TH ST 8000 EUCLID AVE 9 W 130TH ST 797 W COSHOCTON ST 2775 W MARKET ST 334 W PERKINS AVE 3165 DAYTON XENIA RD STE 5 4441 STATE ROUTE 725 1103 S ZANE HWY 824 MAIN ST 212 S MAIN ST 53 MILLER DR UNIT-3 589 W HIGHWAY 92 987 E COLUMBUS ST 300 LEAVITT RD 101 E CHARLES ST 5 KUGLER RD BLDG 100 1303 LANCASTER AVE 2310 W OREGON AVE 2923 E THOMPSON ST 289 MOUNT NEBO POINTE RD 1210 WILMINGTON AVE 1251 W COLUMBIA AVE 975 N 00EW 402 W PLAZA DR 5800 GULL RD 360 MARTIN LUTHER KING JR BLVD 15483 S DIXIE HWY 100 E VIENNA ST 1501 W CHISHOLM ST 301 BRIDGE ST 1401 PRESQUE ISLE AVE 1965 N STATE ST 7722 W STATE ROUTE 66 5780 FRANKLIN ST 3400 CALUMET AVE 901 S SAIN MARYS ST 3070 MCCANN FARM DRIVE STE 101 1901 N 54TH ST 220 S RIVER ST 505 ELMWOOD AVE 20 N 40TH ST 5805 RISING SUN AVE 25 MONUMENT RD STE 294 2220 COTTMAN AVE FL 1 3373 E LINCOLN HWY 1486 OAKLAND PARK AVE 101 6TH ST 5599 N HAMILTON RD 4341 FEEDWIRE RD 30 W MCKINLEY WAY 2124 E STATE ST 600 MARION PIKE 1183 WILLIAMS RESERVE BLVD 1501 MADISON RD FL 3 8060 S MASON MONTGOMERY RD 26900 CEDAR RD 361 E WATERLOO RD 1900 W STATE ST 1380 SUNBURY RD 4140 SALEM AVE 542 E CENTER ST 675 W MAIN ST 13710 DESHLER RD 1848 STATE ROUTE 141 840 W SHERMAN BLVD 610 N CEDAR ST STE A 16926 KERCHEVAL ST 4519 RICHFIELD RD 8282 WOODWARD AVE

CITY DEARBORN TROY KALKASKA EASTPOINTE ADRIAN WARREN BAY CITY CLEVELAND CLEVELAND HINCKLEY JOHNSTOWN FAIRLAWN SANDUSKY BEAVERCREEK BELLBROOK MARTINS FERRY MILFORD FRANKLIN OWINGSVILLE WILLIAMSBURG KENTON AMHERST BUCYRUS LIMERICK READING PHILADELPHIA PHILADELPHIA PITTSBURGH NEW CASTLE MONTICELLO LAGRANGE COLUMBIA CITY KALAMAZOO PONTIAC MONROE CLIO ALPENA CHARLEVOIX MARQUETTE GREENFIELD NEWBURGH MICHIGAN CITY VALPARAISO SAINT MARYS GARNET VALLEY PHILADELPHIA PLAINS SHARON HILL PHILADELPHIA PHILADELPHIA YORK PHILADELPHIA PARKESBURG COLUMBUS FINDLAY COLUMBUS DAYTON POLAND SALEM COAL GROVE WADSWORTH WALNUT HILLS MASON BEACHWOOD AKRON FREMONT DELAWARE DAYTON MARION NEW LEBANON NORTH BALTIMORE IRONTON MUSKEGON MASON GROSSE POINTE FLINT DETROIT

STATE

COUNTY

MI WAYNE

MI OAKLAND

MI KALKASKA

MI MACOMB

MI LENAWEE

MI MACOMB

MI BAY

OH CUYAHOGA

OH CUYAHOGA

OH MEDINA

OH LICKING

OH SUMMIT

OH ERIE

OH GREENE

OH GREENE

OH BELMONT

OH CLERMONT

KY SIMPSON

KY BATH

KY WHITLEY

OH HARDIN

OH LORAIN

OH CRAWFORD

PA MONTGOMERY

PA BERKS

PA PHILADELPHIA

PA PHILADELPHIA

PA ALLEGHENY

PA LAWRENCE

KY WAYNE

IN LAGRANGE

IN WHITLEY

MI KALAMAZOO

MI OAKLAND

MI MONROE

MI GENESEE

MI ALPENA

MI CHARLEVOIX

MI MARQUETTE

IN HANCOCK

IN WARRICK

IN LAPORTE

IN PORTER

PA ELK

PA DELAWARE

PA PHILADELPHIA

PA LUZERNE

PA DELAWARE

PA PHILADELPHIA

PA PHILADELPHIA

PA YORK

PA PHILADELPHIA

PA CHESTER

OH FRANKLIN

OH HANCOCK

OH FRANKLIN

OH GREENE

OH MAHONING

OH COLUMBIANA

OH LAWRENCE

OH MEDINA

OH HAMILTON

OH WARREN

OH CUYAHOGA

OH SUMMIT

OH SANDUSKY

OH DELAWARE

OH MONTGOMERY

OH MARION

OH MONTGOMERY

OH WOOD

OH LAWRENCE

MI MUSKEGON

MI INGHAM

MI WAYNE

MI GENESEE

MI WAYNE

ZIP

PHONE

48124 (313)-274-9141

48083 (248)-968-6000

49646 (231)-258-2081

48021 (586)-498-8426

49221 (517)-265-9162

48089 (586)-759-1391

48708 (989)-891-1510

44106 (216)-445-7400

44103 (216)-721-4000

44233 (330)-225-8458

43031 (740)-967-9511

44333 (330)-836-2036

44870 (419)-624-8442

45434 (937)-431-8230

45305 (937)-848-3700

43935 (740)-633-2676

45150 (513)-831-4269

42134 (270)-586-4471

40360 (606)-674-6334

40769 (606)-549-4087

43326 (419)-673-0731

44001 (440)-984-2439

44820 (419)-562-1354

19468 (610)-495-1000

19607 (610)-796-3103

19145 (215)-468-2481

19134 (215)-739-0548

15237 (412)-364-6815

16105 (724)-652-0750

42633 (606)-343-0101

46761 (260)-463-2583

46725 (260)-244-4400

49048 (269)-337-2910

48342 (248)-335-0602

48161 (734)-243-5656

48420 (810)-687-0800

49707 (989)-356-7757

49720 (231)-547-2424

49855 (906)-227-1605

46140 (317)-462-4241

47630 (812)-853-6166

46360 (219)-872-3309

46383 (219)-462-4381

15857 (814)-834-4515

19060 (610)-545-6040

19131 (215)-222-2440

18705 (570)-208-0277

19079 (484)-494-3121

19104 (215)-222-1288

19120 (215)-821-2883

17403 (717)-741-9229

19149 (267)-538-2685

19365 (610)-857-0507

43224 (614)-262-8719

45840 (419)-423-4721

43230 (614)-472-0972

45440 (937)-439-9357

44514 (330)-757-4752

44460 (330)-337-8001

45638 (740)-533-2479

44281 (330)-335-2627

45206 (513)-221-7000

45040 (513)-770-5587

44122 (216)-839-3270

44319 (330)-724-2709

43420 (419)-355-9760

43015 (740)-368-5910

45416 (937)-278-9457

43302 (740)-382-5746

45345 (937)-687-6081

45872 (419)-257-2221

45638 (740)-533-9215

49441 (231)-759-8587

48854 (517)-676-4421

48230 (313)-885-2154

48506 (810)-250-0165

48202 (313)-875-9010

NCPDP 2339453 2344620 3936703 3942035 3945675 3948809 3951135 3953519 3991925 3993474 3995567 3996456 3997434 3997612 3997662 3997763 1571050 3670987 3671129 3673212 3677082 3677323 3677905 3679175 2311152 2313029 2317104 2320505 2329844 2340583 2341016 2342234 2346559 3901611 3902764 3902891 3905657 3906899 3911004 3913591 3918200 3929582 5001209 5007275 5007910 5008809 5011680 5054933 5055086 3937844 2345278 3900859 3901863 3902714 3906700 1833537 1833967 1506748 1507550 1507954 1511838 1519000 1523213 1528352 1529227 1529253 1529835 2387531 2387719 2388088 2388090 3990884 3995202 3995632 3995947 3997600 1568469

NPI 1285722751 1639287006 1568552685 1588682587 1538223318 1841398732 1598854242 1114027562 1861634487 1760706543 1790079275 1821366121 1265791727 1457623399 1013289941 1407110141 1578154621 1770693301 1780602532 1235144288 1083877211 1013167766 1083853261 1871807578 1689731812 1508975020 1508955584 1174502983 1114039047 1508978446 1871539320 1508938127 1770501199 1487753729 1972603322 1659470912 1518056241 1083629125 1770659500 1851494603 1285639492 1992894620 1528161288 1275636631 1306870183 1265531149 1699790394 1962647719 1902035454 1336243179 1619074150 1457455289 1528167871 1013016377 1184789505 1821349507 1700214558 1255434940 1922101625 1821191529 1801854047 1578666285 1942373568 1831289974 1679588701 1205853421 1275513707 1306481015 1356981922 1932737210 1568094332 1437307881 1114224193 1568758050 1083994925 1679845507 1801313002

PHARMACY NAME CHELSEA CARE PHARMACY UNION PRESCRIPTION CENTER INC RITE AID PHARMACY TOWNVILLE PHARMACY GOOD SHEPHERD REHAB HOSP NICKMAN'S DRUG RITE AID PHARMACY RITE AID PHARMACY HILAND PHARMACY GENOA HEALTHCARE LLC CVS PHARMACY ALLENTOWN PHARMACY INC WEIS PHARMACY GIANT PHARMACY GIANT PHARMACY SUNRAY DRUGS C STREET MEIJER PHARMACY COSTCO PHARMACY WALMART PHARMACY WALGREENS COLUMBUS AREA PHARMACY DISCOUNT DRUG MART WALGREENS BIOMED SPECIALTY PHCY CINCINNA L'ANSE PHARMACY, INC RITE AID PHARMACY MARINCO DRUG THOMPSON PHARMACY CVS PHARMACY CVS PHARMACY COUNTRYSIDE PHARMACY ANN ARBOR HOME INFUSION PHCY WALMART PHARMACY RITE AID PHARMACY RITE AID PHARMACY RITE AID PHARMACY RITE AID PHARMACY ESTERBROOK PHARMACY NEWHARD PHARMACY CVS PHARMACY WASCHKOS PHARMACY RITE AID PHARMACY CVS PHARMACY CVS PHARMACY KROGER PHARMACY DRUG EMPORIUM KROGER PHARMACY WHITE HALL PHARMACY WALGREENS CVS PHARMACY HEYDEN PHARMACY CVS PHARMACY RITE AID PHARMACY RITE AID PHARMACY ADAMS & BRIGHT DRUGS, LLC. AMERIMED INC. LOURDES PHARMACY CVS PHARMACY CVS PHARMACY CVS PHARMACY GEORGE'S PHARMACY EAST SIDE CVS PHARMACY KROGER SAVON PHCY WEBB'S FAMILY PHARMACY INC WALGREENS WALMART PHARMACY COMMUNITY PHARMACY CHAMPAIGN RX HOMETOWN PHARMACY GR VILLAGE WEST PARK PHARMACY LLC BERKLEY MEDICAL CENTER PHARMACY CVS PHARMACY HOMETOWN VILLAGE PHARMACY DIAMOND PHARMACY SERVICES PELHAM PHARMACY GIANT PHARMACY DEACONESS FAMILY PHARMACY GW

ADDRESS 14650 OLD US 12 STE 103 11830 N SAGINAW ST 26 W INDEPENDENCE ST 2195 RT 442 HWY 850 S 5TH ST 1238 NATIONAL PIKE 1400 W MAIN ST 1249 W CHESTER PIKE 231 BUTLER RD 331 SHAW AVE 3192 ROUTE 115 416 W TILGHMAN ST 25 W GERMANTOWN PIKE 2350 SUSQUEHANNA RD 168 N FLOWERS MILL RD 424 E ALLEGHENY AVE 225 W SPRING MILL POINTE DR. 35804 DETROIT RD 7235 MARKET PLACE DR 5195 N HAMILTON RD 1515 E BROAD ST 3100 GLENWOOD BLVD STE 294 9669 SAWMILL PKWY 7731 COX LN 18341 US HWY 41 720 S MITCHELL ST 21936 VASSAR AVE 324 S UNION ST 40925 GARFIELD RD 28774 GRATIOT AVE 217 E MAIN ST 5301 E HURON RIVER DR 950 EDELWEISS VILLAGE PKWY 472 N MAIN ST 4630 PERKIOMEN AVE 1513 E MAIN ST 139 S MAIN ST 301 S 7TH AVE STE 145 1001 MAIN ST 118 W MAIN ST 257 N WYOMING ST 5035 LINCOLN WAY E 3521 MONONGAHELA BLVD 2811 ROBERT C BYRD DR 102 EMILY DR 1603 KANAWHA BLVD W 1241 WARWOOD AVE 177 MIDDLETOWN RD STE 2 101 GOFF MOUNTAIN RD 201 MUNCY CREEK BLVD 20201 W 7 MILE RD 1700 N GEORGE ST 1628 S 4TH ST 201 W MAHONING ST 306 STATE ST 2464 FORTUNE DR STE 165 1530 LONE OAK RD 512 E SEYMOUR ST 224 W NORTH ST 618 S MAIN ST 5317 E 16TH ST 907 STATE ROAD 229 528 S COLLEGE AVE 724 MAIN ST 1290 N STATE ROAD 135 3167 S STATE ROAD 3 1201 MICHIGAN AVE STE 100 14726 CHAMPAIGN RD 4252 KALAMAZOO AVE SE 16240 W WARREN AVE 1695 12 MILE RD STE 210 4220 5TH STREET HWY 220 CLAREMONT AVE STE 2 7 CHERRY ST 6555 GREENE ST STE 3 1661 EASTON RD 4209 GATEWAY BLVD

CITY CHELSEA MOUNT MORRIS SHAMOKIN MUNCY ALLENTOWN HOPWOOD JEFFERSONVLLE WEST CHESTER KITTANNING MCKEESPORT EFFORT ALLENTOWN NORRISTOWN ROSLYN LANGHORNE PHILADELPHIA WESTFIELD AVON AURORA COLUMBUS COLUMBUS TWINSBURG POWELL WEST CHESTER L ANSE CADILLAC HAZEL PARK TRAVERSE CITY CLINTON TOWNSHIP ROSEVILLE STANTON ANN ARBOR GAYLORD DOYLESTOWN READING WAYNESBORO BUTLER READING NORTHAMPTON NORTH EAST HAZLETON FAYETTEVILLE STAR CITY BECKLEY CLARKSBURG CHARLESTON WHEELING FAIRMONT CROSS LANES MUNCY DETROIT YORK ALLENTOWN PUNXSUTAWNEY HAMBURG LEXINGTON PADUCAH KENTLAND KENDALLVILLE NORTH WEBSTER INDIANAPOLIS BATESVILLE BLOOMINGTON ROCHESTER GREENWOOD NEW CASTLE LOGANSPORT ALLEN PARK GRAND RAPIDS DETROIT BERKLEY TEMPLE TAMAQUA LEESPORT PHILADELPHIA WARRINGTON NEWBURGH

STATE

COUNTY

MI WASHTENAW

MI GENESEE

PA NORTHUMBERLAND

PA LYCOMING

PA LEHIGH

PA FAYETTE

PA MONTGOMERY

PA CHESTER

PA ARMSTRONG

PA ALLEGHENY

PA MONROE

PA LEHIGH

PA MONTGOMERY

PA MONTGOMERY

PA BUCKS

PA PHILADELPHIA

IN

HAMILTON

OH LORAIN

OH GEAUGA

OH FRANKLIN

OH FRANKLIN

OH SUMMIT

OH DELAWARE

OH BUTLER

MI BARAGA

MI WEXFORD

MI OAKLAND

MI GRAND TRAVERSE

MI MACOMB

MI MACOMB

MI MONTCALM

MI WASHTENAW

MI OTSEGO

PA BUCKS

PA BERKS

PA FRANKLIN

PA BUTLER

PA BERKS

PA NORTHAMPTON

PA ERIE

PA LUZERNE

PA FRANKLIN

WV MONONGALIA

WV RALEIGH

WV HARRISON

WV KANAWHA

WV OHIO

WV MARION

WV KANAWHA

PA LYCOMING

MI WAYNE

PA YORK

PA LEHIGH

PA JEFFERSON

PA BERKS

KY FAYETTE

KY MCCRACKEN

IN

NEWTON

IN

NOBLE

IN

KOSCIUSKO

IN

MARION

IN

FRANKLIN

IN

MONROE

IN

FULTON

IN

JOHNSON

IN

HENRY

IN

CASS

MI WAYNE

MI KENT

MI WAYNE

MI OAKLAND

PA BERKS

PA SCHUYLKILL

PA BERKS

PA PHILADELPHIA

PA BUCKS

IN

WARRICK

ZIP

PHONE

48118 (734)-593-5900

48458 (810)-686-2900

17872 (570)-648-1021

17756 (570)-546-8272

18103 (610)-776-3284

15445 (724)-437-2353

19403 (610)-631-1889

19382 (610)-692-9244

16201 (724)-543-2504

15132 (412)-664-6590

18330 (570)-688-2302

18102 (610)-351-1900

19401 (610)-278-0256

19001 (215)-881-9508

19047 (215)-375-3015

19134 (215)-423-8500

46074 (463)-243-3010

44011 (440)-930-0102

44202 (330)-562-7084

43230 (614)-476-0988

43205 (614)-251-7791

44087 (330)-405-6650

43065 (614)-210-0306

45069 (877)-610-6633

49946 (906)-524-6202

49601 (231)-775-3423

48030 (248)-546-0494

49684 (231)-947-4212

48038 (586)-263-4070

48066 (586)-777-6350

48888 (989)-831-4140

48106 (734)-712-2492

49735 (989)-732-8090

18901 (215)-345-1020

19606 (610)-779-3266

17268 (717)-762-9676

16001 (724)-287-6751

19611 (610)-376-6542

18067 (610)-262-6721

16428 (814)-725-9684

18201 (570)-454-2951

17222 (717)-352-3850

26505 (304)-599-3180

25801 (304)-253-2738

26301 (304)-623-1482

25387 (304)-345-3784

26003 (304)-277-3373

26554 (304)-368-9355

25313 (304)-769-0590

17756 (570)-546-8361

48219 (313)-533-8200

17404 (717)-848-6212

18103 (610)-797-1063

15767 (814)-938-9161

19526 (610)-562-2738

40509 (859)-543-1719

42003 (270)-444-2233

47951 (219)-474-6787

46755 (260)-347-1499

46555 (574)-834-4772

46218 (317)-359-8278

47006 (812)-934-5711

47403 (812)-336-5118

46975 (574)-223-2216

46142 (317)-865-0472

47362 (765)-529-5997

46947 (574)-732-0418

48101 (313)-382-0000

49508 (616)-281-1323

48228 (313)-626-0671

48072 (248)-591-4489

19560 (610)-921-5141

18252 (570)-668-1900

19533 (724)-349-1111

19119 (215)-848-0500

18976 (215)-488-2030

47630 (812)-450-3784

NCPDP 1569548 1569839 3670230 3670367 3670646 3671167 3671965 3672195 3672208 3672551 3674151 3674492 3675975 3675987 3676446 3680813 3680825 2310667 2331053 2339340 3916167 3928845 1806922 1814448 1817230 3615234 3978511 3984463 3985984 3986621 3987368 3988017 3988322 1834591 1502966 1503689 1505621 1507651 1508576 1518870 1827433 1827560 1829110 1831761 1834995 1835252 2378962 2379940 2381161 2383367 2383963 2385157 2386022 3682019 3683299 3685851 3686029 3688403 1800300 1800879 1814044 1815387 1816113 3609837 3615587 3977292 3982635 3983295 3983865 3984386 3984805 3987673 3988207 1833955 1834109 1834515 1504035

NPI 1093283624 1669030102 1588671507 1023023942 1154336188 1790790731 1063516896 1568477487 1477568392 1629133566 1649285560 1710924907 1205051661 1164629903 1184810087 1407194095 1215273198 1518069061 1255341558 1841309390 1861589509 1548359276 1235273467 1649373382 1831235480 1285737916 1699708768 1982619888 1093752271 1407955263 1689755159 1619002938 1053528422 1477955888 1679676340 1326141003 1801999594 1659474351 1285737981 1669575379 1427075753 1093878613 1851306005 1871817718 1477938199 1952760084 1811313216 1922404300 1659747236 1639606031 1588173777 1063903458 1437613569 1144648692 1598144529 1417450305 1538657622 1255932349 1316952559 1134134372 1154337699 1093732414 1174546543 1376646091 1982707402 1538191556 1952316846 1568527745 1982727038 1639150154 1609881507 1881749117 1629298906 1386078004 1770904989 1285043935 1316040009

PHARMACY NAME MORRISTOWN PHARMACY MEDS TO YOU GIANT EAGLE PHARMACY GIANT EAGLE PHARMACY WALGREENS WALGREENS CVS PHARMACY GIANT EAGLE PHARMACY GIANT EAGLE PHARMACY MEIJER PHARMACY GIANT EAGLE PHARMACY GIANT EAGLE PHARMACY HUTCHESON HOMECARE PHARMACY WALGREENS WALGREENS LIFECARE PHARMACY CINCICARES HOME CARE PHCY MERIT WOODS PHARMACY RITE AID PHARMACY RITE AID PHARMACY LIVINGSTON PHARMACY RITE AID PHARMACY DON PEELER PHARMACY CVS PHARMACY THE MEDICINE SHOPPE CVS PHARMACY NORLAND AVE PHARMACY WALGREENS GIANT EAGLE PHARMACY WALGREENS GIANT PHARMACY KINSLEYS SHOPRITE PHARMACY HAUSSEMANNS PHARMACY HEARTLAND FAMILY PHARMACY CVS PHARMACY CVS PHARMACY CVS PHARMACY CVS PHARMACY CVS PHARMACY CVS PHARMACY WALMART PHARMACY SOPER'S FAMILY DRUG WALGREENS CVS PHARMACY SAV-RITE PHARMACY SOUTH OSMAN PHARMACY JILL'S GENUINE CARE HARRISON FAMILY PHARMACY RITE HEALTH PHARMACY - VERNOR SAVEMAX PHARMACY MEDICAL CITY PHARMACY WALGREENS HOLT PHARMACY MLK MORTON'S HILLTOP PHARMACY KROGER PHARMACY WOODVILLE PHARMACY BREWSTERS HOMETOWN PHARMACY MEDICINE SHOPPE 1088 WALGREENS WALGREENS WALGREENS WALMART PHARMACY CAMPTON DISCOUNT DRUGS CVS PHARMACY CVS PHARMACY GIANT PHARMACY WALGREENS EXTON PHARMACY AT MARCHWOOD AMERICAN INFUSION SERVICES INC FRIENDSHIP PHARMACY LTC WALGREENS WALGREENS RITE AID PHARMACY GAMALIEL DRUG PLAZA DRUG OF LONDON FAMILY HEALTH CENTERS BROADWAY CVS PHARMACY

ADDRESS 129 E MAIN ST 8250 BASH STREET SUITE A3 1700 NORTON RD 8960 DARROW RD 5027 YOUNGSTOWN WARREN RD 6270 SOM CENTER RD 3488 SELDOM SEEN RD 128 GROSS ST 840 W 3RD AVE 10055 OLDE US 20 2032 LINCOLN WAY E 5744 TRANSPORTATION BLVD 11930 KEMPER SPRINGS DR #100 403 S MAIN ST 3009 W MARKET ST 2011 STARR AVE 8050 BECKETT CENTER DR 19325 MACK AVE 2003 E 12 MILE RD 1733 SPRING ARBOR RD 550 MILLER AVE 9635 WILLIAM PENN HWY 127 E NORTH ST 1122 LOVERS LN 62 KIRK PLZ 969 W 5TH ST 12 ST PAUL DR STE 105 8500 NEW FALLS RD 2000 PENNY LANE DR 4885 MCKNIGHT RD 1153 N 5TH ST 107 KINSLEY DR 536 W GIRARD AVE 134 SUGAR MAPLE DR STE A 1715 MAIN ST 2210 EDISON RD 1805 CALUMET AVE 3808 E WASHINGTON ST 3824 MAIN ST 2020 E MORGAN AVE 7101 CEDAR SPRINGS BLVD 227 W MAIN ST 11099 HIGHWAY 44 E 2311 LIME KILN LN 5418 S HIGHWAY 27 89 SECOND ST 23354 FARMINGTON 182 N 2ND ST 5851 W VERNOR HWY 10035 VERNOR HWY 30551 STEPHENSON HWY STE 1 4201 SAINT ANTOINE ST 1100 W SAGINAW ST STE 100 1865 COLES BLVD 4613 MARBURG AVE 820 WOODVILLE RD 104 THORNTON DR 345 N SANDUSKY AVE 1601 MONMOUTH ST 2901 FORT CAMPBELL BLVD 2360 STONY BROOK DR 3220 IRVIN COBB DR 33 MAIN ST STE 2 2284 BACK ORRVILLE RD 3933 PARKMAN RD NW 1008 LITITZ PIKE 710 N WALES RD 1 MARCHWOOD RD 4113 BIRNEY AVE 3300 COTTMAN AVE 2101 S QUEEN ST 6379 HAMILTON BLVD 1307 PHOENIXVILLE PIKE 405 W MAIN ST 731 N LAUREL RD 834 E BROADWAY 15622 N STATE ROAD 79

CITY MORRISTOWN INDIANAPOLIS STOW TWINSBURG NILES SOLON POWELL MARIETTA COLUMBUS ROSSFORD MASSILLON GARFIELD HEIGHTS CINCINNATI BRYAN FAIRLAWN TOLEDO WEST CHESTER GROSSE POINTE WOODS WARREN JACKSON CLAIRTON HUNTINGDON MADISONVILLE BOWLING GREEN INEZ MARYSVILLE CHAMBERSBURG LEVITTOWN JEANNETTE PITTSBURGH PERKASIE BRODHEADSVILLE PHILADELPHIA AUBURN BEECH GROVE SOUTH BEND VALPARAISO INDIANAPOLIS ANDERSON EVANSVILLE LOUISVILLE CARLISLE MOUNT WASHINGTON LOUISVILLE SOMERSET VANCEBURG FARMINGTON HARRISON DETROIT DEARBORN MADISON HEIGHTS DETROIT LANSING PORTSMOUTH CINCINNATI TOLEDO PIKETON BUCYRUS NEWPORT HOPKINSVILLE LOUISVILLE PADUCAH CAMPTON WOOSTER WARREN LITITZ NORTH WALES EXTON MOOSIC PHILADELPHIA YORK ALLENTOWN WEST CHESTER GAMALIEL LONDON LOUISVILLE EDINBURGH

STATE

COUNTY

IN

SHELBY

IN

MARION

OH SUMMIT

OH SUMMIT

OH TRUMBULL

OH CUYAHOGA

OH DELAWARE

OH WASHINGTON

OH FRANKLIN

OH WOOD

OH STARK

OH CUYAHOGA

OH HAMILTON

OH WILLIAMS

OH SUMMIT

OH LUCAS

OH BUTLER

MI WAYNE

MI MACOMB

MI JACKSON

PA ALLEGHENY

PA HUNTINGDON

KY HOPKINS

KY WARREN

KY MARTIN

OH UNION

PA FRANKLIN

PA BUCKS

PA WESTMORELAND

PA ALLEGHENY

PA BUCKS

PA MONROE

PA PHILADELPHIA

KY LOGAN

IN MARION

IN ST. JOSEPH

IN PORTER

IN MARION

IN MADISON

IN VANDERBURGH

KY JEFFERSON

KY NICHOLAS

KY BULLITT

KY JEFFERSON

KY PULASKI

KY LEWIS

MI OAKLAND

MI CLARE

MI WAYNE

MI WAYNE

MI OAKLAND

MI WAYNE

MI INGHAM

OH SCIOTO

OH HAMILTON

OH LUCAS

OH PIKE

OH CRAWFORD

KY CAMPBELL

KY CHRISTIAN

KY JEFFERSON

KY MCCRACKEN

KY WOLFE

OH WAYNE

OH TRUMBULL

PA LANCASTER

PA MONTGOMERY

PA CHESTER

PA LACKAWANNA

PA PHILADELPHIA

PA YORK

PA LEHIGH

PA CHESTER

KY MONROE

KY LAUREL

KY JEFFERSON

IN

BARTHOLOMEW

ZIP

PHONE

46161 (765)-818-1288

46250 (877)-548-5151

44224 (330)-650-4093

44087 (330)-405-7105

44446 (330)-544-3462

44139 (440)-836-0494

43065 (614)-718-1508

45750 (740)-374-3127

43212 (614)-294-2344

43460 (419)-873-4110

44646 (330)-833-4890

44125 (216)-662-8466

45240 (513)-228-0812

43506 (419)-636-0613

44333 (330)-867-1946

43605 (419)-720-1116

45069 (513)-285-9467

48236 (313)-882-0922

48092 (586)-751-3600

49203 (517)-789-6630

15025 (412)-233-7100

16652 (814)-643-3661

42431 (270)-821-5440

42103 (270)-842-4844

41224 (606)-298-7774

43040 (937)-644-3615

17201 (717)-217-6790

19054 (215)-943-3694

15644 (724)-744-1903

15237 (412)-366-6359

18944 (215)-257-8200

18322 (570)-992-1658

19123 (215)-925-1008

42206 (270)-847-4004

46107 (317)-784-9037

46615 (574)-472-3234

46383 (219)-464-2141

46201 (317)-357-5437

46013 (765)-640-4398

47711 (812)-422-6330

40291 (502)-231-6867

40311 (859)-289-8501

40047 (502)-538-4271

40222 (502)-425-4044

42501 (606)-802-2636

41179 (606)-796-2932

48336 (248)-987-5940

48625 (989)-539-2900

48209 (313)-442-7100

48120 (313)-914-5566

48071 (248)-268-4531

48201 (313)-966-8230

48915 (517)-455-7740

45662 (740)-353-1147

45209 (513)-782-5120

43605 (419)-214-1311

45661 (740)-648-3020

44820 (419)-562-4222

41071 (859)-291-7343

42240 (270)-886-0128

40220 (502)-493-8719

42003 (270)-442-6404

41301 (606)-668-3153

44691 (330)-264-7788

44481 (330)-898-4129

17543 (717)-625-0307

19454 (215)-412-8709

19341 (610)-363-9444

18507 (570)-343-7883

19149 (215)-624-3903

17403 (717)-843-0197

18106 (610)-530-0740

19380 (484)-356-9330

42140 (270)-457-4100

40741 (606)-657-5245

40204 (502)-290-2828

46124 (812)-526-2487

NCPDP 1519745 1522641 1528314 1529265 2387430 2387707 3989780 3991773 3993905 2351992 2353047 2353388 2357033 2358340 2359241 2360244 2360547 2361133 2362212 3657179 3659527 3659818 3661635 3662663 3663235 3663487 3664441 3665277 3665366 3667613 3667752 3669655 3962897 3964106 1800502 1802126 1813713 1816529 3976656 3977242 3977305 3977533 3929277 5000310 1530840 3990062 3995810 3996874 3997218 3997509 3998044 3998171 3999060 3999387 1567443 1568659 1569182 3670090 3670672 3671624 3672880 3674670 3675824 3675848 3676054 3677020 3679252 3679531 3679694 3681029 2302456 2305402 2339112 2340672 2343553 2345468 3901267

NPI 1467467571 1124033246 1497760524 1295727501 1750924411 1447890017 1053597070 1699912543 1154641066 1033128178 1487716296 1346274107 1508978461 1285649301 1326140617 1477568509 1437166428 1649204496 1376583021 1255347563 1821191651 1730282567 1487671673 1275567976 1013052646 1407965759 1699780502 1275631822 1144235052 1508871534 1225043144 1558388751 1154425908 1043291487 1841393584 1679553325 1306851548 1215942453 1093824575 1710919733 1588689194 1598869372 1023185147 1871696526 1487669511 1184894180 1811276777 1043583644 1528325966 1558622290 1841555828 1134470339 1609219179 1902246853 1497104798 1255845871 1932188331 1073617809 1124045323 1013941731 1972518926 1285676478 1326265323 1649498007 1871791053 1487814216 1336449511 1558668350 1659661528 1407110729 1447399407 1477692036 1255443180 1689786527 1184639296 1851459077 1801996251

PHARMACY NAME WALGREENS WALGREENS WALGREENS HERBST PHARMACY LAHSER PHARMACY LLC HOMETOWN PHARMACY WADHAMS YOUR HOMETOWN PHARMACY PUNXSY HOMETOWN PHARMACY NEW CASTLE PHARMACY OAKWOOD PHARMACY WESTLAND MEIJER PHARMACY KROGER PHARMACY CVS PHARMACY WALGREENS CVS PHARMACY WALGREENS WALGREENS KROGER PHARMACY NEW MO-TOWN PHARMACY RITE AID PHARMACY CVS PHARMACY CVS PHARMACY WALMART PHARMACY KROGER PHARMACY JEWISH HOSPITAL PHARMACY RITE AID PHARMACY GIANT EAGLE PHARMACY CVS PHARMACY GIANT EAGLE PHARMACY WALGREENS GIANT EAGLE PHARMACY SAM'S CLUB PHARMACY CVS PHARMACY VILLAGE PHCY AT SPRINGHOUSE CVS PHARMACY MCCONNELL HEALTH MART PHCY WALGREENS WALGREENS CARE PLUS CVS/PHARMACY GIANT PHARMACY THE HOMETOWN PHARMACY CVS PHARMACY MD COMPANY PHARMACY CVS PHARMACY WALGREENS RITE AID PHARMACY CVS PHARMACY PHARMACY OF AMERICA III PATIENT FIRST CARIBBEAN PHARMACY PA SOLDIERS & SAILORS HOME PHCY APEX PHARMACY LINESVILLE PHARMACY PATIENT FIRST CVS PHARMACY KROGER PHARMACY DAWES FRETZIN DERMATOLOGY CVS PHARMACY SAM'S CLUB PHARMACY KROGER PHARMACY WALGREENS CVS PHARMACY WALMART PHARMACY WALGREENS WALGREENS GIANT EAGLE PHARMACY ENVISIONPHARMACIES KHN PHARMACY - FORT HAMILTON PROMEDICA ADHERENCE PHARMACY AXESSPOINTE PHARMACY MEIJER PHARMACY MEIJER PHARMACY CVS PHARMACY CVS PHARMACY WALGREENS COUNTRYSIDE PHARMACY RITE AID PHARMACY

ADDRESS 2410 N COLISEUM BLVD 2015 STATE ST 710 N SAINT JOSEPH AVE 2330 S DIXON RD 21737 W 8 MILE RD 5277 LAPEER RD 3106 BUFFALO RD 203 N HAMPTON AVE 1112 S MILL ST 2001 S MERRIMAN RD STE 200 16300 FORT ST 36430 FORD RD 16800 SCHAEFER HWY 20090 GODDARD RD 22300 GODDARD RD 11635 E 13 MILE RD 3040 E MICHIGAN AVE 37550 W 12 MILE RD 3040 E 7 MILE RD 710 N MAIN ST 6527 BRECKSVILLE RD 3100 CLEVELAND AVE 3551 N RIDGE E 887 N BRIDGE ST 4777 E GALBRAITH RD 4580 LIBERTY AVE 755 S BROADWAY 7301 LAKE SHORE BLVD 27264 LORAIN RD 804 W MARKET ST 320 MARKET DR 815 CLEPPER LN 2250 BRISTOL RD 1121 N BETHLEHEM PIKE STE 40 538 LONE OAK RD 86 CEDAR ST 2840 ALEXANDRIA PIKE 700 ALGONQUIN PKWY 1117 WALNUT ST 130 OLD YORK RD 2016 W STATE ST 1111 PENINSULA DR 1641 N FRANKLIN ST 1414 N EISENHOWER DR 3545 W 86TH ST 9200 FRANKFORD AVE 101 W CITY AVE 217 W LEHIGH AVE 3178 W TILGHMAN ST 3825 N 5TH ST 560 E 3RD ST 7200 FRANKFORD AVE 123 ERIE ST 400 E GERMANTOWN PIKE 10 E 81ST AVE 1500 W MCGALLIARD RD 7910 N SHADELAND AVE 521 E STATE ST 4790 PORTAGE ST NW 210 E MARY ST 748 N STATE ST 1144 STATE ROUTE 303 1804 N CLINTON ST 101 E SANDUSKY AVE 1300 E 2ND ST 2900 STELZER RD 7835 FREEDOM AVE NW 1010 CEREAL AVE 3144 W CENTRAL AVE 1400 S ARLINGTON ST UNIT 38 5125 W SAGINAW HWY 2333 S CENTER RD 29425 ORCHARD LAKE RD 3475 S BALDWIN RD 1260 HILLTOP RD 503 E MAIN ST 517 BEAVER ST

CITY FORT WAYNE NEW ALBANY EVANSVILLE KOKOMO DETROIT KIMBALL ERIE PUNXSUTAWNEY NEW CASTLE WESTLAND SOUTHGATE WESTLAND DETROIT TAYLOR TAYLOR WARREN JACKSON FARMINGTON HILLS DETROIT CLYDE INDEPENDENCE COLUMBUS ASHTABULA CHILLICOTHE CINCINNATI VERMILION GENEVA MENTOR NORTH OLMSTED WARREN ELYRIA CINCINNATI BENSALEM SPRING HOUSE PADUCAH KUTTAWA HIGHLAND HEIGHTS LOUISVILLE PHILADELPHIA NEW CUMBERLAND NEW CASTLE ERIE PHILADELPHIA BECKLEY INDIANAPOLIS PHILADELPHIA BALA CYNWYD PHILADELPHIA ALLENTOWN PHILADELPHIA ERIE PHILADELPHIA LINESVILLE EAST NORRITON MERRILLVILLE MUNCIE INDIANAPOLIS GEORGETOWN NORTH CANTON BUCYRUS WESTERVILLE STREETSBORO DEFIANCE BELLEFONTAINE FRANKLIN COLUMBUS NORTH CANTON HAMILTON TOLEDO AKRON LANSING BURTON FARMINGTON HILLS ORION SAINT JOSEPH EDMORE SEWICKLEY

STATE

COUNTY

IN

ALLEN

IN

FLOYD

IN

VANDERBURGH

IN

HOWARD

MI WAYNE

MI ST. CLAIR

PA ERIE

PA JEFFERSON

PA LAWRENCE

MI WAYNE

MI WAYNE

MI WAYNE

MI WAYNE

MI WAYNE

MI WAYNE

MI MACOMB

MI JACKSON

MI OAKLAND

MI WAYNE

OH SANDUSKY

OH CUYAHOGA

OH FRANKLIN

OH ASHTABULA

OH ROSS

OH HAMILTON

OH LORAIN

OH ASHTABULA

OH LAKE

OH CUYAHOGA

OH TRUMBULL

OH LORAIN

OH CLERMONT

PA BUCKS

PA MONTGOMERY

KY MCCRACKEN

KY LYON

KY CAMPBELL

KY JEFFERSON

PA PHILADELPHIA

PA YORK

PA LAWRENCE

PA ERIE

PA PHILADELPHIA

WV RALEIGH

IN MARION

PA PHILADELPHIA

PA MONTGOMERY

PA PHILADELPHIA

PA LEHIGH

PA PHILADELPHIA

PA ERIE

PA PHILADELPHIA

PA CRAWFORD

PA MONTGOMERY

IN

LAKE

IN

DELAWARE

IN

MARION

OH BROWN

OH STARK

OH CRAWFORD

OH DELAWARE

OH PORTAGE

OH DEFIANCE

OH LOGAN

OH WARREN

OH FRANKLIN

OH STARK

OH BUTLER

OH LUCAS

OH SUMMIT

MI EATON

MI GENESEE

MI OAKLAND

MI OAKLAND

MI BERRIEN

MI MONTCALM

PA ALLEGHENY

ZIP

PHONE

46805 (260)-483-5612

47150 (812)-945-0535

47712 (812)-426-1180

46902 (765)-455-5418

48219 (313)-693-9973

48074 (810)-984-8200

16510 (814)-898-2085

15767 (814)-938-9150

16101 (724)-656-5000

48186 (734)-727-1040

48195 (734)-284-4250

48185 (734)-595-7002

48235 (313)-864-9660

48180 (313)-299-1584

48180 (313)-299-3400

48093 (586)-446-0853

49202 (517)-768-9002

48331 (248)-489-8054

48234 (313)-891-2253

43410 (419)-547-7991

44131 (216)-447-0990

43224 (614)-263-0923

44004 (440)-998-4004

45601 (740)-775-8467

45236 (513)-686-5678

44089 (440)-967-2018

44041 (440)-466-3005

44060 (440)-602-6071

44070 (440)-777-6148

44481 (330)-393-3033

44035 (440)-324-1742

45245 (513)-753-9280

19020 (215)-757-5200

19477 (215)-646-1691

42003 (270)-443-8855

42055 (270)-388-7371

41076 (859)-781-0631

40208 (502)-636-3441

19107 (866)-813-3899

17070 (717)-909-4320

16101 (724)-658-9670

16505 (814)-833-4354

19122 (215)-763-1875

25801 (304)-255-0551

46268 (317)-228-0419

19114 (215)-708-1591

19004 (610)-668-3890

19133 (215)-279-7981

18104 (610)-844-9150

19140 (215)-278-7711

16507 (814)-878-4957

19135 (215)-338-5100

16424 (814)-818-0010

19401 (610)-994-0063

46410 (219)-769-0013

47304 (765)-741-1494

46250 (317)-516-5000

45121 (937)-378-2218

44720 (330)-497-7352

44820 (419)-562-7654

43082 (614)-865-0352

44241 (330)-626-6401

43512 (419)-784-2404

43311 (937)-292-8104

45005 (937)-743-9609

43219 (614)-337-0397

44720 (877)-437-9012

45013 (513)-867-4490

43606 (419)-720-2170

44306 (330)-785-2054

48917 (517)-886-8110

48519 (810)-744-9710

48334 (248)-994-0634

48359 (248)-391-1111

49085 (269)-983-0315

48829 (989)-427-5141

15143 (412)-741-9250

NCPDP 3909706 3911838 3913717 3929859 5009558 5010929 5054414 5054832 5055074 3637949 3641140 3641417 3645047 3979892 3981215 3983574 3985124 3985504 1834440 3600473 1507702 1521601 1524277 1527906 1528910 1530561 2387050 2358047 2358592 2359392 2360155 2360939 2361917 2361967 2362541 3659717 3660950 3662803 3667118 3668665 3688415 1803041 1812014 1813321 1816149 1816911 1816923 1818167 3612113 3977204 3977684 3977800 3979246 3979789 3983942 3984324 3985871 3986164 1834541 1517917 1518729 1522045 1527499 3989526 3994236 3995151 3995668 3995783 3999185 1568522 1518642 1522324 1525407 1528934 2386971 3989879 3993373

NPI 1558395533 1821177510 1326106444 1669555017 1508969262 1215969233 1558435081 1013171107 1124257613 1013941814 1740392042 1811090277 1427121946 1811920150 1285733469 1124130133 1962420760 1922105428 1508270356 1154336154 1477656171 1598765075 1013010735 1750308961 1588681704 1841205978 1962051102 1609959691 1811902935 1376655233 1063560761 1285649319 1467479683 1669483806 1245252915 1346204898 1093749798 1831235902 1962417881 1912924119 1538760624 1972645810 1437165974 1407873235 1538174172 1821191578 1104929850 1376655225 1801932413 1780619833 1134223910 1235165408 1043314834 1790717718 1558450544 1275637068 1790790533 1902848195 1639578180 1558376665 1679676019 1841393568 1023035235 1295918258 1912211756 1073811121 1023304805 1912286717 1457690026 1659897114 1760585103 1124191747 1740383462 1023181542 1992367767 1093993388 1952623274

PHARMACY NAME GANSE APOTHECARY SAVAGE FAMILY PHARMACY FERRI PHARMACY LEECHBURG HEALTHMART PHARMACY CVS PHARMACY MARTINS PHARMACY BONDS DRUG REEDS PHARMACY WALGREENS KROGER SAV-ON OMNICARE OF WADSWORTH CVS PHARMACY KROGER SAVON PHCY WEIS PHARMACY RITE AID PHARMACY MEDICAP PHARMACY WALMART PHARMACY CVS PHARMACY COMPREHENSIVE FOOT AND ANKLE CNTR WALGREENS CVS PHARMACY PHILLIPS DRUGS EAST CVS PHARMACY WALMART PHARMACY WALMART PHARMACY WALGREENS CARE PLUS PHARMACY PHARMACY PLUS WALGREENS CVS PHARMACY PLATINUM CARE PHARMACY WALGREENS WALMART PHARMACY WALGREENS CVS PHARMACY DUSINI DRUG KROGER PHARMACY WOODMAN PHARMACY GIANT EAGLE PHARMACY SAM'S CLUB PHARMACY MEDTIME PHARMACY RUWE FAMILY PHARMACY LATONIA WALGREENS MEDICA PHCY & WELLNESS CENTER ARCHER CLINIC PHARMACY CVS PHARMACY CVS PHARMACY MCMEANS PHARMACY ADRIEN PHARMACY GIANT PHARMACY CVS PHARMACY GEISINGER PHARMACY CVS PHARMACY GIANT PHARMACY SLOANS NORLANCO PHARMACY CVS PHARMACY WALGREENS CVS PHARMACY HUMANA PHARMACY WALGREENS CVS PHARMACY CVS PHARMACY WALMART PHARMACY WALGREENS GIANT EAGLE PHARMACY CVS PHARMACY DARLING APOTHECARY LLC CVS PHARMACY OAKSIDE CARE PHARMACY WESTMORELAND PHARMACY SELLERSBURG CVS PHARMACY KROGER SAVON PHCY CVS PHARMACY KROGER SAVON PHCY METRO FAMILY PHARMACY BROAD AND GRANGE PHARMACY EPHRATA COM HOSP N ANNEX PHCY

ADDRESS 21 N CHARLOTTE ST 604 E MAIN ST 3907 OLD WILLIAM PENN HWY 165 MARKET ST 105 S STATE ST 901 FOXCROFT AVE 800 GRAND CENTRAL MALL STE 5 2830 NORTHWESTERN PIKE 3000 TEAYS VALLEY RD 1450 S ERIE HWY 1360 REIMER RD 759 NEIL AVE 1890 E 2ND ST 1 WEIS PLZ 1395 E BOOT RD 518 BURKE BYPASS 2010 VILLAGE CENTER DR 855 S BROADWAY 9407 WESTPORT ROAD STE 110 5508 BRIDGETOWN RD 200 W JACKSON ST 1626 E MAIN ST 402 W BROADWAY ST 3221 W 86TH ST 2700 W BROADWAY ST 102 E HIVELY AVE 25290 GREENFIELD RD 1200 E MICHIGAN AVE STE 310 8706 N TELEGRAPH RD 1585 N WIXOM RD 8500 14TH ST 24140 ORCHARD LAKE RD 409 N MARKETPLACE BLVD 3404 S MARTIN LUTHER KING BLVD 3250 US HIGHWAY 41 W 315 E HIGH AVE 1425 COLUMBUS AVE 1010 WOODMAN DR 6300 BIDDULPH RD 3950 MORSE RD 400 12TH ST NW 3712 WINSTON AVE 4240 SHELBYVILLE RD 202 W STEPHEN FOSTER AVE 400 UNIVERSITY DR STE 100 2000 HARRODSBURG RD 118 E NEW CIRCLE RD 2920 CARTER AVE 7023 MIAMI AVE 801 BALTIMORE ST 4214 WOODBOURNE RD 531 MT. PLEASANT DRIVE 1937 MACDADE BLVD 1360 COLUMBIA AVE 428 CLOVERLEAF RD 4082 JANDY BLVD 3180 CARLISLE RD 120 MATTHEW DR 123 E MAIN ST 907 LINCOLN HWY W 1530 N SHADELAND AVE 665 E STATE ROAD 64 1351 VETERANS PKWY 1334 BAINBRIDGE ST 40 WHITE ST 385 N BROAD ST 17 FOREST ST 960 LITITZ PIKE 440 LEHIGH ST 7600 HIGHWAY 60 #400 12544 ADAMS RD 3701 NATIONAL RD E 905 W MAIN ST 172 LOGAN ST 3260 W DAVISON AVE 5751 N BROAD ST 460 N READING RD

CITY LANCASTER WAYNESBORO MURRYSVILLE LEECHBURG ATHENS MARTINSBURG VIENNA CAPON BRIDGE HURRICANE HAMILTON WADSWORTH COLUMBUS DEFIANCE NANTICOKE WEST CHESTER OLYPHANT TARENTUM WIND GAP LOUISVILLE CINCINNATI ATTICA RICHMOND LOOGOOTEE INDIANAPOLIS PRINCETON ELKHART OAK PARK LANSING DEARBORN HEIGHTS WIXOM DETROIT FARMINGTON HILLS LANSING LANSING MARQUETTE NEW PHILADELPHIA LEBANON DAYTON BROOKLYN COLUMBUS CANTON LATONIA LOUISVILLE BARDSTOWN PRESTONSBURG LEXINGTON LEXINGTON ASHLAND CINCINNATI HANOVER LEVITTOWN SCRANTON FOLSOM LANCASTER ELIZABETHTOWN NAZARETH DOVER UNIONTOWN LOUISVILLE NEW HAVEN INDIANAPOLIS ENGLISH CLARKSVILLE PHILADELPHIA BROOKVILLE LITITZ SUGAR GROVE LITITZ READING SELLERSBURG GRANGER RICHMOND BOONVILLE NOBLESVILLE DETROIT PHILADELPHIA EPHRATA

STATE

COUNTY

PA LANCASTER

PA FRANKLIN

PA WESTMORELAND

PA ARMSTRONG

WV MERCER

WV BERKELEY

WV WOOD

WV HAMPSHIRE

WV PUTNAM

OH BUTLER

OH MEDINA

OH FRANKLIN

OH DEFIANCE

PA LUZERNE

PA CHESTER

PA LACKAWANNA

PA ALLEGHENY

PA NORTHAMPTON

KY JEFFERSON

OH HAMILTON

IN

FOUNTAIN

IN

WAYNE

IN MARTIN

IN MARION

IN GIBSON

IN ELKHART

MI OAKLAND

MI INGHAM

MI WAYNE

MI OAKLAND

MI WAYNE

MI OAKLAND

MI EATON

MI INGHAM

MI MARQUETTE

OH TUSCARAWAS

OH WARREN

OH MONTGOMERY

OH CUYAHOGA

OH FRANKLIN

OH STARK

KY KENTON

KY JEFFERSON

KY NELSON

KY FLOYD

KY FAYETTE

KY FAYETTE

KY BOYD

OH HAMILTON

PA YORK

PA BUCKS

PA LACKAWANNA

PA DELAWARE

PA LANCASTER

PA LANCASTER

PA NORTHAMPTON

PA YORK

PA FAYETTE

KY JEFFERSON

IN

ALLEN

IN

MARION

IN

CRAWFORD

IN

CLARK

PA PHILADELPHIA

PA JEFFERSON

PA LANCASTER

PA WARREN

PA LANCASTER

PA BERKS

IN

CLARK

IN

ST. JOSEPH

IN

WAYNE

IN

WARRICK

IN

HAMILTON

MI WAYNE

PA PHILADELPHIA

PA LANCASTER

ZIP

PHONE

17603 (717)-394-5671

17268 (717)-762-2915

15668 (724)-327-6611

15656 (724)-842-1771

24712 (304)-384-7851

25401 (304)-267-6414

26105 (304)-295-7356

26711 (304)-856-2901

25526 (304)-562-1830

45011 (513)-868-8724

44281 (330)-336-6628

43215 (614)-224-9275

43512 (419)-782-8079

18634 (570)-735-3979

19380 (610)-738-8870

18447 (570)-383-6700

15084 (724)-274-0272

18091 (610)-863-5341

40241 (502)-797-3338

45248 (513)-574-1978

47918 (765)-762-3390

47374 (765)-966-2225

47553 (812)-295-4600

46268 (317)-876-9724

47670 (812)-386-6690

46517 (574)-522-2197

48237 (248)-516-1888

48912 (517)-364-5380

48127 (313)-724-9078

48393 (248)-668-2261

48206 (313)-894-0451

48336 (248)-888-9591

48917 (517)-622-1451

48910 (517)-393-5784

49855 (906)-226-0095

44663 (330)-364-5519

45036 (513)-228-7370

45432 (937)-252-9100

44144 (216)-739-4125

43219 (614)-428-5856

44703 (234)-410-3366

41015 (859)-261-0605

40207 (502)-893-0277

40004 (502)-348-6623

41653 (606)-886-1202

40503 (859)-276-5493

40505 (859)-254-1326

41101 (606)-325-8400

45243 (513)-561-7700

17331 (717)-633-7292

19057 (215)-269-2360

18503 (570)-963-2305

19033 (610)-237-1302

17603 (717)-291-9126

17022 (717)-653-6888

18064 (610)-746-3412

17315 (717)-767-5322

15401 (724)-439-6681

40202 (502)-476-7979

46774 (260)-493-3736

46219 (317)-356-7337

47118 (812)-338-3686

47129 (812)-284-0541

19147 (215)-625-7902

15825 (814)-849-7548

17543 (717)-627-0081

16350 (814)-489-7777

17543 (717)-627-8251

19601 (484)-663-5760

47172 (812)-461-0025

46530 (574)-272-5773

47374 (765)-935-2074

47601 (812)-897-8828

46060 (317)-776-3347

48238 (313)-733-6346

19141 (215)-424-2611

17522 (717)-721-4855

NCPDP 3993549 3994298 3995593 3995620 3996660 3996711 1569966 3669706 3670177 3670684 3671915 3671953 3672967 3675052 3675711 3677335 3678286 3678767 3680015 2300440 2302444 2330950 2338766 2341270 2342462 2342981 2343731 2345139 3902649 3906712 3912549 3914137 3914214 3917652 3935763 5000017 5002198 5003760 1524671 2387202 3989045 3989297 3990113 3990985 3991040 3991204 3993943 3995529 3995543 3996165 3996367 1567835 1568015 1568382 1568623 1569358 3669908 3673008 3674694 3675519 2310100 2319184 2322042 2328789 2337182 2337207 2338362 2346915 3900582 3902120 3909667 3915913 3931208 3932793 5008380 5011957 5054008

NPI 1164745444 1790091668 1508151226 1235425182 1184993040 1871864397 1518423003 1760495089 1861501140 1033136239 1518982230 1972510980 1750308854 1811087877 1861522591 1891944757 1720218787 1811229651 1124304092 1366457475 1447270384 1578586145 1437261369 1386753838 1629162029 1619053873 1134136112 1558470005 1568561819 1427147156 1902909757 1477556363 1417057860 1669562385 1013007129 1700891645 1902803141 1124030366 1922101641 1164988986 1659565620 1164603411 1316117674 1689821365 1194974485 1750533725 1306166715 1154614279 1558655951 1760778740 1821375338 1841732757 1144765900 1003345703 1770095333 1437636404 1619071446 1184646895 1245273416 1861540825 1730297193 1336131531 1871607564 1285644997 1124137666 1033228572 1396854840 1114933413 1558465385 1073613428 1124064613 1548322852 1780782417 1336403674 1144327982 1851325641 1861577090

PHARMACY NAME HOMESTAR PHARMACY AND MED EQUIPMENT CVS PHARMACY SPARTAN PHARMACY WELLAID INC. MAINLINE PHARMACY ASTI'S LONG TERM CARE PHARMACY COSTCO PHARMACY APOTHECARE RITE AID PHARMACY WALMART PHARMACY KROGER PHARMACY WALGREENS WALMART PHARMACY THE HOMETOWN PHARMACY OHLIGER DRUG LONG TERM CARE GIANT EAGLE PHARMACY DISCOUNT DRUG MART GENOA HEALTHCARE LLC COLER LONG TERM CARE WALGREENS MEIJER PHARMACY RITE AID PHARMACY CVS PHARMACY RITE AID PHARMACY FAIRLANE PHARMACY SERVICES CORP ARFSTROM PHARMACY WALGREENS RITE AID PHARMACY RITE AID PHARMACY RITE AID PHARMACY CVS PHARMACY CARLS DRUG STORE INC RITE AID PHARMACY CALLAGHANS PHARMACY INC RITE AID PHARMACY FRUTH PHARMACY J & B DRUG STORE INC ANILE PHARMACY CVS PHARMACY SAM PHARMACY CVS PHARMACY TOPS PHARMACY WALGREENS CVS PHARMACY CVS PHARMACY SHOPRITE PHARMACY GIANT EAGLE PHARMACY CVS PHARMACY CVS PHARMACY A PLUS PHARMACY METRO CARE PHARMACY INC ENGLEKING RX, LLC MEIJER PHARMACY CAREPOINT INDIANA LLC PHARMSCRIPT OF IN LLC WEBB'S FAMILY PHARMACY CVS PHARMACY CVS PHARMACY CVS PHARMACY GENOA HEALTHCARE LLC CVS PHARMACY ORRS DRUG STORE INC THE CHEMIST SHOPPE MESICK PHARMACY RITE AID PHARMACY RITE AID PHARMACY RITE AID PHARMACY RITE AID PHARMACY CVS PHARMACY RITE AID PHARMACY WOODLYN PHARMACY THE MEDICINE MINE CVS PHARMACY MAGEE WOMENS HOSPITAL PHARMACY DRUG EMPORIUM KROGER PHARMACY TRI COUNTY PHARMACY

ADDRESS 1736 HAMILTON ST 1ST FL S TWR 101 OXFORD VALLEY RD 3520 CLAIRTON BLVD 21 S COBBS CREEK PARKWAY 3720 NEW GERMANY RD 250 MOUNT LEBANON BLVD STE A1 260 LOGISTICS AVE STE A 131 N HIGH ST 722 740 S MAIN ST 2400 HARDING HWY 3588 GENDER RD 601 RACE ST 3200 ATLANTIC BLVD NE 1135 W WESTERN RESERVE RD 27121 CENTER RDIGE RD 4453 LIBERTY AVE 525 W MARION RD 2285 BENDEN DR 1811 CHANDLERSVILLE RD 1000 S GETTY ST 5121 S WESTNEDGE AVE 23201 MARTER RD 10915 BELLEVILLE RD 1020 E HILL RD 22505 ALLEN RD 4 EAST M 134 494 BUTTERNUT DR 3263 COLBY RD 7700 CRITTENDEN ST STE 101C 500 N CLAUDE A LORD BLVD 330 W COLUMBUS AVE 145 N ANTRIM WAY 101 WALLACE AVE 1262 LIBERTY ST 1205 BEN FRANKLIN HWY W 2501 JACKSON AVE 352 MAIN ST 2413 PENNSYLVANIA AVE 8321 W STATE ROAD 56 9550 DIX AVE 600 HATTON DR 1520 W 26TH ST 6906 UNIVERSITY BLVD 6050 STERNERS WAY 335 LANCASTER AVE 9910 FRANKFORD AVE STE 240 100 N MAIN ST 558 PITTSBURGH ST 6231 PENN AVE 13023 BUSTLETON AVE STE 1C 2018 COTTMAN AVE 1494 W MAIN ST 2390 N MORTON ST 7305 E 96TH ST SUITE 500 6825 HILLSDALE CT BLDG NO 3 103 N HEETER ST 17 WILLIAM HOWARD TAFT RD 8282 GOLDEN LINK BLVD 18855 N MARKET PLACE DR 340 S BROADWAY ST 42433 FORD RD 26 S MAIN ST 1900 WEALTHY ST SE STE 105 112 MESICK AVE 9377 CHERRY VALLEY AVE SE 560 JENNER DR 36485 GARFIELD RD 531 W GENESEE AVE 33 E MARKET ST 6090 ROUTE 30 1301 JEFFERSON AVENUE 555 ROUTE 88 350 N 10TH ST 300 HALKET ST 3 MALL RD 1300 LAFAYETTE AVE 123 QUEENS ALLEY RD

CITY ALLENTOWN YARDLEY PITTSBURGH PHILADELPHIA EBENSBURG PITTSBURGH JEFFERSONVILLE COLUMBUS BOWLING GREEN LIMA CANAL WINCHESTER CINCINNATI CANTON YOUNGSTOWN WESTLAKE VERMILION MOUNT GILEAD WOOSTER ZANESVILLE MUSKEGON PORTAGE SAINT CLAIR SHORES BELLEVILLE GRAND BLANC WOODHAVEN CEDARVILLE HOLLAND WHITEHALL PHILADELPHIA POTTSVILLE CORRY GREENCASTLE DOWNINGTOWN FRANKLIN DOUGLASSVILLE POINT PLEASANT GRANTSVILLE WEIRTON WEST BADEN SPRINGS DEARBORN GLEN MILLS ERIE MOON TOWNSHIP BETHLEHEM FRAZER PHILADELPHIA DUBOIS MARS PITTSBURGH PHILADELPHIA PHILADELPHIA MITCHELL FRANKLIN INDIANAPOLIS INDIANAPOLIS NORTH MANCHESTER CINCINNATI NORTHFIELD AURORA AKRON CANTON PIGEON GRAND RAPIDS MESICK CALEDONIA ALLEGAN CLINTON TOWNSHIP SAGINAW LEWISTOWN GREENSBURG WOODLYN CARMICHAELS LEWISBURG PITTSBURGH BARBOURSVILLE MOUNDSVILLE ROCK CAVE

STATE

COUNTY

PA LEHIGH

PA BUCKS

PA ALLEGHENY

PA PHILADELPHIA

PA CAMBRIA

PA ALLEGHENY

IN

CLARK

OH FRANKLIN

OH WOOD

OH ALLEN

OH FRANKLIN

OH HAMILTON

OH STARK

OH MAHONING

OH CUYAHOGA

OH LORAIN

OH MORROW

OH WAYNE

OH MUSKINGUM

MI MUSKEGON

MI KALAMAZOO

MI MACOMB

MI WAYNE

MI GENESEE

MI WAYNE

MI MACKINAC

MI OTTAWA

MI MUSKEGON

PA PHILADELPHIA

PA SCHUYLKILL

PA ERIE

PA FRANKLIN

PA CHESTER

PA VENANGO

PA BERKS

WV MASON

WV CALHOUN

WV HANCOCK

IN ORANGE

MI WAYNE

PA DELAWARE

PA ERIE

PA ALLEGHENY

PA NORTHAMPTON

PA CHESTER

PA PHILADELPHIA

PA CLEARFIELD

PA BUTLER

PA ALLEGHENY

PA PHILADELPHIA

PA PHILADELPHIA

IN LAWRENCE

IN

JOHNSON

IN

MARION

IN

MARION

IN

WABASH

OH HAMILTON

OH SUMMIT

OH GEAUGA

OH SUMMIT

MI WAYNE

MI HURON

MI KENT

MI WEXFORD

MI KENT

MI ALLEGAN

MI MACOMB

MI SAGINAW

PA MIFFLIN

PA WESTMORELAND

PA DELAWARE

PA GREENE

PA UNION

PA ALLEGHENY

WV CABELL

WV MARSHALL

WV UPSHUR

ZIP

PHONE

18104 (610)-628-7577

19067 (215)-321-3303

15227 (412)-440-5888

19139 (215)-472-5000

15931 (814)-472-9390

15234 (412)-561-1499

47130 (800)-443-0060

43215 (614)-228-4476

43402 (419)-354-3911

45804 (419)-222-6828

43110 (614)-920-7404

45202 (513)-929-4316

44705 (330)-489-9140

44514 (330)-629-7345

44145 (440)-777-6200

44089 (440)-967-1220

43338 (419)-947-1404

44691 (330)-439-4664

43701 (740)-454-2086

49442 (231)-767-9212

49002 (269)-337-2110

48080 (586)-773-1100

48111 (734)-697-4000

48439 (810)-232-4111

48183 (734)-676-7474

49719 (906)-484-3355

49424 (616)-786-2235

49461 (231)-893-0310

19118 (215)-242-8022

17901 (570)-622-2224

16407 (814)-664-2617

17225 (717)-597-2426

19335 (610)-873-4725

16323 (814)-432-4125

19518 (610)-385-6643

25550 (304)-675-2303

26147 (304)-354-7737

26062 (304)-723-1818

47469 (812)-936-7272

48120 (313)-228-2414

19342 (610)-808-9055

16508 (814)-455-9500

15108 (412)-269-2501

18017 (610)-837-4220

19355 (610)-240-7871

19114 (215)-824-1830

15801 (814)-371-9000

16046 (724)-625-5577

15206 (412)-626-3259

19116 (267)-731-6163

19149 (215)-342-8400

47446 (812)-865-3266

46131 (317)-346-9610

46250 (855)-237-9112

46250 (908)-389-1818

46962 (260)-982-1000

45219 (513)-569-4301

44067 (330)-468-9183

44202 (330)-562-0637

44308 (330)-253-3600

48187 (734)-981-3900

48755 (989)-453-2234

49506 (616)-774-7799

49668 (231)-885-1751

49316 (616)-891-1256

49010 (269)-673-2181

48035 (586)-791-0738

48602 (989)-753-2447

17044 (717)-248-0921

15601 (724)-837-4180

19094 (610)-833-5600

15320 (724)-966-5237

17837 (570)-523-3261

15213 (412)-641-4355

25504 (304)-736-2451

26041 (304)-845-8298

26234 (304)-924-6784

NCPDP 5054894 5055339 3938478 1523655 1525673 1529138 1530509 2386919 3992028 3993638 3994969 3997078 3999591 1568089 3987700 1834589 1503641 1508057 1523249 1524518 1525320 1528035 1530701 2387428 2388418 2388634 2388723 2388759 3989211 3990618 3990896 3991747 3992559 3996343 3996482 3996963 3997573 1571012 3669833 3669869 3670141 3672943 3673731 3674416 3677501 3678375 3681067 2326014 2327864 2335772 3940461 3940637 3940714 3944027 1522766 1523744 1527968 2386933 2387012 3990745 3992674 3994440 1570755 1570818 3673262 3674098 3675723 3676624 3677119 3681081 2306214 2335277 2338095 2338487 2343666 2345456 2345785

NPI 1558514448 1376853267 1245334085 1114932233 1588681894 1629176375 1114944337 1992262869 1760624944 1356667240 1922300409 1669745048 1285699686 1164960688 1992856975 1760883862 1417050196 1649373341 1851306971 1740207042 1750454377 1669499877 1932126158 1184260838 1518580950 1023616554 1194327189 1235735531 1205016300 1932368305 1356597074 1841437985 1003048109 1265726533 1972871093 1033483599 1649542556 1184215105 1386747129 1215961933 1427152255 1841217940 1407861453 1356388698 1811140817 1821324203 1861839813 1508942178 1497896351 1154432615 1306944046 1568565315 1962435297 1417056771 1750484473 1669487781 1972522951 1902451149 1346709714 1619130267 1700110467 1386952646 1477161909 1811402423 1861419962 1972518934 1023139904 1659557288 1447413398 1225475908 1740398106 1780786020 1336251453 1932218484 1013029958 1679673909 1366476129

PHARMACY NAME WALGREENS GENOA HEALTHCARE LLC CVS PHARMACY WALGREENS WALMART PHARMACY ST MARY'S APOTHECARY WALMART PHARMACY OLIVET PHARMACY PENN PRESBYTERIAN APOTHECARY JUST HERE II PHARMACY SMITH'S PHARMACY COMMUNITY, A WALGREENS PHARMACY FAIRMOUNT PRIMARY CARE CENTER HOPES PHCY AND WELLNESS CTR RITE AID PHARMACY POOLES PHCY CARE HLTH SOLUTION CVS PHARMACY CVS PHARMACY WALGREENS WALMART PHARMACY KROGER SAVON PHCY WALMART PHARMACY WALMART PHARMACY NORTHLAND MEDICAL BUILDING PHARMACY HEIGHTS FAMILY PHARMACY HENRY FORD CANCER PAVILION SPOTRX PHARMACY LIFELONG PHARMACY CENTENNIAL PHARMACY BRIDESBURG WALGREENS STAUFFERS OF KISSEL HILL PHARMACY GIANT EAGLE PHARMACY EMACARE PHARMACY PENNMARK PHARMACY LAN APOTHECARY GIANT EAGLE PHARMACY GIANT PHARMACY INDIANA WELLNESS RX LLC CVS PHARMACY KROGER PHARMACY CVS PHARMACY SAM'S CLUB PHARMACY WALGREENS WALGREENS GIANT EAGLE PHARMACY KROGER PHARMACY VALUE LEADER PHARMACY LEFAVE PHARMACY HACKLEY PROFESSIONAL PHARMACY ST JOHN PHARMACY CVS PHARMACY CVS PHARMACY WEIS PHARMACY RITE AID PHARMACY CVS PHARMACY WALGREENS WALMART PHARMACY SNYDERS DRUG BLUE DOVE PHARMACY 18TH STREET APOTHECARY WEGMANS PHARMACY TRX PHARMACY DAMIEN PHARMACY DERMIO DERMATOLOGY WALMART PHARMACY WALGREENS WALGREENS WALGREENS GIANT EAGLE PHARMACY WALMART PHARMACY WEATHERWAX FAMILY PHARMACIES INC CVS PHARMACY RITE AID PHARMACY RITE AID PHARMACY CVS PHARMACY FAMILY FARE PHARMACY KROGER SAVON PHCY

ADDRESS 5870 WEBSTER RD 2121 7TH ST 1101 MOOSIC ST 550 S COLLEGE AVE 3240 S WESTERN AVE 801 SAINT MARYS DR 2460 E WABASH ST 116 N MAIN ST 51 N 39TH STMUTCH BLDG 2859 N 22ND ST 841 E HUNTING PARK AVE STE 130 1227 LOCUST ST 1412-22 FAIRMOUNT AVENUE 645 HARRISON ST 4155 EWALT RD 311 HENTON ST 201 E TIPTON ST 39 S US HIGHWAY 31 6730 BLUFFTON RD 2251 E STATE HIGHWAY 54 10450 E WASHINGTON ST 8300 E 96TH ST 2505 N OAK DR 20905 GREENFIELD 25524 FORD RD 2800 W GRAND BLVD 21602 MELROSE AVE STE 110 28913 JOHN R ROAD 2660 LEFEVRE ST 1009 N 9TH ST 301 ROHRERSTOWN RD 155 TOWNE CENTRE DRIVE 6433 RISING SUN AVE 1735 SOUTH STREET 907 S 11TH ST 881 HILLS PLZ 1375 E BOOT RD 637 S WALKER ST STE 1 2160 N HIGH ST 428 OXFORD STATE RD 2100 E DUBLIN GRANVILLE RD 5600 EMERALD CT 10003 FREMONT PIKE 9166 STATE ROUTE 43 1394 ETY SHOPS WAY 6417 COLUMBUS PIKE 200 LURAY DR STE B 1202 W CHISHOLM ST 1675 LEAHY ST STE 111 22151 MOROSS RD STE G25 311 BELLEFONTE AVE 3161 MOUNT MORRIS RD 552 STATE ST 2401 E VENANGO ST 924 WESTERN AVE 906 MAIN ST 4024 ELKHART RD 56905 STATION DR 8653 N NEWBURGH RD 113 S 18TH ST 600 COMMERCE DR 5520 WHITAKER AVE UNIT C 26 N ARSENAL AVENUE SUITE B 9200 CALUMET AVE SUITE 203 100A E WASHINGTON JACKSON RD 1000 PARK AVE W 5383 CEMETERY RD 600 S MECCA ST 3841 S HAMILTON RD 50 E SCHROCK RD 210 HINCKLEY BLVD 21911 W 11 MILE RD 249 EAST LANSING ROAD 41820 W 10 MILE RD 4514 GRATIOT RD 2755 LAKE MICHIGAN DR NW 65 S LIVERNOIS RD

CITY SUMMERSVILLE PARKERSBURG SCRANTON RENSSELAER MARION EVANSVILLE FRANKFORT OLIVET PHILADELPHIA PHILADELPHIA PHILADELPHIA PHILADELPHIA PHILADELPHIA HOPE GIBSONIA LIVERMORE SEYMOUR WHITELAND FORT WAYNE LINTON INDIANAPOLIS FISHERS PLYMOUTH SOUTHFIELD DEARBORN HEIGHTS DETROIT SOUTHFIELD MADISON HEIGHTS PHILADELPHIA STROUDSBURG LANCASTER WEXFORD PHILADELPHIA PHILADELPHIA PHILADELPHIA EBENSBURG WEST CHESTER BLOOMINGTON COLUMBUS MIDDLETOWN COLUMBUS MENTOR PERRYSBURG STREETSBORO LANCASTER LEWIS CENTER WINTERVILLE ALPENA MUSKEGON DETROIT LOCK HAVEN WAYNESBURG HAMBURG PHILADELPHIA CLINTON ROCHESTER GOSHEN CALUMET WESTLAND PHILADELPHIA COLLEGEVILLE PHILADELPHIA INDIANAPOLIS MUNSTER EATON MANSFIELD HILLIARD CORTLAND GROVEPORT WESTERVILLE JACKSON SOUTHFIELD EAST LANSING NOVI KIMBALL GRAND RAPIDS ROCHESTER HILLS

STATE

COUNTY

WV NICHOLAS

WV WOOD

PA LACKAWANNA

IN

JASPER

IN

GRANT

IN

VANDERBURGH

IN

CLINTON

MI EATON

PA PHILADELPHIA

PA PHILADELPHIA

PA PHILADELPHIA

PA PHILADELPHIA

PA PHILADELPHIA

IN

BARTHOLOMEW

PA ALLEGHENY

KY MCLEAN

IN

JACKSON

IN

JOHNSON

IN

ALLEN

IN

GREENE

IN

MARION

IN

HAMILTON

IN MARSHALL

MI OAKLAND

MI WAYNE

MI WAYNE

MI OAKLAND

MI OAKLAND

PA PHILADELPHIA

PA MONROE

PA LANCASTER

PA ALLEGHENY

PA PHILADELPHIA

PA PHILADELPHIA

PA PHILADELPHIA

PA CAMBRIA

PA CHESTER

IN MONROE

OH FRANKLIN

OH BUTLER

OH FRANKLIN

OH LAKE

OH WOOD

OH PORTAGE

OH FAIRFIELD

OH DELAWARE

OH JEFFERSON

MI ALPENA

MI MUSKEGON

MI WAYNE

PA CLINTON

PA GREENE

PA BERKS

PA PHILADELPHIA

IN

VERMILLION

IN

FULTON

IN

ELKHART

MI HOUGHTON

MI WAYNE

PA PHILADELPHIA

PA MONTGOMERY

PA PHILADELPHIA

IN

MARION

IN

LAKE

OH PREBLE

OH RICHLAND

OH FRANKLIN

OH TRUMBULL

OH FRANKLIN

OH FRANKLIN

MI JACKSON

MI OAKLAND

MI INGHAM

MI OAKLAND

MI ST. CLAIR

MI KENT

MI OAKLAND

ZIP

PHONE

26651 (304)-872-4394

26101 (304)-485-0800

18505 (570)-347-6991

47978 (219)-866-4156

46953 (765)-662-0829

47714 (812)-485-4365

46041 (765)-654-4056

49076 (269)-280-5005

19104 (215)-662-9496

19132 (215)-226-8530

19124 (215)-537-3000

19107 (215)-772-2772

19130 (215)-235-9600

47246 (812)-546-2502

15044 (724)-449-8080

42352 (270)-278-5252

47274 (812)-522-2628

46184 (317)-535-9001

46809 (260)-747-7563

47441 (812)-847-8648

46229 (317)-895-2247

46037 (317)-578-4416

46563 (574)-935-9006

48075 (248)-569-0450

48127 (313)-724-1111

48208 (313)-230-1078

48075 (248)-469-4259

48071 (248)-677-3398

19137 (215)-535-4111

18360 (570)-421-5025

17603 (717)-397-4710

15090 (724)-934-0201

19111 (215)-745-0202

19146 (215)-735-1200

19147 (215)-923-1469

15931 (814)-472-0614

19380 (610)-241-1061

47403 (561)-632-7922

43201 (614)-294-2105

45044 (513)-423-7097

43229 (614)-891-1410

44060 (440)-352-7654

43551 (419)-872-8247

44241 (330)-422-0502

43130 (740)-654-5219

43035 (740)-888-1290

43953 (740)-314-5321

49707 (989)-354-3189

49442 (231)-672-7822

48236 (313)-343-3776

17745 (570)-748-8260

15370 (724)-627-8108

19526 (610)-562-3795

19134 (215)-743-8530

47842 (765)-832-2431

46975 (574)-223-3249

46526 (574)-875-6921

49913 (906)-934-2336

48185 (734)-667-1764

19103 (215)-564-0900

19426 (484)-902-1545

19124 (215)-288-8701

46201 (317)-981-1989

46321 (219)-228-4200

45320 (937)-456-7720

44906 (419)-529-3790

43026 (614)-771-7493

44410 (330)-638-5016

43125 (614)-836-8420

43081 (614)-948-4446

49203 (517)-784-3184

48076 (248)-353-9898

48823 (517)-332-0888

48375 (248)-349-6150

48074 (810)-364-6980

49504 (616)-791-4777

48307 (248)-652-4750

NCPDP 2345975 2347145 3902118 3904009 3916345 3935751 5002237 5009801 5010082 5010842 5054630 3652369 3652422 3655050 3655555 3938024 3942225 3943809 3943861 3949178 3953014 2336445 2337322 2342020 2346802 2347169 2347993 3901534 3903475 3905570 3920875 1506750 1514353 1522437 1523883 1528554 1528857 2387947 3988889 3994008 3996646 1568798 1569219 1570084 1570452 3671256 3672222 3672892 3673387 3673717 3675812 3675913 3676345 3676511 3676826 3680128 3681093 2303939 2304171 2333730 2335075 2337295 2338754 2340189 2344113 2347979 3901801 3902144 3903374 3908324 3953975 3954256 3993006 3993854 3994464 3994971 3995997

NPI 1730290750 1174635015 1881793131 1316915937 1306867122 1326148776 1659358513 1033281837 1538186663 1336173129 1336326792 1376657262 1457460701 1205860004 1154348332 1497844138 1861425191 1306946751 1730282583 1073602728 1306935051 1134238660 1346304904 1184707176 1184750713 1346352283 1881706729 1932208279 1669471850 1659474187 1609970342 1073616769 1326099979 1154346385 1114984473 1033136254 1114090636 1477183804 1366500431 1730400953 1720358344 1447774971 1437645587 1861044216 1245878529 1205853405 1194730010 1154346872 1497772594 1306861026 1639397375 1548462492 1972798056 1154502847 1326214396 1487924924 1285072603 1023031747 1528177805 1407977267 1447260591 1851301170 1619089547 1508978438 1891871539 1992813364 1558460899 1699874941 1770582397 1154410884 1588753230 1003915265 1407184807 1306164488 1043265820 1457654642 1407134976

PHARMACY NAME COVENANT HEALTHCARE O/P PHARMACY CVS PHARMACY RITE AID PHARMACY RIOS PHARMACY MARTELLAS PHARMACY RITE AID PHARMACY BIG FOUR DRUG STORE MED RX PHARMACY WALMART PHARMACY KROGER PHARMACY CITIZENS DRUG STORE BASSETTS MARKET PHARMACY RITE AID PHARMACY KROGER SAV-ON WALMART PHARMACY RITE AID PHARMACY WEIS PHARMACY RITE AID PHARMACY CVS PHARMACY RITE AID PHARMACY RITE AID PHARMACY RITE AID PHARMACY COUNTRY DRUGS CENTRAL PHARMACY WILLIAMSTON CROWN PHARMACY CVS PHARMACY CVS PHARMACY RITE AID PHARMACY COOKS PHARMACY OF KINGSTON CVS PHARMACY PERRY DRUG STORE LLC CVS PHARMACY GIL DRUG COMPANY INC CHRIS' PHARMACY SALEM APOTHECARY INC WALMART PHARMACY KROGER SAVON PHCY OAK PARK RX STROUD CMPND & WELLNESS PHCY CVS PHARMACY DEPIETRO'S PHARMACY WALGREENS REHABILITATION HOSP OF IN GENOA HEALTHCARE LLC JR PHARMACY LLC NO 5 WALMART PHARMACY GIANT EAGLE PHARMACY KROGER PHARMACY WALMART PHARMACY KROGER PHARMACY WALMART PHARMACY GIANT EAGLE PHARMACY RITE AID PHARMACY PREMIER HEALTH PHARMACY-MVH ACME PHARMACY KLEIN'S ASSUREMED SOLUTIONS SIGNATURE HEALTH INC PHARMACY RITE AID PHARMACY RITE AID PHARMACY LUEA FAMILY PHARMACY RITE AID PHARMACY RITE AID PHARMACY CVS PHARMACY CVS PHARMACY SAULT STE MARIE TRIBAL HLTH PHCY SUSSEX DRUGS RITE AID PHARMACY RITE AID PHARMACY HARTZELLS PHARMACY INC RITE AID PHARMACY RITE AID PHARMACY RITE AID PHARMACY PRIMARY CARE PHARMACY SERVICES INC WALGREENS CONSULTANTS IN MDCL ONC & HEMA PC SUNRAY DRUGS CHESTNUT PLAZA HKS PHARMACY

ADDRESS 700 COOPER AVE 19851 W WARREN AVE 1956 GREENTREE RD 35 S MORTON AVE 1932 WILLIAM PENN AVE 2100 WASHINGTON PIKE 300 TEMPLE ST 620 NATIONAL RD 75 RETAIL CIR 6360 US ROUTE 60 E 70 WYOMING ST 3994 E HARBOR RD 569 S HIGH ST 3760 PAXTON AVE 354 PRIVATE DRIVE 288 345 W BROAD ST 1020 NORTHERN BLVD 568 CASTE VLG 110 S PLEASANT AVE 222 Y ST 1709 LIBERTY ST 511 E DIVISION ST 362 STATE PARK DR 129 S PUTNAM ST 24401 PLYMOUTH RD 7091 DIXIE HWY 5757 WHITMORE LAKE RD STE 100 6822 HAMILTON BLVD 777 WYOMING AVE 1407 BUFFALO RD 301 INDEPENDENCE STREET 617 W 6TH ST 52 LINCOLNWAY 511 MAIN STREET 3 PUBLIC SQ 1601 N CASS ST 3361 KENTUCKY AVE 24651 COOLIDGE HIGHWAY 1619 N 9TH ST STE 3 130 SCHUYLKILL RD 617 3RD ST 7505 STATE RTE 311 4141 SHORE DR 480 EVERSMAN DR RM D105 703 W PARK ST 2900 TOWNE BLVD 6700 PERIMETER LOOP RD 262 W MAIN ST 4004 TUSCARAWAS ST W 8460 E MAIN ST 2801 CUNNINGHAM RD 4780 W BROAD ST 8310 SYLVANIA METAMORA RD 1 WYOMING ST FL 1 1225 PLEASANT VLY RD 2015 STATE RD 21100 SOUTHGATE PARK BLVD 597 S ADAMS RD 66998 VAN DYKE RD 8021 MILLER RD 4410 DIVISION AVE S 25996 GRATIOT AVE 414 S MAIN ST 31111 SCHOENHERR RD 2864 ASHMUN ST 22835 VAN DYKE AVE 200 W RIDGE PIKE STE 112 1236 LONG RUN RD 300 AMERICAN ST 201 N WASHINGTON AVE 1786I COLUMBIA AVE 65 NEWBERRY PKWY 27 HECKEL RD STE 110 100 E MCMURRAY RD 30 LAWRENCE RD STE 201 4323 CHESTNUT ST 3357 N FRONT ST PHILA PA 19140

CITY SAGINAW DETROIT PITTSBURGH MORTON JOHNSTOWN CARNEGIE HINTON WHEELING MORGANTOWN BARBOURSVILLE WELCH PORT CLINTON CORTLAND CINCINNATI SOUTH POINT QUAKERTOWN CLARKS SUMMIT PITTSBURGH SOMERSET DERRY ERIE ROCKFORD BAY CITY WILLIAMSTON REDFORD CLARKSTON BRIGHTON ALLENTOWN KINGSTON ERIE PERRYOPOLIS JASPER VALPARAISO NEW HARMONY SALEM WABASH INDIANAPOLIS OAK PARK STROUDSBURG PHOENIXVILLE DUNMORE SELLERSBURG INDIANAPOLIS JASPER CAYUGA MIDDLETOWN DUBLIN AMELIA CANTON REYNOLDSBURG CINCINNATI COLUMBUS SYLVANIA DAYTON PARMA CUYAHOGA FALLS MAPLE HEIGHTS BIRMINGHAM WASHINGTON SWARTZ CREEK KENTWOOD ROSEVILLE BROOKLYN WARREN SAULT SAINTE MARIE WARREN CONSHOHOCKEN WHITE OAK CATASAUQUA SCRANTON COLUMBIA ETTERS MCKEES ROCKS MCMURRAY BROOMALL PHILADELPHIA PHILADELPHIA

STATE

COUNTY

MI SAGINAW

MI WAYNE

PA ALLEGHENY

PA DELAWARE

PA CAMBRIA

PA ALLEGHENY

WV SUMMERS

WV OHIO

WV MONONGALIA

WV CABELL

WV MCDOWELL

OH OTTAWA

OH TRUMBULL

OH HAMILTON

OH LAWRENCE

PA BUCKS

PA LACKAWANNA

PA ALLEGHENY

PA SOMERSET

PA WESTMORELAND

PA ERIE

MI KENT

MI BAY

MI INGHAM

MI WAYNE

MI OAKLAND

MI LIVINGSTON

PA LEHIGH

PA LUZERNE

PA ERIE

PA FAYETTE

IN DUBOIS

IN PORTER

IN POSEY

IN WASHINGTON

IN WABASH

IN MARION

MI OAKLAND

PA MONROE

PA CHESTER

PA LACKAWANNA

IN

CLARK

IN MARION

IN DUBOIS

IN VERMILLION

OH WARREN

OH FRANKLIN

OH CLERMONT

OH STARK

OH LICKING

OH HAMILTON

OH FRANKLIN

OH LUCAS

OH MONTGOMERY

OH CUYAHOGA

OH SUMMIT

OH CUYAHOGA

MI OAKLAND

MI MACOMB

MI GENESEE

MI KENT

MI MACOMB

MI JACKSON

MI MACOMB

MI CHIPPEWA

MI MACOMB

PA MONTGOMERY

PA ALLEGHENY

PA LEHIGH

PA LACKAWANNA

PA LANCASTER

PA YORK

PA ALLEGHENY

PA WASHINGTON

PA DELAWARE

PA PHILADELPHIA

PA PHILADELPHIA

ZIP

PHONE

48602 (989)-583-6484

48228 (313)-271-4050

15220 (412)-563-3933

19070 (610)-543-1858

15909 (814)-322-1011

15106 (412)-276-7077

25951 (304)-466-2323

26003 (304)-232-4984

26508 (304)-292-9887

25504 (304)-733-3373

24801 (304)-436-4932

43452 (419)-732-6300

44410 (330)-638-8747

45209 (513)-871-0725

45680 (740)-894-3517

18951 (215)-536-1800

18411 (570)-587-2460

15236 (412)-881-5650

15501 (814)-443-1634

15627 (724)-694-9811

16502 (814)-452-2596

49341 (616)-866-4429

48706 (989)-684-8251

48895 (517)-992-5101

48239 (313)-532-3784

48346 (248)-620-2600

48116 (810)-229-9772

18106 (610)-398-1351

18704 (570)-288-3633

16503 (814)-451-0937

15473 (724)-736-4422

47546 (812)-482-3300

46383 (219)-462-4146

47631 (812)-682-3044

47167 (812)-883-4500

46992 (260)-563-4033

46221 (317)-240-1588

48237 (248)-607-0707

18360 (570)-476-6936

19460 (610)-933-7487

18512 (570)-209-7440

47172 (812)-246-5405

46254 (317)-329-2087

47546 (812)-817-0994

47928 (765)-487-0500

45044 (513)-423-4882

43017 (614)-717-9424

45102 (513)-718-2220

44708 (330)-479-9630

43068 (614)-552-0780

45241 (513)-769-1145

43228 (614)-878-8942

43560 (419)-882-7241

45409 (937)-208-4848

44134 (440)-842-6700

44223 (330)-926-5941

44137 (216)-395-1060

48009 (248)-647-4470

48095 (586)-752-3561

48473 (810)-635-3355

49548 (616)-532-9241

48066 (586)-774-1070

49230 (517)-592-2115

48088 (586)-276-4501

49783 (906)-632-5226

48089 (586)-757-6505

19428 (610)-828-1274

15131 (412)-678-2755

18032 (610)-264-5471

18503 (570)-343-7301

17512 (717)-684-0025

17319 (717)-938-3655

15136 (412)-771-2149

15317 (724)-949-1583

19008 (610)-492-5900

19104 (215)-387-5000

19140 (215)-634-2444

NCPDP 3996406 3996886 3997117 3998715 3998866 1571151 3670379 3671333 3671472 3676268 3676749 3679151 3679377 2306151 2311924 2312952 2313031 2315059 2330948 2331508 2334794 2341802 2342741 2343402 3901700 3902512 3908728 3911179 3925370 5008784 5008897 5010157 5010234 5011868 5012113 3647116 3647255 3647508 3649641 3632379 3635515 3637040 3638016 3640578 1836103 1837725 1837888 1838525 2350243 2351334 2352487 2352893 2356524 2357324 2359859 3656038 3656444 3656521 3660265 3660277 3664946 3665253 3962316 1819121 1822849 1822926 1828221 2380171 2380450 2381173 3683528 3684099 3684380 3685281 1835923 1836379 1838498

NPI 1386922714 1811260938 1316213531 1881931525 1619217684 1497349955 1083832612 1396752317 1730190398 1578757613 1386814275 1295048288 1477861417 1053420331 1043310378 1952401283 1740372663 1356495709 1003824574 1518982818 1407903560 1184657884 1386678142 1104891696 1568561801 1447354287 1205925948 1316013568 1013941954 1255346193 1902823032 1275948184 1417050170 1902823040 1972523629 1386650695 1265541593 1992814230 1548363906 1639272370 1740263680 1568465060 1659435121 1225136112 1548799364 1942792536 1174090799 1407493075 1386661593 1487766333 1568571024 1194834655 1366430423 1710052709 1265447387 1487715470 1740295682 1821191644 1821033747 1992722185 1407965767 1326053232 1740380104 1770680514 1306927199 1447284260 1760416523 1093103335 1073907655 1033515226 1497130694 1063873297 1841646197 1962943126 1518419993 1285157636 1114563319

PHARMACY NAME ESPERANZA HEALTH CENTER INC UNITED PHCY UPPER DARBY INC PANTHERX SPECIALTY PHARMACY CHEMISTRY RX SMITH'S PHARMACY MEDSCRIPT LTC PHARMACY COMMUNITY MERCY HOME CARE PHCY GIANT EAGLE PHARMACY DELPHOS DISCOUNT DRUGS CVS PHARMACY WALGREENS WALGREENS SAINT PARIS PHARMACY RITE AID PHARMACY GLENS PHARMACY GLENS PHARMACY CADILLAC HOSPITAL PHARMACY BEACON PT PHCY & SURGICAL COMMUNITY PHARMACY OF PLAINWEL EHARDT'S PHARMACY INC MIKE PHARMACY LAKE HURON COMMUNITY PHARMACY KROGER PHARMACY FAMILY HEALTH CARE PHARMACY RITE AID PHARMACY CVS PHARMACY RITE AID PHARMACY LOWERS PHARMACY INC YORKVILLE DRUG STORE FRUTH PHARMACY WALMART PHARMACY MARSHALL PHARMACY CVS PHARMACY SAM'S CLUB PHARMACY BLUEWELLS FAMILY PHARMACY INC RITE AID PHARMACY RITE AID PHARMACY RITE AID PHARMACY CVS PHARMACY CVS PHARMACY SWISHER & LOHSE PHARMACY KAUP PHARMACY MEIJER PHARMACY THORNVILLE PHARMACY LLC MEDICAL PAVILION PHARMACY ARH HAZARD PHARMACY MAIN STREET PHARMACY GRACE HEALTH PHCY MOUNTAIN VIEW WALMART PHARMACY CVS PHARMACY RITE AID PHARMACY RITE AID PHARMACY MCHC PHARMACY WINGERTS PHARMACY WALGREENS TISCHBEIN APOTHECARY MARCS CVS PHARMACY DISCOUNT DRUG MART WALMART PHARMACY RITE AID PHARMACY GIANT EAGLE PHARMACY RITE AID PHARMACY SHELDONS EXPRESS PHARMACY HARRISON PHARMACY INC KROGER PHARMACY KROGER PHARMACY ROGERS PHARMACY OF CAPAC ARBOR LANE PHARMACY #3 RITE HEALTH PHARMACY GENOA HEALTHCARE LLC METROHEALTH BEDFORD PHARMACY GENOA HEALTHCARE LLC GENOA HEALTHCARE LLC GENOA HEALTHCARE LLC WALGREENS INSPIRE RX PHARMACY

ADDRESS 4417 N 6TH STREET 206B W CHELTEN AVE 24 SUMMIT PARK DR STE 101 950 HENDERSON BLVD 133 W HUNTING PARK AVE STE 200 14460 GETZ RD 9963 CINCINNATI DAYTON RD 6079 ANDREWS RD 660 ELIDA AVE 8000 OAK POINT RD 190 CHESTNUT ST 1415 ROCKSIDE RD 122 S SPRINGFIELD ST 557 N CEDAR ST 617 N WILLIAMS ST 430 N LAKE ST 400 HOBART ST 15200 E JEFFERSON AVE 533 ALLEGAN ST 7275 HURON AVE 213 W MAIN ST 2601 ELECTRIC AVE 1100 W ARGYLE ST 1035 E WILCOX AVE 3331 PLEASANT VALLEY BLVD 1278 MILLERSVILLE PIKE 8716 NEW FALLS RD 33 E MAIN ST 1824 W MARKET ST 1419 US RT 60 EAST 1330 N EISENHOWER DR 1600 MEDICAL CENTER DR 300 4TH AVE 2500 MOUNTAINEER BLVD 3675 COAL HERITAGE RD 10090 CHESTER AVE 2020 W STATE ST 4328 N MAIN ST 2020 EAKIN RD 1390 W HUNTER ST 636 EAST MAIN ST 102 N WAYNE ST 3651 TOWNE BLVD 2 NORTH MAIN ST 245 FLEMINGSBURG RD 181 ROY CAMPBELL DR 289 MAIN ST 272 LONDON MT VIEW DR STE 2 2150 N TELEGRAPH RD 4239 E 12 MILE RD 806 GRATIOT AVE 4562 W HOUGHTON LAKE DR 550 MUNSON AVE STE 100G 315 E MAIN ST 1765 FORT ST 3500 ERIE AVE 5123 TUSCARAWAS ST W 710 N MAIN ST 8459 WASHINGTON ST 3900 MORSE RD 713 N STATE ST 15919 PEARL RD 200 SOUTH BEST AVENUE 843 FAIRVIEW AVE 606 N MAIN ST 705 E MAIN ST 1300 ANDERSON CROSSING DR 316 W NEPESSING ST 24224 JOY RD STE 103 4835 MICHIGAN AVE STE 1 12557 RAVENWOOD DR STE 112 19999 ROCKSIDE ROAD 525 METRO PL N STE 150 1832 ADAMS ST STE P 415 GIBSON LN STE P 600 MAIN ST 950 N MULBERRY ST STE 100A

CITY PHILADELPHIA PHILADELPHIA PITTSBURGH FOLCROFT PHILADELPHIA NOBLESVILLE WEST CHESTER MENTOR ON THE LAKE DELPHOS AMHERST COSHOCTON PARMA SAINT PARIS IMLAY CITY MANCELONA BOYNE CITY CADILLAC GROSSE POINTE PARK PLAINWELL LEXINGTON MORENCI PORT HURON JACKSON WHITE CLOUD ALTOONA LANCASTER LEVITTOWN EVERETT POTTSVILLE HUNTINGTON BECKLEY HUNTINGTON MONTGOMERY SOUTH CHARLESTON BLUEFIELD CLEVELAND FREMONT DAYTON COLUMBUS LOGAN POMEROY FORT RECOVERY FRANKLIN THORNVILLE MOREHEAD HAZARD CADIZ LONDON MONROE WARREN SAGINAW HOUGHTON LAKE TRAVERSE CITY MAYVILLE LINCOLN PARK CINCINNATI CANTON SPRINGBORO CHAGRIN FALLS COLUMBUS GIRARD STRONGSVILLE WALNUTPORT BOWLING GREEN TOMPKINSVILLE LEBANON LAWRENCEBURG LAPEER REDFORD DETROIT CHARDON BEDFORD DUBLIN TOLEDO RICHMOND MUNFORDVILLE ELIZABETHTOWN

STATE

COUNTY

PA PHILADELPHIA

PA PHILADELPHIA

PA ALLEGHENY

PA DELAWARE

PA PHILADELPHIA

IN

HAMILTON

OH BUTLER

OH LAKE

OH ALLEN

OH LORAIN

OH COSHOCTON

OH CUYAHOGA

OH CHAMPAIGN

MI LAPEER

MI ANTRIM

MI CHARLEVOIX

MI WEXFORD

MI WAYNE

MI ALLEGAN

MI SANILAC

MI LENAWEE

MI ST. CLAIR

MI JACKSON

MI NEWAYGO

PA BLAIR

PA LANCASTER

PA BUCKS

PA BEDFORD

PA SCHUYLKILL

WV CABELL

WV RALEIGH

WV CABELL

WV FAYETTE

WV KANAWHA

WV MERCER

OH CUYAHOGA

OH SANDUSKY

OH MONTGOMERY

OH FRANKLIN

OH HOCKING

OH MEIGS

OH MERCER

OH WARREN

OH PERRY

KY ROWAN

KY PERRY

KY TRIGG

KY LAUREL

MI MONROE

MI MACOMB

MI SAGINAW

MI ROSCOMMON

MI GRAND TRAVERSE

MI TUSCOLA

MI WAYNE

OH HAMILTON

OH STARK

OH WARREN

OH GEAUGA

OH FRANKLIN

OH TRUMBULL

OH CUYAHOGA

PA NORTHAMPTON

KY WARREN

KY MONROE

KY MARION

KY ANDERSON

MI LAPEER

MI WAYNE

MI WAYNE

OH GEAUGA

OH CUYAHOGA

OH FRANKLIN

OH LUCAS

KY MADISON

KY HART

KY HARDIN

ZIP

PHONE

19140 (215)-302-3600

19144 (215)-438-3880

15275 (855)-726-8479

19032 (855)-790-0100

19140 (215)-324-5100

46060 (317)-798-2300

45069 (513)-942-3095

44060 (440)-306-0011

45833 (419)-692-3784

44001 (440)-985-7101

43812 (740)-295-5403

44134 (216)-325-5192

43072 (937)-663-6001

48444 (810)-724-0576

49659 (231)-587-8491

49712 (231)-582-2101

49601 (231)-876-7373

48230 (313)-822-5474

49080 (269)-685-5847

48450 (810)-359-5322

49256 (517)-458-2261

48060 (810)-216-3140

49202 (517)-788-5476

49349 (231)-689-6677

16602 (814)-942-1081

17603 (717)-397-2481

19054 (215)-945-1212

15537 (814)-652-5633

17901 (570)-622-1639

25705 (304)-525-0507

25801 (304)-252-9523

25701 (304)-691-6879

25136 (304)-442-2431

25309 (304)-744-3649

24701 (304)-589-7788

44106 (216)-721-2020

43420 (419)-332-2186

45405 (937)-274-1530

43223 (614)-276-8989

43138 (740)-385-8581

45769 (740)-992-2955

45846 (419)-375-2323

45005 (513)-420-3910

43076 (740)-246-6511

40351 (606)-780-5550

41701 (606)-439-7199

42211 (270)-882-2222

40741 (606)-877-2850

48162 (734)-242-2385

48092 (586)-558-5560

48602 (989)-791-4221

48629 (989)-366-9212

49686 (231)-935-8730

48744 (989)-843-5440

48146 (313)-928-8638

45208 (513)-321-9282

44708 (330)-477-8862

45066 (937)-748-1135

44023 (440)-543-8844

43219 (614)-476-2188

44420 (330)-545-8414

44136 (440)-238-4111

18088 (610)-767-9595

42101 (270)-842-4515

42167 (270)-487-6408

40033 (270)-692-2123

40342 (502)-859-1772

48446 (810)-664-0600

48239 (313)-532-4000

48210 (313)-209-6066

44024 (440)-226-3380

44146 (216)-957-6337

43017 (614)-943-4055

43604 (419)-442-0024

40475 (859)-353-6277

42765 (270)-524-3081

42701 (270)-600-6337

NCPDP 2349391 2353681 2358009 2359645 2359873 2360078 3656292 3657383 3657585 3659337 3659882 3659971 3660001 3660289 3662891 3664922 3667168 3667548 3668627 3668906 3686081 3686574 3686702 3686740 1804031 1808332 1809714 1809891 1812937 1817634 3603859 3976757 3976985 3977216 3977228 3980441 3982522 3982964 3983358 3664150 3664910 3665431 3665568 3668134 2315807 2335366 2337601 3908374 3914098 3914175 3916713 3926360 5008532 5009091 5010006 5010676 5010892 1819739 1820554 3907271 3930333 3931880 5000031 5000930 5001259 5001437 1530787 2386870 2387911 3992561 3993133 1569980 3669996 3670519 3672777 3673161 3674062

NPI 1447265558 1285743740 1356363014 1184639205 1083636757 1649379942 1295826741 1265541510 1649297839 1639196827 1962417972 1457378648 1497770101 1376646109 1174626907 1245349505 1881610178 1659398857 1326072075 1134134166 1265922090 1508331471 1972077030 1437615440 1679660823 1205906260 1730214826 1427161553 1568565208 1487688206 1659474369 1023064029 1003803610 1518901826 1881609774 1114004082 1215034152 1780616706 1578580718 1184646994 1568479582 1679595482 1699780619 1629109780 1255378055 1073625448 1992715783 1972692606 1063591238 1285723916 1528161114 1528088010 1699878355 1912977588 1629095757 1427082213 1629078118 1649204462 1710081773 1245329978 1538258264 1760576052 1235232984 1215009014 1407069115 1417054255 1396766614 1023663366 1497381800 1639301161 1912238833 1447802251 1790790723 1841205762 1558395277 1316935976 1124045224

PHARMACY NAME WALGREENS RITE AID PHARMACY CVS PHARMACY WALGREENS CVS PHARMACY CVS PHARMACY MEDICINE CENTER PHARMACY RITE AID PHARMACY WALMART PHARMACY WALMART PHARMACY WALGREENS WALMART PHARMACY KROGER SAV-ON CVS PHARMACY CVS PHARMACY RITE AID PHARMACY VILLAGE APOTHECARY WALMART PHARMACY KROGER PHARMACY WALGREENS AXESSPOINTE PHARMACY BROADWAY GENOA HEALTHCARE LLC GREAT SCOT 80 PHARMACY CINCINNATI PHARMACY CENTRAL CITY CLINIC PHARMACY DISCOUNT DRUG MART DEAN'S PHARMACY RIVERVIEW PHARMACY CVS PHARMACY KROGER PHARMACY CVS PHARMACY SAV-ON PHARMACY BOSWELL PHARMACY SERVICES FAMILY PHARMACY OF OLYPHANT WALGREENS COORDINATED CARE NETWORK PHCY COUNTY LINE PHARMACY GIANT PHARMACY WALMART PHARMACY CVS PHARMACY MARCS CVS PHARMACY WALGREENS HOLZER FAMILY PHARMACY - JACKSON FAMILY PHARMACY ST JOHN PHARMACY RITE AID PHARMACY RITE AID PHARMACY MCLAUGHLINS DRUG STORE RITE AID PHARMACY DONORA UNION PHARMACY BECHTELS PHARMACY CVS PHARMACY MED-A-SAVE PHARMACY WALMART PHARMACY KROGER PHARMACY FRUTH PHARMACY KROGER PHARMACY TOTAL CARE PHARMACY RITE AID PHARMACY RITE AID PHARMACY THE CHILDREN HOSP OF PA CVS PHARMACY ELM GROVE PHARMACY FRITZS PHARMACY IV GOODYKOONTZ DRUG STORE INC CVS PHARMACY WALGREENS STOPIN PHARMACY LLC WALGREENS CVS PHARMACY CVS PHARMACY WALGREENS GIANT EAGLE PHARMACY KROGER PHARMACY MEDICAL EXPRESS PHCY WALMART PHARMACY

ADDRESS 4425 DIVISION AVE S 1200 S MAIN ST STE A 30020 GRAND RIVER AVE 4989 STATE ST 3130 44TH ST SW 6070 W MAPLE RD 251 EAST ST 117 S MAIN ST 33752 VINE ST 804 PIKE ST 3415 CLARK AVE 1575 COSHOCTON AVE 2525 HILLIARD ROME RD 620 E MARKET ST 2620 W BREESE RD 1158 WILMINGTON AVE 104 N WILLIAMS ST 8659 COLUMBUS PIKE 7300 YANKEE RD 21010 CENTER RIDGE RD 676 SOUTH BROADWAY ST STE 105 1744 PAYNE AVE STE P1 2017 BROAD AVE 3495 BURNET AVE 203 N 2ND ST 121 S KY 7 109 LOCUST STREET 201 S WATER ST 2104 N MAIN ST 3616 BUECHEL BYP 10554 LOVELAND MADEIRA RD 1067 W BALTIMORE PIKE 131 SCHOOLHOUSE RD 110 DELAWARE AVE 690 2ND STREET PIKE 300 PENN CENTER BLVD STE 405 25 S YORK RD 901 S WEST END BLVD 100 CROSSINGS BLVD 8680 BEECHMONT AVE 1650 SNOW RD 20900 WESTGATE 127 E PLEASANT VALLEY RD 280 PATTONSVILLE RD G 4444 FENTON RD 11800 E 12 MILE RD 1470 TITTABAQASSEE 9280 KREWSTOWN RD 182 BUCHANAN TRL STE 150 1860 BROWNSVILLE RD 601 MCKEAN AVE 302 MAIN ST 9781 SENECA TRL S 1405 BONNIEVIEW TERRACE 400 THREE SPRINGS DR 80 SKYLINE PLAZA DR 511 MORRIS ST 3650 BOSTON RD 209 S MAIN CROSS ST 338 E ALLEGHENY AVE 237 E LANCASTER AVE 3401 CIVIC CENTER BLVD 1114 LAFAYETTE AVE 102 E BETHLEHEM BLVD 105 RAILRD AAVE 2924 EAST CUMBERLAND RD 2106 BROADWAY ST 660 WOODWARD AVE STE 100RX 13636 DIX TOLEDO RD 4900 LIBRARY RD 620 PHILADELPHIA RD 336 S DELAWARE ST 1880 S LIMESTONE ST 1250 N HAMILTON RD 6725 DICK FLYNN BLVD 104 E 5TH ST STE 2 6067 N RIDGE RD

CITY WYOMING ADRIAN FARMINGTON HILLS SAGINAW GRANDVILLE WEST BLOOMFIELD MINERVA FREDERICKTOWN WILLOWICK MARIETTA CLEVELAND MOUNT VERNON HILLIARD WARREN LIMA DAYTON PAULDING LEWIS CENTER LIBERTY TWP ROCKY RIVER AKRON CLEVELAND FINDLAY CINCINNATI CENTRAL CITY SANDY HOOK BROOKSVILLE LOUISA LONDON LOUISVILLE LOVELAND MEDIA JENNERSTOWN OLYPHANT SOUTHAMPTON PITTSBURGH HATBORO QUAKERTOWN ELVERSON CINCINNATI PARMA FAIRVIEW PARK SEVEN HILLS JACKSON FLINT WARREN SAGINAW PHILADELPHIA MC CONNELLSBURG TREVOSE DONORA SLATINGTON LEWISBURG KEYSER WEIRTON BUCKHANNON CHARLESTON LEXINGTON FLEMINGSBURG PHILADELPHIA WAYNE PHILADELPHIA MOUNDSVILLE WHEELING ALDERSON BLUEFIELD EAST CHICAGO DETROIT SOUTHGATE BETHEL PARK EASTON INDIANAPOLIS SPRINGFIELD COLUMBUS GOSHEN EAST LIVERPOOL MADISON

STATE

COUNTY

MI KENT

MI LENAWEE

MI OAKLAND

MI SAGINAW

MI KENT

MI OAKLAND

OH STARK

OH KNOX

OH LAKE

OH WASHINGTON

OH CUYAHOGA

OH KNOX

OH FRANKLIN

OH TRUMBULL

OH ALLEN

OH MONTGOMERY

OH PAULDING

OH DELAWARE

OH BUTLER

OH CUYAHOGA

OH SUMMIT

OH CUYAHOGA

OH HANCOCK

OH HAMILTON

KY MUHLENBERG

KY ELLIOTT

KY BRACKEN

KY LAWRENCE

KY LAUREL

KY JEFFERSON

OH HAMILTON

PA DELAWARE

PA SOMERSET

PA LACKAWANNA

PA BUCKS

PA ALLEGHENY

PA MONTGOMERY

PA BUCKS

PA BERKS

OH HAMILTON

OH CUYAHOGA

OH CUYAHOGA

OH CUYAHOGA

OH JACKSON

MI GENESEE

MI MACOMB

MI SAGINAW

PA PHILADELPHIA

PA FULTON

PA BUCKS

PA WASHINGTON

PA LEHIGH

WV GREENBRIER

WV MINERAL

WV BROOKE

WV UPSHUR

WV KANAWHA

KY FAYETTE

KY FLEMING

PA PHILADELPHIA

PA DELAWARE

PA PHILADELPHIA

WV MARSHALL

WV OHIO

WV MONROE

WV MERCER

IN

LAKE

MI WAYNE

MI WAYNE

PA ALLEGHENY

PA NORTHAMPTON

IN

MARION

OH CLARK

OH FRANKLIN

OH CLERMONT

OH COLUMBIANA

OH LAKE

ZIP

PHONE

49548 (616)-531-9494

49221 (517)-263-0603

48336 (248)-477-1467

48603 (989)-791-3088

49418 (616)-222-7661

48322 (248)-865-2290

44657 (330)-868-6200

43019 (740)-694-5717

44095 (440)-269-8828

45750 (740)-376-9035

44109 (216)-651-0212

43050 (740)-392-3890

43026 (614)-771-4172

44481 (330)-393-5205

45806 (419)-991-0010

45420 (937)-252-9894

45879 (419)-399-9780

43035 (740)-657-8101

45044 (513)-342-3260

44116 (440)-333-8205

44311 (330)-785-2054

44114 (216)-502-4959

45840 (567)-251-3900

45229 (513)-376-5358

42330 (270)-754-4300

41171 (606)-738-5111

41004 (606)-735-2322

41230 (606)-638-9218

40741 (606)-878-7344

40218 (502)-458-9511

45140 (513)-683-0400

19063 (610)-627-0521

15547 (814)-629-1397

18447 (570)-487-4447

18966 (215)-953-9475

15235 (412)-349-6337

19040 (215)-443-7700

18951 (215)-536-6679

19520 (610)-913-2012

45255 (513)-474-6367

44134 (216)-398-7943

44126 (216)-325-0753

44131 (216)-901-9782

45640 (740)-395-8870

48507 (810)-235-7995

48093 (586)-573-5850

48604 (989)-754-8477

19115 (215)-676-1453

17233 (717)-485-3724

19053 (215)-322-4107

15033 (724)-379-5630

18080 (610)-767-4121

24901 (304)-645-7053

26726 (304)-788-6010

26062 (304)-723-3450

26201 (304)-472-0715

25301 (304)-341-0257

40514 (859)-223-0959

41041 (606)-845-2101

19134 (215)-634-4397

19087 (610)-293-1496

19104 (267)-425-8888

26041 (304)-845-0504

26003 (304)-242-1500

24910 (304)-445-2956

24701 (304)-325-7121

46312 (219)-378-9042

48226 (313)-771-6039

48195 (734)-288-3115

15102 (412)-854-9801

18042 (610)-559-2630

46204 (317)-287-3237

45505 (937)-322-5894

43230 (614)-939-5280

45122 (513)-722-7460

43920 (330)-385-6339

44057 (440)-417-0373

NCPDP 3674466 3675292 3676989 3677765 3678440 2305274 2308307 2330823 2336887 2338261 2338348 2339352 2339972 2340557 2345595 3914327 3924075 3929746 3931397 3932325 5008493 3655694 3943568 3952620 3953569 3954220 3954698 3956426 5056393 5057939 3922855 5001843 5004623 5007225 5010068 5010498 5011731 3989704 3990947 3992434 3993917 3996773 3999072 3999363 3999541 1567291 1567431 1568801 1569790 3669768 3670759 3671244 3671713 3671876 3675076 3675735 3676181 3676294 3676321 3678010 2302951 2318598 2323878 2337067 2340393 2346016 2346864 3900190 3901394 3901914 3905683 3907194 3925596 3929227 3932046 5010789 5012199

NPI 1215955968 1497802862 1922266352 1043456486 1649507815 1073532156 1295875284 1669584595 1184732547 1083624324 1760498067 1982716817 1174550404 1598867830 1316087745 1811086549 1912071416 1891804951 1679531693 1265518682 1972606630 1962424762 1316958556 1043311509 1629083548 1386742088 1205925955 1104915859 1205227634 1265959134 1538380431 1225065303 1376884213 1609979368 1982619821 1497801161 1104823194 1114940582 1831346287 1205067071 1639498942 1023380235 1215370291 1225477367 1396178133 1164883450 1629237714 1255855862 1326603325 1396750212 1760409965 1396762597 1023035227 1205843224 1811086507 1932220373 1851582498 1942400486 1942493663 1780823500 1881706703 1952380065 1194354035 1134238678 1225178692 1992710008 1225051378 1255487419 1427157767 1346349693 1649373481 1497740435 1912038159 1871534370 1598088056 1609881549 1891890125

PHARMACY NAME WALMART PHARMACY GIANT EAGLE PHARMACY KHN PHARMACY EATON CVS PHARMACY CLEVELAND CLINIC CENTRAL FILL PHCY LARMOURS PHARMACY ROTTENBUCHER PHARMACY CVS PHARMACY CVS PHARMACY RITE AID PHARMACY RITE AID PHARMACY CVS PHARMACY MILLER PHARMACY CVS PHARMACY MEIJER PHARMACY RITE AID PHARMACY PRIMARY CARE HLTH SERVICES INC PENN LAUREL PHARMACY BIOSCRIP INFUSION SERVICES PENN PRESBYTERIAN MED CTR PHCY CVS PHARMACY CVS PHARMACY GIANT EAGLE PHARMACY CVS PHARMACY GIANT EAGLE PHARMACY CVS PHARMACY RITE AID PHARMACY RITE AID PHARMACY BRADSHAW ECONOMY DRUG INC WALGREENS HEALTH ON SOUTH RX CITIZENS DRUG STORE ST JOSEPHS HOSPITAL PHARMACY CVS PHARMACY FRUTH PHARMACY POCA VALUE RITE PHCY BELLDINA'S PHARMACY MARIA DE LOS SANTOS HEALTH CTR GIANT EAGLE PHARMACY WALGREENS BELLS MARKET PHARMACY GENOA HEALTHCARE LLC PHARMACY OF AMERICA IV GIANT PHARMACY WYNNEFIELD PHARMACY MEIJER PHARMACY LAFAYETTE CANCER CARE WALGREENS HEALTHLINC PHARMACY LLC GIANT EAGLE PHARMACY SAM'S CLUB PHARMACY WALMART PHARMACY WALMART PHARMACY GIANT EAGLE PHARMACY KROGER PHARMACY WALGREENS WALGREENS WALMART PHARMACY METROHEALTH OLD BROOKLYN PHCY EXACT CARE PHARMACY LLC CVS PHARMACY HOLIDAY PHARMACY PLLC MIDMICHIGAN MED CENT WEST BRANCH RITE AID PHARMACY MEIJER PHARMACY WALGREENS RITE AID PHARMACY SCHILLERS APOTHECARY RITE AID PHARMACY RITE AID PHARMACY CVS PHARMACY SUMMIT HEALTH PHARMACY INC MCCABE DRUG GALETON DRUG AGH APOTHECARY FRUTH PHARMACY MOORES PHARMACY

ADDRESS 200 S TUTTLE RD 21593 LORAIN RD 450B WASHINGTON JACKSON RD 6150 GLENWAY AVE 3175 SCIENCE PARK DR # AC4B100 1525 W MICHIGAN AVE 122 124 S MAIN ST 30920 SOUTHFIELD RD 225 E STATE ST 18430 FENKELL ST 5650 SCHAEFER RD 25109 RYAN RD 206 N BROADWAY ST 1750 S WAYNE RD 1700 N TELEGRAPH RD 4606 ADMIRAL PEARY HWY 7227 HAMILTON AVE 112 SUNSHINE AVE 970 RITTENHOUSE RD STE 200 51 N 39TH ST 1405 OAK ST 2437 TAYLOR PARK DR 4250 MURRAY AVE 197 N MAIN ST 331 WASHINGTON RD 1520 NORTHAMPTON ST 2103 N 3RD ST 210 9TH ST 10029 MARSHALL HIGHWAY 14025 ROCKET BOYS DR 1631 33 SOUTH ST 501 CAROLINA AVE 1 AMALIA DR 842 NATIONAL RD 1506 ELIZABETH PIKE 119C MAIN ST 107 S MAIN STREET 401-55 W ALLEGHENY AVE 5 QUAKER VILLAGE SHOPPING CTR 827 MAGILL DR 8330 BUSTLETON AVE 214 COLLEGE PARK PLZ STE 214B 1900 N 9TH ST 10000 SHANNONDELL DR 2230 BRYN MAWR AVE 2622 MENARDS DR 1345 UNITY PLACE SUITE 135 1673 HIGHWAY 64 NE 1001 STURDY RD 2801 E WATERLOO RD 5375 N BEND RD 2875 E STATE ST 1701 W DOROTHY LN 619 BRADSHAW AVE 919 E STATE ST 200 S LOCUST ST 1213 N BARRON ST 3400 STEELYARD DR 4229 PEARL RD RM SM 8333 ROCKSIDE RD 27365 CHERRY HILL RD 37771 SCHOENHERR RD 2463 SOUTH M-30 2036 LAKE MICHIGAN DR NW 3333 E MICHIGAN AVE 780 WASHINGTON AVE 1750 GRATIOT BLVD 811 S AIKEN AVE 417 CHARTIERS ST 3599 WEST CHESTER PIKE 311 5TH AVE 3400 EDGMONT AVE 419 MAIN STREET 20 WEST ST 320 E NORTH AVE STE 111 509 CHURCH ST N 1311 EDWIN MILLER BLVD

CITY SPRINGFIELD FAIRVIEW PARK EATON CINCINNATI BEACHWOOD BATTLE CREEK EATON RAPIDS SOUTHFIELD MONTROSE DETROIT DEARBORN WARREN UNION CITY WESTLAND MONROE EBENSBURG PITTSBURGH CENTRAL CITY AUDUBON PHILADELPHIA KENOVA REYNOLDSBURG PITTSBURGH MANSFIELD WASHINGTON EASTON HARRISBURG GLASSPORT BRADSHAW WAR PHILADELPHIA CHESTER BUCKHANNON WHEELING MINERAL WELLS POCA MASONTOWN PHILADELPHIA LEETSDALE NORTH HUNTINGDON PHILADELPHIA JOHNSTOWN PHILADELPHIA AUDUBON PHILADELPHIA EVANSVILLE LAFAYETTE NEW SALISBURY VALPARAISO AKRON CINCINNATI SALEM MORAINE EAST LIVERPOOL ATHENS OXFORD EATON CLEVELAND CLEVELAND VALLEY VIEW INKSTER STERLING HEIGHTS WEST BRANCH GRAND RAPIDS JACKSON HOLLAND MARYSVILLE PITTSBURGH BRIDGEVILLE NEWTOWN SQUARE MCKEESPORT BROOKHAVEN REYNOLDSVILLE GALETON PITTSBURGH RIPLEY MARTINSBURG

STATE

COUNTY

OH CLARK

OH CUYAHOGA

OH PREBLE

OH HAMILTON

OH CUYAHOGA

MI CALHOUN

MI EATON

MI OAKLAND

MI GENESEE

MI WAYNE

MI WAYNE

MI MACOMB

MI BRANCH

MI WAYNE

MI MONROE

PA CAMBRIA

PA ALLEGHENY

PA SOMERSET

PA MONTGOMERY

PA PHILADELPHIA

WV WAYNE

OH FAIRFIELD

PA ALLEGHENY

PA TIOGA

PA WASHINGTON

PA NORTHAMPTON

PA DAUPHIN

PA ALLEGHENY

WV MCDOWELL

WV MCDOWELL

PA PHILADELPHIA

WV HANCOCK

WV UPSHUR

WV OHIO

WV WOOD

WV PUTNAM

WV PRESTON

PA PHILADELPHIA

PA ALLEGHENY

PA WESTMORELAND

PA PHILADELPHIA

PA CAMBRIA

PA PHILADELPHIA

PA MONTGOMERY

PA PHILADELPHIA

IN VANDERBURGH

IN TIPPECANOE

IN HARRISON

IN PORTER

OH SUMMIT

OH HAMILTON

OH MAHONING

OH MONTGOMERY

OH COLUMBIANA

OH ATHENS

OH BUTLER

OH PREBLE

OH CUYAHOGA

OH CUYAHOGA

OH CUYAHOGA

MI WAYNE

MI MACOMB

MI OGEMAW

MI KENT

MI JACKSON

MI ALLEGAN

MI ST. CLAIR

PA ALLEGHENY

PA ALLEGHENY

PA DELAWARE

PA ALLEGHENY

PA DELAWARE

PA JEFFERSON

PA POTTER

PA ALLEGHENY

WV JACKSON

WV BERKELEY

ZIP

PHONE

45505 (937)-325-2613

44126 (440)-356-3677

45320 (937)-456-8388

45211 (513)-719-1077

44122 (216)-448-7732

49037 (269)-965-1258

48827 (517)-663-6811

48076 (248)-647-7472

48457 (810)-639-0049

48223 (313)-837-2340

48126 (313)-581-3280

48091 (586)-756-8900

49094 (517)-741-3604

48186 (734)-721-3444

48162 (734)-384-8010

15931 (814)-472-5312

15208 (412)-244-4747

15926 (814)-754-5717

19403 (800)-551-0450

19104 (215)-662-9494

25530 (304)-453-3504

43068 (614)-655-5002

15217 (412)-421-1340

16933 (570)-662-2615

15301 (724)-228-2865

18042 (610)-252-8530

17110 (717)-236-4208

15045 (412)-678-5109

24817 (304)-967-9333

24892 (304)-875-2330

19146 (215)-496-9595

26034 (304)-387-2731

26201 (304)-473-2051

26003 (304)-232-3410

26150 (304)-489-2710

25159 (304)-755-1500

26542 (304)-864-4000

19133 (215)-291-2500

15056 (412)-259-1021

15642 (724)-861-7201

19152 (215)-342-1697

15904 (814)-266-1699

19122 (215)-787-9999

19403 (610)-728-5600

19131 (267)-353-8159

47715 (812)-647-2210

47905 (765)-446-5050

47161 (812)-347-3188

46383 (219)-465-9505

44312 (330)-628-6067

45247 (513)-661-8630

44460 (330)-337-8986

45439 (937)-643-2481

43920 (330)-385-7554

45701 (740)-566-4180

45056 (513)-523-4683

45320 (937)-456-2694

44109 (216)-661-5561

44109 (216)-957-6337

44125 (216)-369-2200

48141 (313)-274-6240

48312 (586)-274-4332

48661 (989)-343-3191

49504 (616)-453-2473

49202 (517)-783-0210

49423 (616)-396-0098

48040 (810)-364-6200

15232 (412)-621-5900

15017 (412)-221-8184

19073 (610)-353-0294

15132 (412)-678-6769

19015 (610)-872-5418

15851 (814)-653-8295

16922 (814)-435-6588

15212 (412)-359-8677

25271 (304)-372-1605

25404 (304)-264-0300

NCPDP 5054046 3640299 3640782 3641544 3997129 3998361 1568647 3671511 3673022 3673793 3681005 2302987 2303927 2308511 2313310 2333780 2336584 2342397 2345329 3901382 3903196 3905823 3926790 3927867 5003126 5008392 5008417 5008455 5008948 5011678 5011818 5054515 3645100 3645643 3646366 3651874 3652054 3652117 3653018 3945548 3953090 3953139 3953266 3953533 3956111 3958305 5055872 5056076 1822091 1826328 1828079 1829019 1829881 1829994 1830175 1832698 1833208 1834755 1835757 2377314 2377388 2378758 2381262 2384218 2385056 2386111 2386680 3686322 3687259 3687285 1800603 1805639 1807671 3685178 3686942 3687386 2348604

NPI 1336228006 1295890614 1467486266 1508963448 1376818336 1962756726 1649783432 1164591764 1801818513 1356363063 1174866297 1235241159 1063521342 1063521581 1881630390 1346228269 1316056856 1083637458 1316924061 1417057720 1912906165 1639272479 1629094586 1144205444 1841373933 1063515724 1043221690 1922169705 1679661474 1922020627 1356386882 1720206774 1700810504 1407965734 1649365412 1194834432 1427169523 1811006166 1265459440 1992894638 1841222858 1508082140 1811965205 1932209384 1083629901 1902815913 1447591581 1295166569 1629095948 1609893056 1689689838 1487766614 1841348406 1942341391 1588783625 1144502287 1508111782 1851782841 1497206973 1558613620 1720322159 1124459318 1063883403 1013429711 1639661077 1093271470 1538729579 1639663123 1285280446 1588212096 1104929843 1205849841 1366546327 1124566500 1932660438 1528617099 1447369905

PHARMACY NAME MOUNTAIN LAKE PHARMACY MEDICINE SHOPPE PHARMACY KROGER SAV-ON WHITACRE PHARMACY WEGMANS PHARMACY WELLNESS PHARMACY KROGER PHARMACY KHN PHARMACY CASSANO CVS PHARMACY CVS PHARMACY FALCON HEALTH CENTER PHARMACY CVS PHARMACY RITE AID PHARMACY RITE AID PHARMACY COLEMAN FAMILY PHARMACY FRED'S PHARMACY RITE AID PHARMACY RITE AID PHARMACY HENRY FORD HOME INFUSION RITE AID PHARMACY CROWN DRUGS CVS PHARMACY SHAFER'S PHARMACY HARROLDS PHARMACY BONDS DRUG STORE CVS PHARMACY REED'S DRUG STORE JARRELL'S PHARMACY STAATS PHCY & HEALTH CARE INC CVS PHARMACY BEE WELL PHARMACY RIVERSIDE PHARMACY KROGER SAV-ON RITE AID PHARMACY BETHESDA NORTH APOTHECARY RITE AID PHARMACY RITE AID PHARMACY RITE AID PHARMACY WALMART PHARMACY RITE AID PHARMACY GIANT PHARMACY GREENWOOD DRUGS THOMPSON PHARMACY RITE AID PHARMACY GIANT EAGLE PHARMACY WEST END PHARMACY HARMAN PILL BOX PHARMACY LAMBERT DRUG STORE WALMART PHARMACY FOOD CITY PHARMACY WALGREENS LEWIS COUNTY PRIMARY CARE CENTER RUSSELL SPRINGS PHARMACY APOTHECARE PHARMACY II CARDINAL ROCKCASTLE PROFESSIONAL PHCY FAMILY DISCOUNT DRUGS EAST KENTUCKY DRUG DIRECT MEDS OF KENTUCKY MARTIN COUNTY PHARMACY ULTIMATE MEDICAL PHARMACY HEMLOCK PHARMACY FAMILY HEALTH CARE PHARMACY WALGREENS KNIGHT DRUGS LANSING KARMANOS SPECIALTY PHARMACY DAVIS CUT RATE DRUGS WRIGLEYS PHARMACY 3 LLC REACHCARE PHARMACY PARAFILL KRATZERS HOMETOWN PHCY LEBANON CVS PHARMACY SUTTON PHARMACY NATION'S MEDICINES WRIGHT RX PHARMACY DEDICATED SENIOR MEDICAL CENTER VITACARE PHARMACY RITE AID PHARMACY

ADDRESS 1129 BROAD ST STE 100 821 SCIOTO ST 1435 REYNOLDS RD 1574 LAGONDA AVE 1 VILLAGE DR 2337 RIDGE AVE 227 W MICHIGAN ST 165 S EDWIN C MOSES BLVD 3369 PRINCETON RD 1980 LINCOLN WAY E 838 EAST WOOSTER STREET 413 E MICHIGAN AVE 1186 BALDWIN AVE 19016 FORT ST 211 E RAILWAY ST 808 W MICHIGAN AVE 1399 E GRAND RIVER AVE 3456 E JEFFERSON AVE 21298 MELROSE AVE 200 CRAFTON INGRAM SHP CTR 6519 FRANKFORD AVE 7406 CHURCH ST 11 CENTER ST 250 OLD RIVER RD 1649 HARRIS HWY 250 COURT AVE 41 PIN OAK LANE 2122 RITTER DR 100 E MAIN ST 30 RHL 4501 MACCORKLE AVE SW STE 102 22 LARRY JOE HARLESS DR 3420 TOWNE BLVD 651 LINCOLN AVE 10500 MONTGOMERY RD 705 W HIGH AVE 4042 CLEVELAND AVE S 3010 WHIPPLE AVE NW 1950 HAVEMANN RD 25 E PIKE ST 136 KLINE VLG 1667 BELLEMEADE DR 2827 EARLYSTOWN RD 5707 EASTON RD 510 MARWALT LN 133 S 17TH ST 15 MOTT ST 22630 NORTHWESTERN PIKE 591 JOSEPH DR 330 N MAYO TRL 600 S HIGHWAY 27 211 KY 59 92 JOE T PETTY DR 1028 N DIXIE AVE STE 100 110 NEWCOMB AVE 3603 CUMBERLAND AVE 160 CONN ST STE 2 146 SKYVIEW DR 6500 HIGHWAY 645 SUITE 110 2049 N OPDYKE RD 132 HEMLOCK PLAZA DR 1615 MICHIGAN AVE 4501 WOODWARD AVE STE 105 1540 LAKE LANSING RD SUITE 106 711 STEPHENSON HWY 14039 W MCNICHOLS RD 20721 DEQUINDRE RD STE B 4513 E MAIN ST 23600 MERCANTILE RD STE G 118 W MAIN ST STE D 231 S 2ND ST 330 W MAPLE AVE 3030 BURLEW BLVD 3359 KEMP RD STE 230 2260 MORSE RD 10501 BLACKLICK EASTERN RD 352 N ROSS ST

CITY SUMMERSVILLE URBANA MAUMEE SPRINGFIELD KING OF PRUSSIA PHILADELPHIA INDIANAPOLIS DAYTON HAMILTON MASSILLON BOWLING GREEN SALINE PONTIAC RIVERVIEW COLEMAN THREE RIVERS EAST LANSING DETROIT SOUTHFIELD PITTSBURGH PHILADELPHIA SWISSVALE TAMAQUA WILKES BARRE WASHINGTON WESTON KEYSER DANIELS SPENCER SOUTH CHARLESTON SOUTH CHARLESTON GILBERT MIDDLETOWN CADIZ CINCINNATI NEW PHILADELPHIA CANTON CANTON CELINA CANONSBURG HARRISBURG ALTOONA CENTRE HALL PIPERSVILLE ROARING SPRING ALLENTOWN HARMAN ROMNEY HARRODSBURG PAINTSVILLE SOMERSET VANCEBURG RUSSELL SPRINGS ELIZABETHTOWN MOUNT VERNON MIDDLESBORO IVEL MOUNT STERLING INEZ AUBURN HILLS HEMLOCK BALDWIN DETROIT LANSING TROY DETROIT HAZEL PARK COLUMBUS BEACHWOOD LEBANON DANVILLE LANCASTER OWENSBORO BEAVERCREEK COLUMBUS PICKERINGTON BEAVERTON

STATE

COUNTY

WV NICHOLAS

OH CHAMPAIGN

OH LUCAS

OH CLARK

PA MONTGOMERY

PA PHILADELPHIA

IN

MARION

OH MONTGOMERY

OH BUTLER

OH STARK

OH WOOD

MI WASHTENAW

MI OAKLAND

MI WAYNE

MI MIDLAND

MI ST. JOSEPH

MI INGHAM

MI WAYNE

MI OAKLAND

PA ALLEGHENY

PA PHILADELPHIA

PA ALLEGHENY

PA SCHUYLKILL

PA LUZERNE

WV WOOD

WV LEWIS

WV MINERAL

WV RALEIGH

WV ROANE

WV KANAWHA

WV KANAWHA

WV MINGO

OH WARREN

OH HARRISON

OH HAMILTON

OH TUSCARAWAS

OH STARK

OH STARK

OH MERCER

PA WASHINGTON

PA DAUPHIN

PA BLAIR

PA CENTRE

PA BUCKS

PA BLAIR

PA LEHIGH

WV RANDOLPH

WV HAMPSHIRE

KY MERCER

KY JOHNSON

KY PULASKI

KY LEWIS

KY RUSSELL

KY HARDIN

KY ROCKCASTLE

KY BELL

KY FLOYD

KY MONTGOMERY

KY MARTIN

MI OAKLAND

MI MIDLAND

MI LAKE

MI WAYNE

MI INGHAM

MI OAKLAND

MI WAYNE

MI OAKLAND

OH FRANKLIN

OH CUYAHOGA

OH WARREN

KY BOYLE

KY GARRARD

KY DAVIESS

OH GREENE

OH FRANKLIN

OH FAIRFIELD

MI GLADWIN

ZIP

PHONE

26651 (304)-872-9000

43078 (937)-653-3914

43537 (567)-302-2689

45503 (937)-325-6444

19406 (484)-690-3545

19121 (215)-800-1248

46204 (317)-262-5267

45402 (937)-558-0199

45011 (513)-714-0006

44646 (330)-833-4151

43402 (419)-372-7443

48176 (734)-429-4991

48340 (248)-333-7057

48193 (734)-479-2010

48618 (989)-465-6661

49093 (269)-278-2355

48823 (517)-337-1385

48207 (313)-259-6520

48075 (248)-827-3370

15205 (412)-921-5755

19135 (215)-624-4224

15218 (412)-271-6733

18252 (570)-668-0290

18702 (570)-822-5794

26181 (304)-863-3051

26452 (304)-269-1125

26726 (304)-788-1643

25832 (304)-763-2442

25276 (304)-927-2980

25309 (304)-746-0820

25309 (304)-766-8484

25621 (304)-664-3343

45005 (513)-217-2150

43907 (740)-942-3101

45242 (513)-865-1184

44663 (330)-364-8876

44707 (330)-484-3947

44718 (330)-477-7269

45822 (419)-586-6177

15317 (724)-745-4418

17104 (717)-909-0703

16602 (814)-944-9556

16828 (814)-364-1608

18947 (215)-766-7350

16673 (814)-224-4201

18104 (610)-433-1826

26270 (304)-227-3661

26757 (304)-822-1000

40330 (859)-734-3319

41240 (606)-789-7116

42501 (606)-677-0596

41179 (606)-796-2686

42642 (270)-866-2778

42701 (270)-982-0303

40456 (606)-256-4613

40965 (606)-248-8900

41642 (606)-478-3784

40353 (859)-520-3220

41224 (606)-298-3412

48326 (248)-370-8070

48626 (989)-301-0250

49304 (231)-745-5024

48201 (313)-230-2170

48912 (517)-455-7355

48083 (833)-577-4968

48235 (313)-861-9300

48030 (248)-915-4400

43213 (614)-525-0031

44122 (216)-260-1300

45036 (513)-409-5286

40422 (859)-236-2314

40444 (859)-792-4611

42303 (270)-685-4931

45431 (937)-313-9888

43229 (614)-702-7899

43147 (614)-333-0168

48612 (989)-435-7727

NCPDP 2349454 2349733 2351485 2351803 2352641 2356752 2359328 2359582 2359974 2360357 2361272 2361347 3660099 3661899 3662447 3663172 3663336 3666647 3667079 3688720 1800552 1800588 1801085 1801302 1801376 1818080 3607528 3977115 3978509 3978624 3982217 3982231 3982887 3984982 3985542 3987065 3988461 1503590 1503829 1517246 1517688 1517727 3687300 1835860 1835959 1836432 1836470 1837167 1837395 1838171 2348058 2349264 2350863 2351118 2354683 3656785 3659414 3661130 3663754 3666130 3667221 3961465 1800944 1811048 1812583 1814828 3604736 3605827 3976632 3977824 3979032 3980198 3980972 3983384 3983776 3985061 1834123

NPI 1306870142 1487664330 1497844047 1467479675 1396768867 1609978998 1356363022 1477560464 1932133782 1467564468 1982611976 1548275670 1225043235 1104843390 1477575280 1134134158 1538104559 1205929882 1841201407 1265026421 1578666210 1487757126 1932131356 1922101666 1861407009 1740214568 1407930530 1225043151 1356373377 1265464283 1396762530 1326070343 1548369721 1881720050 1154336055 1932293248 1467660258 1508969288 1598868275 1124170014 1033212477 1942303383 1669020186 1700337219 1114464914 1992228225 1619490943 1811411382 1023531159 1366765034 1285799031 1417069360 1548271059 1588776439 1982638748 1750315453 1003919838 1033117510 1669497376 1306870019 1407861321 1467587337 1356434930 1194719096 1730210956 1184668873 1467555177 1700960994 1184682643 1366464091 1407873649 1053326942 1619197340 1427075670 1922029982 1952333973 1508287095

PHARMACY NAME KROGER PHARMACY ALEXANDER'S DRUGS BEAVERTON PHARMACY WALMART PHARMACY RITE AID PHARMACY CVS PHARMACY CVS PHARMACY WALGREENS KROGER PHARMACY MEDICINE SHOPPE PHARMACY WALGREENS WALGREENS WALGREENS WALMART PHARMACY CVS PHARMACY WALGREENS DISCOUNT DRUG MART FITZGERALD'S SEAMAN PHARMACY FAYETTE PHARMACY UNIVERSITY HOSPITALS PHARMACY CVS PHARMACY CVS PHARMACY BYASSEE DRUG COMPANY CVS PHARMACY WALGREENS KROGER PHARMACY MADISON AVENUE PHARMACY GIANT EAGLE PHARMACY GIANT PHARMACY GIANT PHARMACY SAM'S CLUB PHARMACY MARTINS PHARMACY RITE AID PHARMACY EVERGREEN PHARMACY WALGREENS 8TH ST PHARMACY LLC CVS PHARMACY CVS PHARMACY CVS PHARMACY THE MEDICINE CHEST PHARMACY CVS PHARMACY CVS PHARMACY GARFIELD LOWCOST PHARMACY ARH FAMILY HEALTH PHARMACY BIG SANDY PHARMACY WALGREENS WALGREENS WALGREENS WALGREENS BRIDGEWATER MEDICAL CENTER MEIJER PHARMACY CVS PHARMACY HENRY FORD MACOMB AMBULATORY PHCY CVS PHARMACY KROGER PHARMACY KROGER SAV-ON CVS PHARMACY FOSTERS CENTERBURG PHARMACY KROGER PHARMACY KROGER PHARMACY GIANT EAGLE PHARMACY ND PHARMACY EVANS DRUG COMPANY CADIZ PHARMACY CAVE RUN PHARMACY CAVE CITY PRESCRIPTION CTR INC CVS PHARMACY BENZER PHARMACY SMP LONG TERM CARE CVS PHARMACY WALMART PHARMACY WALGREENS HILLMAN CENTER PHARMACY WALMART PHARMACY HOSPITAL OF THE U OF P RADNOR GIANT PHARMACY ANDERSON APOTHECARY

ADDRESS 108 W HIGHLAND RD 211 EAST MAIN 127 W BROWN ST 412 OAKS XING 2990 W 12 MILE RD 4025 18 MILE RD 3248 ALPINE AVE NW 8850 NEWBURGH RD 19855 W 12 MILE RD 500 N JAMES ST 16741 CANAL RD 450 N PARK BLVD 6661 BROADWAY AVE 24801 BROOKPARK RD 5584 DRESSLER RD NW 5122 TUSCARAWAS ST W 4925 PORTAGE ST NW 17860 ST RT 247 1500 COLUMBUS AVENUE 9000 MENTOR AVE STE 114 10490 SHELBYVILLE RD 101 E BROADWAY ST 107 E CLAY ST 1201 INDIAN MOUND DR 2021 HIKES LN 12501 SHELBYVILLE RD 640 N FOUNTAIN AVE 254 YOST BLVD 2450 CHEMICAL RD 1969 E 3RD ST 2801 E MARKET ST 22 HOOVER AVE STE 130 1856 N BROAD ST 1222 WELSH RD STE C-1 2455 LEECHBURG RD 819 S 8TH ST 550 GRANDVIEW CROSSING DR 100 N ANDERSON ST 21 W MAIN ST 2803 E STATE BLVD 10001 E WASHINGTON ST 3310 E JACKSON ST 5050 TURNEY RD 1084 HIGHWAY 7 STE 3 23 WILLOW DR 408 NORTH MORGAN ST 1040 RICHMOND ST 933 BLACKBURN AVE 5571 COLLINS HWY 750 SALEM DR STE 1 9701 BELLEVILLE RD 3530 PINE GROVE AVE 16151 19 MILE RD STE 100 15455 GRATIOT AVE 25780 MIDDLEBELT RD 230 LAFAYETTE ST 3355 E LIVINGSTON AVE 4584 COLUMBUS RD 3600 SOLDANO BLVD 811 GAY ST 1825 SNOW RD 5012 OLD YORK RD 214 LAKE ST 435 LAKOTA DR 425 CLINIC DR 101 SOUTH DIXIE HWY 28100 CHAGRIN BLVD 1696 S ARCH AVE 6 RAILROAD ST 1717 LEBANON CHURCH RD 1091 MILLCREEK RD 1809 E ALLEGHENY AVE 5115 CENTER AVE ROOM AG 30 1 100 S CONESTOGA DR 145 KING OF PRUSSIA RD #109N 277 HERSHEY RD 90 PLAZA DR

CITY HOWELL FENNVILLE BEAVERTON PLAINWELL BERKLEY STERLING HEIGHTS WALKER LIVONIA SOUTHFIELD GRAYLING CLINTON TOWNSHIP LAKE ORION CLEVELAND NORTH OLMSTED NORTH CANTON CANTON NORTH CANTON SEAMAN WASHINGTON C H MENTOR LOUISVILLE CAMPBELLSVILLE CLINTON MOUNT STERLING LOUISVILLE MIDDLETOWN SPRINGFIELD PITTSBURGH PLYMOUTH MEETING WILLIAMSPORT YORK DU BOIS LANSDALE NORTH WALES NEW KENSINGTON PHILADELPHIA GIBSONIA ELWOOD BROWNSBURG FORT WAYNE INDIANAPOLIS MUNCIE GARFIELD HEIGHTS WEST LIBERTY AUXIER MORGANFIELD MT VERNON ASHLAND PIKEVILLE OWENSBORO BELLEVILLE PORT HURON CLINTON TOWNSHIP DETROIT FARMINGTN HLS LONDON COLUMBUS CENTERBURG COLUMBUS PORTSMOUTH PARMA PHILADELPHIA FULTON CADIZ MOREHEAD CAVE CITY WOODMERE ALLIANCE SAINT MARYS WEST MIFFLIN ALLENTOWN PHILADELPHIA PITTSBURGH SHIPPENSBURG RADNOR HUMMELSTOWN LAWRENCEBURG

STATE

COUNTY

MI LIVINGSTON

MI ALLEGAN

MI GLADWIN

MI ALLEGAN

MI OAKLAND

MI MACOMB

MI KENT

MI WAYNE

MI OAKLAND

MI CRAWFORD

MI MACOMB

MI OAKLAND

OH CUYAHOGA

OH CUYAHOGA

OH STARK

OH STARK

OH STARK

OH ADAMS

OH FAYETTE

OH LAKE

KY JEFFERSON

KY TAYLOR

KY HICKMAN

KY MONTGOMERY

KY JEFFERSON

KY JEFFERSON

OH CLARK

PA ALLEGHENY

PA MONTGOMERY

PA LYCOMING

PA YORK

PA CLEARFIELD

PA MONTGOMERY

PA MONTGOMERY

PA WESTMORELAND

PA PHILADELPHIA

PA ALLEGHENY

IN MADISON

IN HENDRICKS

IN ALLEN

IN MARION

IN DELAWARE

OH CUYAHOGA

KY MORGAN

KY FLOYD

KY UNION

KY ROCKCASTLE

KY BOYD

KY PIKE

KY DAVIESS

MI WAYNE

MI ST. CLAIR

MI MACOMB

MI WAYNE

MI OAKLAND

OH MADISON

OH FRANKLIN

OH KNOX

OH FRANKLIN

OH SCIOTO

OH CUYAHOGA

PA PHILADELPHIA

KY FULTON

KY TRIGG

KY ROWAN

KY BARREN

OH CUYAHOGA

OH STARK

PA ELK

PA ALLEGHENY

PA LEHIGH

PA PHILADELPHIA

PA ALLEGHENY

PA CUMBERLAND

PA DELAWARE

PA DAUPHIN

KY ANDERSON

ZIP

PHONE

48843 (517)-552-0205

49408 (269)-561-4411

48612 (989)-435-7778

49080 (269)-685-9820

48072 (248)-541-0158

48314 (586)-803-6271

49544 (616)-784-7601

48150 (734)-524-9663

48076 (248)-559-0801

49738 (989)-348-2000

48038 (586)-286-5753

48362 (248)-814-7315

44105 (216)-883-0183

44070 (440)-979-9416

44720 (330)-494-4098

44708 (330)-478-3976

44720 (330)-966-2115

45679 (937)-386-0701

43160 (740)-335-9900

44060 (440)-205-4535

40223 (502)-245-8853

42718 (270)-465-6661

42031 (270)-653-2151

40353 (859)-498-4320

40218 (502)-451-0931

40243 (502)-244-7960

45504 (937)-323-1841

15221 (412)-271-4445

19462 (610)-941-3611

17701 (570)-329-3388

17402 (717)-757-5620

15801 (814)-371-7226

19446 (215)-412-9375

19454 (215)-393-0902

15068 (724)-334-1852

19147 (215)-592-8888

15044 (724)-799-2238

46036 (765)-552-9565

46112 (317)-852-2763

46805 (260)-483-3169

46229 (317)-897-6323

47303 (765)-286-0933

44125 (216)-510-5649

41472 (606)-743-7842

41602 (606)-886-8997

42437 (270)-389-4556

40456 (606)-256-9207

41101 (606)-324-0372

41501 (606)-639-4588

42303 (270)-686-8008

48111 (734)-699-0410

48060 (810)-987-7333

48038 (586)-263-2677

48205 (313)-372-7076

48336 (248)-471-2058

43140 (740)-852-7550

43227 (614)-237-3737

43011 (740)-625-7626

43228 (614)-274-8108

45662 (740)-354-2262

44134 (216)-739-4120

19141 (215)-324-8477

42041 (270)-472-2421

42211 (270)-522-3441

40351 (606)-783-1511

42127 (270)-773-2252

44122 (216)-831-1466

44601 (330)-823-2266

15857 (814)-834-7180

15236 (412)-502-0021

18106 (610)-530-1514

19134 (215)-426-0956

15232 (412)-623-5999

17257 (717)-532-2410

19087 (610)-902-1700

17036 (717)-256-0054

40342 (502)-839-4854

NCPDP 1834363 1505594 1506558 1508615 1508780 1517397 1523427 1524354 1526992 1527475 1528338 1528720 3684532 3684861 2349252 2351827 2357247 2358061 2358857 2359556 2360028 2362490 3655771 3658335 3658703 3659870 3664857 3666801 3667980 3668615 3669150 3961794 3685635 3687538 1800196 1805463 1808712 1812165 1814739 1815565 1818016 3609813 3615727 3976670 3977367 3978004 3979739 3979828 3982130 3982166 3984235 3988310 3600524 1517563 1523580 1525192 1525762 1530763 2387478 1836393 1838258 1839135 2351132 2352665 2359885 2361929 2362008 3658424 3658955 3662423 3663223 3664136 3665392 3666697 3668160 3668766 3963394

NPI 1952712465 1992808687 1700989498 1902909609 1639272339 1497858104 1639272156 1013922137 1669499976 1063431047 1215942347 1669490512 1861949265 1942742812 1881706737 1750490215 1770590754 1922107655 1932237864 1619071677 1164530531 1851306997 1972520153 1881781037 1891804142 1053326066 1407880107 1013067107 1619958592 1134153844 1679588594 1952413965 1154847135 1235777350 1134134364 1558466839 1962488700 1376565226 1669519112 1760416580 1063428506 1558464271 1518968668 1215954441 1972616969 1841246840 1982636908 1326188103 1073533386 1679590814 1831293893 1801009196 1881609881 1215030929 1760497887 1114090735 1114944428 1174530166 1265078554 1811410285 1003476797 1093319063 1033143870 1639255003 1477603777 1013026509 1083708481 1578597274 1902823198 1356490965 1578666319 1578588281 1295844561 1568477495 1922054634 1174627905 1043215106

PHARMACY NAME MEDICA PHARMACY BLOOMFIELD CVS PHARMACY CVS PHARMACY CVS PHARMACY CVS PHARMACY CVS PHARMACY CVS PHARMACY WALGREENS WALMART PHARMACY WALMART PHARMACY WALGREENS WALMART PHARMACY TOWN DRUG UT ACCESS PHARMACY CVS PHARMACY RITE AID PHARMACY WALGREENS KEWEENA MEDICAL CENTER PHARMACY VENOY MEDICAL PHARMACY HOMETOWN PHARMACY LTC FRD SAV-MOR PHARMACY WALGREENS WALMART PHARMACY MEIJER PHARMACY RITE AID PHARMACY WALGREENS KROGER PHARMACY BUDERER DRUG CO INC OKULEYS PHCY & HOME MEDICAL KROGER PHARMACY GIANT EAGLE PHARMACY MEDICINE SHOPPE PHARMACY WALGREENS LT MEDICAL PHARMACY WALGREENS INEZ DRUG STORE BERINGER DRUG CENTER CLOVERFORK CLINIC PHARMACY WEATHERS DRUGS KROGER PHARMACY WALGREENS CVS PHARMACY THE DRUG STORE PHARMACY WALMART PHARMACY PRICE CHOPPER PHARMACY SAV-ON PHARMACY GIANT PHARMACY PRIMECARE PHARMACY SERVICES INC TORRESDALE PHARMACY WALMART PHARMACY ACCUSERV PHARMACY CVS PHARMACY WALGREENS CVS PHARMACY WALGREENS KROGER SAVON PHCY WALMART PHARMACY WALGREENS JANA PHARMACY WALGREENS CERTACARE PHARMACY CASEYS RX1 KROGER PHARMACY LAYERERS PHARMACY INC MEIJER PHARMACY RITE AID PHARMACY HENRY FORD MEDICAL CENTER PHARMACY KROGER PHARMACY WALMART PHARMACY MEIJER PHARMACY CVS PHARMACY KROGER PHARMACY RITE AID PHARMACY ACME PHARMACY MEDICAL COLLEGE OF OHIO PHCY CVS PHARMACY MAT'S PHARMACY

ADDRESS 204 CHAPLIN RD 1221 W MONROE ST 505 E 1100 N 820 W OHIO ST 6220 ST JOSEPH CENTER RD 200 W MAIN ST 4401 E 10TH ST 1010 E IRELAND RD 2304 LINCOLNWAY E 7245 US 31 S 7769 W STATE ROUTE 66 1835 S US HIGHWAY 231 12459 STATE ROUTE 22 AND 3 3333 GLENDALE AVE 2115 25 MILE RD 15242 N HOLLY RD 2829 DIVISION AVE S 205 OSCEOLA ST 4020 VENOY RD STE 900 714 SHOPPERS LN 9811 CONANT 51200 WASHINGTON ST 1640 S WASHINGTON ST 1500 E ALEXIS RD 479 MAIN ST 16100 LAKE SHORE BLVD 2115 E DOROTHY LN 633 HANCOCK ST 1201 E 2ND ST 200 LEASE AVE 4747 SAWMILL RD 1698 S QUEEN ST 4402 SUNSET BLVD 4300 CLIME RD STE 111 2001 HARRODSBURG RD 38 OLD MIDDLEFORK 102 W MAIN ST 101 CHAD STREET 44 PUBLIC SQ 515 N 12TH ST 6617 DIXIE HWY 1493 UPPER VALLEY PIKE 2940 GROVEPORT RD 3271 ROUTE 940 1510 S MAIN AVE 121 E CITY LINE AVE 325 W FREEDOM AVE STE 150 310 ADAMS AVE FL 2 3998 RED LION RD STE 105 6700 HOLLYWOOD BLVD 8731 ROUTE 30 101 S MAIN ST 1776 SEYMOUR AVE 711 E JEFFERSON ST 1903 CALUMET AVE 2420 N LEBANON ST 2501 WALTON BLVD 902 E HANNA 14650 W WARREN AVE STE 200 1261 US HIGHWAY 27 N 937 CAMPBELLSVILLE RD STE 907 64 HIGHWAY 191 STE 1 921 W HOLMES RD 1100 COLUMBUS AVE 3883 E GRAND RIVER AVE 1981 SOUTH BLVD W 131 KERCHEVAL AVE STE 110 1093 STATE ROUTE 28 6001 MAHONING AVE 6325 S GILMORE RD 10085 DARROW RD 7100 HOSPITAL DR 100 S LEAVITT RD 600 SOUTH AVE 3000 ARLINGTON AVE 175 W MAIN ST 701 BRISTOL PIKE

CITY BLOOMFIELD DECATUR CHESTERTON ROCKVILLE FORT WAYNE PETERSBURG INDIANAPOLIS SOUTH BEND GOSHEN INDIANAPOLIS NEWBURGH CRAWFORDSVILLE SABINA TOLEDO SHELBY TOWNSHIP HOLLY WYOMING LAURIUM WAYNE KALAMAZOO HAMTRAMCK NEW BALTIMORE MILLERSBURG TOLEDO GRAFTON CLEVELAND KETTERING SANDUSKY DEFIANCE GREENVILLE COLUMBUS YORK STEUBENVILLE COLUMBUS LEXINGTON INEZ WARSAW EVARTS ELKTON MIDDLESBORO FLORENCE SPRINGFIELD COLUMBUS MOUNT POCONO SCRANTON BALA CYNWYD BURNHAM SCRANTON PHILADELPHIA DELMONT NO HUNTINGDON OLD FORGE CINCINNATI TIPTON VALPARAISO LEBANON WARSAW INDIANAPOLIS DEARBORN STANFORD COLUMBIA WEST LIBERTY LANSING BAY CITY HOWELL TROY GROSSE POINTE FARMS MILFORD AUSTINTOWN FAIRFIELD TWINSBURG DUBLIN AMHERST TALLMADGE TOLEDO NEW ALBANY CROYDON

STATE

COUNTY

KY NELSON

IN

ADAMS

IN

PORTER

IN

PARKE

IN

ALLEN

IN

PIKE

IN

MARION

IN

ST. JOSEPH

IN

ELKHART

IN

MARION

IN

WARRICK

IN

MONTGOMERY

OH CLINTON

OH LUCAS

MI MACOMB

MI OAKLAND

MI KENT

MI HOUGHTON

MI WAYNE

MI KALAMAZOO

MI WAYNE

MI MACOMB

OH HOLMES

OH LUCAS

OH LORAIN

OH CUYAHOGA

OH MONTGOMERY

OH ERIE

OH DEFIANCE

OH DARKE

OH FRANKLIN

PA YORK

OH JEFFERSON

OH FRANKLIN

KY FAYETTE

KY MARTIN

KY GALLATIN

KY HARLAN

KY TODD

KY BELL

KY BOONE

OH CLARK

OH FRANKLIN

PA MONROE

PA LACKAWANNA

PA MONTGOMERY

PA MIFFLIN

PA LACKAWANNA

PA PHILADELPHIA

PA WESTMORELAND

PA WESTMORELAND

PA LACKAWANNA

OH HAMILTON

IN

TIPTON

IN

PORTER

IN

BOONE

IN

KOSCIUSKO

IN

MARION

MI WAYNE

KY LINCOLN

KY ADAIR

KY MORGAN

MI INGHAM

MI BAY

MI LIVINGSTON

MI OAKLAND

MI WAYNE

OH CLERMONT

OH MAHONING

OH BUTLER

OH SUMMIT

OH FRANKLIN

OH LORAIN

OH SUMMIT

OH LUCAS

OH FRANKLIN

PA BUCKS

ZIP

PHONE

40008 (502)-252-8242

46733 (260)-724-2568

46304 (219)-926-1420

47872 (765)-569-2313

46835 (260)-485-7998

47567 (812)-354-8939

46201 (317)-353-2178

46614 (574)-299-0154

46526 (574)-534-4483

46227 (317)-888-4048

47630 (812)-853-5339

47933 (765)-362-5971

45169 (937)-584-2424

43614 (419)-383-3370

48316 (248)-652-2227

48442 (248)-634-2314

49548 (616)-248-9030

49913 (906)-337-6574

48184 (734)-729-2882

49004 (269)-349-7322

48212 (313)-871-1115

48047 (586)-716-3187

44654 (330)-674-2884

43612 (419)-727-2010

44044 (440)-926-2126

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44870 (419)-627-2800

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43952 (740)-264-0611

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43207 (614)-491-3446

18344 (570)-895-4781

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19004 (610)-667-7051

17009 (717)-242-3141

18503 (570)-207-6860

19114 (215)-612-5400

15626 (724)-468-5928

15642 (724)-978-0110

18518 (570)-457-2182

45237 (513)-351-3931

46072 (765)-675-3400

46383 (219)-462-6172

46052 (765)-482-7095

46582 (574)-269-7941

46227 (317)-780-1990

48126 (313)-633-9185

40484 (606)-365-9191

42728 (270)-385-9139

41472 (606)-743-7778

48910 (517)-393-7009

48708 (989)-893-7579

48843 (517)-552-6610

48098 (248)-813-9581

48236 (313)-640-2591

45150 (513)-248-2076

44515 (330)-270-0006

45014 (513)-881-0110

44087 (330)-425-4300

43016 (614)-760-4246

44001 (440)-988-5832

44278 (330)-633-2200

43614 (419)-383-3750

43054 (614)-855-5771

19021 (215)-785-3537

NCPDP 3966934 3967619 1801578 1808382 1814397 1816391 3607162 3610018 3976581 3977595 3664198 3664275 3665722 3667524 3669097 3669213 3962304 3688528 3688845 1800259 1804029 1809764 1810488 1812785 1812886 3600942 3604205 3604926 3611907 3613177 3977141 3979296 3979880 3980201 3980287 3983346 3983396 3985946 3908552 3909136 3909756 3918402 3928908 5003378 5006829 5006944 5007061 5009267 1823435 1825299 1826758 1826986 1830327 1830555 1832876 2378912 2379510 2381058 2381185 2381337 2381375 2381488 2383165 2383468 2383569 2384636 2385119 2385563 2386161 3681221 3681233 3681978 3682247 3684568 3685623 3686651 3687843

NPI 1124045281 1962547208 1124176888 1336239383 1730282476 1811914237 1730282450 1093818718 1528048873 1336156215 1558470807 1780618488 1699780510 1750329264 1043225071 1861407892 1689732877 1508453077 1205435369 1861407090 1316073398 1043350069 1598708836 1245246784 1295749794 1336242031 1215030663 1487757993 1487669313 1528003530 1992737910 1083655765 1891753992 1689694283 1336171354 1669499802 1710923610 1023045275 1881783520 1639399330 1548302250 1346395472 1114020963 1194764167 1922197490 1639163538 1619982550 1639196769 1174557995 1295753770 1871527630 1609893932 1407049828 1528237575 1598039687 1093139289 1407262710 1407223803 1467822791 1629448089 1932574977 1164887634 1609317064 1508393281 1689195497 1366943979 1003301045 1700351657 1386101566 1487087060 1225461874 1629481296 1851700090 1205384161 1033623434 1851863468 1023641867

PHARMACY NAME WALMART PHARMACY MEDICINE SHOPPE PHARMACY CHEROKEE DRUG SHOPPE BELL'S DRUGS STORE CVS PHARMACY WALMART PHARMACY CVS PHARMACY CVS PHARMACY NICE PHARMACY WALGREENS RITE AID PHARMACY KROGER PHARMACY GIANT EAGLE PHARMACY METROHEALTH BUCKEYE PHCY WALGREENS WALGREENS FORBES PHARMACY PROGRESSIVE WELLNESS PHARMACY SUNRISE TREATMENT CENTER WALGREENS PARKLAND DRUGS BURGESS DRUG STORE INC SATTELLITE PHARMACY WALGREENS WICKLIFFE PHARMACY INC CVS PHARMACY CVS PHARMACY CVS PHARMACY ACME PHARMACY DISCOUNT DRUG MART MARTINS PHARMACY BRUNDAGES WAYMART PHARMACY MEDCARE PHARMACY ENDLESS MOUNTAINS PHARMACY GIANT PHARMACY SAM'S CLUB PHARMACY PORT RICHMOND PHARMACY WALGREENS RITE AID PHARMACY SHEEHANS PHARMACY INC FINOS PHARMACY WOODWARD PHARMACY CVS PHARMACY HICKMAN'S PHARMACY VILLAGE PHARMACY MEDICAL CENTER PHARMACY FRUTH PHARMACY WALMART PHARMACY KROGER PHARMACY WALMART PHARMACY KROGER PHARMACY SAM'S CLUB PHARMACY WALGREENS PASADENA PHARMACY, LLC RICE'S PHARMACY MHP SPECIALTY PHARMACY NEWPORT PHARMACY MIDTOWN RX PHARMACY GENOA HEALTHCARE LLC PARK MEDICAL RX ARBOR LAKES PHARMACY COMPASSIONATE PHARMACY CANAL PHARMACY AMERICAN HOPE PHARMACY THREE RIVERS PHARMACY MEIJER PHARMACY ANN ARBOR PHARMACY LLC MERCY HEALTH PHCY HUDSONVILLE MEM HEALTHCARE OUTPT PHCY OVID CENTERS FOR FAMILIES & CHILDRE CVS PHARMACY IHS PHCY & WELLNESS CTR READIN CVS PHARMACY MERCY HLTH ST RITAS OUTPT PHCY ANTWERP PHARMACY MERCY HLTH PETTYSBURG OTPT PHY DEDICATED SENIOR MEDICAL CENTER

ADDRESS 2600 PLANK RD CMNS 725 WEST INGOMAR RD 6439 TAYLOR MILL RD 7107 STATE ROUTE 56 E 4249 OUTER LOOP 5031 FREDERICA ST 719 SCIOTO ST 1115 HIGH ST 110 E ALLEGHENY AVE 1607 BRIDGE ST 230 S MAIN ST 2989 DERR RD 6869 SOUTHLAND DR 2816 E 116TH ST 2609 E MAIN ST 2562 NAVARRE AVE 3501 FORBES AVE ROOM 756 7640 SYLVANIA AVE SUITE C-1 1718 CENTRAL PKWY 3800 POPLAR LEVEL RD 209 N DIXIE HWY 19 MEDICAL LOOP STE 2 1724 KENTON ST 9409 SHELBYVILLE RD STE 10 409 COURT STREET 10534 HARRISON AVE 4901 N MAIN ST 1491 SOM CENTER RD 3979 MEDINA RD 33382 WALKER RD 221 GLIMCHER DR 238 BELMONT ST 5325 OLD YORK RD LOWR LEVEL 1866 STATE ROUTE 106 SUITE 11 3477 LINCOLN HWY 200 MORAINE POINTE PLZ 2512 E CLEARFIELD ST 180 W MAIN ST 59 N QUEEN ST 79 E CAREY ST 3 MAIN ST 565 SPRING ST 3870 WASHINGTON RD 199 12TH STREET EXT 36 RAILRD ST 1 MEDICAL CENTER PHARMACY 16 PERRY MORRIS SQ 200 WAL ST 3101 RICHMOND RD 12504 US ROUTE 60 2440 BARDSTOWN RD 6622 PRESTON HWY 807 S HIGHWAY 53 280 PASADENA DR 44 W MAIN ST 32255 NORTHWESTERN HWY STE 30 7825 N DIXIE HWY STE 105 4100 WOODWARD AVE 26184 OUTER DR 20720 PLYMOUTH RD 1549 HOLMES RD 27144 JOY RD 40820 GARFIELD RD 9171 LAPEER RD STE 100 691 S US HIGHWAY 131 3630 US 41 W 2418 E STADIUM BLVD 3925 32ND AVE SUITE 200 9900 W M-21 SUITE 103 5209 DETROIT AVE 212 E WOOSTER ST 9400 READING RD STE 1 7510 SYLVANIA AVE 730 W MARKET ST 109 S MAIN ST 12623 ECKEL JUNCTION RD 15105 ST CLAIRE AVE

CITY ALTOONA INGOMAR INDEPENDENCE SEBREE LOUISVILLE OWENSBORO URBANA HAMILTON PHILADELPHIA PHILADELPHIA BELLEFONTAINE SPRINGFIELD MIDDLEBRG HEIGHTS CLEVELAND SPRINGFIELD OREGON PITTSBURGH SYLVANIA CINCINNATI LOUISVILLE CAVE CITY WHITLEY CITY HOPKINSVILLE LOUISVILLE WICKLIFFE HARRISON DAYTON MAYFIELD HEIGHTS AKRON AVON LAKE DUNCANSVILLE WAYMART PHILADELPHIA CLIFFORD THORNDALE BUTLER PHILADELPHIA UNIONTOWN LANCASTER PLAINS DALLAS HOUTZDALE MCMURRAY PRINCETON LOST CREEK MORGANTOWN MILTON SUMMERSVILLE LEXINGTON ASHLAND LOUISVILLE LOUISVILLE LA GRANGE LEXINGTON FORDSVILLE FARMINGTON HILLS NEWPORT DETROIT LINCOLN PARK DETROIT YPSILANTI REDFORD CLINTON TOWNSHIP DAVISON THREE RIVERS MARQUETTE ANN ARBOR HUDSONVILLE OVID CLEVELAND BOWLING GREEN CINCINNATI SYLVANIA LIMA ANTWERP PERRYSBURG CLEVELAND

STATE

COUNTY

PA BLAIR

PA ALLEGHENY

KY KENTON

KY WEBSTER

KY JEFFERSON

KY DAVIESS

OH CHAMPAIGN

OH BUTLER

PA PHILADELPHIA

PA PHILADELPHIA

OH LOGAN

OH CLARK

OH CUYAHOGA

OH CUYAHOGA

OH CLARK

OH LUCAS

PA ALLEGHENY

OH LUCAS

OH HAMILTON

KY JEFFERSON

KY BARREN

KY MCCREARY

KY CHRISTIAN

KY JEFFERSON

KY BALLARD

OH HAMILTON

OH MONTGOMERY

OH CUYAHOGA

OH SUMMIT

OH LORAIN

PA BLAIR

PA WAYNE

PA PHILADELPHIA

PA SUSQUEHANNA

PA CHESTER

PA BUTLER

PA PHILADELPHIA

PA FAYETTE

PA LANCASTER

PA LUZERNE

PA LUZERNE

PA CLEARFIELD

PA WASHINGTON

WV MERCER

WV HARRISON

WV MONONGALIA

WV CABELL

WV NICHOLAS

KY FAYETTE

KY BOYD

KY JEFFERSON

KY JEFFERSON

KY OLDHAM

KY FAYETTE

KY OHIO

MI OAKLAND

MI MONROE

MI WAYNE

MI WAYNE

MI WAYNE

MI WASHTENAW

MI WAYNE

MI MACOMB

MI GENESEE

MI ST. JOSEPH

MI MARQUETTE

MI WASHTENAW

MI OTTAWA

MI SHIAWASSEE

OH CUYAHOGA

OH WOOD

OH HAMILTON

OH LUCAS

OH ALLEN

OH PAULDING

OH WOOD

OH CUYAHOGA

ZIP

PHONE

16601 (814)-949-8985

15127 (412)-367-5778

41051 (859)-356-3121

42455 (270)-835-7544

40219 (502)-968-3618

42301 (270)-685-0027

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19134 (215)-425-0100

19124 (215)-537-0169

43311 (937)-599-2314

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44130 (440)-885-3019

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43616 (419)-693-9034

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45030 (513)-367-4871

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16635 (814)-695-4609

18472 (570)-488-7979

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15401 (724)-434-2704

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18705 (570)-823-3151

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24740 (304)-425-2188

26385 (304)-745-3301

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25541 (304)-743-4880

26651 (304)-872-7039

40509 (859)-269-4637

41102 (606)-929-9360

40205 (502)-459-3248

40219 (502)-964-0342

40031 (502)-222-6550

40503 (859)-260-2469

42343 (270)-276-3150

48334 (734)-606-4150

48166 (734)-872-1490

48201 (313)-832-5900

48146 (734)-333-7027

48228 (313)-651-5887

48198 (734)-340-6050

48239 (313)-937-3000

48038 (586)-566-9400

48423 (810)-652-6416

49093 (269)-278-6000

49855 (906)-662-6310

48104 (734)-677-5555

49426 (616)-685-1540

48866 (989)-862-4858

44102 (216)-961-2984

43402 (419)-352-3119

45215 (513)-769-3784

43560 (419)-841-1832

45801 (419)-995-4949

45813 (419)-258-2068

43551 (567)-368-1434

44110 (216)-800-8020

NCPDP 3688085 3688237 1808495 1809093 1810678 1812824 1836292 1836773 1836987 1837129 1838436 1838640 1839046 1839058 2349163 2350495 2350837 2352110 2353528 2354277 2356031 2358150 2358883 2359746 3659200 3659868 3660823 3661039 3663665 5058400 3968762 3973888 3974032 3975729 1527122 1528174 1528251 1528326 1530612 2386882 3989160 3992585 3995973 3996088 3996329 3996331 3996709 3997650 3997864 3998979 3999907 3672006 3672400 3672828 3672979 3674086 3676333 3676838 3678123 2302468 2305476 2306199 2331623 2333590 2337423 3901572 3902687 3906281 3913200 3913414 3913577 3927956 3928605 3928960 3935650 5006502 3665633

NPI 1215566658 1003445578 1659359826 1932247335 1134348444 1811987696 1114948288 1083137020 1881117943 1578086831 1265083141 1558992305 1558966093 1386240190 1699830463 1003833211 1588773048 1376560581 1255365011 1023118353 1245342104 1750474680 1639184757 1538274568 1720005911 1588679583 1548363377 1285649889 1235163932 1154977023 1861561714 1942399605 1851306849 1639101652 1487671798 1295752400 1679590889 1306851431 1902821788 1396390381 1952590481 1497986657 1437430758 1013291327 1891075537 1275810426 1396032892 1609148535 1386999142 1659613644 1144641283 1730113457 1205853306 1023035128 1669499760 1942227046 1871788042 1255505707 1558598466 1609915669 1013927573 1710067244 1154430676 1972687184 1245297415 1750480091 1295834554 1336134725 1629199187 1467541193 1942303797 1538164033 1720177454 1457440182 1487687653 1922196732 1811091630

PHARMACY NAME DEDICATED SENIOR MEDICAL CTR DEDICATED SENIOR MEDICAL CTR SOMERSET PHARMACY MEDICAL ARTS PHARMACY LINCOLN PHARMACY INC NICHOLS APOTHECARY GRAVES-GILBERT CLINIC WALGREENS WALGREENS WALGREENS MOUNTAIN CARE PHARMACY BUTLERS APOTHECARY TRIPLE CROWN PHARMACY CLAYS PHARMACY MEIJER PHARMACY WALMART PHARMACY RITE AID PHARMACY WALMART PHARMACY KESSEL PHARMACY FAMILY FARE PHARMACY CVS PHARMACY H-CARE PHARMACY WALGREENS HEALTHFIRST PHARMACY WALMART PHARMACY WALGREENS CVS PHARMACY BELLEVUE HOME MEDICAL KROGER PHARMACY RENEGADE PHARMACY INC BOOTHWYN PHARMACY RITE AID PHARMACY WALGREENS GIANT PHARMACY WALMART PHARMACY WALMART PHARMACY WALMART PHARMACY WALGREENS KROGER PHARMACY SHEBA PHARMACY 3 LLC CVS PHARMACY BROAD STREET FAMILY PHARMACY UPTOWN DISCOUNT DRUGS RANIER'S RX LABORATORY CUSTOM CARE PHARMACY GIANT PHARMACY FRONT STREET PHARMACY GIANT PHARMACY PATIENT FIRST ASTORINO FAMILY PHARMACY LLC UPMC PRESBYTERIAN PRESCRIPTION SHOP KROGER PHARMACY WALMART PHARMACY SAM'S CLUB PHARMACY WALMART PHARMACY WALMART PHARMACY MEDI-WISE PHARMACY WALGREENS WALMART PHARMACY MEIJER PHARMACY RITE AID PHARMACY ANDERSON PHARMACY INC RITE AID PHARMACY SAULT COMMUNITY PHARMACY ST CHARLES PHARMACY RITE AID PHARMACY RITE AID PHARMACY FINO'S PHARMACY LLC SMITHGALLS PHARMACY RITE AID PHARMACY CVS PHARMACY BEDWICKS PHARMACY RITE AID PHARMACY RITE AID PHARMACY MEDICINE SHOPPE PHARMACY VALLEY PHARMACY CVS PHARMACY

ADDRESS 5050 GLENCROSSING WAY 5264 LEE RD 101 S MAIN ST 1 W MCDONALD PKWY 2816 VEACH RD 220 E ELKHORN ST 201 PARK ST 7700 SHEPHERDSVILLE RD 612 W STOCKTON ST 308 PARKWAY DR 242 W COURT ST 213 N MAIN ST 13332 SHELBYVILLE RD 3513 COURT ST 27255 23 MILE RD 1601 E US HIGHWAY 223 602 W BROAD ST 1400 MALL DR 945 N EUCLID AVE 1185 S WASHINGTON AVE 42934 WOODWARD AVE G4433 MILLER RD 47100 HAYES RD 111 N WASHINGTON ST 3360 PENTAGON BLVD 15500 BROADWAY AVE 116 AINSWORTH ST 234 W MAIN ST 1585 GEORGESVILLE SQUARE DR 18 LOGAN STREET 221 GALE LN 2470 BEDFORD ST 150 N MACDADE BLVD 50 BRIAR CREEK PLZ 2501 E NORTH ST 1555 US HIGHWAY 41 1700 S 13TH ST 925 S GREEN RIVER RD 200 NEW ALBANY PLZ 2201 FORD AVE 5122 MILFORD RD 1416 S BROAD ST 2336 N 3RD ST 1107 LOWRY AVE STE A 57 S FRONT ST 7150 HAMILTON BLVD 4823 N FRONT ST 1925 NORRISTOWN RD 2600 PAPERMILL RD 1015 BUFFALO ST 200 LOTHROP ST STE E-173 9101 OHIO RIVER RD 6674 WINCHESTER BLVD 1040 NILES CORTLAND RD SE 1693 STRINGTOWN RD 2485 POSSUM RUN RD 245 W STATE ST 40 N MERIDIAN RD 200 GOLDIE RD 6200 S PENNSYLVANIA AVE 37399 6 MILE RD 1108 MARQUETTE AVE 11585 E 12 MILE RD 560 OSBORN BLVD 1008 N SAGINAW 1121 BOWER HILL RD 1039 2ND STREET PIKE 32 N MAIN ST 536 W LEMON ST 730 32 MARKET STT 124 ERIE ST 452 HAZLE ST 2 CUMBERLAND ST 5612 N 5TH ST 629 STATE ST 13150 VETERANS MEMORIAL HWY 513 E MONROE ST

CITY CINCINNATI MAPLE HEIGHTS SOMERSET MAYSVILLE OWENSBORO ELKHORN CITY BOWLING GREEN LOUISVILLE EDMONTON SALYERSVILLE PRESTONSBURG HENDERSON LOUISVILLE CATLETTSBURG CHESTERFIELD ADRIAN LINDEN BENTON HARBOR BAY CITY HOLLAND BLOOMFIELD HILLS FLINT MACOMB OWOSSO BEAVERCREEK MAPLE HEIGHTS LODI BELLEVUE COLUMBUS OCEANA KENNETT SQUARE JOHNSTOWN GLENOLDEN BERWICK KENDALLVILLE SCHERERVILLE DECATUR EVANSVILLE NEW ALBANY WYANDOTTE EAST STROUDSBURG PHILADELPHIA HARRISBURG JEANNETTE MILTON TREXLERTOWN PHILADELPHIA MAPLE GLEN WYOMISSING FRANKLIN PITTSBURGH WHEELERSBURG CANAL WINCHESTER WARREN GROVE CITY MANSFIELD NEWCOMERSTOWN YOUNGSTOWN YOUNGSTOWN LANSING LIVONIA BAY CITY WARREN SAULT SAINTE MARIE ST CHARLES PITTSBURGH RICHBORO PITTSTON LANCASTER PHILADELPHIA EDINBORO WILKES BARRE LEBANON PHILADELPHIA MEADVILLE REEDSVILLE SANDUSKY

STATE

COUNTY

OH HAMILTON

OH CUYAHOGA

KY PULASKI

KY MASON

KY DAVIESS

KY PIKE

KY WARREN

KY JEFFERSON

KY METCALFE

KY MAGOFFIN

KY FLOYD

KY HENDERSON

KY JEFFERSON

KY BOYD

MI MACOMB

MI LENAWEE

MI GENESEE

MI BERRIEN

MI BAY

MI ALLEGAN

MI OAKLAND

MI GENESEE

MI MACOMB

MI SHIAWASSEE

OH GREENE

OH CUYAHOGA

OH MEDINA

OH SANDUSKY

OH FRANKLIN

WV WYOMING

PA CHESTER

PA CAMBRIA

PA DELAWARE

PA COLUMBIA

IN NOBLE

IN LAKE

IN ADAMS

IN VANDERBURGH

IN FLOYD

MI WAYNE

PA MONROE

PA PHILADELPHIA

PA DAUPHIN

PA WESTMORELAND

PA NORTHUMBERLAND

PA LEHIGH

PA PHILADELPHIA

PA MONTGOMERY

PA BERKS

PA VENANGO

PA ALLEGHENY

OH SCIOTO

OH FRANKLIN

OH TRUMBULL

OH FRANKLIN

OH RICHLAND

OH TUSCARAWAS

OH MAHONING

OH TRUMBULL

MI INGHAM

MI WAYNE

MI BAY

MI MACOMB

MI CHIPPEWA

MI SAGINAW

PA ALLEGHENY

PA BUCKS

PA LUZERNE

PA LANCASTER

PA PHILADELPHIA

PA ERIE

PA LUZERNE

PA LEBANON

PA PHILADELPHIA

PA CRAWFORD

WV PRESTON

OH ERIE

ZIP

PHONE

45238 (305)-328-5064

44137 (216)-294-4440

42501 (606)-679-1571

41056 (606)-564-5485

42303 (270)-684-7278

41522 (606)-754-5076

42101 (270)-781-5111

40219 (502)-968-7777

42129 (270)-432-2725

41465 (606)-349-1044

41653 (606)-886-8572

42420 (270)-212-1821

40223 (502)-281-4900

41129 (606)-865-2025

48051 (586)-598-2010

49221 (517)-265-9686

48451 (810)-735-1341

49022 (269)-927-6514

48706 (989)-686-3592

49423 (616)-392-7504

48304 (248)-334-8817

48507 (810)-733-6653

48044 (586)-532-8161

48867 (989)-729-9355

45431 (937)-426-7007

44137 (216)-663-5103

44254 (330)-948-4413

44811 (419)-483-6001

43228 (614)-878-1664

24870 (304)-682-0444

19348 (800)-476-7496

15904 (814)-266-5150

19036 (610)-586-5224

18603 (570)-802-0599

46755 (260)-347-2900

46375 (219)-865-6124

46733 (260)-724-8800

47715 (812)-474-0055

47150 (812)-948-2701

48192 (734)-258-8644

18302 (570)-223-2563

19146 (215)-755-2010

17110 (717)-236-9999

15644 (724)-527-3633

17847 (570)-246-5700

18087 (610)-391-0254

19120 (215)-960-4444

19002 (215)-643-2880

19610 (484)-220-0051

16323 (814)-432-9400

15213 (412)-864-0900

45694 (740)-574-6569

43110 (614)-833-5663

44484 (330)-856-9110

43123 (614)-539-8610

44903 (419)-756-7177

43832 (740)-498-6337

44509 (330)-270-5861

44505 (330)-759-2689

48911 (517)-394-9510

48152 (734)-464-7960

48706 (989)-684-8905

48093 (586)-751-0300

49783 (906)-632-2122

48655 (989)-865-9971

15243 (412)-923-1550

18954 (215)-355-7177

18640 (570)-655-1489

17603 (717)-397-6218

19106 (215)-627-6433

16412 (814)-734-5207

18702 (570)-823-3818

17042 (717)-272-4663

19120 (215)-927-0366

16335 (814)-337-8880

26547 (304)-864-6935

44870 (419)-625-2284

NCPDP 3666748 1803661 1805451 1817052 1817191 3603809 3604180 3604584 3605182 3613963 3977569 3977862 3977951 3980655 3981001 3981746 3985097 3985580 1834096 3600118 3600497 1503475 1836951 1837143 1837181 2348046 2350623 2352653 2352792 2353869 2354760 2357641 2358972 2359633 2362058 3662055 3662182 3663057 3664489 3665417 3665784 3668451 3668968 3669035 3687160 3688100 1801403 3988055 1834680 1503742 1505619 1507411 1515658 1518072 1525685 2388191 2388711 3995048 1567520 1568724 1570349 3669958 3674252 3674771 3675165 3676751 3677943 3679365 3680041 2310162 2319514 2323715 2334174 2340610 2340684 2341307 2345165

NPI 1932121647 1750308730 1912070525 1013010768 1710099825 1568565273 1750484267 1265525810 1992820179 1467555193 1407950280 1184657413 1356331516 1770598310 1558465344 1639278815 1932145950 1497793855 1679904270 1992721856 1063427060 1023111705 1821511999 1245753276 1750805248 1942303110 1265534549 1982680468 1811904345 1831208305 1073615969 1992722102 1740207968 1801908769 1942217948 1568484376 1821147901 1649382128 1013934215 1851313662 1508871526 1780699710 1730106931 1265595888 1164074308 1093893380 1952466385 1164549069 1912305764 1780787226 1235232679 1427151117 1871652925 1760585475 1396762605 1396364501 1366044018 1447556915 1285188805 1851805774 1669016895 1386709194 1538193255 1871538447 1821154196 1518130038 1235379819 1588974083 1538446471 1396825857 1609976968 1689897779 1891899852 1316049653 1306958244 1194834648 1720190663

PHARMACY NAME CVS PHARMACY BEREA DRUG NIE'S PHARMACY & WELLNESS CNTR CVS PHARMACY THOMPSON DISCOUNT DRUG CVS PHARMACY CVS PHARMACY GERDES PHARMACY INC HOFFMANS PHARMACY CVS PHARMACY CVS PHARMACY WEIS PHARMACY GENOA HEALTHCARE LLC PECHIN PHARMACY CVS PHARMACY RITE AID PHARMACY SHADY MAPLE PHARMACY WALGREENS CVS PHARMACY BUNNYS PHARMACY INC WALGREENS CVS PHARMACY WALGREENS WALGREENS WALGREENS WALGREENS SPECIALTY PHARMACY CVS PHARMACY FREDS VICKSBURG COMM PHCY BAY SHORE PHARMACY RITE AID PHARMACY OMNICARE OF ESCANABA WALMART PHARMACY WALMART PHARMACY CVS PHARMACY WALGREENS CVS PHARMACY MEIJER PHARMACY FRANKLIN FURNACE PHARMACY WALMART PHARMACY CVS PHARMACY WALGREENS WALGREENS SAM'S CLUB PHARMACY WALT CHURCHILLS MARKET AND PHARMACY GENOA HEALTHCARE LLC BUCKEYE FOOT CARE ALEXANDRIA DRUGS RITE AID PHARMACY POOLES PHARMACY CARE CVS PHARMACY CVS PHARMACY CVS PHARMACY CVS PHARMACY CVS PHARMACY WALMART PHARMACY SIMPLE SCRIPT LLC ABES DRUG STORE WEIS PHARMACY CVS PHARMACY CVS PHARMACY TRINITY HEALTH PHARMACY SERVICES FAMILY HEALTH PHARMACY KROGER PHARMACY GENOA HEALTHCARE LLC KROGER PHARMACY MEIJER PHARMACY HEALTHSOURCE OF OHIO MT ORAB P CDI LONG TERM CARE LLC CLEVELAND CLINIC AVON AMB PHCY HOMETOWN PHARMACY KRONNER PHARMACY MUNSON AMBULATORY TRAVERSE CITY THE WELLNESS PLAN CVS PHARMACY CVS PHARMACY RITE AID PHARMACY CVS PHARMACY

ADDRESS 900 E KEMPER RD 402 RICHMOND RD N 11745 MADISON PIKE 105 US HIGHWAY 41A S 810 E 4TH ST 7500 BEECHMONT AVE 524 E STROOP RD 245 MAIN ST 2323 LAKE AVE 131 3RD ST 795 BALTIMORE PIKE 693 LOMBARD RD 4900 PERRY HWY STE 1 STE 101 6 ZIA MARIA WAY 2000 SWAMP PIKE 4055 89 MARKET ST 1324 MAIN ST 5956 CENTRE AVE STE 4 1571 N DIXIE AVE 112 N MAIN AVE 3 W CORRY ST 486 N CASS ST 603 COLUMBIA HWY 3805 BROWNSBORO RD 951 S MAIN ST 41460 HAGGERTY CIR S 2400 FORT ST 121 W PRAIRIE ST 93A FOURTH ST 302 W MAIN ST 1823 7TH AVE N 4542 KENOWA AVE SW 5825 BROCKWAY RD 2387 ORCHARD LAKE RD 33333 6 MILE RD 2801 W MARKET ST 7390 TYLERSVILLE RD 561 NORWICH AVE 1875 E MANSFIELD ST 5700 EXECUTIVE BLVD 900 WOOSTER RD N 1330 N REYNOLDS RD 800 KEMPER COMMONS CIR 26625 N DIXIE HIGHWAY 25101 CHAGRIN BLVD #100 RM P 14401SNOW ROAD SUITE 102 7857 US 27 620 E ALLEGHENY AVENUE 159 S MAIN ST 905 POPLAR ST 2330 E 46TH ST 1150 W PLYMOUTH ST 928 US 27 N 410 S MAIN ST 567 IVY TECH DR 14234 W WARREN AVE 25141 HOOVER RD 901 E MAIN ST STE 25 16088 SPRING MILL STATION DR 1447 S WATERLEAF DR 12279 BLUFFTON ROAD 5735 MEEKER RD 3033 HERITAGE GREEN DR 3909 WOODLEY RD STE 450 126 W HIGH ST 8300 MEIJER DR 150 HEALTH PARTNERS CIR 11 W DUNCAN ST. 33100 CLEVELAND CLINIC BLVD 501 WHITEHALL RD 778 W HOUGHTON LAKE DR 1105 6TH ST 21040 GREENFIELD RD 6501 N WAYNE RD 27000 TELEGRAPH RD 3000 ORCHARD LAKE RD 935 S MAIN ST

CITY SPRINGDALE BEREA INDEPENDENCE PROVIDENCE LONDON CINCINNATI DAYTON CONNEAUT ASHTABULA MARIETTA SPRINGFIELD RED LION PITTSBURGH CONNELLSVILLE GILBERTSVILLE PHILADELPHIA EAST EARL PITTSBURGH ELIZABETHTOWN SIDNEY CINCINNATI WABASH GREENSBURG LOUISVILLE NICHOLASVILLE CANTON LINCOLN PARK VICKSBURG SUTTONS BAY HARTFORD ESCANABA GRANDVILLE SAGINAW SYLVAN LAKE LIVONIA FAIRLAWN WEST CHESTER FRANKLIN FURNACE BUCYRUS HUBER HEIGHTS BARBERTON TOLEDO CINCINNATI PERRYSBURG BEACHWOOD BROOK PARK ALEXANDRIA EMPORIUM GREENVILLE TERRE HAUTE INDIANAPOLIS BREMEN BERNE GOSHEN MADISON DEARBORN WARREN PALMYRA WESTFIELD WESTFIELD FORT WAYNE GREENVILLE MONROE TOLEDO FOSTORIA CANAL WINCHESTER MOUNT ORAB COLUMBUS AVON MUSKEGON PRUDENVILLE TRAVERSE CITY OAK PARK WESTLAND FLAT ROCK KEEGO HARBOR CHELSEA

STATE

COUNTY

OH HAMILTON

KY MADISON

KY KENTON

KY WEBSTER

KY LAUREL

OH HAMILTON

OH MONTGOMERY

OH ASHTABULA

OH ASHTABULA

OH WASHINGTON

PA DELAWARE

PA YORK

PA ALLEGHENY

PA FAYETTE

PA MONTGOMERY

PA PHILADELPHIA

PA LANCASTER

PA ALLEGHENY

KY HARDIN

OH SHELBY

OH HAMILTON

IN

WABASH

KY GREEN

KY JEFFERSON

KY JESSAMINE

MI WAYNE

MI WAYNE

MI KALAMAZOO

MI LEELANAU

MI VAN BUREN

MI DELTA

MI OTTAWA

MI SAGINAW

MI OAKLAND

MI WAYNE

OH SUMMIT

OH BUTLER

OH SCIOTO

OH CRAWFORD

OH MONTGOMERY

OH SUMMIT

OH LUCAS

OH HAMILTON

OH WOOD

OH CUYAHOGA

OH CUYAHOGA

KY CAMPBELL

PA CAMERON

KY MUHLENBERG

IN VIGO

IN MARION

IN MARSHALL

IN

ADAMS

IN

ELKHART

IN

JEFFERSON

MI WAYNE

MI MACOMB

PA LEBANON

IN

HAMILTON

IN

HAMILTON

IN

ALLEN

OH DARKE

OH BUTLER

OH LUCAS

OH SENECA

OH FAIRFIELD

OH BROWN

OH FRANKLIN

OH LORAIN

MI MUSKEGON

MI ROSCOMMON

MI GRAND TRAVERSE

MI OAKLAND

MI WAYNE

MI WAYNE

MI OAKLAND

MI WASHTENAW

ZIP

PHONE

45246 (513)-671-8603

40403 (859)-986-4521

41051 (859)-356-3941

42450 (270)-667-7031

40741 (606)-878-7713

45255 (513)-231-4592

45429 (937)-294-0523

44030 (440)-593-2578

44004 (440)-992-3000

45750 (740)-373-2961

19064 (610)-690-5100

17356 (717)-246-4761

15229 (412)-931-3131

15425 (724)-626-9600

19525 (610)-705-4306

19104 (215)-382-5356

17519 (717)-355-9424

15206 (412)-362-6328

42701 (270)-737-0352

45365 (937)-492-4550

45219 (513)-751-3444

46992 (260)-563-6941

42743 (270)-932-4518

40207 (502)-895-5411

40356 (859)-885-6094

48188 (888)-282-5166

48146 (313)-381-2400

49097 (269)-649-0660

49682 (231)-271-6111

49057 (269)-621-3654

49829 (906)-789-4451

49418 (616)-667-9713

48638 (989)-497-8112

48320 (248)-682-3666

48152 (734)-513-5078

44333 (330)-865-9014

45069 (513)-755-4810

45629 (740)-354-9983

44820 (419)-562-8411

45424 (937)-233-4133

44203 (330)-745-2674

43615 (419)-536-3840

45246 (513)-671-2090

43551 (419)-872-6904

44122 (216)-245-4468

44142 (216)-267-0304

41001 (859)-635-2171

15834 (814)-486-2007

42345 (270)-338-6060

47807 (812)-232-1316

46205 (317)-253-1636

46506 (574)-546-3797

46711 (260)-589-2701

46526 (574)-533-2510

47250 (812)-273-6338

48126 (313)-461-2772

48089 (586)-459-0836

17078 (717)-838-3670

46074 (317)-804-7513

46074 (317)-816-1446

46809 (734)-343-7600

45331 (937)-548-2953

45050 (513)-727-7440

43606 (419)-517-1317

44830 (419)-435-4190

43110 (614)-920-7210

45154 (937)-444-2514

43202 (614)-263-9424

44011 (440)-695-4100

49445 (231)-744-4718

48651 (989)-366-7611

49684 (231)-935-5678

48237 (248)-967-6560

48185 (734)-729-9210

48134 (734)-782-2438

48320 (248)-681-1965

48118 (734)-475-2222

NCPDP 3901053 3905758 3917501 3924912 3930270 5007504 5008025 5009623 5055478 3634513 3635541 3636175 3636290 3639575 3649552 3651026 3955498 3956630 5056949 5058107 1520736 1529734 2388228 2389244 3991975 3998967 3999589 1568736 3669732 3670002 3670076 3671080 3673729 3674884 3676686 3676915 3680623 2305832 2309551 2321379 2328993 2329832 2334530 2335215 2339744 2342210 3900722 3901635 3902574 3908172 3911028 5000992 5010195 5011438 5011577 5054058 5055137 5055391 3648079 3648308 3651052 3651266 3653210 3655606 3938163 3938581 3964485 3964889 3965487 3966819 3967152 3969031 3969360 3969485 3969714 3973155 3973371

NPI 1184728925 1376646117 1104984426 1205939055 1073528923 1427151182 1154424810 1801813936 1285928804 1225074610 1588632251 1013923325 1477638070 1487719803 1851400196 1679682918 1902914146 1215082474 1851843965 1588161467 1902832637 1689608499 1154944320 1982280038 1295978898 1275874216 1154753622 1811401052 1497789119 1124052840 1437253267 1083659098 1215952932 1881773760 1285810671 1902072994 1689925356 1659394211 1972642874 1841231271 1275548380 1699780205 1538209085 1720173693 1588736375 1144354671 1902900731 1013016351 1598866055 1700882057 1770655680 1891871844 1790790632 1558444026 1467479501 1740297761 1679802466 1609179860 1912913229 1861501108 1598799397 1457367765 1659407682 1023042827 1295755510 1033208772 1609829530 1932201860 1265521926 1033218292 1346349511 1306832308 1467493221 1144324997 1033212899 1730288911 1780699611

PHARMACY NAME CVS PHARMACY CVS PHARMACY NICKMANS DRUG CVS PHARMACY KLINGENSMITH'S DRUG STORES CVS PHARMACY CVS PHARMACY WALMART PHARMACY RIVERVIEW PHARMACY DISCOUNT DRUG MART POWHATAN HEALTH CENTER PHARMACY RITE AID PHARMACY HOCKS CHARLESTON PHARMACY MARION PRESCRIPTION RITE AID PHARMACY RITE AID PHARMACY THE MEDICINE SHOPPE PHARMACY MACDONALDS PHARMACY SISSONVILLE HEALTH CENTER PHARMACY NEW MARTINSVILLE PHARMACY DEVILLE PHARMACIES INC KROGER PHARMACY CEDAR SPRINGS PHARMACY DEDICATED SENIOR MEDICAL CENTER HOPKINS PHARMACY WALGREENS CITIMED PHARMACY LLC THREE RIVERS PHARMACY KROGER PHARMACY KROGER PHARMACY CVS PHARMACY DISCOUNT DRUG MART KROGER PHARMACY KROGER PHARMACY WALMART PHARMACY RITE AID PHARMACY KENTON COMM HLTH CTR PHCY RITE AID PHARMACY MEIJER PHARMACY WEST SHORE PROFESSIONAL PHCY WALGREENS FARMBROOK MEDICAL PHARMACY MEIJER PHARMACY M & D PHARMACY SAINT JOSEPH MERCY PHARMACY SPECTRUM HLTH O/P PHARMACY CVS PHARMACY RITE AID PHARMACY CVS PHARMACY NU WAY PHARMACY BELSKI COMMUNITY PHARMACY BYARD-MERCER PHARMACY FRUTH PHARMACY BLACK DIAMOND PHARMACY LLC WALMART PHARMACY GIANT EAGLE PHARMACY RHONDA'S WALGREENS RITE AID PHARMACY RITE AID PHARMACY KROGER SAV-ON RITE AID PHARMACY NEON SUPERIOR HEALTH CENTER KROGER SAV-ON UNIVERSITY PHARMACY RITE AID PHARMACY NEFF SURGICAL PHARMACY CARE OPTIONS RX RITE AID PHARMACY RITE AID PHARMACY RITE AID PHARMACY LENOX PHARMACY GIANT EAGLE PHARMACY CVS PHARMACY CVS PHARMACY RITE AID PHARMACY GIANT EAGLE PHARMACY

ADDRESS 405 N 4TH ST 1740 WASHINGTON RD 90 W CHURCH ST 429 SMITHFIELD ST 117 3RD STREET 1601 EARL L CORE RD 72 WHITEWATER AVE 701 GRAND CENTRAL AVE 107 KOONTZ AVE 6160 BRECKSVILLE RD 63 HIGHWAY 7 SOUTH 147 W LIBERTY ST 127 S CHILLICOTHE ST 544 E CENTER ST 8130 OHIO RIVER RD 101 W MAIN ST 30 W PARK AVENUE 214 PEACH ORCHARD RD STE 100 6135 SISSONVILLE DRIVE 155 NORTH ST 12836 NORTH ST 1034 STATE ROAD 229 14111 WHITE CREEK AVE NE STE 1 21816 WEST 11 MILE RD 7700 RIDGE AVE 1 S BROAD ST LBBY 2 7606 OGONTZ AVE 3537 N ANTHONY BLVD 855 COSHOCTON AVE 3975 POWELL RD 8910 E BROAD ST 219 MANSFIELD AVE 401 N EWING ST 300 S HAMILTON RD 2687 N MEMORIAL DR 801 DIXIE HWY 111 W ESPY ST 32905 FORT RD 45001 FORD RD 1150 E SHERMAN BLVD STE 1400 875 E NAPIER AVE 29877 TELEGRAPH RD 746 E 16TH ST 14525 MACK AVE 5333 MCAULEY DR RM 1010 100 MICHIGAN ST NE 555 E MAIN ST 2336 ARDMORE BLVD 1630 S ATHERTON ST 1639 HAINES RD 49 S OAK ST 440 W MAIN ST 218 MARKET ST 33800 COAL HERITAGE RD 1 WALMART LN 208 GIANT ST 35 MAIN AVE 1240 W MAIN ST 325 E WATERLOO RD 7796 MUNSON RD 858 MAIN ST 113 N COUNTYLINE ST 12100 SUPERIOR AVE 1745 MORSE RD 103 UNIVERSITY PLACE 7615 LINDBERGH BLVD 222 N 9TH ST 219 N BALTIMORE AVE 1303 SHOEMAKER ST 1851 E STATE ST 901 NORTHAMPTON ST 5879 SR 92 STE 3 LENOX PLAZA 4810 OLD WILLIAM PENN HWY 1826 CHESTNUT ST # 30 510 BROOKLINE BLVD 205 CENTER ST 1300 COUNTRY CLUB RD

CITY SUNBURY PITTSBURGH FAIRCHANCE PITTSBURGH LEECHBURG MORGANTOWN FAYETTEVILLE VIENNA CLENDENIN INDEPENDENCE POWHATAN POINT HUBBARD S CHARLESTON MARION WHEELERSBURG ENON DU BOIS MCCONNELLSBURG CHARLESTON NEW MARTINSVILLE DILLSBORO BATESVILLE CEDAR SPRINGS SOUTHFIELD PHILADELPHIA PHILADELPHIA PHILADELPHIA FORT WAYNE MOUNT VERNON POWELL PATASKALA SHELBY LANCASTER GAHANNA LANCASTER ROSSFORD KENTON ROCKWOOD CANTON MUSKEGON BENTON HARBOR SOUTHFIELD HOLLAND DETROIT YPSILANTI GRAND RAPIDS NANTICOKE PITTSBURGH STATE COLLEGE LEVITTOWN MOUNT CARMEL CLARKSBURG SPENCER NORTHFORK GRAFTON MORGANTOWN PINEVILLE BRIDGEPORT AKRON MENTOR WINTERSVILLE FOSTORIA CLEVELAND COLUMBUS PITTSBURGH PHILADELPHIA PHILADELPHIA MOUNT HOLLY SPRINGS NANTY GLO HERMITAGE EASTON KINGSLEY EXPORT PHILADELPHIA PITTSBURGH TAMAQUA MONONGAHELA

STATE

COUNTY

PA NORTHUMBERLAND

PA ALLEGHENY

PA FAYETTE

PA ALLEGHENY

PA ARMSTRONG

WV MONONGALIA

WV FAYETTE

WV WOOD

WV KANAWHA

OH CUYAHOGA

OH BELMONT

OH TRUMBULL

OH CLARK

OH MARION

OH SCIOTO

OH CLARK

PA CLEARFIELD

PA FULTON

WV KANAWHA

WV WETZEL

IN

DEARBORN

IN

FRANKLIN

MI KENT

MI OAKLAND

PA PHILADELPHIA

PA PHILADELPHIA

PA PHILADELPHIA

IN ALLEN

OH KNOX

OH DELAWARE

OH FRANKLIN

OH RICHLAND

OH FAIRFIELD

OH FRANKLIN

OH FAIRFIELD

OH WOOD

OH HARDIN

MI WAYNE

MI WAYNE

MI MUSKEGON

MI BERRIEN

MI OAKLAND

MI OTTAWA

MI WAYNE

MI WASHTENAW

MI KENT

PA LUZERNE

PA ALLEGHENY

PA CENTRE

PA BUCKS

PA NORTHUMBERLAND

WV HARRISON

WV ROANE

WV MCDOWELL

WV TAYLOR

WV MONONGALIA

WV WYOMING

WV HARRISON

OH SUMMIT

OH LAKE

OH JEFFERSON

OH HANCOCK

OH CUYAHOGA

OH FRANKLIN

PA ALLEGHENY

PA PHILADELPHIA

PA PHILADELPHIA

PA CUMBERLAND

PA CAMBRIA

PA MERCER

PA NORTHAMPTON

PA SUSQUEHANNA

PA WESTMORELAND

PA PHILADELPHIA

PA ALLEGHENY

PA SCHUYLKILL

PA WASHINGTON

ZIP

PHONE

17801 (570)-286-0739

15241 (412)-833-0545

15436 (724)-564-7817

15222 (412)-261-4846

15656 (724)-845-7501

26505 (304)-296-7721

25840 (304)-574-2071

26105 (304)-422-3526

25045 (304)-548-2155

44131 (216)-524-1835

43942 (740)-795-4837

44425 (330)-534-1907

45368 (937)-462-8331

43302 (740)-382-5746

45694 (740)-574-5054

45323 (937)-864-1603

15801 (814)-371-0800

17233 (717)-485-3622

25312 (304)-343-8030

26155 (304)-455-2171

47018 (812)-432-5684

47006 (812)-933-0447

49319 (616)-439-2779

48076 (248)-375-4040

19128 (215)-483-0900

19107 (267)-330-0290

19150 (215)-224-7100

46805 (260)-373-1083

43050 (740)-393-2487

43065 (614)-889-5257

43062 (740)-927-4051

44875 (419)-347-8055

43130 (740)-654-1019

43230 (614)-416-6420

43130 (740)-687-0449

43460 (419)-666-1583

43326 (419)-679-5995

48173 (734)-379-9633

48187 (734)-844-2710

49444 (231)-672-7823

49022 (269)-983-3463

48034 (248)-354-5600

49423 (616)-355-4810

48215 (313)-881-2890

48197 (734)-712-2222

49503 (616)-391-0567

18634 (570)-735-2320

15221 (412)-273-3487

16801 (814)-237-1479

19055 (215)-547-0250

17851 (570)-339-1460

26301 (304)-624-5679

25276 (304)-927-0011

24868 (304)-862-2105

26354 (304)-265-6329

26501 (304)-599-2369

24874 (304)-732-9011

26330 (304)-842-0647

44319 (330)-724-5219

44060 (440)-257-6258

43953 (740)-264-5030

44830 (419)-435-7716

44103 (216)-851-2600

43229 (614)-438-5751

15260 (412)-383-1850

19153 (215)-492-0492

19107 (215)-627-4567

17065 (717)-486-8606

15943 (814)-749-7872

16148 (724)-981-2800

18042 (610)-258-2353

18826 (570)-222-5005

15632 (724)-327-5493

19103 (215)-972-0909

15226 (412)-531-2190

18252 (570)-668-6989

15063 (724)-258-6101

NCPDP 3974119 3974234 3974880 3975589 6003901 6006034 6006046 6006123 6007048 6009092 6009826 1571074 3670418 3670658 3675153 3675482 3675937 3676701 3678147 2317281 2326266 2330974 2333932 2335239 2336762 2342563 2343286 2345292 2347222 2347385 3901712 3906166 3908362 3920762 5010169 5012074 3990327 3991468 3993804 3995389 3997876 1570767 3670115 3670127 3670381 3670571 3672602 3673844 3674478 3677638 3677804 3680988 2302470 2329616 2331003 2336546 2338108 2338499 2340292 2344187 2344199 2345898 2347486 2347892 3900657 3901584 3902182 3906205 3907485 3908843 3929936 5002011 5002504 5006158 5009433 5054729 3638826

NPI 1912001793 1649379827 1427159987 1295822492 1154778983 1255844213 1154833069 1699282772 1669954210 1134768401 1184238339 1104417112 1851325575 1427031202 1598847394 1740332683 1215143052 1245408327 1700024213 1114972270 1356444558 1053420588 1104992734 1548372477 1629180559 1396857231 1518041078 1467479774 1801905369 1093732307 1477652717 1073519906 1063501799 1740349216 1508876640 1639256316 1992978282 1174775191 1891010229 1790076610 1861749806 1982224911 1982708715 1528166246 1932114857 1437257151 1790790749 1790790756 1851318950 1740434794 1639316243 1932542420 1740329614 1811037351 1780793216 1952410482 1750490298 1093823460 1801905476 1649389198 1972558104 1861594103 1073625919 1427160365 1124126842 1669571907 1982704334 1558460816 1659379287 1588741540 1801985536 1609979673 1619051448 1366545725 1366469496 1588833115 1417015538

PHARMACY NAME CVS PHARMACY RITE AID PHARMACY CVS PHARMACY MEDICAP PHARMACY HILLRISE PHARMACY USAPHARMACY CVS PHARMACY EASYRX AT HOLY REDEEMER LA VIDA DISCOUNT PHARMACY WARMINSTER SQUARE PHARMACY ANGEL CARE PHARMACY AFTON PHARMACY STORE KROGER PHARMACY YOUNG'S PHARMACY GENOA HEALTHCARE LLC RITE AID PHARMACY WALGREENS WALMART PHARMACY NEW CHOICE PHARMACY APOTHECARY - HOUGHTON OMNICARE OF SOUTHERN MICHIGAN RITE AID PHARMACY DELTON FAMILY PHARMACY CVS PHARMACY CVS PHARMACY CVS PHARMACY SANILAC PHARMACY WALMART PHARMACY RITE AID PHARMACY WALMART PHARMACY RITE AID PHARMACY SHEELEY'S DRUG STORE RITE AID PHARMACY PALMYRA PHARMACY & GIFT SHOP OMNICARE OF MORGANTOWN TOWN PHARMACY CARE WALGREENS BENSALEM PHARMACY EINSTEIN AT CENTER ONE PHCY HENDRIX PHARMACY TRANS DRUG STORE APOTHECO PHARMACY CARMEL CVS PHARMACY CVS PHARMACY GIANT EAGLE PHARMACY CVS PHARMACY WALGREENS WALGREENS WALMART PHARMACY WALGREENS HEALINGSPRINGS PHARMACY STULTZ PHCY OF WHEELERSBURG MEIJER PHARMACY MEIJER PHARMACY RITE AID PHARMACY RITE AID PHARMACY RITE AID PHARMACY VILLAGE PHARMACY RUSSELL'S PHARMACY RITE AID PHARMACY HOMETOWN PHARMACY CVS PHARMACY CVS PHARMACY CVS PHARMACY CVS PHARMACY RITE AID PHARMACY RITE AID PHARMACY RITE AID PHARMACY FAMILY PRESCRIPTION CENTER ANDREW BROWNS DRUG STORE INC RITE AID PHARMACY FAIRMONT CLINIC PHARMACY GRIFFITH & FEIL DRUG CVS PHARMACY WALMART PHARMACY COMMUNITY HLTH SYSTEMS FAYETTE FILLMORE PHARMACY

ADDRESS 165 S RICHLAND AVE 400 W 2ND ST 5674 ROUTE 115 1253 N 4TH ST 4240 N BROAD ST STE B 3216 N 6 TH ST 1589 FRUITVILLE PIKE 1648 HUNTINGDON PIKE RM 0255 2363 E ALLEGHENY AVENUE 1535 W STREET RD 7223A RISING SUN AVENUE 1802 E 10TH STREET 833 W ALEXIS RD 15986 STATE ROUTE 56 E 3095 KETTERING BLVD 7504 W CENTRAL AVE 1001 W STATE ST 10392 FREMONT PIKE 1900 23RD ST 600 MACINNES DR 33510 SCHOOLCRAFT RD 42931 WOODWARD AVE 338 N GROVE ST 7333 E 10 MILE RD 981 E AUBURN RD 40900 ANN ARBOR RD E 78 S ELK ST 4730 ENCORE BLVD 5280 N HURON RD 201 73RD ST 4145 BUFFALO RD 539 LINDEN ST 6401 OXFORD AVE 22 E MAIN ST 102 CORPORATE DR 213 MAIN ST 2646 DARLINGTON RD 2112 STREET RD 9880 BUSTLETON AVE STE 305 11685 BUSTLETON AVE 5466 SPRUCE ST 12955 OLD MERIDIAN ST STE 102 592 W PLANE ST 3733 HAMILTON CLEVES RD 12692 CHILLICOTHE RD 6632 S STATE ROUTE 48 663 E AURORA RD 1829 N CLINTON ST 1143 SMILEY AVE 521 E MAIN ST 2449 ROSS MILLVILLE RD STE 185 8991 OHIO RIVER RD 2055 W GRAND RIVER AVE 1920 PIPESTONE RD 300 W CARLETON RD 1032 E CORK ST 2263 CEDAR ST 6213 CHICAGO STE 200 3011 W GRAND BLVD STE 107 22600 GRATIOT AVE 4000 EASTERN SKY DR 2228 S MAIN ST 33 W 9 MILE RD 26220 CROCKER BLVD 1101 MILL ST 1730 WILMINGTON RD 3434 WILLIAM PENN HWY 4927 HOMEVILLE RD 439 WYANDOTTE ST 1502 PITTSTON AVE 320 E LINCOLN HWY 1322 LOCUST AVE 1405 CHESTNUT ST 401 MARION SQ 800 FOXCROFT AVE 1 PHYSICIANS DR 119 S SYCAMORE AVE

CITY YORK BERWICK BLAKESLEE SUNBURY PHILADELPHIA PHILADELPHIA LANCASTER MEADOWBROOK PHILADELPHIA WARMINSTER PHILADELPHIA JEFFERSONVILLE TOLEDO LAURELVILLE MORAINE TOLEDO TRENTON PERRYSBURG CUYAHOGA FALLS HOUGHTON LIVONIA BLOOMFIELD HILLS DELTON CENTER LINE ROCHESTER HILLS PLYMOUTH SANDUSKY MOUNT PLEASANT OSCODA SOUTH HAVEN ERIE SCRANTON PHILADELPHIA PALMYRA MORGANTOWN MAN BEAVER FALLS BENSALEM PHILADELPHIA PHILADELPHIA PHILADELPHIA CARMEL BETHEL HAMILTON CHESTERLAND MAINEVILLE MACEDONIA DEFIANCE CINCINNATI JACKSON HAMILTON WHEELERSBURG OKEMOS BENTON HARBOR HILLSDALE KALAMAZOO HOLT WARREN DETROIT EASTPOINTE TRAVERSE CITY ANN ARBOR HAZEL PARK HARRISON TOWNSHIP DANVILLE NEW CASTLE PITTSBURGH WEST MIFFLIN BETHLEHEM SCRANTON COATESVILLE FAIRMONT KENOVA FAIRMONT MARTINSBURG LOCHGELLY SYCAMORE

STATE

COUNTY

PA YORK

PA COLUMBIA

PA MONROE

PA NORTHUMBERLAND

PA PHILADELPHIA

PA PHILADELPHIA

PA LANCASTER

PA MONTGOMERY

PA PHILADELPHIA

PA BUCKS

PA PHILADELPHIA

IN

CLARK

OH LUCAS

OH PICKAWAY

OH MONTGOMERY

OH LUCAS

OH BUTLER

OH WOOD

OH SUMMIT

MI HOUGHTON

MI WAYNE

MI OAKLAND

MI BARRY

MI MACOMB

MI OAKLAND

MI WAYNE

MI SANILAC

MI ISABELLA

MI IOSCO

MI VAN BUREN

PA ERIE

PA LACKAWANNA

PA PHILADELPHIA

PA LEBANON

WV MONONGALIA

WV LOGAN

PA BEAVER

PA BUCKS

PA PHILADELPHIA

PA PHILADELPHIA

PA PHILADELPHIA

IN HAMILTON

OH CLERMONT

OH BUTLER

OH GEAUGA

OH WARREN

OH SUMMIT

OH DEFIANCE

OH HAMILTON

OH JACKSON

OH BUTLER

OH SCIOTO

MI INGHAM

MI BERRIEN

MI HILLSDALE

MI KALAMAZOO

MI INGHAM

MI MACOMB

MI WAYNE

MI MACOMB

MI GRAND TRAVERSE

MI WASHTENAW

MI OAKLAND

MI MACOMB

PA MONTOUR

PA LAWRENCE

PA ALLEGHENY

PA ALLEGHENY

PA NORTHAMPTON

PA LACKAWANNA

PA CHESTER

WV MARION

WV WAYNE

WV MARION

WV BERKELEY

WV FAYETTE

OH WYANDOT

ZIP

PHONE

17404 (717)-843-4730

18603 (570)-752-5200

18610 (570)-643-7286

17801 (570)-286-6644

19140 (215)-403-7300

19140 (215)-425-4500

17601 (717)-396-6529

19046 (215)-544-5850

19134 (215)-427-1603

18974 (215)-442-1300

19111 (610)-708-3858

47130 (502)-376-0343

43612 (419)-269-6909

43135 (740)-332-1833

45439 (937)-294-1000

43617 (419)-841-8525

45067 (513)-737-3504

43551 (419)-874-0571

44223 (330)-971-7393

49931 (906)-483-1818

48150 (734)-422-3310

48304 (248)-338-7191

49046 (269)-623-5250

48015 (586)-759-5100

48307 (248)-852-2380

48170 (734)-455-7981

48471 (810)-648-2265

48858 (989)-772-6302

48750 (989)-739-4255

49090 (269)-637-7802

16510 (814)-899-6924

18503 (570)-342-8936

19111 (215)-745-2557

17078 (717)-838-1300

26501 (304)-292-3080

25635 (304)-583-2863

15010 (724)-891-3512

19020 (215)-244-4244

19115 (215)-827-1680

19116 (215)-969-3900

19139 (215)-747-4700

46032 (463)-333-8855

45106 (513)-734-6242

45013 (513)-738-4666

44026 (440)-729-5457

45039 (513)-697-4881

44056 (330)-468-4800

43512 (419)-782-2499

45240 (513)-825-3804

45640 (740)-286-4640

45013 (513)-863-8000

45694 (740)-981-3334

48864 (517)-347-9110

49022 (269)-934-6710

49242 (517)-437-3373

49001 (269)-344-0131

48842 (517)-694-2179

48092 (586)-751-7979

48202 (313)-875-5384

48021 (586)-772-6699

49684 (231)-947-6921

48103 (734)-663-1811

48030 (248)-541-1650

48045 (586)-954-0800

17821 (570)-275-1811

16105 (724)-658-1515

15235 (412)-824-8860

15122 (412)-469-2220

18015 (610)-866-0709

18505 (570)-346-7319

19320 (610)-384-7022

26554 (304)-366-0700

25530 (304)-453-6469

26554 (304)-367-1300

25401 (304)-263-6030

25866 (304)-461-0068

44882 (419)-927-2691

NCPDP 3642407 3645251 3646607 3647091 2318663 2344327 3957012 3957428 3958709 3959915 3960071 5057535 5058614 3965665 3966807 3968368 3969497 3971795 3972456 3972937 3974614 3976149 6003711 6003761 6004218 6004321 6004597 6004941 6005208 6008204 6008331 6010259 1569598 3671927 3675191 3675925 3676105 3677688 3677854 3680736 2302393 2303991 2309878 2319540 2319920 2325644 2326139 2329096 2332500 2336483 2337168 2337714 2338881 2341028 3979486 3985213 3986289 3987801 1833854 1502334 1503499 1503540 1506700 1506875 1509934 1513907 1523807 1524013 1525356 1529152 1530802 2387098 2382846 2382858 2383660 3681310 3682261

NPI 1548363203 1518063429 1588679427 1477569788 1548251887 1750464780 1558465302 1639130347 1255346177 1932132263 1225128341 1487171005 1245831601 1861419921 1497854657 1063501724 1578580635 1689764607 1013011865 1740384593 1760497754 1346366879 1619321403 1104271667 1891240099 1609324086 1700335726 1881132322 1851826341 1164988598 1518527381 1649857137 1992277834 1598783342 1083780209 1255541744 1184833923 1760637169 1700023363 1760727416 1821137126 1699884973 1306913900 1649358763 1821100819 1477615086 1265571178 1457435778 1588663132 1700808813 1215046750 1134135437 1043350523 1407925282 1801818539 1871535641 1093829988 1932264058 1760815823 1568477677 1932202611 1881797561 1437252129 1053396507 1780788927 1285784058 1295740314 1104843408 1043225170 1770517583 1083621072 1669023511 1427590603 1437693108 1154841526 1346674900 1184023640

PHARMACY NAME CVS PHARMACY ST. VINCENT MERCY AMBLTRY CARE PHCY MARCS RITE AID PHARMACY DOWNTOWN DRUGS SPARROW PHARMACY PLUS CVS PHARMACY DIAMOND PHARMACY SERVICES GIANT EAGLE PHARMACY WEIS PHARMACY RITE AID PHARMACY WALGREENS RITCHIE COMMUNITY PHARMACY WALMART PHARMACY RITE AID PHARMACY RITE AID PHARMACY WALMART PHARMACY RITE AID PHARMACY CVS PHARMACY CVS PHARMACY WALGREENS CARESITE SPECIALTY MCLAUGHLIN PHARMACY INC CVS PHARMACY PATIENT FIRST PAGODA PHARMACY WEIS PHARMACY STAYWELL RX HEALTHAID PHARMACY PATRIOT PHARMACY SOLACE PHCY AND WELLNESS SHOP THE PRESCRIPTION CENTER- CHERRY ST MIDTOWN MEDICENTER PHCY SAM'S CLUB PHARMACY GIANT EAGLE PHARMACY WALGREENS ONCOLOGY HEMATOLOGY CARE PHCY LLC RITE AID PHARMACY WALGREENS HEALTHLAND PHARMACY MEIJER PHARMACY RITE AID PHARMACY WATKINS PHCY & SURGICAL SUPPLY RICHLAND VILLAGE DRUG SCHEURER FAMILY PHARMACY O M H RX MEIJER PHARMACY THE WELLNESS PLAN MERRIMAN DRUGS RITE AID PHARMACY RITE AID PHARMACY RITE AID PHARMACY MEIJER PHARMACY COUNTRYSIDE PHARMACY CVS PHARMACY ADAMS DISCOUNT PHARMACY TANG PHARMACY INC THE HOMETOWN PHARMACY ST. MATTHEWS COMMUNITY PHCY WALGREENS CVS PHARMACY CVS PHARMACY CVS PHARMACY G.A. TRIPLETT & SON REXALL CLOVERDALE DRUGS SHELDONS EXPRESS PHARMACY WALGREENS WALMART PHARMACY WALGREENS KROGER PHARMACY WALGREENS MCARE PHARMACY PHARMACARE DRUGS 1 SPARROW PHARMACY PLUS ALLIANCE SPECIALTY PHARMACY LLC ASIA PLAZA PHARMACY GE FAMILY WELLNESS CENTER PHARMACY

ADDRESS 401 S ELMWOOD AVE 2213 CHERRY ST 22840 LAKE SHORE BLVD 28600 CHAGRIN BLVD 121 E BROADWAY ST 1015 CHARLEVOIX DR 548 DOYLESTOWN RD 645 KOLTER DR 181 SOPHRIRA LN 2065 SPRINGWOOD RD 300 MARKET STREET 505 ROSEBUD PLZ 138 CHERRY STREET 20 INDUSTRIAL DR 64 N MERCER AVE 111 NORTH PLZ 761 AIRPORT RD 407 CENTRAL AVE 620 MARKET ST 101 EASTON RD STE 200 2979 LINDEN ST 25 CHURCH ST 4TH FLOOR 122 CARRIAGE LN 1919 MARKET ST STE 150 133 LANCASTER AVE 600 GREENWICH STSTE 4 30 PRIMROSE LANE 2578 KINGVIEW RD SUITE 103 6604 FRANKFORD AVE 2951 N 22ND ST 1526 RIDGE AVE UNIT COMM 329 CHERRY STREET STE 1A 11 S 9TH ST 1755 HILLIARD ROME RD 4000 POWELL RD 95 W GARFIELD RD 4350 MALSBARY RD STE 203 475 E 185TH ST 24590 LORAIN RD 1979 CLEVELAND AVENUE 1540 28TH ST SE 1022 W GENESEE ST 1391 E SHERMAN BLVD 8900 GULL RD 8866 UNIONVILLE RD 825 N CENTER AVE 3955 US 31 S 2888 W GRAND BLVD 31320 5 MILE RD 2775 PORT SHELDON ST 715 S CLINTON ST 841 S STATE RD 20401 HAGGERTY RD 9695 N GREENVILLE RD 1495 OLD YORK RD 241 N KESWICK AVE 5925 N 5TH ST 49 PINE GROVE PLAZA 3922 WILLIS AVE 5830 N CLINTON ST 1700 E MAIN ST 523 S STATE ROAD 67 3240 WILLOWCREEK RD 111 N BUCKEYE ST 900 N MAIN ST 815 SYCAMORE ST 4445 CALUMET AVE 16865 CLOVER RD 330 W STATE BLVD 3400 GRANT LINE RD 5199 N KEYSTONE AVE 23800 FORD RD 6048 RAWSONVILLE RD 2909 E. GRAND RIVER AVE #101 25301 VAN DYKE AVE 2999 PAYNE AVE # 130 1 NEUMANN WAY BLDG 750

CITY MEDINA TOLEDO EUCLID BEACHWOOD MOUNT PLEASANT GRAND LEDGE LANSDALE INDIANA ALTOONA YORK ELIZABETH CLARKSBURG HARRISVILLE DU BOIS SHARPSVILLE APOLLO HAZLE TOWNSHIP JOHNSTOWN KINGSTON HORSHAM BETHLEHEM WILKES BARRE MIFFLINTOWN PHILADELPHIA DEVON READING EAST BERLIN SCOTTDALE PHILADELPHIA PHILADELPHIA PHILADELPHIA SCRANTON RICHMOND HILLIARD POWELL AURORA CINCINNATI EUCLID NORTH OLMSTED COLUMBUS GRAND RAPIDS LAPEER MUSKEGON RICHLAND SEBEWAING GAYLORD TRAVERSE CITY DETROIT LIVONIA JENISON GRAND LEDGE DAVISON NORTHVILLE LAKEVIEW ABINGTON GLENSIDE PHILADELPHIA GROVE CITY LOUISVILLE FORT WAYNE PLAINFIELD MOORESVILLE PORTAGE OSGOOD CLOVERDALE ROCKPORT HAMMOND NOBLESVILLE FORT WAYNE NEW ALBANY INDIANAPOLIS DEARBORN HEIGHTS BELLEVILLE LANSING CENTER LINE CLEVELAND CINCINNATI

STATE

COUNTY

OH MEDINA

OH LUCAS

OH CUYAHOGA

OH CUYAHOGA

MI ISABELLA

MI EATON

PA MONTGOMERY

PA INDIANA

PA BLAIR

PA YORK

PA ALLEGHENY

WV HARRISON

WV RITCHIE

PA CLEARFIELD

PA MERCER

PA ARMSTRONG

PA LUZERNE

PA CAMBRIA

PA LUZERNE

PA MONTGOMERY

PA NORTHAMPTON

PA LUZERNE

PA JUNIATA

PA PHILADELPHIA

PA CHESTER

PA BERKS

PA ADAMS

PA FAYETTE

PA PHILADELPHIA

PA PHILADELPHIA

PA PHILADELPHIA

PA LACKAWANNA

IN WAYNE

OH FRANKLIN

OH DELAWARE

OH PORTAGE

OH HAMILTON

OH CUYAHOGA

OH CUYAHOGA

OH FRANKLIN

MI KENT

MI LAPEER

MI MUSKEGON

MI KALAMAZOO

MI HURON

MI OTSEGO

MI GRAND TRAVERSE

MI WAYNE

MI WAYNE

MI OTTAWA

MI EATON

MI GENESEE

MI WAYNE

MI MONTCALM

PA MONTGOMERY

PA MONTGOMERY

PA PHILADELPHIA

PA MERCER

KY JEFFERSON

IN

ALLEN

IN

HENDRICKS

IN

MORGAN

IN

PORTER

IN

RIPLEY

IN

PUTNAM

IN

SPENCER

IN

LAKE

IN

HAMILTON

IN

ALLEN

IN

FLOYD

IN

MARION

MI WAYNE

MI WASHTENAW

MI INGHAM

MI MACOMB

OH CUYAHOGA

OH HAMILTON

ZIP

PHONE

44256 (330)-725-1888

43608 (419)-251-2545

44123 (216)-731-7474

44122 (216)-831-1616

48858 (989)-773-5544

48837 (517)-627-1670

19446 (215)-997-2852

15701 (880)-882-6337

16602 (814)-946-4267

17403 (717)-852-8665

15037 (412)-384-2890

26301 (304)-622-6330

26362 (304)-643-2900

15801 (814)-375-5005

16150 (724)-962-5771

15613 (724)-478-2500

18202 (570)-454-8771

15902 (814)-536-7596

18704 (570)-331-4011

19044 (215)-682-2016

18017 (610)-807-9045

18765 (570)-208-4721

17059 (717)-436-8020

19103 (215)-665-8072

19333 (484)-581-2990

19601 (484)-577-4408

17316 (717)-259-6598

15683 (724)-220-5156

19135 (215)-941-8020

19132 (267)-800-7087

19130 (267)-764-1328

18505 (570)-209-9900

47374 (765)-962-0025

43026 (614)-921-1105

43065 (614)-889-8438

44202 (330)-562-2007

45242 (513)-936-5376

44119 (216)-383-7600

44070 (440)-716-0437

43211 (614)-299-9669

49508 (616)-248-2610

48446 (810)-664-4578

49444 (231)-739-7158

49083 (269)-629-9550

48759 (989)-883-3850

49735 (989)-731-2163

49684 (231)-933-1810

48202 (313)-875-5220

48154 (734)-427-3430

49428 (616)-669-0970

48837 (517)-627-2800

48423 (810)-653-7485

48167 (248)-449-5710

48850 (989)-352-8168

19001 (215)-572-8085

19038 (215)-572-1118

19120 (215)-224-1500

16127 (724)-458-1900

40207 (502)-690-4462

46825 (260)-483-2191

46168 (317)-839-6822

46158 (317)-831-2661

46368 (219)-762-3998

47037 (812)-689-4748

46120 (765)-795-4100

47635 (812)-649-2227

46327 (219)-932-2007

46060 (317)-773-1065

46808 (260)-482-5428

47150 (812)-948-1399

46205 (317)-257-4845

48127 (313)-914-4102

48111 (734)-340-2604

48912 (517)-364-8640

48015 (248)-230-8044

44114 (216)-862-9688

45215 (513)-853-8999

NCPDP 3683946 3684809 3685647 1814602 3600980 3604166 3604988 3609849 3610513 3610549 3612480 3977999 3978383 3979727 3980061 3980821 3981013 3983055 3983067 3987659 1834337 1834349 1506697 1514290 1518452 3941348 3942718 3947340 3948582 3954434 3956440 3958545 3960499 5056115 5058006 5058119 6001034 6002353 3964536 3965057 3965538 3971199 3971327 3971442 3975248 6005878 6006159 6007973 6009167 6009345 3950070 3952973 3953660 3953797 5055935 6000804 3969954 3971416 3972571 6004105 6004294 6005551 6005753 6005892 3669782 3669960 3671977 3673438 3673806 3673820 3673933 3674618 3994072 3994185 3995428 3999870 1568077

NPI 1174988869 1629511688 1497270367 1558464297 1063515765 1306949755 1184727893 1538213145 1457454175 1184727802 1780763276 1861596645 1942227178 1831209469 1144235037 1962417857 1861407793 1639273428 1841217080 1972678241 1346650850 1578986899 1528161213 1811051758 1114020823 1871595975 1902811821 1437248176 1780666552 1376647115 1013006766 1902905169 1013949023 1851717557 1730605171 1386131050 1679972780 1346621802 1235125246 1225055387 1881609717 1407945165 1225055445 1487764015 1720010747 1164933966 1720592215 1386106680 1851930978 1942836291 1326039249 1780782425 1619015674 1679614507 1609215979 1649683467 1386713337 1750485504 1689775496 1336599562 1013462480 1932621984 1821513813 1811409683 1548203631 1356366066 1013952936 1780691709 1265454979 1063429009 1518972579 1316051394 1336451442 1487967980 1750673133 1609207299 1649716085

PHARMACY NAME PREMIER HEALTH PHCY-FIDELITY KHN SPECIALTY PHARMACY WALGREENS CVS PHARMACY CVS PHARMACY CVS PHARMACY CVS PHARMACY HARRYS PHARMACY CVS PHARMACY CVS PHARMACY LEE SILSBY DRUG CVS PHARMACY WALMART PHARMACY COSTCO PHARMACY WALGREENS WALGREENS GIANT EAGLE PHARMACY CVS PHARMACY SAM'S CLUB PHARMACY QUALITY PHARMACY LTC MEIJER PHARMACY LACKEY FAMILY PHARMACY CVS PHARMACY UNION HOSPITAL LOBBY PHARMACY CVS PHARMACY ROSS GRANT AVENUE PHARMACY GIANT EAGLE PHARMACY RITE AID PHARMACY BUCHANAN BROTHERS PHARMACY CVS PHARMACY RITE AID PHARMACY RITE AID PHARMACY GIANT PHARMACY COMMUNITY PHCY OF BRIDGEPORT WALGREENS MEDMART PHARMACY FAIRMONT RISING SUN PHARMACY RITE AID PHARMACY GARRETT PHARMACY WALMART PHARMACY GIANT EAGLE PHARMACY RITE AID PHARMACY WALMART PHARMACY COSTCO PHARMACY GIANT PHARMACY GREATER PHILADELPHIA PHCY VINE PHARMACY RIVER VALLEY PHARMACY ERIE PHARMACY CVS PHARMACY ANTIETAM PHARMACY CVS PHARMACY REYNOLDS PHARMACY PORT ALLEGANY PHARMACY BIOSCRIP INFUSION SERVICES PATIENT CARE PHARMACY CORAM CVS/SPLTY INFUSION SVCS CVS PHARMACY RITE AID PHARMACY WASHINGTON CARE PHARMACY BIOSCRIP INFUSION SERVICES LANSDOWNE COMMUNITY PHARMACY INC CVS PHARMACY CVS PHARMACY NORTHSIDE MAYSVILLE PHARMACY KROGER PHARMACY DISCOUNT DRUG MART WALGREENS CVS PHARMACY WALGREENS WALGREENS SMITH PHARMACY AND HOME MEDICAL CVS PHARMACY GIRARD AVE PHARMACY UNIVERSITY ORTHOPEDIC CENTER LTD MEDICINE SHOPPE PHARMACY MATHES PHARMACY STORE 2 INC

ADDRESS 3170 KETTERING BLVD BLDG B 3700 SOUTHERN BLVD STE 105 901 E MAIN ST 340 W MUHAMMAD ALI BLVD 1411 LEXINGTON AVE 1410 E DOROTHY LN 33840 AURORA RD 101 E FINDLAY ST 703 W ERVIN RD 1400 N HIGH ST 23865 MERCANTILE RD 312 S HENDERSON RD 1570 CHESTER PIKE 1050 CRANBERRY SQUARE DR 2435 STREET RD 699 W GERMANTOWN PIKE 5550 CENTRE AVE 509 DAVIS ST 2251 CENTURY DR 164 MEDICAL CENTER RD STE F 1676 WESTPARK DR RT 550 77 MILLARD ALLEN DR 934 W 7TH ST 1606 N 7TH ST 607 E TALMER AVE 114 GRANT AVE 8080 MCINTYRE SQUARE DR 601 DELAWARE AVE 170 MAIN ST 2622 JENKINTOWN RD 4810 PENN AVE 880 BUTLER ST 275 PAULINE DR 1212 JOHNSON AVE 781 VIRGINIA AVE 181 MIDDLETOWN CIR 500 DEVEREAUX AVE 100 FORBES AVE STE 100 140 GARRETT RD 400 BUTLER CMNS 1901 MURRAY AVE 1321 EASTON RD 1515 BETHLEHEM PIKE 1875 HEMPSTEAD RD 455 EISENHOWER DR 5501 WOODLAND AVE 4375 RED ROCK ROAD 471 HEPBURN ST 3800 WEST 12TH ST SUITE 3 1201 WALNUT ST 730 S POTOMAC ST 960 WYOMING AVE 3676 N HERMITAGE RD STE 6 54-56 N MAIN ST 4401 MACCORKLE AVE SE 100 N 5TH ST 220 EXECUTIVE DR STE 500 1200 W MAIN ST 96 N FLOWERS MILL RD 95 LEONARD AVE BLDG 2 STE 101 3419 CONCORD RD 5936 LANSDOWNE AVE 2001 PENNSYLVANIA AVE 629 W LANCASTER AVE 15 MAYSVILLE AVENUE 5705 S STATE ROUTE 48 1062 W MCPHERSON HWY 859 E MAIN ST 8100 E BROAD ST 6900 ROCKSIDE RD 520 BROADWAY AVE 11016 MAIN ST 2110 SPRING VALLEY RD 1348 W GIRARD AVE 3000 FAIRWAY DR 101 W LANCASTER AVE 1044 N LUTHER RD

CITY MORAINE KETTERING BARNESVILLE LOUISVILLE MANSFIELD KETTERING SOLON CAREY VAN WERT HILLSBORO BEACHWOOD KING OF PRUSSIA EDDYSTONE CRANBERRY TWP BENSALEM NORRISTOWN PITTSBURGH SCRANTON WEST MIFFLIN CHICORA BOWLING GREEN LACKEY AUBURN TERRE HAUTE NORTH JUDSON VANDERGRIFT PITTSBURGH PALMERTON ELDRED GLENSIDE SINKING SPRINGS PITTSBURGH YORK BRIDGEPORT WELCH FAIRMONT PHILADELPHIA PITTSBURGH UPPER DARBY BUTLER PITTSBURGH ABINGTON HATFIELD LANCASTER HANOVER PHILADELPHIA BENTON WILLIAMSPORT ERIE PHILADELPHIA WAYNESBORO EXETER TRANSFER PORT ALLEGANY CHARLESTON READING CRANBERRY TWP NORRISTOWN LANGHORNE WASHINGTON YORK PHILADELPHIA PHILADELPHIA WAYNE ZANESVILLE MAINEVILLE CLYDE LANCASTER REYNOLDSBURG INDEPENDENCE BEDFORD SOUTH WEBSTER LANCASTER PHILADELPHIA ALTOONA SHILLINGTON GEORGETOWN

STATE

COUNTY

OH MONTGOMERY

OH MONTGOMERY

OH BELMONT

KY JEFFERSON

OH RICHLAND

OH MONTGOMERY

OH CUYAHOGA

OH WYANDOT

OH VAN WERT

OH HIGHLAND

OH CUYAHOGA

PA MONTGOMERY

PA DELAWARE

PA BUTLER

PA BUCKS

PA MONTGOMERY

PA ALLEGHENY

PA LACKAWANNA

PA ALLEGHENY

PA BUTLER

KY WARREN

KY FLOYD

IN DEKALB

IN VIGO

IN STARKE

PA WESTMORELAND

PA ALLEGHENY

PA CARBON

PA MCKEAN

PA MONTGOMERY

PA BERKS

PA ALLEGHENY

PA YORK

WV HARRISON

WV MCDOWELL

WV MARION

PA PHILADELPHIA

PA ALLEGHENY

PA DELAWARE

PA BUTLER

PA ALLEGHENY

PA MONTGOMERY

PA BUCKS

PA LANCASTER

PA YORK

PA PHILADELPHIA

PA COLUMBIA

PA LYCOMING

PA ERIE

PA PHILADELPHIA

PA FRANKLIN

PA LUZERNE

PA MERCER

PA MCKEAN

WV KANAWHA

PA BERKS

PA BUTLER

PA MONTGOMERY

PA BUCKS

PA WASHINGTON

PA YORK

PA PHILADELPHIA

PA PHILADELPHIA

PA DELAWARE

OH MUSKINGUM

OH WARREN

OH SANDUSKY

OH FAIRFIELD

OH FRANKLIN

OH CUYAHOGA

OH CUYAHOGA

OH SCIOTO

PA LANCASTER

PA PHILADELPHIA

PA BLAIR

PA BERKS

IN

FLOYD

ZIP

PHONE

45439 (937)-208-7966

45429 (937)-281-3883

43713 (740)-425-1003

40202 (502)-589-1846

44907 (419)-756-1321

45429 (937)-294-0535

44139 (440)-248-5907

43316 (419)-396-7977

45891 (419)-238-2483

45133 (937)-393-4218

44122 (216)-321-4300

19406 (610)-205-1264

19022 (610)-447-1871

16066 (724)-778-6305

19020 (215)-639-6711

19403 (610)-630-5819

15232 (412)-682-5466

18505 (570)-341-3790

15122 (412)-653-6605

16025 (724)-445-2727

42104 (270)-495-6710

41643 (606)-358-2661

46706 (260)-925-1590

47804 (812)-238-4935

46366 (574)-896-3111

15690 (724)-568-1221

15237 (412)-364-8747

18071 (610)-826-2600

16731 (814)-225-4723

19038 (215)-887-6122

19608 (610)-670-9986

15223 (412)-782-2466

17402 (717)-741-5309

26330 (304)-842-3223

24801 (304)-436-6360

26554 (304)-367-9122

19111 (215)-613-6272

15222 (412)-338-8614

19082 (610)-352-2477

16001 (724)-282-7722

15217 (412)-421-2903

19001 (215)-886-8509

19440 (215)-997-1670

17601 (717)-396-8479

17331 (717)-632-4887

19143 (215)-729-3912

17814 (570)-925-2500

17701 (570)-567-5438

16505 (814)-402-7123

19107 (215)-861-8586

17268 (717)-762-1164

18643 (570)-654-7422

16154 (724)-646-1131

16743 (814)-642-2871

25304 (800)-531-2304

19601 (610)-750-7800

16066 (724)-772-3705

19401 (610)-277-1031

19047 (215)-741-1330

15301 (724)-206-9432

17402 (888)-755-1123

19151 (215)-877-2051

19130 (215)-575-9227

19087 (610)-688-8583

43701 (740)-453-3700

45039 (513)-494-2215

43410 (419)-547-4000

43130 (740)-654-2592

43068 (614)-322-9706

44131 (216)-525-0732

44146 (440)-232-6500

45682 (740)-778-3784

17601 (717)-299-4144

19123 (215)-236-1210

16602 (814)-231-2101

19607 (610)-777-2313

47122 (812)-923-8845

NCPDP 1570882 3670153 3670696 3671523 3673705 3673921 3674783 3675088 3675951 3676220 3676357 3676559 3677462 3678197 3678313 3679644 2307014 2307684 2331926 2334263 2347323 2347715 3901762 3901837 3903247 3908730 3930965 5002883 5003657 5006196 5008443 5011200 5054793 5055416 3655391 3946540 3946994 3956212 5058359 6000640 6000727 6001945 5054779 3645960 3652155 2347121 2347157 3906976 3920736 3926928 3929190 5008621 5010450 5010753 5011224 5053967 5054060 5055264 3648497 3653044 3941122 3941831 3950690 3957795 3958266 5056533 5057092 5057167 6000777 6001286 6001515 6001969 3965184 3967176 3969877 3973826 3973965

NPI 1689278145 1952410235 1942227145 1861438350 1598770547 1609881663 1982717252 1609940022 1700087046 1952595530 1245425875 1881876233 1750534772 1215166509 1639302557 1740572320 1891878617 1194833558 1699862888 1467564393 1801820667 1790897635 1821197161 1376642611 1932192986 1114016854 1851491393 1851456289 1225037260 1477646693 1053418897 1699751818 1861652562 1639474562 1336154244 1083703722 1225142318 1134175581 1649831744 1932511870 1083020986 1164538724 1972764355 1790720183 1548379894 1861503914 1619089554 1275636011 1467543777 1336146166 1275622904 1033143813 1447277579 1568406254 1699709303 1720005861 1710084645 1790098002 1942319280 1215961016 1407889736 1134152465 1871682526 1821187576 1649369398 1356732192 1013432749 1518483361 1588071724 1609273614 1578952156 1477947323 1679663793 1609965367 1326053257 1861590481 1356337828

PHARMACY NAME AMAZON PHARMACY RITE AID PHARMACY WALMART PHARMACY THE HOMETOWN PHARMACY WALGREENS WALGREENS WALGREENS WALGREENS WALGREENS CVS PHARMACY NEWTON FALLS PHARMACY INC WALGREENS GENOA HEALTHCARE LLC FITZGERALD'S LTC GIANT EAGLE PHARMACY WESTLAND PHARMACY LLC COLON VILLAGE PHARMACY MENARD PHARMACY GRAND VALUE PHARMACY CVS PHARMACY KROGER PHARMACY CVS PHARMACY RITE AID PHARMACY RITE AID PHARMACY ROBINSON PHARMACY RITE AID PHARMACY COLONIAL PHARMACY SUNCREST PHARMACY PHILLIPS PHARMACY PILL BOX PHARMACY CARRIAGE DRIVE PHARMACY INC BECKLEY ARH PHARMACY WALGREENS FRITZ'S PHARMACY II GIANT EAGLE PHARMACY RITE AID PHARMACY MAINLINE PHARMACY DAVIDSVILLE GEISINGER HOME INFUSION SVCS KEY PHARMACY AND WELLNESS PATIENT FIRST GENOA HEALTHCARE LLC HEMATOLOGY & ONCOLOGY ASSOC KROGER PHARMACY CVS PHARMACY RITE AID PHARMACY NADIA'S PHARMACY CVS PHARMACY CVS PHARMACY THOMAS PHARMACY REDNERS PHARMACY RITE AID PHARMACY KROGER PHARMACY WALMART PHARMACY WHEELING HOSPITAL PHARMACY KROGER PHARMACY SAM'S CLUB PHARMACY CROSS LANES FAMILY PHARMACY UNITED PHARMACY RITE AID PHARMACY KROGER SAV-ON WEIS PHARMACY WEIS PHARMACY RITE AID PHARMACY RITE AID PHARMACY RITE AID PHARMACY RIPLEY FAMILY MEDICINE PHARMACY WALGREENS WALGREENS WALGREENS WELCOME PHARMACY SHOP AND CARRY PHARMACY MEDICINE SHOPPE PHARMACY RITE AID PHARMACY RITE AID PHARMACY GIANT EAGLE PHARMACY CVS PHARMACY CHOICE FAMILY PHARMACY

ADDRESS 3620 PLAINFIELD ROAD 13353 CLEVELAND AVE NW 100 MALL DR 655 CREED ST 1162 HARRISBURG PIKE 4530 KENNY RD 6385 BRANCH HILL GUINEA PIKE 5011 PRINCETON RD 6201 E BROAD ST 4144 BUCKEYE PKWY 37 RIDGE RD 300 GREENE ST 1301 N HIGH ST 307 W MAIN ST 825 AMBASSADOR DRIVE 100 N MURRAY HILL RD 131 S BLACKSTONE AVE 23241 EUREKA RD 10920 GRAND RIVER AVE 2025 FORT ST 33523 8 MILE RD 20460 MACK AVE 2962 SAINT LAWRENCE AVE 5235 LIBRARY RD 2848 W LEHIGH AVE 11750 BUSTLETON AVE 708 EKASTOWN RD 3121 UNIVERSITY AVE 329 2ND ST 203 N MAIN ST 350 CARRIAGE DR 250 STANAFORD RD 101 FORBES DR 1562 JEFFERSON ST N 48 VIENNA AVE 521 N FRALEY ST 118 N MAIN STREET 44 WOODBINE LN 889 VENTURE DR STE 2 417 BALTIMORE PIKE 1610 N MAIN STREET EXT STE 104 1100 MEADE ST 180 RED OAKS SC 126 N MAIN ST 510 W MARION RD 12818 W WARREN AVE 900 W 9 MILE RD 850 PENNSYLVANIA AVE 101 W MARKET ST 191 MANHEIM RD 231 W HIGH ST 5 RIVER WALK MALL 3333 US ROUTE 60 1 MEDICAL PARK 133 BECKLEY CROSSING 1220 N EISENHOWER DR 107 GOFF MT RD 327 MEDICAL PARK DR 401 W NORTH ST 1637 E US HIGHWAY 36 STE 14 860 CARLISLE ST 719 ROUTE 522 657 HEACOCK RD 1799 3RD ST 4135 NORTH GEORGE STREET EXIT 512-A CHURCH ST S 635 MAIN ST W 401 BUCKHANNON PIKE 2203 LANCASTER PIKE 1607 NORTHAMPTON ST 1301 LINDLEY AVE 524 BROOKLINE BLVD 2201 W ALLEGHENY AVE 3601 MIDVALE AVE 1600 W STATE ST 2640 E CUMBERLAND ST 8 S 6TH ST

CITY INDIANAPOLIS UNIONTOWN STEUBENVILLE STRUTHERS COLUMBUS COLUMBUS LOVELAND LIBERTY TWP COLUMBUS GROVE CITY NEWTON FALLS MARIETTA COLUMBUS WILLIAMSBURG WADSWORTH COLUMBUS COLON TAYLOR DETROIT WYANDOTTE LIVONIA GROSSE POINTE WOODS READING BETHEL PARK PHILADELPHIA PHILADELPHIA SARVER MORGANTOWN SAINT MARYS FRANKLIN BECKLEY BECKLEY MARTINSBURG LEWISBURG NILES KANE DAVIDSVILLE DANVILLE MORGANTWON SPRINGFIELD BUTLER DUNMORE RONCEVERTE BLUFFTON MOUNT GILEAD DEARBORN FERNDALE MONACA ORWIGSBURG SCHUYLKILL HAVEN GETTYSBURG S CHARLESTON HUNTINGTON WHEELING BECKLEY BECKLEY CROSS LANES BRIDGEPORT SPRINGFIELD URBANA HANOVER SELINSGROVE YARDLEY BEAVER MANCHESTER RIPLEY RIPLEY NUTTER FORT READING EASTON PHILADELPHIA PITTSBURGH PHILADELPHIA PHILADELPHIA BADEN PHILADELPHIA MC SHERRYSTOWN

STATE

COUNTY

IN

HENDRICKS

OH STARK

OH JEFFERSON

OH MAHONING

OH FRANKLIN

OH FRANKLIN

OH CLERMONT

OH BUTLER

OH FRANKLIN

OH FRANKLIN

OH TRUMBULL

OH WASHINGTON

OH FRANKLIN

OH CLERMONT

OH MEDINA

OH FRANKLIN

MI ST. JOSEPH

MI WAYNE

MI WAYNE

MI WAYNE

MI WAYNE

MI WAYNE

PA BERKS

PA ALLEGHENY

PA PHILADELPHIA

PA PHILADELPHIA

PA BUTLER

WV MONONGALIA

WV PLEASANTS

WV PENDLETON

WV RALEIGH

WV RALEIGH

WV BERKELEY

WV GREENBRIER

OH TRUMBULL

PA MCKEAN

PA SOMERSET

PA MONTOUR

WV MONONGALIA

PA DELAWARE

PA BUTLER

PA LACKAWANNA

WV GREENBRIER

OH ALLEN

OH MORROW

MI WAYNE

MI OAKLAND

PA BEAVER

PA SCHUYLKILL

PA SCHUYLKILL

PA ADAMS

WV KANAWHA

WV CABELL

WV OHIO

WV RALEIGH

WV RALEIGH

WV KANAWHA

WV HARRISON

OH CLARK

OH CHAMPAIGN

PA YORK

PA SNYDER

PA BUCKS

PA BEAVER

PA YORK

WV JACKSON

WV JACKSON

WV HARRISON

PA BERKS

PA NORTHAMPTON

PA PHILADELPHIA

PA ALLEGHENY

PA PHILADELPHIA

PA PHILADELPHIA

PA BEAVER

PA PHILADELPHIA

PA ADAMS

ZIP

PHONE

46231 (855)-745-5725

44685 (330)-699-9131

43952 (740)-266-7199

44471 (330)-750-0006

43223 (614)-351-0266

43220 (614)-326-0689

45140 (513)-697-6574

45011 (513)-737-1993

43213 (614)-367-7526

43123 (614)-305-3955

44444 (330)-872-6400

45750 (740)-376-1015

43201 (614)-297-8766

45176 (513)-724-7081

44281 (330)-336-8990

43228 (614)-853-9000

49040 (269)-432-3435

48180 (734)-287-3880

48204 (313)-931-0010

48192 (734)-283-9640

48152 (248)-473-8240

48236 (313)-881-2500

19606 (610)-779-3120

15102 (412)-854-5760

19132 (215)-228-7177

19116 (215)-934-6221

16055 (724)-353-1420

26505 (304)-599-2159

26170 (304)-684-3784

26807 (304)-358-2887

25801 (304)-252-5349

25801 (304)-255-3598

25404 (304)-262-4697

24901 (304)-645-7447

44446 (330)-652-2158

16735 (814)-837-6160

15928 (814)-479-2588

17821 (570)-271-5469

26508 (304)-292-9300

19064 (484)-470-2600

16001 (724)-602-0532

18512 (570)-342-3675

24970 (304)-645-0310

45817 (419)-369-4019

43338 (419)-947-8515

48126 (313)-584-7272

48220 (248)-543-9940

15061 (724)-728-0700

17961 (570)-366-0381

17972 (570)-385-8227

17325 (717)-334-6447

25303 (304)-744-5128

25705 (304)-525-4266

26003 (304)-243-3278

25801 (304)-252-3480

25801 (304)-252-1265

25313 (304)-204-2588

26330 (681)-342-1580

45504 (937)-324-5796

43078 (513)-653-7668

17331 (717)-632-7781

17870 (570)-374-1210

19067 (215)-321-0105

15009 (724)-774-2210

17345 (717)-266-6609

25271 (304)-514-5511

25271 (304)-372-7448

26301 (304)-622-1204

19607 (484)-709-3369

18042 (610)-438-9333

19141 (267)-297-5030

15226 (412)-561-3180

19132 (215)-223-8979

19129 (215)-842-2950

15005 (724)-869-7220

19125 (215)-291-8315

17344 (717)-630-2000

NCPDP 6005296 6005599 6005741 6008848 1518414 1519656 1521966 1524429 1528403 2387327 2388052 3988865 3993044 6002454 6002909 6003583 3962443 3964447 3965108 3967126 3969219 3971264 3976101 6005498 6006995 6007276 6007581 3950296 3952442 5055757 5056177 5056848 5057903 6000765 6000929 6001185 6002834 3968712 3970034 3970565 3970729 3971478 3975325 6004319 6004410 6004573 6005537 6006919 6008393 6010083 3901281 3902637 3914149 3930244 5001158 5004281 5007542 5009445 5009798 2343250 2343882 2344151 2344290 2345014 3901510 3902776 3903146 3904821 3906724 3908805 3909213 3914187 5011363 5011490 3643928 3942720 3955917

NPI 1376078394 1356863864 1629037007 1558903641 1205939915 1245286632 1114020831 1831116136 1497772610 1780228957 1356960983 1003007386 1942538855 1619359270 1487024964 1487016473 1376554501 1336154269 1790790392 1497858252 1912939927 1902838915 1487799482 1700309424 1497235196 1396214680 1073088951 1508925470 1225127970 1003842790 1497169809 1609324284 1457878332 1245646454 1235539800 1134521255 1265809420 1205853363 1497760482 1942303706 1003849332 1508965773 1811091697 1659829877 1306394903 1750832465 1457890113 1710466883 1720631658 1053916130 1710087168 1659470904 1134124274 1629167358 1285737643 1124121645 1265468029 1023042801 1265592679 1902970668 1922110865 1487755096 1811037112 1669512174 1730289042 1831298199 1972503589 1164526901 1659461762 1932298676 1386641090 1093804726 1609958487 1649297789 1740217678 1114947025 1003910852

PHARMACY NAME PATIENT FIRST TRUTTS PHARMACY POCONO FOOT ANKLE CONSULTANTS PC GREATER PHILADELPHIA PHARMACY CVS PHARMACY OSCO PHARMACY CVS PHARMACY WALMART PHARMACY WALMART PHARMACY HOLBROOK PHARMACY LTC WELCOME PHCY MICHIGAN CENTER GIANT PHARMACY WALGREENS ADVANCED RX PHARMACY HULMEVILLE RD PHARMACY INC NORTH WALES FAMILY PHARMACY GIANT EAGLE PHARMACY GIANT EAGLE PHARMACY DUSHORE PHARMACY CVS PHARMACY GIANT PHARMACY GIANT PHARMACY OXFORD VALLEY PHARMACY FAMILY RITE PHARMACY MINNICHS CONTINUING CARE PHCY WIND GAP COMMUNITY PHCY IN GENOA HEALTHCARE LLC MEDICINE SHOPPE PHARMACY RITE AID PHARMACY THE EYE MDS DISPENSARY ASSUREDCARE LTC APEX PHARMACY WALGREENS SAM'S CLUB PHARMACY MAINLINE PHARMACY 9TH & GIRARD PHARMACY INC GREENHILL PHARMACY PHILADELPHIA WALMART PHARMACY WALGREENS CVS PHARMACY WEIS PHARMACY RITE AID PHARMACY CVS PHARMACY PENN VALLEY FORGE PHARMACY ACCUSERV PHARMACY CVS PHARMACY RITECHOICE PHARMACY IV HEALTHDIRECT INSTL PHCY SRVCS COLLEGEVILLE PHARMACY INC MON VALLEY PHARMACY AND COMPOUNDING RITE AID PHARMACY RITE AID PHARMACY PARK AVE PHARMACY RITE AID PHARMACY CVS PHARMACY CVS PHARMACY CARDINAL PHARMACY KROGER PHARMACY CABIN CREEK HEALTH CENTER PHCY WEICKS PHARMACY CVS PHARMACY ANDY'S PHARMACY ON GRAND BLVD MEIJER PHARMACY MEIJER PHARMACY RITE AID PHARMACY RITE AID PHARMACY FRIENDSHIP PHARMACY CVS PHARMACY RITE AID PHARMACY RITE AID PHARMACY BURNS PHARMACY RITE AID PHARMACY REED'S PHARMACY WALMART PHARMACY PROMEDICA OUTPATIENT PHARMACY DONEGAL PHARMACY CVS PHARMACY

ADDRESS 967 E LANCASTER AVE 55 WALNUT STREET 411 DOGWOOD RD 1999 W HUNTING PARK AVE 950 S PERU ST 1276 N MAIN ST 10 N STATE ST 823 W STATE HIGHWAY 46 4801 W CLARA LN 3301 HOLBROOK AVE 4646 PAGE AVE 925 NORLAND AVE 7201 CASTOR AVE 407 BALTIMORE PIKE STE B 3554 HULMEVILLE RD STE 108 107 S MAIN ST 581 PITTSBURGH RD 400 NORTHTOWNE SQUARE 218 S GERMAN ST 25 PITTSBURGH ST 539 N OAK AVE 255 S SPRING GARDEN ST 403 S OXFORD VALLEY RD 2538 WEST ALLEGHENY AVENUE 974 S GEORGE ST 31 W 1ST ST UNIT B 500 N WEST ST STE 212 215 ALLEGHENY AVE 10 SNYDER AVE 418 GRAND PARK DR STE 315 2 COURTYARD LANE 221 GEORGE ST 10059 MARSHALL HWY 381 BENNER PIKE 1049 SHOEMAKER ST 901 W GIRARD AVE # 105 54 W 4TH ST STE 38 1000 TOWN CENTER DR 1855 S 5TH ST 4610 CENTRE AVE 1471 MARTIN ST 241 N 1ST ST 702 CHESTER PIKE 1001 CHESTERBROOK BLVD 8731 STATE ROUTE 30 STE 1 501 N 22ND ST 4700 WISSAHICKON AV BLDGE #100 1901 DAILEY AVE 305 SECOND AVE STE 204 600 WILLOWBROOK PLAZA 200 MEMORIAL BLVD 920 WILKES BARRE TOWNSHIP BLVD 220 PARK AVE 452 S LEHIGH AVE 300 FAIRMONT AVE 1800 BROADWAY AVE 483 COURT ST 500 DELAWARE AVE 5722 CABIN CREEK RD 71 124TH AVE 15142 HALL RD 2676 W GRAND BLVD 3145 ANN ARBOR SALINE RD 15055 HALL RD 2158 BROWNSVILLE RD STE 120 600 LINCOLN HWY 3300 COTTMAN AVE 700 W FRONT ST 10 S CENTRE ST 501 S 29TH ST 82 N PENNSYLVANIA AVE 1440 E HIGH ST 261 BERKMORE PL STE 1C 100 MCGINNIS DR 2142 N COVE BLVD 181 MAIN ST 1501 PAOLI PIKE

CITY DOWNINGTOWN MIFFLINBURG STROUDSBURG PHILADELPHIA CICERO CROWN POINT NORTH VERNON SPENCER MUNCIE HAMTRAMCK MICHIGAN CENTER CHAMBERSBURG PHILADELPHIA MORTON BENSALEM NORTH WALES UNIONTOWN GIBSONIA DUSHORE UNIONTOWN ALDAN CARLISLE FAIRLESS HILLS PHILADELPHIA YORK WINDGAP DOYLESTOWN OAKMONT PHILADELPHIA PARKERSBURG BARBOURSVILLE BECKLEY BRADSHAW STATE COLLEGE NANTY GLO PHILADELPHIA BRIDGEPORT YORK ALLENTOWN PITTSBURGH STATE COLLEGE LEHIGHTON SHARON HILL BERWYN IRWIN PHILADELPHIA PHILADELPHIA LATROBE COLLEGEVILLE ROSTRAVER TOWNSHIP CONNELLSVILLE WILKES BARRE CHAMBERSBURG FRACKVILLE FAIRMONT PARKERSBURG ELIZABETH CHARLESTON DAWES SHELBYVILLE STERLING HEIGHTS DETROIT ANN ARBOR SHELBY TOWNSHIP PITTSBURGH FAIRLESS HILLS PHILADELPHIA BERWICK POTTSVILLE HARRISBURG MORRISVILLE WAYNESBURG BERKELEY SPRINGS WAYNE TOLEDO DONEGAL WEST CHESTER

STATE

COUNTY

PA CHESTER

PA UNION

PA MONROE

PA PHILADELPHIA

IN

HAMILTON

IN

LAKE

IN

JENNINGS

IN

OWEN

IN

DELAWARE

MI WAYNE

MI JACKSON

PA FRANKLIN

PA PHILADELPHIA

PA DELAWARE

PA BUCKS

PA MONTGOMERY

PA FAYETTE

PA ALLEGHENY

PA SULLIVAN

PA FAYETTE

PA DELAWARE

PA CUMBERLAND

PA BUCKS

PA PHILADELPHIA

PA YORK

PA NORTHAMPTON

PA BUCKS

PA ALLEGHENY

PA PHILADELPHIA

WV WOOD

WV CABELL

WV RALEIGH

WV MCDOWELL

PA CENTRE

PA CAMBRIA

PA PHILADELPHIA

PA MONTGOMERY

PA YORK

PA LEHIGH

PA ALLEGHENY

PA CENTRE

PA CARBON

PA DELAWARE

PA CHESTER

PA WESTMORELAND

PA PHILADELPHIA

PA PHILADELPHIA

PA WESTMORELAND

PA MONTGOMERY

PA WESTMORELAND

PA FAYETTE

PA LUZERNE

PA FRANKLIN

PA SCHUYLKILL

WV MARION

WV WOOD

WV WIRT

WV KANAWHA

WV KANAWHA

MI ALLEGAN

MI MACOMB

MI WAYNE

MI WASHTENAW

MI MACOMB

PA ALLEGHENY

PA BUCKS

PA PHILADELPHIA

PA COLUMBIA

PA SCHUYLKILL

PA DAUPHIN

PA BUCKS

PA GREENE

WV MORGAN

WV WAYNE

OH LUCAS

PA WESTMORELAND

PA CHESTER

ZIP

PHONE

19335 (484)-593-5160

17844 (570)-966-8788

18360 (570)-476-6629

19140 (215)-221-6255

46034 (317)-984-3623

46307 (219)-662-0200

47265 (812)-346-1200

47460 (812)-829-2289

47304 (765)-284-3750

48212 (313)-871-1010

49254 (517)-764-0400

17201 (717)-267-3304

19149 (215)-554-6750

19070 (484)-474-1050

19020 (267)-332-2948

19454 (215)-699-6949

15401 (724)-438-2570

15044 (724)-443-7979

18614 (570)-928-8010

15401 (724)-438-5443

19018 (610)-623-5343

17013 (717)-249-8836

19030 (215)-269-7900

19132 (215)-225-2550

17403 (717)-848-2311

18091 (610)-881-4260

18901 (267)-327-4559

15139 (412)-826-9500

19148 (215)-465-3270

26105 (304)-428-3500

25504 (304)-908-5586

25801 (681)-207-7334

24817 (304)-967-5001

16801 (814)-826-6050

15943 (814)-419-6717

19123 (215)-235-8800

19405 (484)-370-2675

17408 (717)-764-2850

18103 (610)-791-7796

15213 (412)-683-8827

16803 (814)-237-4240

18235 (610)-377-4262

19079 (610)-586-1294

19312 (610)-576-7545

15642 (866)-213-9821

19130 (215)-587-0271

19144 (267)-336-7506

15650 (724)-532-2120

19426 (484)-978-9009

15012 (724)-243-3404

15425 (724)-628-8460

18702 (570)-823-8730

17201 (717)-264-7312

17931 (570)-874-1587

26554 (304)-366-6182

26101 (304)-485-4533

26143 (304)-275-4687

25302 (304)-342-6916

25054 (304)-595-5065

49344 (269)-672-7774

48313 (586)-247-5610

48208 (313)-871-3285

48103 (734)-997-3910

48315 (586)-566-4110

15210 (412)-881-6439

19030 (215)-295-0150

19149 (215)-624-0440

18603 (570)-752-7462

17901 (570)-628-2537

17104 (717)-233-5344

19067 (215)-295-5585

15370 (724)-627-9849

25411 (304)-258-3800

25570 (304)-272-3766

43606 (419)-291-5418

15628 (724)-593-2502

19380 (610)-692-6105

NCPDP 3956046 3956351 3957062 3957670 3957745 3957911 3992282 3992307 3994096 3994616 3995466 3998575 3998703 1567796 1569233 3669756 3671282 3671939 3674872 3676802 3679668 2305452 2305527 2323309 2331584 2337702 2338689 2343452 2347424 3905885 3993652 3994705 3995276 3997547 3997585 1570313 1570781 3672056 3673767 3676117 3676890 3677412 3678248 3678820 3680635 3681207 2304070 2329705 2333095 2335099 2340204 2342739 2345709 3902562 3912513 3914000 3914810 5005295 5011008 5054527 3654200 3938694 3948152 3954218 3959357 3959573 5055985 6004042 6008052 6008646 6008987 6009787 1523516 1525003 1530876 2387822 2387846

NPI 1821197088 1790815421 1578595583 1326138447 1003905753 1205961091 1831326768 1356579072 1093026510 1588974786 1588953541 1396099040 1982615399 1891246633 1306332390 1285651489 1275646499 1841217049 1588675003 1861674509 1629361985 1376501122 1710095831 1487748737 1386756211 1225044522 1902914377 1306946637 1275641649 1366545105 1487983128 1811298250 1770872731 1700147279 1477825396 1851934616 1457978439 1427073147 1073528030 1679763346 1346416062 1346491123 1174753438 1699004515 1851641666 1558793133 1326061987 1144339672 1457469819 1801988183 1477587236 1023120961 1467561910 1891899639 1184727927 1487744595 1295853372 1265623094 1366515991 1528275971 1982621165 1154425999 1952405797 1962560565 1598855611 1588681001 1861829228 1568825743 1184186470 1346702206 1891330031 1396355426 1295838910 1952345159 1760400626 1295372118 1821573130

PHARMACY NAME RITE AID PHARMACY HEALTH SERVICES PHARMACY GIANT PHARMACY RITE AID PHARMACY RITE AID PHARMACY MR PHARMACY CVS PHARMACY SHARON PHARMACY COMMUNITY HEALTH NET PHARMACY MED-FAST PHARMACY WEIS PHARMACY NOVA STAR PHARMACY ABINGTON HEMO/ONCOLOGY ASSOC KROGER PHARMACY CARMEL PRESCRIPTION SHOP SAM'S CLUB PHARMACY TRI STATE COMPOUNDING PHCY LLC WALMART PHARMACY WALMART PHARMACY WALMART PHARMACY CVS PHARMACY HOMETOWN PHARMACY KELBEL PHARMACY INC HENRY FORD MEDICAL CENTER PHARMACY CVS PHARMACY RITE AID PHARMACY PONTIAC TRAIL SAVMOR PHARMACY GLENS PHARMACY NEW WALKERS PROFESSIONAL PHCY CVS PHARMACY DANVILLE PHARMACY MILLCREEK COMMUNITY HOSPITAL WEIS PHARMACY WALMART PHARMACY GIANT PHARMACY RIGHT MED PHARMACY ENGLEKING RX KROGER PHARMACY WALGREENS KNISLEY PHARMACY RITE AID PHARMACY GENOA HEALTHCARE LLC BENZER PHARMACY RILEY CREEK PHARMACY GIANT EAGLE PHARMACY COSTCO PHARMACY RITE AID PHARMACY RITE AID PHARMACY CARLETON PHARMACY FRANK'S DRUGS KESSEL PHARMACY CVS PHARMACY RITE AID PHARMACY CVS PHARMACY CVS PHARMACY RITE AID PHARMACY TOWNE DRUGS LLC GRANT MEMORIAL HOSPITAL DANVILLE PHARMACY FAMILY CARE PHARMACY WALMART PHARMACY CVS PHARMACY CVS PHARMACY SUBURBAN PHARMACY RITE AID PHARMACY DUBOIS DRUG AND WELLNESS#1 THE PHARMACY @ HIMG WEIS PHARMACY COTTMAN 1 PHARMACY HEALTHDIRECT INST PHARMACY PENNCARE PHARMACY HILLCREST PHCY AND CMPD OF LANCASTE CVS PHARMACY ODON PHARMACY LLC WALMART PHARMACY KEYSTONE SPECIALTY CARE PHARMACY MATRIX PHARMACY

ADDRESS 244 COMMERCE CIR 1201 GRAMPIAN BLVD 3015 W EMAUS AVE 163 W 26TH ST 262 CONNELLSVILLE ST 2510 N FRONT ST 272 E BUTLER AVE 63 PITT ST 1202 STATE ST 2003 SHEFFIELD RD STE C 3825 SULLIVAN TRL 301 E GIRARD AVE 201 GIBRALTAR RD STE 120 5961 N SR 135 1001 W MAIN ST 1300 E MALL DR 7715 BEECHMONT AVE 5821 W CENTRAL AVE 46440 US HIGHWAY 20 10240 COLERAIN AVE 1339 N MAIN ST 1144 N MONROE ST 205 E MAIN ST 19401 HUBBARD DR 125 E LONG LAKE RD 3717 FENTON RD 620 N PONTIAC TRAIL 829 W MAIN ST 838 4TH AVENUE 3075 W LIBERTY AVE 439 MILL ST 3822 COLONIAL AVE 1112 W WYOMISSING BLVD 800 COMMONS DR 737 HUNTINGDON PIKE 303 S MAIN ST SUITE 111 125 W OLD SHORT ST 5100 TERRA FIRMA DR 33760 CENTER RIDGE RD 2535 WESTERN AVE 5890 MONROE ST 65 MESSIMER DR 96 INTEGRITY DR STE D 112 E MAIN ST 108 W MAIN ST 3888 STELZER RD 1378 WALTON BLVD 30 COLUMBIA AVE E STE A 201 MEDICAL CENTER DRIVE 204 W MICHIGAN AVE 12731 S SAGINAW ST 17120 KERCHEVAL AVE 1201A S DIVISION ST 130 HOCKERSVILLE RD 204 E 2ND ST 6744 46 NORTH FIFTH STREET 227 COMMERCIAL AVE 117 HOSPITAL DR 2008 SMOOT AVE 3136 WEST ST 555 COLEMANS XING 105 S SPORTING HILL RD 410 E CHESTER PIKE 10875 BUSTLETON AVE 2810 MEMORIAL HIGHWAY 700 S BRADY ST 5170 US RTE 60 E STE 150 1199 TEXAS PALMYRA HWY STE N 1701 COTTMAN AVENUE 3001 LITITZ PIKE 416 OAK LANE ROAD 3985 COLUMBIA AVE UNIT 2 2 S BROADWAY 200 W MAIN ST 3585 W STATE ROAD 45 46325 W 12 MILE RD STE 150 5827 E 13 MILE RD

CITY BRISTOL WILLIAMSPORT ALLENTOWN ERIE UNIONTOWN PHILADELPHIA AMBLER SHARON ERIE ALIQUIPPA EASTON PHILADELPHIA HORSHAM GREENWOOD CARMEL HOLLAND CINCINNATI TOLEDO OBERLIN CINCINNATI NORTH CANTON MONROE HARBOR SPRINGS DEARBORN TROY FLINT WALLED LAKE GAYLORD LAKE ODESSA PITTSBURGH DANVILLE ERIE WEST LAWN OXFORD HUNTINGDON VALLEY MISHAWAKA MARENGO MASON NORTH RIDGEVILLE CHILLICOTHE SYLVANIA NEWARK HEBRON PANDORA LOUISVILLE COLUMBUS ROCHESTER HILLS BATTLE CREEK CARLETON YPSILANTI GRAND BLANC GROSSE POINTE TRAVERSE CITY HERSHEY OIL CITY PHILADELPHIA ASPINWALL PETERSBURG DANVILLE WEIRTON MARYSVILLE MECHANICSBURG RIDLEY PARK PHILADELPHIA SHAVERSTOWN DU BOIS HUNTINGTON HONESDALE PHILADELPHIA LITITZ PHILADELPHIA COLUMBIA PERU ODON BLOOMINGTON NOVI WARREN

STATE

COUNTY

PA BUCKS

PA LYCOMING

PA LEHIGH

PA ERIE

PA FAYETTE

PA PHILADELPHIA

PA MONTGOMERY

PA MERCER

PA ERIE

PA BEAVER

PA NORTHAMPTON

PA PHILADELPHIA

PA MONTGOMERY

IN

JOHNSON

IN

HAMILTON

OH LUCAS

OH HAMILTON

OH LUCAS

OH LORAIN

OH HAMILTON

OH STARK

MI MONROE

MI EMMET

MI WAYNE

MI OAKLAND

MI GENESEE

MI OAKLAND

MI OTSEGO

MI IONIA

PA ALLEGHENY

PA MONTOUR

PA ERIE

PA BERKS

PA CHESTER

PA MONTGOMERY

IN ST. JOSEPH

IN CRAWFORD

OH WARREN

OH LORAIN

OH ROSS

OH LUCAS

OH LICKING

OH LICKING

OH PUTNAM

OH STARK

OH FRANKLIN

MI OAKLAND

MI CALHOUN

MI MONROE

MI WASHTENAW

MI GENESEE

MI WAYNE

MI GRAND TRAVERSE

PA DAUPHIN

PA VENANGO

PA PHILADELPHIA

PA ALLEGHENY

WV GRANT

WV BOONE

WV HANCOCK

OH UNION

PA CUMBERLAND

PA DELAWARE

PA PHILADELPHIA

PA LUZERNE

PA CLEARFIELD

WV CABELL

PA WAYNE

PA PHILADELPHIA

PA LANCASTER

PA PHILADELPHIA

PA LANCASTER

IN

MIAMI

IN

DAVIESS

IN

MONROE

MI OAKLAND

MI MACOMB

ZIP

PHONE

19007 (215)-781-9788

17701 (570)-326-8109

18103 (610)-791-9588

16508 (814)-452-4012

15401 (724)-438-9799

19133 (215)-634-3939

19002 (215)-643-3974

16146 (724)-347-7000

16501 (814)-464-9520

15001 (866)-444-6290

18040 (610)-252-6756

19125 (215)-739-3900

19044 (215)-706-2034

46143 (317)-530-3087

46032 (317)-688-7050

43528 (419)-868-1398

45255 (513)-624-7333

43615 (419)-536-9259

44074 (440)-774-6734

45251 (513)-385-0083

44720 (330)-966-4703

48162 (734)-242-2966

49740 (231)-526-5971

48126 (313)-982-8245

48085 (248)-879-9114

48507 (810)-232-5118

48390 (248)-669-2776

49735 (989)-732-4114

48849 (616)-374-3190

15216 (412)-341-2269

17821 (570)-284-4667

16506 (814)-835-0000

19609 (610)-775-3409

19363 (484)-702-7311

19006 (215)-379-3257

46544 (734)-434-2448

47140 (812)-365-0001

45040 (513)-229-5920

44039 (440)-327-1330

45601 (740)-779-6226

43560 (419)-882-5860

43055 (740)-522-0716

43025 (740)-928-3455

45877 (419)-384-3303

44641 (330)-875-1135

43219 (614)-934-6221

48309 (248)-652-0900

49015 (269)-965-3237

48117 (734)-654-6252

48197 (734)-483-0411

48439 (810)-695-6384

48230 (313)-886-3300

49684 (231)-929-0526

17033 (717)-533-3364

16301 (814)-677-4007

19126 (215)-224-2060

15215 (412)-782-2244

26847 (304)-257-1026

25053 (304)-369-3981

26062 (304)-748-4200

43040 (937)-644-3100

17050 (717)-763-4860

19078 (610)-532-2400

19116 (215)-673-0994

18708 (570)-675-2383

15801 (814)-371-5827

25705 (304)-399-3784

18431 (570)-253-1620

19111 (215)-728-6300

17543 (717)-560-8822

19126 (215)-444-7525

17512 (717)-283-1184

46970 (765)-472-4367

47562 (812)-636-4600

47403 (812)-335-0060

48377 (248)-267-3004

48092 (586)-883-6047

NCPDP 2389256 3644134 3646467 3648093 3648536 3652941 3653311 3653359 3654034 3941211 3941704 3943570 3945029 3945788 3946778 3950739 3952997 3953141 3955385 3960879 5057701 5057852 3929126 3930890 3931133 5010208 5011034 5011767 5055113 3655199 3945815 3946019 3948366 3950107 3953103 3957391 3958367 5058436 6002947 6003406 3968851 3972331 3973472 6006147 6007113 6008177 6010209 1528528 3991898 3996026 3997460 3998741 1567556 3675521 3677931 3679442 3680089 2318839 2338425 2343921 2346648 3901736 3908829 3909263 3913565 3914202 3929342 5001160 5007592 5008481 5008657 5010347 5011349 5054313 3631529 3639551 3642229

NPI 1366028730 1073587192 1629083589 1336159029 1982638789 1588663074 1174540355 1619994894 1578578415 1881798627 1902992605 1689774036 1962506709 1710076450 1245320365 1568561728 1497844146 1710910393 1518051085 1770657165 1083130009 1841716404 1982708723 1447349170 1104822402 1205978509 1912924051 1992723688 1518190776 1760547525 1629167366 1447349188 1366457285 1992710818 1477604510 1003800657 1346255262 1881235273 1164899191 1326407321 1639117872 1497845416 1124117882 1578080438 1205310380 1932766011 1093810608 1750309605 1740429331 1922389840 1336400746 1659625580 1205380474 1043360399 1427298538 1912200981 1285902460 1275610263 1114036662 1205842507 1093824542 1528168978 1841389582 1467594796 1255396396 1467503292 1407842974 1619070372 1861426645 1437164373 1982629689 1235232992 1154439024 1952346397 1629180906 1609864289 1871602102

PHARMACY NAME DEDICATED SENIOR MEDICAL CENTER SAMARITAN PHARMACY GROUP HEALTH PHARMACY RITE AID PHARMACY KROGER PHARMACY RIESBECKS PHARMACY WALMART PHARMACY WALMART PHARMACY MARCS CVS PHARMACY PHARMACY HEALTH CENTER RITE AID PHARMACY CVS PHARMACY RITE AID PHARMACY RITE AID PHARMACY RITE AID PHARMACY RITE AID PHARMACY PHARMERICA SHEFFIELD PHARMACY SHARBAUGH'S DRUGSTORE INC WALGREENS WALGREENS CVS PHARMACY RITE AID PHARMACY THE MEDICINE SHOPPE PHARMACY CAMC PHARMACY WALMART PHARMACY WALMART PHARMACY COMMUNITY HLTH SYSTEMS MABSCOT MEIJER PHARMACY RITE AID PHARMACY RITE AID PHARMACY GIANT EAGLE PHARMACY GIANT EAGLE PHARMACY YEAGER'S PHARMACY DAL-HERN PHARMACY GIANT EAGLE PHARMACY BISON RX INC ACME PHARMACY CURE DISCOUNT PHARMACY SAV-ON PHARMACY RITE AID PHARMACY RITE AID PHARMACY WALGREENS RAMESHRX PHARMACY LECOM HEALTH OUTPATIENT PHCY GU INC WALMART PHARMACY ALBRIGHT PHARMACY SERVICES ASPIRE RX LLC SPARTANSBURG PHARMACY MASONIC HOMES PHARMACY WALMART PHARMACY CVS PHARMACY WALGREENS WALGREENS KAHLER PHARMACY HOMETOWN PHARMACY RITE AID PHARMACY RITE AID PHARMACY RITE AID PHARMACY RITE AID PHARMACY RITE AID PHARMACY SUMMERDALE PHARMACY ALBION PHARMACY UNION PRESCRIPTION CENTER EAST BERLIN PHARMACY CVS PHARMACY KROGER PHARMACY FRUTH PHARMACY KROGER PHARMACY CVS PHARMACY FOUR SEASONS PHARMACY THREE SPRINGS VILLAGE PHARMACY OMNICARE OF NORTHWEST OHIO A & B SUNSET PHARMACY RITE AID PHARMACY

ADDRESS 13210 EAST JEFFERSON AVE 1025 CENTER ST 7810 5 MILE RD 15149 SNOW RD 11390 MONTGOMERY RD 55 S 23RD ST 1801 W MAIN ST 8800 KINGSRIDGE DR 3014 CROMER AVE NW 1405 S 10TH ST 555 S 43RD ST 120 COUNTRY SIDE PLAZA 316 E LANCASTER AVE 102 N MAIN ST 155 E NORTHAMPTON ST 2411 COLUMBIA BLVD 1516 JEFFERSON AVE 489 SHOEMAKER RD STE 106 27 S MAIN ST 2073 PLANK RD 69 LEWIS ST 1250 KANAWHA AVE 700 MAIN ST 5 E MAIN ST 709 LIGONIER ST 3200 MACCORKLE AVE SE 96 PATRICK HENRY WAY 100 BUCKHANNON XRDS 200 RALEIGH AVE 5858 SPRINGBORO PIKE 725 LYSLE BLVD 450 BLUE VALLEY DR 2021 WHARTON ST 4010 MONROEVILLE BLVD 654 MAIN ST 4372 STATE ROUTE 147 1451 SCALP AVE 20442 CHARLESTON RD 7700 CRITTENDEN ST 2310 N BROAD ST SPC A 907 PAOLI PIKE 811 E STATE ST 5100 LIBRARY RD 100 W HARFORD ST 801 W MAIN ST 5702 PEACH STREET 911 LIGONIER ST STE 104 757 W WOLFE ST 110 MAPLEWOOD DR 4307 LOCUST ST 317 MAIN ST 99 MASONIC DR 1309 E HACKBERRY ST 3535 STEELYARD DR 537 W MAIN ST 6330 CINCINNATI DAYTON RD 1941 AIRPORT HWY 1 N WHITTAKER ST 6970 N ROCHESTER RD 1004 E MICHIGAN AVE 22521 MICHIGAN AVE 1465 15 WEST BROAD STREET 164 W CHELTEN AVE 900 E SANGER ST 9 E STATE ST 401 DONNER AVE 335 W KING STREET 5179 US ROUTE 60 350 PATTESON DR 3109 TEAYS VALLEY RD 1851 EARL L CORE RD 505 20TH ST 300 MORRISON DR 204 THREE SPRINGS DR STE A 7643 PONDEROSA RD 4201 SUNSET BLVD 99 WHITTLESEY AVE

CITY DETROIT ASHLAND CINCINNATI BROOKPARK CINCINNATI CAMBRIDGE TROY DAYTON CANTON PHILADELPHIA PHILADELPHIA MOUNT PLEASANT WAYNE PITTSTON WILKES BARRE BLOOMSBURG WINDBER KING OF PRUSSIA SHEFFIELD CARROLLTOWN WHITESVILLE RAINELLE CLARION NANTICOKE LATROBE CHARLESTON CHARLES TOWN BUCKHANNON BECKLEY DAYTON MCKEESPORT BANGOR PITTSBURGH MONROEVILLE HELLERTOWN HERNDON JOHNSTOWN BUFFALO PHILADELPHIA PHILADELPHIA WEST CHESTER SHARON BETHEL PARK MILFORD LANSDALE ERIE LATROBE SULLIVAN LEWISBURG PHILADELPHIA SPARTANSBURG ELIZABETHTOWN SALEM CLEVELAND XENIA LIBERTY TOWNSHIP TOLEDO NEW BUFFALO ROCHESTER HILLS LANSING DEARBORN QUAKERTOWN PHILADELPHIA PHILADELPHIA ALBION MONESSEN EAST BERLIN HUNTINGTON MORGANTOWN HURRICANE MORGANTOWN HUNTINGTON PRINCETON WEIRTON PERRYSBURG STEUBENVILLE NORWALK

STATE

COUNTY

MI WAYNE

OH ASHLAND

OH HAMILTON

OH CUYAHOGA

OH HAMILTON

OH GUERNSEY

OH MIAMI

OH MONTGOMERY

OH STARK

PA PHILADELPHIA

PA PHILADELPHIA

PA WESTMORELAND

PA DELAWARE

PA LUZERNE

PA LUZERNE

PA COLUMBIA

PA SOMERSET

PA MONTGOMERY

PA WARREN

PA CAMBRIA

WV RALEIGH

WV GREENBRIER

PA CLARION

PA LUZERNE

PA WESTMORELAND

WV KANAWHA

WV JEFFERSON

WV UPSHUR

WV RALEIGH

OH MONTGOMERY

PA ALLEGHENY

PA NORTHAMPTON

PA ALLEGHENY

PA ALLEGHENY

PA NORTHAMPTON

PA NORTHUMBERLAND

PA CAMBRIA

WV PUTNAM

PA PHILADELPHIA

PA PHILADELPHIA

PA CHESTER

PA MERCER

PA ALLEGHENY

PA PIKE

PA MONTGOMERY

PA ERIE

PA WESTMORELAND

IN SULLIVAN

PA UNION

PA PHILADELPHIA

PA CRAWFORD

PA LANCASTER

IN

WASHINGTON

OH CUYAHOGA

OH GREENE

OH BUTLER

OH LUCAS

MI BERRIEN

MI OAKLAND

MI INGHAM

MI WAYNE

PA BUCKS

PA PHILADELPHIA

PA PHILADELPHIA

PA ERIE

PA WESTMORELAND

PA ADAMS

WV CABELL

WV MONONGALIA

WV PUTNAM

WV MONONGALIA

WV CABELL

WV MERCER

WV HANCOCK

OH WOOD

OH JEFFERSON

OH HURON

ZIP

PHONE

48215 (313)-335-3444

44805 (419)-289-9636

45230 (513)-624-5535

44142 (216)-676-5561

45249 (513)-247-7760

43725 (740)-432-3810

45373 (937)-339-6335

45458 (937)-435-8533

44709 (330)-492-2963

19147 (215)-465-2130

19104 (215)-685-7511

15666 (724)-547-5590

19087 (610)-688-8852

18640 (570)-655-4030

18701 (570)-822-2791

17815 (570)-387-1900

15963 (814)-467-9168

19406 (610)-337-6820

16347 (814)-968-3636

15722 (814)-344-9950

25209 (304)-854-2373

25962 (304)-438-9204

16214 (814)-226-7100

18634 (570)-735-4324

15650 (724)-539-4565

25304 (304)-388-9547

25414 (304)-728-2190

26201 (304)-472-0834

25801 (304)-461-1200

45449 (937)-291-8910

15132 (412)-672-3853

18013 (610)-863-6101

15203 (412)-488-1802

15146 (412)-372-1224

18055 (610)-838-0411

17830 (570)-758-2042

15904 (814)-269-3630

25033 (304)-937-3000

19118 (215)-248-6495

19132 (215)-223-5700

19380 (610)-431-6270

16146 (724)-342-4680

15102 (412)-854-1207

18337 (570)-296-6014

19446 (267)-737-8484

16509 (814)-868-7805

15650 (724)-539-9736

47882 (812)-268-4626

17837 (570)-523-3108

19104 (215)-883-0332

16434 (814)-654-2333

17022 (717)-361-5599

47167 (812)-883-8722

44109 (216)-325-1108

45385 (937)-376-0631

45044 (513)-755-1831

43609 (419)-382-2911

49117 (269)-469-3636

48306 (248)-651-1614

48912 (517)-485-4381

48124 (313)-278-1515

18951 (215)-536-7651

19144 (215)-438-5167

19124 (215)-743-6349

16401 (814)-756-3429

15062 (724)-684-8350

17316 (717)-259-0421

25705 (304)-736-3496

26505 (304)-599-8316

25526 (304)-562-2677

26505 (304)-296-0657

25703 (304)-522-1035

24740 (304)-487-0015

26062 (304)-723-2528

43551 (419)-661-2200

43952 (740)-264-5711

44857 (419)-668-9775

NCPDP 3642368 3646683 3648360 3650618 3652105 3652410 3654375 3654541 3937832 3938810 3941564 3943114 3949851 3950412 5055783 5056420 5056898 5058171 3917626 3918781 3923578 3928201 5001095 5006475 5008138 5008823 5054666 5055492 3650454 3651999 3652888 3946588 3949786 3951248 3955513 3955880 3956161 3958901 6000284 6001084 3948443 3948556 3949293 3952175 3952466 3953076 3954650 3957303 5056987 5057814 5058424 6000931 6002884 3972204 3974602 6005549 6005690 6005931 6006363 6007466 6008711 5057422 5057751 5058234 5058626 6000133 1530698 2387062 2387492 3991494 3995707 3996355 3997220 3997383 3999111 1567760 1568510

NPI 1053464529 1215030739 1811903123 1275550451 1902915259 1871604975 1639391493 1346352358 1245362722 1497853139 1417038191 1770683120 1427147172 1962591610 1336485663 1184015802 1104366582 1609359066 1225135163 1255346102 1285851725 1467573840 1780787432 1073616736 1093893240 1790700490 1578741872 1790072916 1770598773 1356357669 1306851308 1225132061 1831298090 1821189440 1154493948 1508872300 1912034679 1104858117 1366868408 1932501384 1437248184 1003867045 1982793634 1235294422 1134218886 1063502185 1952402414 1740379494 1912424623 1659897205 1326699703 1821497611 1467821173 1326147596 1689744765 1922528348 1669913372 1194238923 1477053569 1447722632 1023575511 1255857850 1720504442 1275002339 1538757570 1477976959 1487757118 1417507336 1972140499 1992940795 1063700912 1225315682 1770850448 1912266271 1396188777 1639620669 1851816763

PHARMACY NAME MILLER'S PHARMACY & GIFTS, LLC CVS PHARMACY RITE AID PHARMACY WALMART PHARMACY RITE AID PHARMACY RITE AID PHARMACY BUKMIRS PHARMACY MEDICINE SHOPPE PHARMACY WILLIAMS VALLEY PHCY CVS PHARMACY PHARMACY HEALTH CENTER RITE AID PHARMACY RITE AID PHARMACY RITE AID PHARMACY MED CENTER SPECIALTY PHARMACY MOUNTAINEER PHARMACY VALLEY HEALTH WAYNE PHARMACY MARSHALL PHARMACY RED CROSS PHARMACY KLINGENSMITH'S DRUG STORES AMSLER PHARMACY MILLER'S PHARMACY CVS PHARMACY CVS PHARMACY OCEANA PHARMACY KROGER PHARMACY GENOA HEALTHCARE LLC WALMART PHARMACY WALGREENS RITE AID PHARMACY WALGREENS CVS PHARMACY RITE AID PHARMACY LA CON'S PHARMACY INC MEDICINE SHOPPE PHARMACY WEST PERRY PHARMACY INC PRESCRIPTION CTR-RIDGWAY GIANT PHARMACY FAMILY FARMACIA ADVANCED RX RITE AID PHARMACY PAOLI PHARMACY INC RITE AID PHARMACY SOLDIERS & SAILORS MEM HOSPITAL RITE AID PHARMACY RITE AID PHARMACY CVS PHARMACY RITE AID PHARMACY SOLEO HEALTH INC WALGREENS MOUNTAINEER DRUG MEDICINE SHOPPE PHARMACY INFUCARE RX LLC RITE AID PHARMACY MAUCH CHUNK PHARMACY PATIENT FIRST COLLEGEVILLE MARPLE PHARMACY CENTRAL AVENUE PHARMACY DEDICATED SEN MED CTR MAYFAIR EVERGREEN PHARMACY II GENOA HEALTHCARE LLC WALGREENS WALGREENS HOMETOWN DISCOUNT PHARMACY MANNINGTON PHARMACY ASTI'S SOUTH HILLS PHARMACY CVS PHARMACY DEARBORN PHARMACY AND APOTHECARY VILLAGE PHCY AND COMPOUNDING 3 WALGREENS CVS PHARMACY KREWSTOWN PHARMACY THE NEW PHARMACY WALGREENS UPMC MCKEESPORT OUTPATIENT PHCY DEKALB HEALTH PHARMACARE GARRETT QUIK SCRIPTS OF NW INDIANA

ADDRESS 101 S BROAD ST 32 S COURT ST 14973 SOUTH AVE 2825 PROGRESS WAY 735 N WATER ST 5001 MAHONING AVE NW 908 3RD ST 268 W CENTRAL AVE 226 E GRAND AVE 4686 STATE ROUTE 209 STE 2 2230 COTTMAN AVE 1520 N MAIN STREET EXT 980 E MAIN ST 9141 RIDGE RD 3100 MACCORKLE AVE SE STE 100 390 BIRCH STREET 42 MCGINNIS DRIVE 800 20TH STREET 420 MAIN ST 200 MARKET ST 818 E WARRINGTON AVE 41857 RT 6 FARM & HOME PLAZA 1126 MARKET ST # 28 700 NORTHSIDE DR 928B COOK PKWY 2007 7TH ST 200 12TH STREET EXT 1001 WARRIOR WAY 1090 HIGH ST 875 LEXINGTON AVE 10529 LOVELAND MADEIRA RD 159 N MACDADE BLVD 556 UNION ST 1336 POWELL ST 507 HEPBURN ST 1102 MONTOUR RD 223 MAIN ST 180 UPLAND SQ DR 2916 N 5TH ST 414 COMMERCE DR STE 100 327 N CHESTER PIKE 1564 E LANCASTER AVE 20 S RIVER ST 32-36 CENTRAL AVE 113 W MAIN ST 2801 W DAUPHIN ST 37 MAHONING ST 452 POND ST 204 THREE SPRINGS DR STE B 28 MAIN AVE 9709 MACCORKLE AVE SE SUITE A 20 BAILEY AVE 2540 MARKET STREET SUITE 1 7719 MAIN ST 1204 NORTH ST 1411 S COLLEGEVILLE RD 2530 W CHESTER PIKE 541 CENTRAL AVENUE 6431 SACKETT ST 702 DEKALB PIKE 645 PENN ST STE P 1010 S MAIN ST 8315 COURT AVE 351 HANGING ROCK HWY 720 EAST MAIN STREET 250 MOUNT LEBANON BLVD 175 W EADS PKWY 14715 FORD RD 31213 SOUTHFIELD RD 494 NUTT RD 3016 ROUTE 940 9313 KREWSTOWN RD 4835 WOODLAND AVE 2100 N TOWNSHIP BLVD 1500 5TH AVE, 1 SHAW 1350 S RANDOLPH ST 10865 MAPLE LN SUITE C

CITY KALIDA ATHENS COLUMBIANA WILMINGTON UHRICHSVILLE WARREN BRILLIANT SPRINGBORO TOWER CITY ELIZABETHVILLE PHILADELPHIA BUTLER PALMYRA GIRARD CHARLESTON MORGANTOWN WAYNE HUNTINGTON FOREST CITY KITTANNING PITTSBURGH WYALUSING WHEELING SUMMERSVILLE OCEANA PARKERSBURG PRINCETON QUINCY HAMILTON MANSFIELD LOVELAND GLENOLDEN LUZERNE NORRISTOWN WILLIAMSPORT LOYSVILLE RIDGWAY STOWE PHILADELPHIA FORT WASHINGTON GLENOLDEN PAOLI PLAINS WELLSBORO WEST NEWTON PHILADELPHIA MILTON BRISTOL WEIRTON LOGAN MARMET PITTSBURGH ASTON FOGELSVILLE JIM THORPE COLLEGEVILLE BROOMALL CHELTENHAM PHILADELPHIA BLUE BELL READING MILTON HAMLIN LOGAN MANNINGTON PITTSBURGH LAWRENCEBURG DEARBORN BEVERLY HILLS PHOENIXVILLE POCONO SUMMIT PHILADELPHIA PHILADELPHIA PITTSTON MCKEESPORT GARRETT SAINT JOHN

STATE

COUNTY

OH PUTNAM

OH ATHENS

OH MAHONING

OH CLINTON

OH TUSCARAWAS

OH TRUMBULL

OH JEFFERSON

OH WARREN

PA SCHUYLKILL

PA DAUPHIN

PA PHILADELPHIA

PA BUTLER

PA LEBANON

PA ERIE

WV KANAWHA

WV MONONGALIA

WV WAYNE

WV CABELL

PA WAYNE

PA ARMSTRONG

PA ALLEGHENY

PA BRADFORD

WV OHIO

WV NICHOLAS

WV WYOMING

WV WOOD

WV MERCER

WV KANAWHA

OH BUTLER

OH RICHLAND

OH HAMILTON

PA DELAWARE

PA LUZERNE

PA MONTGOMERY

PA LYCOMING

PA PERRY

PA ELK

PA MONTGOMERY

PA PHILADELPHIA

PA MONTGOMERY

PA DELAWARE

PA CHESTER

PA LUZERNE

PA TIOGA

PA WESTMORELAND

PA PHILADELPHIA

PA NORTHUMBERLAND

PA BUCKS

WV HANCOCK

WV LOGAN

WV KANAWHA

PA ALLEGHENY

PA DELAWARE

PA LEHIGH

PA CARBON

PA MONTGOMERY

PA DELAWARE

PA MONTGOMERY

PA PHILADELPHIA

PA MONTGOMERY

PA BERKS

WV CABELL

WV LINCOLN

WV LOGAN

WV MARION

PA ALLEGHENY

IN

DEARBORN

MI WAYNE

MI OAKLAND

PA CHESTER

PA MONROE

PA PHILADELPHIA

PA PHILADELPHIA

PA LUZERNE

PA ALLEGHENY

IN

DEKALB

IN

LAKE

ZIP

PHONE

45853 (419)-532-3489

45701 (740)-592-6024

44408 (330)-482-3854

45177 (937)-382-5489

44683 (740)-922-7587

44483 (330)-847-0016

43913 (740)-598-4755

45066 (937)-748-0555

17980 (717)-647-9523

17023 (717)-362-9018

19149 (215)-685-0616

16001 (724)-282-8113

17078 (717)-838-8878

16417 (814)-774-8880

25304 (304)-344-8021

26505 (304)-285-7348

25570 (304)-399-3341

25703 (304)-696-8705

18421 (570)-785-5400

16201 (724)-543-3400

15210 (412)-431-5766

18853 (570)-746-1004

26003 (304)-233-4425

26651 (304)-872-4980

24870 (304)-682-8289

26101 (304)-428-4705

24740 (304)-487-6337

25015 (304)-220-3008

45011 (513)-868-1667

44907 (419)-756-1224

45140 (513)-683-5615

19036 (610)-522-0600

18709 (570)-287-1700

19401 (610)-279-0140

17701 (570)-323-7733

17047 (717)-789-3093

15853 (814)-773-3131

19464 (610)-705-0004

19133 (267)-457-3222

19034 (484)-681-5756

19036 (610)-583-8600

19301 (610)-644-3880

18705 (570)-824-7242

16901 (570)-723-0157

15089 (724)-872-6401

19132 (215)-225-1912

17847 (570)-742-3091

19007 (215)-785-1553

26062 (304)-207-9856

25601 (304)-752-2910

25315 (304)-220-2424

15211 (412)-481-2400

19014 (877)-828-3940

18051 (610)-391-0922

18229 (570)-325-5020

19426 (484)-902-1893

19008 (610)-356-6491

19012 (215)-379-3792

19149 (267)-448-4908

19422 (610)-616-0608

19601 (484)-388-5237

25541 (304)-743-7912

25523 (304)-824-5050

25601 (304)-752-0082

26582 (304)-986-3811

15234 (412)-561-2347

47025 (812)-537-5711

48126 (313)-908-2212

48025 (248)-723-4444

19460 (610)-933-2798

18346 (570)-839-6670

19115 (215)-673-7373

19143 (215)-883-0568

18640 (570)-603-0502

15132 (412)-664-3100

46738 (260)-553-9200

46373 (219)-365-9701

NCPDP 3672436 3672866 3674050 3676523 3678072 3678200 3678894 3679353 3680281 2300248 2304450 2305248 2319615 2321583 2324983 2327434 2329856 2338374 2341535 2344137 3902877 3905722 3911256 3923821 3925510 3926687 3926827 3931107 3936094 5008734 5011161 5054262 5054440 5054743 6000171 6000400 6000981 5054123 3642825 3645895 3646354 3650101 3651418 3651850 3651886 3654298 3654705 3655151 3944293 3944899 3946045 3946499 3955210 3955929 5056242 5057523 6001541 6003153 6003482 3965499 3965893 3965906 3967277 3968750 3968902 3969106 3969500 3969625 3970680 3974246 3974563 3975301 6005791 3905544 3908336 3917246 3920332

NPI 1780675918 1063427011 1215954318 1316127855 1447484035 1124256045 1407031925 1457660516 1861778797 1275648818 1891878211 1992735666 1285742643 1235248758 1417047382 1609881069 1144360694 1205945755 1821107376 1760582092 1720080435 1558464396 1942358940 1902893837 1154435493 1043255268 1205837879 1093814352 1528157252 1942234729 1154355949 1982649067 1780719609 1639344013 1033531264 1134547144 1821499187 1538170030 1437164340 1346274149 1356444012 1780618587 1932218278 1386753622 1447266754 1083607923 1619943115 1114951910 1780783043 1437249554 1528120037 1326112772 1023107778 1912001769 1134521966 1336665785 1851780795 1154796787 1255792040 1083703748 1619195104 1396835419 1255430427 1619078516 1194757104 1003848011 1487671541 1508955261 1316037336 1003834862 1649374422 1932206422 1306362710 1003919846 1568552677 1225179542 1396848149

PHARMACY NAME CIRCLEVILLE APOTHECARY WALGREENS WALMART PHARMACY WALGREENS THE DRUG STORE OF PERRYSBURG CVS PHARMACY ARLINGTON PHARMACY GIANT EAGLE PHARMACY DISCOUNT DRUG MART MAPLE VALLEY PHARMACY FALER DRUGS PORTAGE PHARMACY CVS PHARMACY RITE AID PHARMACY MUNSON HTHCARE GRAYLING SNYDER PHARMACY MEIJER PHARMACY RITE AID PHARMACY RITE AID PHARMACY FAMILY FARE PHARMACY ELWYN PHARMACY CVS PHARMACY MONTGOMERYS PHARMACY ELIZABETH PHARMACY PENN PHARMACY WILEYS PHARMACY BLACKBURN'S PHYSICIANS PHCY RITE AID PHARMACY RITE AID PHARMACY KROGER PHARMACY KROGER PHARMACY WALGREENS COMMUNITY HLTH SYSTEMS DANIELS GREGGS PHARMACY PATIENT FIRST MEDICINE SHOPPE PHARMACY RITE AID PHARMACY COX FAMILY PHARMACY INC GIANT EAGLE PHARMACY KROGER SAV-ON CVS PHARMACY KROGER SAV-ON RITE AID PHARMACY RITE AID PHARMACY RITE AID PHARMACY MEDICINE SHOPPE BRADEN MED SERVICES KROGER SAV-ON RITE AID PHARMACY RITE AID PHARMACY ORBY PHARMACY SOUTH MOUNTAIN PHARMACY RITE AID PHARMACY CVS PHARMACY CAMDEN FAMILY PHARMACY WALGREENS YARDLEY PHARMACY & SUPPLY POTTSTOWN DISCOUNT PHARMACY PHARMACY OF AMERICA VII RITE AID PHARMACY JFK MEDICAL CTR PHARMACY SOUTHWEST RITE AID PHARMACY RITE AID PHARMACY RITE AID PHARMACY GIANT PHARMACY GIANT PHARMACY WALMART PHARMACY RITE AID PHARMACY RITE AID PHARMACY WALMART PHARMACY CVS PHARMACY CVS PHARMACY HOMESTAR SPECIALTY CVS PHARMACY RITE AID PHARMACY BURCH DRUG STORE CVS PHARMACY

ADDRESS 1200 N COURT ST 6266 GENDER RD 1815 STATE ROUTE 125 1013 N MAIN ST 580 CRAIG DR STE 12 641 GRAHAM RD 106 N MAIN ST 3061 KINGSDALE CTR 13919 PROSPECT RD 219 N MAIN ST 1806 COURT ST 7966 LOVERS LN 36567 GODDARD RD 117 N MISSION ST 1100 E MICHIGAN AVE 1330 US 41 WEST 3360 TITTABAWASSEE RD 33251 PLYMOUTH RD 3700 W SAGINAW ST 5241 NORTHLAND DR NE 194 S MIDDLETOWN ROAD 242 5TH AVE # 250 49 N RAILROAD ST 5041 2ND AVE 900 PENN ST 300 HISTORIC DR 301 CORBET ST 415 S 9TH ST 350 MAIN ST 1734 HARPER RD 106 MCGRAW ST 897 CHESTNUT RIDGE RD 2157 RITTER DR 101 GREGG MEMORIAL DR 2310 SCHOENERSVILLE RD 200 PRUSHNOK DR STE 102 1201 BLAIR ST 1212 GARFIELD AVE STE 102 2687 STATE RD 7747 OLD TROY PIKE 9525 KENWOOD RD STE 1 555 W MARION RD 1012 W SYLVANIA AVE 3129 LINCOLN WAY E 2220 LOCUST ST S 345 N SANDUSKY AVE 44519 MARIETTA RD 4530 EASTGATE BLVD STE 500 1535 WEST CHESTER PIKE 501 MAIN ST STE 201 626 WATER ST 2441 W EMAUS AVE 315 W 4TH ST 351 W SCHUYLKILL RD BLDG 4 415 MAIN ST 3400 DUDLEY AVE 175 S MAIN ST UNIT 2 1501 E HIGH ST 4654 N 5TH ST 1401 W CHELTENHAM AVE 3001 WALNUT ST FL 4 5 FRIENDLY DRIVE 513 PERRY HWY 148 ENNIS LANE 70 S LOCUST ST 471 S OXFORD VALLEY RD 1825 DOWNS DR 4934 2ND AVE 801 S 9TH ST 777 OLD WILLOW AVE 7520 CITY LINE AVE 3000 HEIGHTS RD 77 S COMMERCE WAY STE 200 410 E 12TH ST 40 42 WEST MARKET STREET 120 W VALLEY AVE 1003 CALIFORNIA AVE

CITY CIRCLEVILLE CANAL WINCHESTER AMELIA BOWLING GREEN PERRYSBURG CUYAHOGA FALLS ARLINGTON COLUMBUS STRONGSVILLE NASHVILLE SAGINAW PORTAGE ROMULUS MOUNT PLEASANT GRAYLING ISHPEMING SAGINAW LIVONIA LANSING GRAND RAPIDS MEDIA PITTSBURGH HUGHESVILLE PITTSBURGH READING STRASBURG TARENTUM LEBANON PENNSBURG BECKLEY RIPLEY MORGANTOWN DANIELS TERRA ALTA BETHLEHEM PUNXSUTAWNEY HOLLIDAYSBURG PARKERSBURG CUYAHOGA FALLS HUBER HEIGHTS CINCINNATI MOUNT GILEAD TOLEDO MASSILLON CANAL FULTON BUCYRUS CALDWELL CINCINNATI WEST CHESTER WHITE HAVEN ORBISONIA ALLENTOWN QUARRYVILLE POTTSTOWN SUMMERSVILLE PARKERSBURG YARDLEY POTTSTOWN PHILADELPHIA MELROSE PARK PHILADELPHIA DUNCANNON PITTSBURGH TOWANDA HAZLETON FAIRLESS HILLS ERIE PITTSBURGH PHILADELPHIA HONESDALE PHILADELPHIA ALIQUIPPA BETHLEHEM ERIE YORK ELYSBURG NATRONA HEIGHTS

STATE

COUNTY

OH PICKAWAY

OH FRANKLIN

OH CLERMONT

OH WOOD

OH WOOD

OH SUMMIT

OH HANCOCK

OH FRANKLIN

OH CUYAHOGA

MI BARRY

MI SAGINAW

MI KALAMAZOO

MI WAYNE

MI ISABELLA

MI CRAWFORD

MI MARQUETTE

MI SAGINAW

MI WAYNE

MI INGHAM

MI KENT

PA DELAWARE

PA ALLEGHENY

PA LYCOMING

PA ALLEGHENY

PA BERKS

PA LANCASTER

PA ALLEGHENY

PA LEBANON

PA MONTGOMERY

WV RALEIGH

WV JACKSON

WV MONONGALIA

WV RALEIGH

WV PRESTON

PA NORTHAMPTON

PA JEFFERSON

PA BLAIR

WV WOOD

OH SUMMIT

OH MONTGOMERY

OH HAMILTON

OH MORROW

OH LUCAS

OH STARK

OH STARK

OH CRAWFORD

OH NOBLE

OH CLERMONT

PA CHESTER

PA LUZERNE

PA HUNTINGDON

PA LEHIGH

PA LANCASTER

PA CHESTER

WV NICHOLAS

WV WOOD

PA BUCKS

PA MONTGOMERY

PA PHILADELPHIA

PA MONTGOMERY

PA PHILADELPHIA

PA PERRY

PA ALLEGHENY

PA BRADFORD

PA LUZERNE

PA BUCKS

PA ERIE

PA ALLEGHENY

PA PHILADELPHIA

PA WAYNE

PA PHILADELPHIA

PA BEAVER

PA NORTHAMPTON

PA ERIE

PA YORK

PA NORTHUMBERLAND

PA ALLEGHENY

ZIP

PHONE

43113 (740)-420-3784

43110 (614)-920-0287

45102 (513)-797-1250

43402 (419)-352-1645

43551 (419)-873-9100

44221 (330)-922-1298

45814 (419)-365-5202

43221 (614)-538-0801

44149 (440)-238-2400

49073 (517)-852-0845

48602 (989)-793-2445

49002 (269)-327-0033

48174 (734)-941-0755

48858 (989)-772-7677

49738 (989)-348-0800

49849 (906)-485-5592

48604 (989)-249-6010

48150 (734)-425-9721

48917 (517)-321-7746

49525 (616)-447-2788

19063 (610)-566-2226

15222 (412)-566-2619

17737 (570)-584-2005

15207 (412)-421-0114

19602 (610)-374-1444

17579 (717)-687-6058

15084 (724)-224-9100

17042 (717)-273-7687

18073 (215)-679-4411

25801 (304)-254-0523

25271 (304)-372-5292

26505 (304)-598-2534

25832 (304)-461-0300

26764 (304)-789-2200

18017 (484)-403-7560

15767 (814)-618-5957

16648 (814)-696-0289

26101 (304)-865-7600

44223 (330)-928-8844

45424 (937)-233-7680

45242 (513)-791-7373

43338 (419)-947-9134

43612 (419)-478-8177

44646 (330)-837-3138

44614 (330)-854-6618

44820 (419)-562-4222

43724 (740)-732-7201

45245 (513)-752-8479

19382 (610)-692-2730

18661 (570)-443-9519

17243 (814)-447-3934

18103 (610)-791-3917

17566 (717)-786-9091

19465 (610)-970-7388

26651 (304)-872-1663

26104 (304)-428-0946

19067 (267)-573-4555

19464 (484)-644-3120

19140 (267)-900-5858

19027 (215)-782-8950

19104 (215)-386-4708

17020 (717)-834-6303

15229 (412)-931-7751

18848 (570)-265-4769

18201 (570)-459-5759

19030 (215)-949-8955

16509 (814)-864-7619

15207 (412)-421-6948

19147 (215)-925-4481

18431 (570)-251-9637

19151 (215)-477-8401

15001 (724)-857-4041

18017 (484)-526-5700

16503 (814)-456-7071

17401 (717)-854-4432

17824 (570)-672-2711

15065 (724)-224-7772

NCPDP 3925700 5001108 5007996 5009229 5010727 5054820 5055238 5055365 2345002 3905859 3928782 5006083 5008467 5009825 5010296 5011907 5054375 3645542 3651608 3654870 3655187 3655682 3937096 3944394 3945384 3948455 3948657 3951084 3951666 3952341 3960653 5056696 5057232 6000145 3964283 3965261 3966681 3969461 3970248 3970438 3970654 3972191 3973181 3973446 6004953 6005955 6008456 1569055 1570539 1570553 3670343 3671117 3671573 3672638 3673541 3675660 3679795 3679808 3681118 2328246 2344884 2345800 3902079 3905772 3936082 5001083 5001324 5010424 5010931 5011919 5055048 5055149 3936309 3937630 3938048 3941336 3944546

NPI 1164437018 1598868242 1245333905 1962509703 1265459390 1447407150 1609194505 1588965842 1831239334 1548363385 1639268360 1801935242 1083719314 1326159419 1326141086 1942234737 1326121955 1922112747 1295844538 1003919820 1699830455 1144242942 1235241241 1457440190 1689759144 1346339090 1689773947 1033213871 1770676959 1851324180 1609881523 1962876110 1831615574 1063834976 1124045273 1134146293 1073602736 1821020835 1104843267 1467484477 1063510683 1376576603 1558412882 1194743955 1629415963 1134647423 1467006247 1326559410 1366082695 1922648476 1942234661 1427065432 1093737702 1609881655 1962417915 1164566261 1164700951 1912285115 1497190771 1548275951 1457469827 1275567034 1154420404 1285737023 1619066347 1518946276 1063416790 1871696534 1932279015 1598704934 1588899140 1285964569 1437248168 1427152263 1306935044 1508960345 1689607913

PHARMACY NAME KLINGENSMITH'S DRUG STORES CVS PHARMACY CVS PHARMACY DRUG EMPORIUM WALMART PHARMACY CLAY BATTELLE PHARMACY GULF FAMILY PRACTICE PHCY WALGREENS MEIJER PHARMACY CVS PHARMACY RITE AID PHARMACY CAMDEN-ON-GAULEY MEDICAL PHARMACY WESTERN GREENBRIER PHCY OMNICARE OF NITRO CVS PHARMACY KROGER PHARMACY CVS PHARMACY HOLZER FAMILY PHARMACY RITE AID PHARMACY CVS PHARMACY MEIJER PHARMACY CVS PHARMACY MEDICINE SHOPPE PHARMACY RITE AID PHARMACY LECH'S PHARMACY RITE AID PHARMACY RITE AID PHARMACY CVS PHARMACY TIONESTA PHARMACY WEIS PHARMACY GIANT EAGLE PHARMACY PRESTON TAYLOR PHARMACY WALGREENS THE MEDICINE SHOPPE PHARMACY WALMART PHARMACY WALMART PHARMACY RITE AID PHARMACY GIANT PHARMACY WALMART PHARMACY GIANT PHARMACY CVS PHARMACY WEIS PHARMACY WELLSPAN PHARMACY WALMART PHARMACY CENTER CITY DERMATOLOGY SMALL TOWN PHARMACY 2 GREATER PHILADELPHIA PHARMACY GENOA HEALTHCARE LLC ASCENSION ST VINCENT EPWORTH HEALTHLINC PHARMACY KROGER PHARMACY WALGREENS CVS PHARMACY WALGREENS WALGREENS GIANT EAGLE PHARMACY CLE CLINIC TWINSBURG AMB PHCY WEST CHESTER HOSP OP PHCY FIVE RIVERS HEALTH CTRS PHCY SNYDER DRUG WEATHERWAX FAMILY PHARMACIES INC KROGER SAVON PHCY RITE AID PHARMACY CVS PHARMACY RITE AID PHARMACY TOWN & COUNTRY DRUG EPPYS DRUG CVS PHARMACY MAN PHARMACY MACE'S PHARMACY WALGREENS WALGREENS RITE AID PHARMACY CVS PHARMACY RITE AID PHARMACY CVS PHARMACY WEIS PHARMACY

ADDRESS 4075 3RD ST 505 RANDOLPH AVE 3 RAINBOW PLZ 5101 MACCORKLE AVE SE RR 4 BOX 82 5851 MASON DIXON HWY 302 W MAIN ST 781 CHESTNUT RIDGE RD 30800 LITTLE MACK AVE 355 LINCOLN AVE 15 S MAIN ST 10003 WEBSTER RD 356 NICHOLAS ST 125 LAKEVIEW DR STE G 2323 MURDOCH AVE 151 BEAVER PLZ 300 CABELA DR 90 JACKSON PIKE 8239 WATERVILLE SWANTON RD 16801 CHILLICOTHE RD 4075 WILMINGTON PIKE 6000 SAWMILL RD 400 JEFFERSON AVE 1315 E WASHINGTON LN 415 MAIN ST 2901 SPRINGFIELD RD 24 EAST AVE 1301 RHAWN ST 105 FAULKNER DR 1603 LINCOLN HWY E 4007 WASHINGTON RD 30 CORTLAND ACRES LN 1021 3RD ST 625 S DUKE STREET 20245 ROUTE 19 1730 LINCOLN WAY E 335 MAIN ST 3301 TRINDLE RD 233 SHOEMAKER RD 1605 LITITZ PIKE 301 MAIN ST 695 N COURTLAND ST 755 S PLEASANT AVE 63 PERKINS RD 1500 WALNUT ST STE 1240 80 W GERMANTOWN PIKE 1401 S 4TH STREET 5818 COLUMBIA AVE STE P 100 ST MARYS EPWORTH CROSSING 420 W 4TH ST 6011 GROVEPORT RD 2140 E DOROTHY LN 14070 CEDAR RD 1950 WALES RD NE 68 W US HIGHWAY 22 AND 3 1280 STATE ROUTE 303 8701 DARROW RD 7675 WELLNESS WAY STE 100 725 S LUDLOW ST 933 RIVERSIDE PLZ 105 N MAIN STREET 7350 N MIDDLEBELT RD 1913 E 3RD ST 2719 BRODHEAD RD 105 OLD YORK RD 8048 WATER ST 2987 ROBERT C BYRD DR 221 CROSSINGS MALL RD 124 MAIN ST 440 S MAIN ST 655 WASHINGTON ST W 6414 US ROUTE 60 E 1200 W MARKET ST 140 E CHESTNUT ST 599 YORK RD 3035 PARK PL 316 WALNUT ST

CITY NU MINE ELKINS MANNINGTON CHARLESTON KEYSER BLACKSVILLE SOPHIA MORGANTOWN ROSEVILLE BELLEVUE SHENANDOAH CAMDEN ON GAULEY RUPERT CROSS LANES PARKERSBURG BEAVER TRIADELPHIA GALLIPOLIS WATERVILLE CHAGRIN FALLS KETTERING DUBLIN WASHINGTON PHILADELPHIA LACEYVILLE BROOMALL WELLSBORO PHILADELPHIA TIONESTA LANCASTER MCMURRAY THOMAS NEW MARTINSVILLE LANCASTER CRANBERRY TOWNSHIP CHAMBERSBURG GREENVILLE CAMP HILL POTTSTOWN LANCASTER LANDISVILLE EAST STROUDSBURG DALLASTOWN CLARION PHILADELPHIA NORRISTOWN PHILADELPHIA HAMMOND NEWBURGH MISHAWAKA GROVEPORT KETTERING UNIVERSITY HEIGHTS MASSILLON MAINEVILLE STREETSBORO TWINSBURG WEST CHESTER DAYTON IRON RIVER BROOKLYN WESTLAND WILLIAMSPORT ALIQUIPPA NEW CUMBERLAND STONEWOOD BECKLEY ELKVIEW MAN PHILIPPI CHARLESTON BARBOURSVILLE YORK MIFFLINBURG WARMINSTER CLEARFIELD NEWPORT

STATE

COUNTY

PA ARMSTRONG

WV RANDOLPH

WV MARION

WV KANAWHA

WV MINERAL

WV MONONGALIA

WV RALEIGH

WV MONONGALIA

MI MACOMB

PA ALLEGHENY

PA SCHUYLKILL

WV WEBSTER

WV GREENBRIER

WV KANAWHA

WV WOOD

WV RALEIGH

WV OHIO

OH GALLIA

OH LUCAS

OH GEAUGA

OH MONTGOMERY

OH FRANKLIN

PA WASHINGTON

PA PHILADELPHIA

PA WYOMING

PA DELAWARE

PA TIOGA

PA PHILADELPHIA

PA FOREST

PA LANCASTER

PA WASHINGTON

WV TUCKER

WV WETZEL

PA LANCASTER

PA BUTLER

PA FRANKLIN

PA MERCER

PA CUMBERLAND

PA MONTGOMERY

PA LANCASTER

PA LANCASTER

PA MONROE

PA YORK

PA CLARION

PA PHILADELPHIA

PA MONTGOMERY

PA PHILADELPHIA

IN

LAKE

IN WARRICK

IN ST. JOSEPH

OH FRANKLIN

OH MONTGOMERY

OH CUYAHOGA

OH STARK

OH WARREN

OH PORTAGE

OH SUMMIT

OH BUTLER

OH MONTGOMERY

MI IRON

MI JACKSON

MI WAYNE

PA LYCOMING

PA BEAVER

PA YORK

WV HARRISON

WV RALEIGH

WV KANAWHA

WV LOGAN

WV BARBOUR

WV KANAWHA

WV CABELL

PA YORK

PA UNION

PA BUCKS

PA CLEARFIELD

PA PERRY

ZIP

PHONE

16244 (724)-783-7341

26241 (304)-636-5696

26582 (304)-986-2830

25304 (304)-925-8022

26726 (304)-788-8170

26521 (304)-432-8268

25921 (304)-683-3809

26505 (304)-598-2044

48066 (586)-415-6110

15202 (412)-761-3000

17976 (570)-462-1924

26208 (304)-226-5725

25984 (304)-392-6348

25313 (304)-755-8460

26101 (304)-422-2884

25813 (304)-255-5599

26059 (304)-547-2981

45631 (740)-446-5236

43566 (419)-878-8384

44023 (440)-543-7475

45440 (937)-297-8610

43017 (614)-798-8172

15301 (724)-222-0900

19138 (215)-549-0555

18623 (570)-869-8700

19008 (610)-356-8800

16901 (570)-724-4461

19111 (215)-342-1445

16353 (814)-755-3557

17602 (717)-394-9826

15317 (724)-941-0788

26292 (304)-463-4200

26155 (304)-455-1790

17602 (717)-208-3415

16066 (724)-772-4553

17202 (717)-264-1191

16125 (724)-588-3398

17011 (717)-724-1170

19464 (610)-327-1308

17601 (717)-290-7201

17538 (717)-898-6834

18301 (570)-424-8065

17313 (717)-851-1351

16214 (814)-226-0901

19102 (267)-687-4437

19401 (610)-279-6575

19147 (215)-952-6960

46320 (219)-228-8531

47630 (812)-469-8177

46544 (574)-307-7685

43125 (614)-830-2015

45420 (937)-395-0633

44118 (216)-416-0026

44646 (330)-833-5730

45039 (513)-774-0302

44241 (330)-626-2407

44087 (330)-888-4200

45069 (513)-298-7730

45402 (937)-329-9786

49935 (906)-265-5149

49230 (517)-592-8505

48185 (734)-522-2052

17701 (570)-323-0402

15001 (724)-378-4411

17070 (717)-774-0261

26301 (304)-624-5433

25801 (304)-252-6331

25071 (304)-965-0460

25635 (304)-583-9910

26416 (304)-457-4233

25302 (304)-342-1798

25504 (304)-736-0528

17404 (717)-854-6989

17844 (570)-966-3332

18974 (215)-674-0122

16830 (814)-765-1241

17074 (717)-567-6047

NCPDP 3944635 3945334 3946160 3946425 3951262 3952721 3955044 3956818 3958468 3959105 3959749 5056862 5057218 5057220 6003545 3962431 5008253 5011375 3642003 3651507 3651711 3651898 3653195 3936258 3946867 3947388 3673654 3674555 3675090 3675571 3678717 3679264 2347195 2347234 2347448 3908475 3918717 3933707 5002073 5010436 5010599 5010878 5054591 3642584 3647281 3649362 3649893 3939038 3940081 3942085 3943900 3944825 3947770 3948354 3949419 3953937 3954004 3955082 3955412 3957581 3958432 3959460 5056026 3670088 3670634 3670949 3671561 3671749 3673678 3674012 3674543 3674581 3675040 3675343 3947833 3950816 3950929

NPI 1932131943 1407950249 1356430094 1548275464 1689771271 1487683348 1710986484 1831288588 1548202146 1811992142 1962408419 1083156863 1497271134 1679099311 1790146736 1790790624 1124052907 1669490355 1902830706 1578576872 1801802111 1003925348 1609881515 1295888345 1649373499 1356457014 1780699736 1821029919 1740363787 1659408417 1689904252 1821306069 1376603506 1710096276 1710911573 1245329986 1700995875 1134332265 1295755585 1780787440 1174557961 1518955103 1316135536 1831104769 1992728604 1073687463 1871527671 1063511327 1013006758 1043243371 1720093644 1407955768 1073602710 1861596603 1518056266 1841390291 1881784908 1669572012 1194829945 1841252772 1225049463 1619056389 1104254440 1255435087 1265477277 1669483228 1285656991 1063429074 1407863426 1972607703 1386699304 1508960337 1841387040 1639210560 1841398583 1306940143 1184659120

PHARMACY NAME GIANT PHARMACY CVS PHARMACY RITE AID PHARMACY GIANT EAGLE PHARMACY WILSON'S PHARMACY GEISINGER PHARMACY REDSTONE PHARMACY RITE AID PHARMACY JOHNSTOWN PHARMACY PROF. PHCY & CONVALESCENT PRODUCTS BERTOLINOS PHARMACY INC DAVIS BROTHERS PHARMACY - CHESTER WALGREENS WALGREENS YORKTOWN PHARMACY GIANT EAGLE PHARMACY KROGER PHARMACY WALMART PHARMACY KROGER SAV-ON RITE AID PHARMACY RITE AID PHARMACY RITE AID PHARMACY GIANT EAGLE PHARMACY PLEASANT HILLS APOTHECARY CVS PHARMACY ARCH PHARMACY WALGREENS KROGER PHARMACY COSTCO PHARMACY WALGREENS CVS PHARMACY KROGER PHARMACY LAKELAND PHARMACY SHOPPE RITE AID PHARMACY KROGER PHARMACY RITE AID PHARMACY MARTELLAS PHARMACY DANVILLE STATE HOSPITAL HOODS PHARMACY CVS PHARMACY KROGER SAV-ON HIGHLANDER PHARMACY COX FAMILY PHARMACY ACME PHARMACY RITE AID PHARMACY GARRETTSVILLE FAMILY PHARMACY KROGER SAV-ON RITE AID PHARMACY RITE AID PHARMACY WEIS PHARMACY GIANT EAGLE PHARMACY RITE AID PHARMACY RITE AID PHARMACY CVS PHARMACY RITE AID PHARMACY RITE AID PHARMACY RITE AID PHARMACY RITE AID PHARMACY CVS PHARMACY ELLIS PRESCRIPTION PHARMACY GIANT EAGLE PHARMACY BROAD STREET APOTHECARY THE PRESCRIPTION CTR AT OVMC CVS PHARMACY DISCOUNT DRUG MART MCMEANS PHARMACY CVS PHARMACY WALGREENS WALGREENS CVS PHARMACY GIANT EAGLE PHARMACY CVS PHARMACY THE DRUGSTORE AT O'BLENESS GIANT EAGLE PHARMACY CVS PHARMACY CVS PHARMACY WEIS PHARMACY

ADDRESS 301 TOWN CENTER BLVD 406 E MAIN ST 2715 PARADE ST 1671 BUTLER PLANK RD 4101 PENN AVE 1000 E MOUNTAIN DR 322 3RD ST 2901 CARLISLE RD 339 WALNUT ST STE 100 920 N CHARLOTTE ST 1500 S 12TH ST 559 CAROLINA AVE STE B 6401 SISSONVILLE DR 1380 N PLEASANTS HWY 8110 B OLD YORK ROAD 200 ALLEGHENY RIVER BLVD 302 GREAT TEAYS BLVD 11 HARNESS RD 4533 MONROE ST 7225 AIRPORT HWY 618 N CLINTON ST 145 W MAIN ST 15400 W HIGH ST 25 GILL HALL RD 701 E KING ST 933 ARCH ST 5815 SECOR RD 475 FORTMAN DR 1500 GEMINI PL 2249 YOUNGSTOWN WARREN RD 733 W MARKET ST 8730 WATERVILLE SWANTON RD 3900 HOLLYWOOD RD 110 S BRADLEY HWY 26130 GRATIOT AVE 123 S 69TH ST 1079 FRANKLIN ST 50 KIRKBRIDE DR 971 MAIN ST 30 HERITAGE CIR 100 SAINT THOMAS DR 117 BACK FORK ST 110 GIHON VILLAGE SHOPPING CTR 1709 STATE ROUTE 59 4332 CLEVELAND AVE NW 8295 WINDHAM ST 5400 CORNERSTONE NORTH BLVD 1 SUMMIT SQUARE CTR STE A 306 TOWN CTR 305 RIVER AVE 7000 OXFORD DR 2501 BANKSVILLE RD 508 E 2ND ST 6150 N 5TH ST 910 W BROADWAY 1701 DUNCAN AVE 5277 SIMPSON FERRY RD 200 GREATER BUTLER MART 50 BRIDGE ST 2441 BROWN ST 6204 STATE ROUTE 30 2426 S BROAD ST 2000 EOFF ST 9197 READING RD 845 HILL RD N 708 4TH ST E 9040 COLERAIN AVE 1243 STATE ROUTE 28 7776 COX LN 8467 E MAIN ST 2173 STRINGTOWN RD 3883 PARK MILL RUN DR 75 HOSPITAL DR STE 130 870 N COURT ST 518 W SOUTHERN AVE 220 MAIN ST 1700 FRUITVILLE PIKE STE A

CITY EASTON WAYNESBORO ERIE GLENSHAW PITTSBURGH WILKES BARRE CALIFORNIA DOVER JOHNSTOWN POTTSTOWN PHILADELPHIA CHESTER CHARLESTON ST MARYS ELKINS PARK VERONA SCOTT DEPOT MOOREFIELD TOLEDO HOLLAND DEFIANCE CRESTLINE MIDDLEFIELD JEFFERSON HILLS SHIPPENSBURG PHILADELPHIA TOLEDO SAINT MARYS COLUMBUS NILES TIFFIN WATERVILLE SAINT JOSEPH ROGERS CITY ROSEVILLE UPPER DARBY JOHNSTOWN DANVILLE FOLLANSBEE ROMNEY WEIRTON WEBSTER SPRINGS PARKERSBURG KENT CANTON GARRETTSVILLE CENTERVILLE LANGHORNE NEW BRITAIN WILLIAMSPORT BETHEL PARK PITTSBURGH OIL CITY PHILADELPHIA RED LION ALLISON PARK MECHANICSBURG BUTLER TUNKHANNOCK PHILADELPHIA GREENSBURG PHILADELPHIA WHEELING CINCINNATI PICKERINGTON SOUTH POINT CINCINNATI MILFORD WEST CHESTER REYNOLDSBURG GROVE CITY HILLIARD ATHENS MEDINA SOUTH WILLIAMSPORT WATSONTOWN LANCASTER

STATE

COUNTY

PA NORTHAMPTON

PA FRANKLIN

PA ERIE

PA ALLEGHENY

PA ALLEGHENY

PA LUZERNE

PA WASHINGTON

PA YORK

PA CAMBRIA

PA MONTGOMERY

PA PHILADELPHIA

WV HANCOCK

WV KANAWHA

WV PLEASANTS

PA MONTGOMERY

PA ALLEGHENY

WV PUTNAM

WV HARDY

OH LUCAS

OH LUCAS

OH DEFIANCE

OH CRAWFORD

OH GEAUGA

PA ALLEGHENY

PA CUMBERLAND

PA PHILADELPHIA

OH LUCAS

OH AUGLAIZE

OH DELAWARE

OH TRUMBULL

OH SENECA

OH LUCAS

MI BERRIEN

MI PRESQUE ISLE

MI MACOMB

PA DELAWARE

PA CAMBRIA

PA MONTOUR

WV BROOKE

WV HAMPSHIRE

WV BROOKE

WV WEBSTER

WV WOOD

OH PORTAGE

OH STARK

OH PORTAGE

OH GREENE

PA BUCKS

PA BUCKS

PA LYCOMING

PA ALLEGHENY

PA ALLEGHENY

PA VENANGO

PA PHILADELPHIA

PA YORK

PA ALLEGHENY

PA CUMBERLAND

PA BUTLER

PA WYOMING

PA PHILADELPHIA

PA WESTMORELAND

PA PHILADELPHIA

WV OHIO

OH HAMILTON

OH FAIRFIELD

OH LAWRENCE

OH HAMILTON

OH CLERMONT

OH BUTLER

OH LICKING

OH FRANKLIN

OH FRANKLIN

OH ATHENS

OH MEDINA

PA LYCOMING

PA NORTHUMBERLAND

PA LANCASTER

ZIP

PHONE

18040 (610)-559-1209

17268 (717)-762-1126

16504 (814)-454-5148

15116 (412)-492-2737

15224 (412)-621-6471

18711 (570)-808-7969

15419 (724)-938-2395

17315 (717)-764-9831

15901 (814)-535-3203

19464 (610)-323-2115

19147 (215)-389-5917

26034 (304)-387-1741

25312 (304)-984-9597

26170 (304)-684-2297

19027 (267)-282-0070

15147 (412)-828-1256

25560 (304)-757-8952

26836 (304)-538-3481

43613 (419)-471-9240

43528 (419)-866-8943

43512 (419)-782-0155

44827 (419)-683-2512

44062 (440)-632-5587

15025 (412)-653-7566

17257 (717)-530-1401

19107 (215)-925-9666

43623 (419)-472-8615

45885 (419)-394-8930

43240 (614)-987-1909

44446 (330)-544-7128

44883 (419)-455-9071

43566 (419)-878-1040

49085 (269)-556-2888

49779 (989)-734-7392

48066 (586)-776-8966

19082 (610)-352-5300

15905 (814)-535-1833

17821 (570)-271-4535

26037 (304)-527-0150

26757 (304)-822-8806

26062 (304)-723-5108

26288 (304)-847-5151

26101 (304)-485-4501

44240 (330)-678-3662

44709 (330)-649-9709

44231 (330)-527-4349

45440 (937)-528-7060

19047 (215)-968-4656

18901 (215)-348-3200

17701 (570)-322-5597

15102 (412)-835-8922

15216 (412)-571-2550

16301 (814)-677-2215

19120 (215)-548-1110

17356 (717)-244-2919

15101 (412)-364-0588

17050 (717)-766-2533

16001 (724)-282-7808

18657 (570)-836-6777

19130 (215)-765-1903

15601 (724)-836-6756

19145 (215)-551-9485

26003 (304)-219-2822

45215 (513)-733-8550

43147 (614)-920-3330

45680 (740)-377-2677

45251 (513)-719-0038

45150 (513)-575-3469

45069 (513)-759-9161

43068 (614)-863-2000

43123 (614)-875-8591

43026 (614)-876-3510

45701 (740)-566-4690

44256 (330)-721-8028

17702 (570)-323-6090

17777 (570)-538-5184

17601 (717)-397-8161

NCPDP 3951399 3953064 3954799 3954826 3956616 3956820 3957187 3957656 3960235 3960920 5055911 5056507 5056521 5057737 5058638 6000208 6002860 3963279 3965007 3966201 3966415 3966908 3967520 3967669 3970945 3971935 3974842 6005234 6007050 6008608 6010134 3993361 3996937 1568813 1569067 1569625 3673630 3673969 3675545 3675949 2302482 2303953 2334631 3677094 2337598 2340088 2343301 2345747 2347525 3900671 3900924 3901407 3901421 3903007 3905796 3908639 3911167 3931311 3932224 5003873 5011591 5054351 5054678 3650719 3653436 3654779 3941906 3942403 3944863 3945360 3947441 3948075 3948316 3952581 3953204 3953456 3956109

NPI 1912067778 1215026968 1538155114 1538259569 1902811508 1417047531 1700891629 1386733038 1720177470 1306877782 1144665373 1659762466 1821483033 1982120705 1730777178 1689099202 1215307772 1063516813 1063427995 1689773848 1982603189 1174544126 1851318919 1932299955 1760585525 1467674101 1669489688 1851824254 1710460308 1174172274 1245823764 1558683193 1821362435 1598289183 1033614557 1013471770 1538181243 1336154392 1750436432 1629279088 1942349824 1093725541 1316056849 1174785554 1316953615 1013026566 1194759951 1285651596 1073544060 1033217757 1184728917 1336248673 1942309281 1003915364 1902909740 1831289958 1114951845 1811096175 1598858946 1497797724 1285651323 1720172877 1487838132 1588758999 1255334728 1023183605 1598840415 1093720914 1104995836 1215960547 1346339082 1700975455 1265532485 1801994546 1811992001 1437242450 1750470407

PHARMACY NAME SHADE MOUNTAIN PHARMACY RITE AID PHARMACY DAVIS PHARMACY RITE AID PHARMACY SELLERSVILLE PHARMACY RITE AID PHARMACY GIANT EAGLE PHARMACY RITE AID PHARMACY RITE AID PHARMACY RX XPRESS HEALTH MART PHARMACY WALGREENS SHENANDOAH PHARMACY THE PHARMACY AT BERKELEY MED CTR WALGREENS CARE PHARMACY GOODWILL COMMUNITY PHARMACY B & A PHARMACY CVS PHARMACY GIANT EAGLE PHARMACY RITE AID PHARMACY STEPHENS PHARMACY RXD MEDICATION SERVICES WALMART PHARMACY RITE AID PHARMACY CVS PHARMACY GETWELL PHARMACY GIANT EAGLE PHARMACY UNIVERSAL PHARMACY LG HEALTH CONV PHCY KISSEL HILL AVON PHARMACY GEISINGER PHARMACY MARTINS PHARMACY DISCOVER PHARMACY INC WALGREENS GEORGES FAMILY PHARMACY INC ENGLEKING RX LLC CVS PHARMACY WALGREENS FCH PHARMACY WALGREENS MEIJER PHARMACY RITE AID PHARMACY RITE AID PHARMACY TORONTO APOTHECARY RITE AID PHARMACY RITE AID PHARMACY KROGER SAVON PHCY WALMART PHARMACY KMART PHARMACY CVS PHARMACY CVS PHARMACY RITE AID PHARMACY RITE AID PHARMACY RITE AID PHARMACY CVS PHARMACY RITE AID PHARMACY GERMANTOWN PHARMACY INC RITE AID PHARMACY TEMPLE UNIV HOSP OUTPTNT PHCY MICHELS PHARMACY WALMART PHARMACY SAM'S CLUB PHARMACY WALMART PHARMACY SCHIEBER FAMILY PHARMACY CANAL PHARMACY CVS PHARMACY VILLAGE PHARMACY GIANT EAGLE PHARMACY KEYSTONE PHARMACY WEIS PHARMACY RITE AID PHARMACY RITE AID PHARMACY HERITAGE VALLEY PHCY AT SWEICKLEY CVS PHARMACY BUSHY RUN PHARMACY SHANKELS PHARMACY RITE AID PHARMACY

ADDRESS 9627 ROUTE 35 SUITE 20 113 E BALTIMORE AVE 4523 BALTIMORE AVE 2017 2023 SOUTH BROAD STREET 218 S MAIN STREET 4551 MILFORD ROAD 5990 UNIVERSITY BLVD 975 MARKET ST 3260 N BROAD ST 111 MILL ST 40 FLOWING SPRINGS WAY 99 TAVERN RD 2500 HOSPITAL DR 10295 RTE 152 87 CARROLL AVENUE 5002 WAYNE AVE 3138 N BROAD ST 1862 W MAPLE AVE 9125 RIDGE RD 1501 SCALP AVE 1101 MAIN ST 1335 W TABOR RD STE 101 808 HUNTER HWY 580 CARBONDALE RD 237 MONROEVILLE AVE 708 W GIRARD AVE 132 BEN AVON HEIGHTS RD 3908 KENSINGTON AVE 51 PETERS RD 10808 BUSTLETON AVE 1800 MULBERRY ST 1000 LOGAN BLVD 6730 BUSTLETON AVE 9616 HIGHWAY 403 330 E 5TH ST 1494 W MAIN ST 55 GRACELAND BLVD 8966 BRECKSVILLE RD 501 VAN BUREN ST # 101 14815 MADISON AVE 550 BALDWIN ST 2971 W MAPLE RD 973 WASHINGTON AVE 1361 FRANKLIN ST 2006 N SAGINAW RD 218 W MAIN ST 4884 MARSH RD 8917 E 34 RD 15861 W MICHIGAN AVE 88 BROOKLYN ST 30 E SIMPSON ST 1650 N CEDAR CREST BLVD 410 COOKE LN 843 ROSTRAVER RD 975 ROSTRAVER RD 340 EAST HIGH STREET 5100 GERMANTOWN AVE 2210 STATE HILL RD 3401 N BROAD ST 224 MAIN ST 97 WILLIAMS DR 5045 UNIVERSITY TOWN CENTRE DR 167 PROGRESS WAY 212 LANCASTER PIKE 102 S BROADWAY ST 100 E MAIN ST 1624 E POLAND RD 4110 BRIGHTON RD 8279 STATE ROUTE 22 STE 10 725 COLUMBIA BLVD 2968 ELMIRA ST 1212 2ND ST 720 BLACKBURN RD 3RD FL 1051 SOUTH ST 2106 ROUTE 130 241 W LONG AVE 207 ROUTE 6 W

CITY MOUNT PLEASANT MILLS CLIFTON HEIGHTS PHILADELPHIA PHILADELPHIA SELLERSVILLE EAST STROUDSBURG MOON TOWNSHIP MEADVILLE PHILADELPHIA GROVE CITY CHARLES TOWN MARTINSBURG MARTINSBURG WAYNE KEYSER PHILADELPHIA PHILADELPHIA LANGHORNE GIRARD JOHNSTOWN HONESDALE PHILADELPHIA TUNKHANNOCK SCOTT TOWNSHIP TURTLE CREEK PHILADELPHIA PITTSBURGH PHILADELPHIA LITITZ PHILADELPHIA SCRANTON ALTOONA PHILADELPHIA CHARLESTOWN CONNERSVILLE MITCHELL COLUMBUS BRECKSVILLE FOSTORIA LAKEWOOD JENISON TROY HOLLAND TORONTO MIDLAND FLUSHING OKEMOS CADILLAC MARSHALL CARBONDALE MECHANICSBURG ALLENTOWN PITTSBURGH BELLE VERNON BELLE VERNON POTTSTOWN PHILADELPHIA WYOMISSING PHILADELPHIA WEST UNION SPENCER MORGANTOWN HURRICANE CIRCLEVILLE SPENCERVILLE WOODVILLE BESSEMER PITTSBURGH NEW ALEXANDRIA BLOOMSBURG SAYRE CRESSON SEWICKLEY PHILADELPHIA HARRISON CITY DU BOIS COUDERSPORT

STATE

COUNTY

PA SNYDER

PA DELAWARE

PA PHILADELPHIA

PA PHILADELPHIA

PA BUCKS

PA MONROE

PA ALLEGHENY

PA CRAWFORD

PA PHILADELPHIA

PA MERCER

WV JEFFERSON

WV BERKELEY

WV BERKELEY

WV WAYNE

WV MINERAL

PA PHILADELPHIA

PA PHILADELPHIA

PA BUCKS

PA ERIE

PA CAMBRIA

PA WAYNE

PA PHILADELPHIA

PA WYOMING

PA LACKAWANNA

PA ALLEGHENY

PA PHILADELPHIA

PA ALLEGHENY

PA PHILADELPHIA

PA LANCASTER

PA PHILADELPHIA

PA LACKAWANNA

PA BLAIR

PA PHILADELPHIA

IN CLARK

IN FAYETTE

IN

LAWRENCE

OH FRANKLIN

OH CUYAHOGA

OH HANCOCK

OH CUYAHOGA

MI OTTAWA

MI OAKLAND

MI ALLEGAN

OH JEFFERSON

MI MIDLAND

MI GENESEE

MI INGHAM

MI WEXFORD

MI CALHOUN

PA LACKAWANNA

PA CUMBERLAND

PA LEHIGH

PA ALLEGHENY

PA WESTMORELAND

PA WESTMORELAND

PA MONTGOMERY

PA PHILADELPHIA

PA BERKS

PA PHILADELPHIA

WV DODDRIDGE

WV ROANE

WV MONONGALIA

WV PUTNAM

OH PICKAWAY

OH ALLEN

OH SANDUSKY

PA LAWRENCE

PA ALLEGHENY

PA WESTMORELAND

PA COLUMBIA

PA BRADFORD

PA CAMBRIA

PA ALLEGHENY

PA PHILADELPHIA

PA WESTMORELAND

PA CLEARFIELD

PA POTTER

ZIP

PHONE

17853 (570)-539-2050

19018 (610)-622-3225

19143 (215)-222-3349

19148 (215)-467-0850

18960 (215)-257-9077

18302 (570)-223-8062

15108 (412)-269-0254

16335 (814)-336-3773

19140 (215)-225-9704

16127 (724)-458-8420

25414 (304)-724-0002

25401 (304)-596-2244

25401 (304)-350-3261

25570 (304)-272-6767

26726 (304)-790-7467

19144 (267)-385-5554

19132 (215)-309-5701

19047 (215)-750-3950

16417 (814)-774-2467

15904 (814)-266-9631

18431 (570)-253-7700

19141 (215)-927-6700

18657 (570)-836-8071

18447 (570)-586-2749

15145 (412)-824-5137

19123 (215)-629-5566

15237 (412)-364-2671

19124 (215)-245-2020

17543 (717)-627-7689

19116 (215)-464-8600

18510 (570)-703-6000

16602 (814)-949-3735

19149 (215)-332-1111

47111 (812)-256-6368

47331 (765)-825-6251

47446 (812)-865-3266

43214 (614)-781-9407

44141 (440)-526-5250

44830 (419)-435-6560

44107 (216)-221-5898

49428 (616)-667-2010

48084 (248)-288-4385

49423 (616)-392-5161

43964 (740)-537-2600

48640 (989)-631-4321

48433 (810)-659-9112

48864 (517)-347-0102

49601 (231)-775-9699

49068 (269)-781-8484

18407 (570)-282-1650

17055 (717)-766-2536

18104 (610)-395-3671

15234 (412)-563-1505

15012 (724)-929-8311

15012 (724)-929-9155

19464 (610)-326-1255

19144 (215)-844-1319

19610 (610)-378-1465

19140 (215)-707-4528

26456 (304)-873-1010

25276 (304)-927-6931

26501 (304)-598-2931

25526 (304)-562-3193

43113 (740)-474-1971

45887 (419)-647-4584

43469 (419)-849-2781

16112 (724)-667-7124

15212 (412)-761-1133

15670 (724)-668-2284

17815 (570)-387-6264

18840 (570)-888-7516

16630 (814)-886-2677

15143 (412)-749-7329

19147 (215)-829-0670

15636 (724)-744-3300

15801 (814)-371-9320

16915 (814)-274-0439

NCPDP 5007768 5010121 5054565 3937476 3940269 3941158 3943912 3944685 3947819 3948001 3950397 3955323 3956399 5057345 5057636 5057674 5058133 6000676 6003468 3967683 3970224 3973054 3975539 3975894 6004775 6005359 6005880 6006375 6006515 6008519 6009371 5056850 5057410 5057648 5058284 5058486 6001197 6001337 6001414 6001743 6002480 6002872 6003026 6003278 3966174 3970844 3972317 3974272 3975452 3976276 6004826 6006197 6008026 3956692 3957808 5057547 6001111 3962950 3965867 2337790 2340634 2342296 2343894 3902423 3902651 3912537 5001881 5010993 3634501 3634715 3641455 3642281 3642926 3643598 3645681 3650632 3651660

NPI 1194839258 1053344705 1962698118 1992920805 1053423061 1124117312 1639184559 1982776779 1457463721 1467555219 1033142369 1073511242 1124116298 1396262275 1700301587 1356867113 1306330311 1871913327 1891166708 1922160548 1255432159 1033124029 1114973112 1306936331 1205371218 1649709460 1033620604 1942703137 1497244131 1780239855 1023655602 1538611520 1982121844 1952827065 1598224743 1366080699 1982734976 1588061485 1396146445 1366835910 1114304953 1932578507 1932570546 1255705349 1306863469 1124074125 1881792406 1821192600 1548364326 1487676110 1487190757 1073029658 1619530508 1235185232 1144310269 1861919466 1801297759 1760497382 1417051269 1932218476 1407968340 1619079043 1134221476 1629172465 1437247855 1093818841 1609931732 1033169420 1316983703 1760543268 1285737940 1811090574 1235154931 1992712996 1588675144 1205991452 1184630493

PHARMACY NAME TEDS PLAZA PHARMACY SALEM COLONIAL PHARMACY COMMUNITY HLTH SYSTEMS GLEN EAST SIDE PHARMACY MEDICINE SHOPPE PHARMACY MAINLINE PHARMACY GIANT EAGLE PHARMACY MEDICINE SHOPPE PHARMACY SLOAN'S MANHEIM PHARMACY CVS PHARMACY WEIS PHARMACY FAIRMOUNT PHARMACY INC SPARTAN PHARMACY WALGREENS WALGREENS WALGREENS GENOA HEALTHCARE LLC EDDYSTONE COMMUNITY PHARMACY PHARMSCRIPT OF PA LLC PALMER PHARMACY RITE AID PHARMACY WALGREENS SAV-ON PHARMACY RITE AID PHARMACY COCHRANTON COMMUNITY PHARMACY PENN MEDICAL PHARMACY CARE-FILL LTC DEDICATED SEN MED CTR W PHILA MARCUS HOOK PHARMACY DARLINGS OIL CITY PHARMACY DEDICATED SENIOR MEDICAL FRUTH PHARMACY WALGREENS WALGREENS GROVE STREET PHARMACY FREEDOM PHARMACY GETTYSBURG CANCER CENTER RITE AID PHARMACY DAUPHIN PROFESSIONAL PHARMACY HOSPITAL OF THE UNIVERSITY OF HOPEWELL ROAD PHARMACY GIANT EAGLE PHARMACY RITECHOICE AT 11TH STREET ELWYN RX AT FAIR ACRES WALMART PHARMACY SAV-ON PHARMACY CVS PHARMACY CVS PHARMACY CVS PHARMACY CVS PHARMACY CVS PHARMACY EAST NORRITON PHARMACY MT BETHEL PHARMACY SAV-ON PHARMACY RITE AID PHARMACY WALGREENS GIANT EAGLE PHARMACY SPROUTS DRUG STORE CVS PHARMACY RITE AID PHARMACY CVS PHARMACY BOTSFORD OUTPATIENT PHARMACY CVS PHARMACY CVS PHARMACY RITE AID PHARMACY CVS PHARMACY CLENDENIN PHARMACY INC MAIN ST PHARMACY DISCOUNT DRUG MART TOWNE PHARMACY CVS PHARMACY CVS PHARMACY KROGER SAV-ON WALGREENS SOUTHWEST COMMUNITY PHARMACY THE CLINIC PHARMACY RITE AID PHARMACY

ADDRESS 265 PENCO RD 120 E MAIN ST 7127 HARPER ROAD 708 E WASHINGTON ST 100 HAZLE ST 1207 2ND ST 9901 MOUNTAIN VIEW DR 2279 MAIN ST 73 SOUTH MAIN STREET 392 NORTH ST 2020 N 13TH ST 1900 GREEN ST 3400 S PARK RD 8 ELK PLZ 150 W MAIN ST 4248 COAL HERITAGE RD 3375 US ROUTE 60 1207 CHESTER PIKE STE B 200 W KENSINGER DR STE 600 738 LIL DEER CREEK VALLEY RD 3300 E MARKET ST 4201 N BROAD ST 1640 BETHLEHEM PIKE 6201 GERMANTOWN AVE 180 N FRANKLIN ST 385 OXFORD VALLEY ROAD STE 200 43 WILLIAMSON RD STE 1B 1575 N 52ND ST 46 E 10TH STREET 811 GRANDVIEW RD STE 200 330 W OREGON AVE STE 170 4541 5TH STREET RD 173 MAIN ST 1662 SMOOT AVE 111 S GROVE ST 1520 MAIN ST EAST 20 EXPEDITION TRAIL STE 101 4999 JONESTOWN RD 722 ALLEGHENY ST STE 1 3400 CIVIC CENTER BLVD # 101W 1199 HORSESHOE PIKE 2500 LOVI ROAD 850 N 11TH ST FL 1 340 N MIDDLETOWN ROAD 355 WALMART DR 6800 NEW FALLS RD 4133 G ST 15500 BUSTLETON AVE 670 WELSH RD 600 CHAUVET DR 7162 RIDGE AVE 215 W GERMANTOWN PIKE 2165 MT BETHEL HIGHWAY UNIT 5 6601 ROOSEVELT BLVD 39 W SIDE MALL 2107 PIKE ST STE 4 600 LINDBERGH DR STE 300 122 E ACADEMY ST 840 WAYNE AVE 4515 E MOUNT MORRIS RD 31250 BECK RD 28100 GRAND RIVER AVE STE 101 1400 S SHELDON RD 765 S WEST ST 420 TIOGA WEST PLZ STE 110 110 E CENTRAL AVE 10 MAIN ST 435 W MAIN ST 307 W WALTON ST 283 CLINE AVE 5783 DARROW RD 2657 W ALEX BELL RD 5991 S SUNBURY RD # A 4610 PLEASANT AVE 18697 BAGLEY RD 4235 SECOR RD 1501 N MAIN ST

CITY WEIRTON SALEM GLEN DANIEL NEW CASTLE WILKES BARRE CRESSON WEST MIFFLIN MUNHALL MANHEIM MEADVILLE READING PHILADELPHIA BETHEL PARK ELKVIEW ROMNEY BLUEFIELD HUNTINGTON EDDYSTONE CRANBERRY TOWNSHIP RUSSELLTON YORK PHILADELPHIA FLOURTOWN PHILADELPHIA COCHRANTON YARDLEY GREENVILLE PHILADELPHIA MARCUS HOOK OIL CITY PHILADELPHIA HUNTINGTON CLAY DANVILLE PETERSBURG OAK HILL GETTYSBURG HARRISBURG DAUPHIN PHILADELPHIA DOWNINGTOWN FREEDOM PHILADELPHIA LIMA UNIONTOWN LEVITTOWN PHILADELPHIA PHILADELPHIA HUNTINGDON VALLEY PITTSBURGH PHILADELPHIA EAST NORRITON MT BETHEL PHILADELPHIA EDWARDSVILLE PARKERSBURG CORAOPOLIS SHINGLEHOUSE CHAMBERSBURG MOUNT MORRIS NOVI FARMINGTON HILLS PLYMOUTH CARLISLE TUNKHANNOCK TITUSVILLE CLENDENIN OAK HILL WILLARD MANSFIELD HUDSON MORAINE WESTERVILLE FAIRFIELD MIDDLEBURG HEIGHTS TOLEDO FINDLAY

STATE

COUNTY

WV HANCOCK

WV HARRISON

WV RALEIGH

PA LAWRENCE

PA LUZERNE

PA CAMBRIA

PA ALLEGHENY

PA ALLEGHENY

PA LANCASTER

PA CRAWFORD

PA BERKS

PA PHILADELPHIA

PA ALLEGHENY

WV KANAWHA

WV HAMPSHIRE

WV MERCER

WV CABELL

PA DELAWARE

PA BUTLER

PA ALLEGHENY

PA YORK

PA PHILADELPHIA

PA MONTGOMERY

PA PHILADELPHIA

PA CRAWFORD

PA BUCKS

PA MERCER

PA PHILADELPHIA

PA DELAWARE

PA VENANGO

PA PHILADELPHIA

WV WAYNE

WV CLAY

WV BOONE

WV GRANT

WV FAYETTE

PA ADAMS

PA DAUPHIN

PA DAUPHIN

PA PHILADELPHIA

PA CHESTER

PA BEAVER

PA PHILADELPHIA

PA DELAWARE

PA FAYETTE

PA BUCKS

PA PHILADELPHIA

PA PHILADELPHIA

PA MONTGOMERY

PA ALLEGHENY

PA PHILADELPHIA

PA MONTGOMERY

PA NORTHAMPTON

PA PHILADELPHIA

PA LUZERNE

WV WOOD

PA ALLEGHENY

PA POTTER

PA FRANKLIN

MI GENESEE

MI OAKLAND

MI OAKLAND

MI WAYNE

PA CUMBERLAND

PA WYOMING

PA CRAWFORD

WV KANAWHA

WV FAYETTE

OH HURON

OH RICHLAND

OH SUMMIT

OH MONTGOMERY

OH FRANKLIN

OH BUTLER

OH CUYAHOGA

OH LUCAS

OH HANCOCK

ZIP

PHONE

26062 (304)-723-2656

26426 (304)-782-2171

25844 (304)-934-4001

16101 (724)-658-4557

18702 (570)-823-0511

16630 (814)-886-5667

15122 (412)-655-7333

15120 (412)-461-9800

17545 (717)-665-2223

16335 (814)-333-6370

19604 (610)-929-4747

19130 (215)-567-0364

15102 (412)-831-1333

25071 (304)-965-1111

26757 (304)-822-3313

24701 (304)-589-6868

25705 (304)-840-0991

19022 (484)-480-3341

16066 (908)-389-1818

15076 (724)-265-1632

17402 (717)-840-0204

19140 (215)-457-3877

19031 (215)-836-7201

19144 (215)-713-2695

16314 (814)-638-0040

19067 (215)-960-9010

16125 (724)-588-6337

19131 (267)-930-4858

19061 (610)-485-7750

16301 (814)-516-9200

19148 (267)-338-3411

25701 (304)-522-6090

25043 (304)-587-2224

25053 (304)-369-0152

26847 (304)-530-6301

25901 (304)-465-9870

17325 (717)-334-4033

17109 (717)-540-5413

17018 (717)-474-8343

19104 (215)-662-6260

19335 (610)-269-0002

15042 (844)-259-1891

19123 (215)-769-2155

19037 (610)-891-5783

15401 (724)-438-3335

19057 (215)-946-1597

19124 (215)-831-9304

19116 (215)-677-8593

19006 (215)-938-8731

15275 (412)-490-0802

19128 (215)-483-2124

19401 (484)-370-1111

18343 (570)-583-2027

19149 (215)-338-6601

18704 (570)-287-7350

26101 (304)-485-5517

15108 (844)-259-1891

16748 (814)-697-6331

17201 (717)-263-6788

48458 (810)-640-2110

48377 (248)-624-4110

48336 (947)-521-8700

48170 (734)-453-5807

17013 (717)-243-1384

18657 (570)-836-2812

16354 (814)-827-4631

25045 (304)-548-5451

25901 (304)-465-7200

44890 (419)-935-6211

44907 (419)-756-6032

44236 (330)-650-0605

45459 (937)-298-5512

43081 (614)-895-1575

45014 (513)-856-9400

44130 (440)-816-8410

43623 (419)-479-5800

45840 (419)-424-1828

NCPDP 3652129 3652612 3654589 3943304 3943556 3946196 3947910 3949205 3949508 3953406 3954345 3956577 3958711 5057624 5058397 6002327 3965209 3970010 3971543 3972432 3972444 3973624 3973915 3975046 3976353 6005436 6006250 6006680 6007202 6007214 1518806 1522425 1522689 1523794 1527398 2388014 3992725 3998246 3998638 3998690 3999224 3999743 1568635 3670278 3671092 3663071 3664201 3664782 3667067 3668300 3668324 3668754 3961287 3964233 1802518 1803635 1804980 1805095 1814195 3604875 3608948 3609899 3610525 3611755 3615739 3977571 3980073 1833688 1502839 1503944 1524962 1525128 2389030 3989514 3993094 3993222 3994034

NPI 1265448575 1669487500 1518984798 1649384561 1407876618 1265521900 1982793626 1841419157 1760563720 1033252523 1053461418 1649379801 1164437083 1871018507 1669026621 1427438969 1003976887 1407946429 1134146350 1407956493 1104920958 1457324063 1093747016 1679662332 1598712952 1376065789 1740780303 1558856369 1720565989 1306311287 1841393550 1396791828 1669575387 1487669503 1023111754 1912538828 1952636078 1558613976 1366780405 1982942512 1619090024 1467889824 1033622824 1811072010 1801831821 1124027511 1295752491 1124033147 1710081534 1861407785 1801990635 1407861438 1265530976 1942208269 1669521167 1962406421 1861492936 1366484826 1639114416 1063515609 1417962416 1922043843 1366545089 1821191552 1437194446 1932155934 1770500910 1932442266 1760585434 1215030754 1205909827 1366545881 1821683855 1508049636 1346571296 1003147083 1043521735

PHARMACY NAME RITE AID PHARMACY MARCS WALMART PHARMACY EAGLESCRIPTS APOTHECARY HEALTH CENTER PHARMACY RITE AID PHARMACY RITE AID PHARMACY GETWELL PHARMACY MODNURX INC PHARMACY STERLING PHARMACY FAMILY PRESCRIPTION COUNTER RITE AID PHARMACY GIANT EAGLE PHARMACY WALGREENS PREMIER PHCY AND WELLNESS SUPERDRUG MEDICINE SHOPPE PHARMACY RITE AID PHARMACY WALMART PHARMACY YODERS PHARMACY CVS PHARMACY BROWNS PHARMACY INC GIANT PHARMACY RITE AID PHARMACY SAV-ON PHARMACY SARAHCARE PHARMACY CVS PHARMACY COMMUNITY A WALGREENS PHCY GENOA HEALTHCARE LLC GENOA HEALTHCARE LLC CVS PHARMACY OSCO DRUG CVS PHARMACY WALGREENS CVS PHARMACY TRICARE PHARMACY WALMART PHARMACY COSTCO PHARMACY MEDICINE SHOPPE PHARMACY EXPRESS CARE PHARMACY RX PRO PENNSYLVANIA WEGMANS PHARMACY KROGER PHARMACY KHN PHARMACY GRANDVIEW DISCOUNT DRUG MART RIESBECKS PHARMACY WALMART PHARMACY WALGREENS CVS PHARMACY GIANT EAGLE PHARMACY CVS PHARMACY WALGREENS CVS PHARMACY ANDERSON PHARMACY KATTERJOHN DRUG STORE RICE DRUGS INC TAYLOR PHARMACY KING DRUG AND HOME CARE PARKWAY PHARMACY CVS PHARMACY WALGREENS DISCOUNT DRUG MART CVS PHARMACY CVS PHARMACY DISCOUNT DRUG MART SAV-ON PHARMACY WALMART PHARMACY MIDTOWN PHARMACY EXPRESS LLC CVS PHARMACY CVS PHARMACY KROGER SAVON PHCY CVS PHARMACY ADRIAN MEDICAL PHARMACY RITE AID PHARMACY PHARMERICA SHOPRITE PHARMACY GIANT PHARMACY

ADDRESS 4 NEWARK RD 29700 LAKE SHORE BLVD 911 HEBRON RD 401 N 4TH ST 4164 NATIONAL PIKE 762 CHESTER PIKE 404 3RD ST 4511 N 5TH ST 4495 LINCOLN WAY WEST 547 WASHINGTON AVE 335 MAIN ST 2545 ARAMINGO AVE 7 COTTONWOOD ST 8 CHERRY RIVER PLZ 516 BECKLEY CROSSING SHPG CTR 2941 N 5TH ST 960 LANCASTER AVE 1941 DERRY ST 651 MAIN ST 14 S TOWER RD 3601 CHICHESTER AVE STE 105 121 SULLIVAN ST 1278 S MARKET ST 2 KIRBY AVE 1336 BRISTOL PIKE STE 100 261 OLD YORK RD STE 212 131 E MAIN ST 541 HAMILTON ST 3609 N BROAD ST STE P 625 W ELM AVE STE P 500 CLIFTY DR 747 INDIAN BOUNDARY RD 5026 W US HIGHWAY 52 651 W US HIGHWAY 30 100 N DETROIT ST 43184 DEQUINDRE RD SUITE 209 100 E STREET RD 700 EVERGREEN DR 2411 8TH AVE 1727 W LIBERTY ST UNIT 2 280 INDIAN SPRINGS RD STE 125 500 MONTGOMERY MALL 1825 N KINSER PIKE 405 W GRAND AVE 661 WOOSTER ST 4595 CENTRAL AVE 2700 W STATE ST 6485 WILMINGTON PIKE 4961 ROBERTS RD 351 CENTER ST 1331 YOUNGSTOWN WARREN RD 3015 E LIVINGSTON AVE 212 POTTSVILLE ST 2590 N READING RD 1100 CALDWELL ST 1209 N MAIN ST 109 FAIRGROUNDS RD 1014 S MAIN ST 2354 HIGHWAY 15 3825 MONTICELLO BLVD 5403 N BEND RD 1673 PEARL RD 1795 COLUMBUS AVE 35000 CENTER RIDGE RD 15412 DETROIT AVE 1400 E PASSYUNK AVE 50 FOSTER BROOK BLVD 500 N MAIN ST 4480 1ST AVE 1515 E MAIN ST 605 N DIXON RD 11 N MORTON ST 142 E MAUMEE ST STE 5 277 DEKALB PIKE 3910 ADLER PL STE 210 942 W STREET RD 721 W SPROUL RD

CITY MOUNT VERNON WILLOWICK HEATH INDIANA FARMINGTON PROSPECT PARK CALIFORNIA PHILADELPHIA SAINT THOMAS JERMYN DURYEA PHILADELPHIA NORTHERN CAMBRIA RICHWOOD BECKLEY PHILADELPHIA COLUMBIA HARRISBURG HARLEYSVILLE NEW HOLLAND BOOTHWYN CANTON ELIZABETHTOWN MOUNTAIN TOP BENSALEM JENKINTOWN HUMMELSTOWN ALLENTOWN PHILADELPHIA HANOVER MADISON CHESTERTON NEW PALESTINE SCHERERVILLE WARSAW STERLING HEIGHTS WARMINSTER GLEN MILLS ALTOONA ALLENTOWN INDIANA NORTH WALES BLOOMINGTON DAYTON LODI SHADYSIDE ALLIANCE DAYTON HILLIARD CHARDON NILES COLUMBUS POTTSVILLE DENVER PADUCAH BEAVER DAM HARDINSBURG HARTFORD WHITESBURG CLEVELAND HEIGHTS CINCINNATI BRUNSWICK WASHINGTON COURT HOUSE NORTH RIDGEVILLE LAKEWOOD PHILADELPHIA BRADFORD BEAVER DAM EVANSVILLE RICHMOND KOKOMO FRANKLIN ADRIAN NORTH WALES BETHLEHEM WARMINSTER SPRINGFIELD

STATE

COUNTY

OH KNOX

OH LAKE

OH LICKING

PA INDIANA

PA FAYETTE

PA DELAWARE

PA WASHINGTON

PA PHILADELPHIA

PA FRANKLIN

PA LACKAWANNA

PA LUZERNE

PA PHILADELPHIA

PA CAMBRIA

WV NICHOLAS

WV RALEIGH

PA PHILADELPHIA

PA LANCASTER

PA DAUPHIN

PA MONTGOMERY

PA LANCASTER

PA DELAWARE

PA BRADFORD

PA LANCASTER

PA LUZERNE

PA BUCKS

PA MONTGOMERY

PA DAUPHIN

PA LEHIGH

PA PHILADELPHIA

PA YORK

IN JEFFERSON

IN PORTER

IN HANCOCK

IN LAKE

IN KOSCIUSKO

MI MACOMB

PA BUCKS

PA DELAWARE

PA BLAIR

PA LEHIGH

PA INDIANA

PA MONTGOMERY

IN MONROE

OH MONTGOMERY

OH MEDINA

OH BELMONT

OH STARK

OH MONTGOMERY

OH FRANKLIN

OH GEAUGA

OH TRUMBULL

OH FRANKLIN

PA SCHUYLKILL

PA LANCASTER

KY MCCRACKEN

KY OHIO

KY BRECKINRIDGE

KY OHIO

KY LETCHER

OH CUYAHOGA

OH HAMILTON

OH MEDINA

OH FAYETTE

OH LORAIN

OH CUYAHOGA

PA PHILADELPHIA

PA MCKEAN

KY OHIO

IN

VANDERBURGH

IN

WAYNE

IN

HOWARD

IN

JOHNSON

MI LENAWEE

PA MONTGOMERY

PA NORTHAMPTON

PA BUCKS

PA DELAWARE

ZIP

PHONE

43050 (740)-393-2822

44095 (440)-944-2801

43056 (740)-522-4903

15701 (724)-349-9170

15437 (724)-329-4620

19076 (610)-461-8852

15419 (724)-938-3515

19140 (215)-457-5555

17252 (717)-369-4636

18433 (570)-876-4412

18642 (570)-457-6789

19125 (215)-423-2361

15714 (814)-948-9732

26261 (304)-846-2406

25801 (681)-207-8510

19133 (215)-278-2797

17512 (717)-684-5808

17104 (717)-234-3350

19438 (215)-513-0676

17557 (717)-354-4999

19061 (610)-497-2194

17724 (570)-673-4372

17022 (717)-367-2613

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19046 (215)-330-4445

17036 (717)-566-3209

18101 (484)-705-1783

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17331 (717)-524-5712

47250 (812)-273-2117

46304 (219)-926-8723

46163 (317)-861-4838

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46580 (574)-267-6208

48314 (586)-737-7725

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19342 (610)-387-2206

16602 (814)-944-2095

18104 (610)-351-2273

15701 (724)-463-9300

19454 (267)-677-0745

47404 (812)-335-6770

45405 (937)-723-3530

44254 (330)-948-0520

43947 (740)-676-2325

44601 (330)-821-0449

45459 (937)-433-5314

43026 (614)-850-2407

44024 (440)-286-8680

44446 (330)-505-2601

43209 (614)-236-8622

17901 (570)-385-4201

17517 (717)-484-2649

42003 (270)-442-2990

42320 (270)-274-3318

40143 (270)-756-5222

42347 (270)-298-3278

41858 (606)-633-4435

44121 (216)-382-8866

45247 (513)-662-1459

44212 (330)-225-9615

43160 (740)-335-6162

44039 (440)-327-2194

44107 (216)-226-0600

19147 (215)-551-3321

16701 (814)-368-4700

42320 (270)-274-9224

47710 (812)-425-1525

47374 (765)-962-8822

46901 (765)-457-0800

46131 (317)-738-9713

49221 (517)-920-4010

19454 (215)-661-0141

18017 (484)-860-3130

18974 (215)-328-4707

19064 (610)-328-0033

NCPDP 3994717 3995238 3995416 3998753 3999630 1568421 1570907 3669720 3671395 3671410 3671446 3671559 3675026 3675963 3985415 1833791 1505746 1515812 1523530 1525166 1529710 2387000 2389054 3989603 3989829 3991886 3993385 3996228 3996622 3997698 1567378 1568558 1569500 1569853 3670254 3671674 3674668 3676028 3677309 3681106 2317659 2318283 2320531 2328359 2328842 2330025 2336508 2338463 2345280 3904403 3912880 3913856 3915266 3916547 3926675 5006184 5007833 5008518 5011616 1525661 2387137 2387480 2387923 2388658 3989677 3989691 3990098 3991189 3993866 3994767 3994870 3997408 3997422 3998474 3999553 1567900 1567948

NPI 1700186004 1497044317 1336430842 1144565847 1114354735 1700327996 1417553777 1376560573 1245247253 1245245281 1154336196 1376565085 1659461622 1619186483 1245245141 1023450186 1629171319 1508895863 1104929827 1295752509 1447353966 1528616273 1861085698 1336325265 1437333556 1780822155 1427389261 1154607497 1457621872 1437421377 1386090793 1003332495 1669951471 1760048755 1033143755 1417011560 1346348091 1821294620 1083862973 1386088797 1760522676 1275673428 1730291725 1275648206 1326157850 1740369156 1255353363 1023127578 1558388868 1528162369 1467531715 1760585517 1740275510 1801878673 1275527814 1346343001 1689608465 1881797546 1225062011 1760409072 1073171385 1609410182 1952938516 1972103257 1427232941 1144406166 1437320801 1215188594 1083932156 1760784730 1922302181 1548528607 1831458397 1518211135 1497194948 1740732288 1033653878

PHARMACY NAME FOUR STAR PHARMACY WALMART PHARMACY CVS PHARMACY MEDICINE SHOPPE PHARMACY ASTON PHARMACY HOME HEALTH CTR GENOA HEALTHCARE LLC NORTHSHORE HAMMOND PHARMACY WALMART PHARMACY WALGREENS WALGREENS WALGREENS CVS PHARMACY SAM'S CLUB PHARMACY ROSS PARK PHARMACY WEST WALGREENS BLUEGRASS DC CAMPBELLSBURG CVS PHARMACY REID HOSPITAL PHARMACY CVS PHARMACY WALMART PHARMACY CVS PHARMACY BRONSON CITY PHARMACY ADRIANS MAIN STREET PHARMACY TRANSITION PHARMACY WEIS PHARMACY PHILLY DRUGSTORE CIRCLE PHARMACY LLC GERRITYS PHARMACY KEYSER EAST LEHIGH HEALTH PHARMACY GIANT PHARMACY GOOD LIVING PHARMACY CROSSROADS CARE PHARMACY CHN SPECIALTY PHCY DIRECT DOSE RX KROGER PHARMACY MEIJER PHARMACY CLEVELAND CLINIC WILLOUGHBY HILLS WALGREENS WALGREENS CLV CLINIC EUCLID HOSP PHCY SINDECUSE PHARMACY PUTVIN DRUG STORE SIXTH STREET DRUG INC HARBOR TOWN PHARMACY, INC RITE AID PHARMACY HIRA'S PHARMACY RITE AID PHARMACY RITE AID PHARMACY WALMART PHARMACY CVS PHARMACY MORRISON PHARMACY CVS PHARMACY RITTER PHARMACY BUCHANAN BROTHERS PHARMACY ST MARYS PHARMACY CVS PHARMACY KROGER PHARMACY CVS PHARMACY KROGER PHARMACY WALMART PHARMACY SUPERIOR CARE PHARMACY LLC PLYMOUTH PHARMACY GROUP INC REMEDY RX SCHAEFER GENOA HEALTHCARE LLC WALGREENS CVS PHARMACY SAV-ON PHARMACY WEIS PHARMACY WALMART PHARMACY VIP PHARMACY WALMART PHARMACY CVS PHARMACY WEIS PHARMACY WEIS PHARMACY BIOSCRIP INFUSION SERVICES WALGREENS GENOA HEALTHCARE LLC

ADDRESS 7024 ELMWOOD AVE 50 NEWBERRY PKWY 4035 N GEORGE STREET EXT 1000 SOUTH MARKET ST 10 SCHEIVERT AVE 7224 W 400 N STE 116 1828 165TH STREET STE A 12910 STATE ROUTE 664 S 7260 PEARL RD 1425 N 21ST ST 57 W MAIN ST 7644 VOICE OF AMERICA CTR DR 3724 NORTHPOINTE DR 4100 JOHNSON RD STE 105 3300 DEKALB PIKE 8170 MAIN ST 700 N WAYNE ST 1100 REID PKWY 1910 MAIN ST 1801 S STATE ROAD 57 4700 LINCOLN AVE 625 E CHICAGO ST 905 N MAIN ST 2540 METROPOLITAN DR STE 2546 15260 2 KUTZTOWN RD 2729 N 5TH ST 2853 HOLME AVE 1782 N KEYSER AVE 163 E LEHIGH AVE 4275 COUNTY LINE RD 1201 N JIM DAY RD STE B 209 E PAT RADY WAY STE B 7250 CLEARVISTA DR STE 140 5751 W 73RD ST A 5800 W BROAD ST 3195 GEIER DR 2550 SOM CENTER RD 4 E LEAGUE ST 6701 FRANK AVE NW 18901 LAKESHORE BLVD 1903 W MICHIGAN AVE 211 S CEDAR ST 1020 6TH ST 850 GREENLAND RD 1015 EMERICK ST 905 N MACOMB ST STE 1 1434 MICHIGAN AVE W 2140 US HIGHWAY 23 S 7700 N ALGER RD 706 W MAIN ST 6113 RIDGE AVE 10 DAVIS ST 115 W 4TH ST 101 N MAIN ST 4 RAILROAD ST 743 N MAIN ST 10635 MACCORKLE AVE 1298 STAFFORD DR 406 JOHN RAINE DR 2440 N LEBANON ST 6636 N.TELEGRAPH RD STE B 39475 ANN ARBOR RD 16841 SCHAEFER HWY 555 TOWNER ST STE 1120D 280 NEW CASTLE RD 2661 FREEPORT RD 101 BYERS DR 2525 MEMORIAL HWY 1325 MAIN ST 7737 NEW FALLS RD 1800 TILDEN RIDGE DR 500 CENTRE ST 73 OLD DUBLIN PIKE 7801 GLENLIVET WEST DRIVE 1000 MEADE ST STE 104 1550 E COUNTY LINE RD STE 150 850 N HARRISON ST RM 230

CITY PHILADELPHIA ETTERS MANCHESTER BLOOMSBURG ASTON MICHIGAN CITY PORTAGE LOGAN MIDDLEBURG HEIGHTS NEWARK AMELIA WEST CHESTER ZANESVILLE STEUBENVILLE NORRISTOWN CAMPBELLSBURG ANGOLA RICHMOND ROCHESTER WASHINGTON EVANSVILLE BRONSON ADRIAN TREVOSE KUTZTOWN PHILADELPHIA PHILADELPHIA SCRANTON PHILADELPHIA CHALFONT SALEM BAINBRIDGE INDIANAPOLIS INDIANAPOLIS GALLOWAY CINCINNATI WILLOUGHBY NORWALK NORTH CANTON EUCLID KALAMAZOO MANISTIQUE TRAVERSE CITY ONTONAGON YPSILANTI MONROE BATTLE CREEK ALPENA ALMA NEW HOLLAND PHILADELPHIA BRADFORD BETHLEHEM COUDERSPORT SAINT MARYS MOOREFIELD MARMET PRINCETON RAINELLE LEBANON DEARBORN HEIGHTS PLYMOUTH DETROIT YPSILANTI BUTLER PITTSBURGH GLEN MILLS DALLAS TAYLOR LEVITTOWN HAMBURG FREELAND DOYLESTOWN FOGELSVILLE DUNMORE INDIANAPOLIS WARSAW

STATE

COUNTY

PA PHILADELPHIA

PA YORK

PA YORK

PA COLUMBIA

PA DELAWARE

IN

LAPORTE

IN

LAKE

OH HOCKING

OH CUYAHOGA

OH LICKING

OH CLERMONT

OH BUTLER

OH MUSKINGUM

OH JEFFERSON

PA MONTGOMERY

KY HENRY

IN

STEUBEN

IN

WAYNE

IN

FULTON

IN

DAVIESS

IN

VANDERBURGH

MI BRANCH

MI LENAWEE

PA BUCKS

PA BERKS

PA PHILADELPHIA

PA PHILADELPHIA

PA LACKAWANNA

PA PHILADELPHIA

PA BUCKS

IN WASHINGTON

IN PUTNAM

IN MARION

IN MARION

OH FRANKLIN

OH HAMILTON

OH LAKE

OH HURON

OH STARK

OH CUYAHOGA

MI KALAMAZOO

MI SCHOOLCRAFT

MI GRAND TRAVERSE

MI ONTONAGON

MI WASHTENAW

MI MONROE

MI CALHOUN

MI ALPENA

MI GRATIOT

PA LANCASTER

PA PHILADELPHIA

PA MCKEAN

PA NORTHAMPTON

PA POTTER

PA ELK

WV HARDY

WV KANAWHA

WV MERCER

WV GREENBRIER

IN

BOONE

MI WAYNE

MI WAYNE

MI WAYNE

MI WASHTENAW

PA BUTLER

PA ALLEGHENY

PA DELAWARE

PA LUZERNE

PA LACKAWANNA

PA BUCKS

PA BERKS

PA LUZERNE

PA BUCKS

PA LEHIGH

PA LACKAWANNA

IN

MARION

IN

KOSCIUSKO

ZIP

PHONE

19142 (215)-365-1088

17319 (717)-932-4394

17345 (717)-266-2212

17815 (570)-784-9582

19014 (610)-494-1445

46360 (219)-210-4122

46320 (219)-764-5349

43138 (740)-380-0469

44130 (440)-886-2353

43055 (740)-366-7119

45102 (513)-752-7131

45069 (513)-712-1002

43701 (740)-452-6869

43952 (740)-264-8222

19401 (610)-930-0054

40011 (502)-465-4003

46703 (260)-665-2106

47374 (765)-983-3014

46975 (574)-223-4304

47501 (812)-254-6195

47714 (812)-477-5396

49028 (517)-858-1122

49221 (517)-920-4292

19053 (215)-639-6162

19530 (610)-683-5827

19133 (215)-423-1368

19152 (215)-677-1111

18508 (570)-207-4308

19125 (215)-425-2299

18914 (215)-716-7014

47167 (812)-404-4153

46105 (765)-522-4300

46256 (317)-621-3100

46278 (317)-552-1100

43119 (614)-870-4354

45209 (513)-458-2410

44094 (440)-516-8620

44857 (419)-668-0424

44720 (330)-497-5312

44119 (216)-692-0183

49008 (269)-387-3355

49854 (906)-341-5494

49684 (231)-946-4570

49953 (906)-884-4229

48198 (734)-482-7430

48162 (734)-241-0606

49037 (269)-965-5178

49707 (989)-354-4630

48801 (989)-463-3220

17557 (717)-354-4268

19128 (215)-482-2697

16701 (814)-362-4559

18015 (610)-867-3701

16915 (814)-274-8660

15857 (814)-834-3017

26836 (304)-538-2356

25315 (304)-949-3045

24740 (304)-487-2445

25962 (304)-438-7182

46052 (765)-482-6149

48127 (313)-914-3166

48170 (734)-968-1938

48235 (313)-880-1990

48198 (734)-557-8207

16001 (724)-282-9414

15238 (412)-820-6781

19342 (610)-361-9523

18612 (570)-674-1120

18517 (570)-309-3517

19055 (215)-486-7300

19526 (610)-562-4580

18224 (570)-636-2520

18901 (215)-622-2035

18051 (610)-530-3117

18512 (800)-278-2101

46227 (317)-534-6258

46580 (574)-306-4455

NCPDP 1569562 1569601 3670468 3672296 3672791 3674149 3674896 3674985 3675329 3675874 3676167 3677486 3678058 3681043 2305781 2330847 2337106 2340381 2345658 3901813 3902978 3908007 3908540 3910165 3922451 3930496 5006881 2389232 3989247 3989932 3991139 3991658 3992105 3992458 3995911 3996379 3998006 3999820 1569447 1569651 1569752 3672335 3672587 3672955 3674923 3675432 3676307 3676852 3677234 3677929 3680166 3680356 2312320 2334718 2340040 2340608 2341751 2341965 2342703 2347828 3900861 3901368 3901798 3902360 3905102 3913995 3917260 3926411 5003796 5004522 5054680 5055529 2387290 2387581 2388444 2388987 3988776

NPI 1346711611 1174096192 1609883610 1396762498 1700941978 1023316700 1871665083 1093813768 1669529046 1356561427 1114117694 1699928804 1407080385 1225473523 1811974488 1851431308 1952410490 1740399294 1952403297 1437259884 1487741682 1407957962 1972692614 1346385879 1801879010 1396883500 1982707642 1124605035 1306896394 1396927026 1669623476 1649381187 1831324953 1104058833 1720368988 1790052702 1023367711 1780013383 1922574573 1861960353 1174187553 1003821927 1912912833 1407874258 1073694568 1609931872 1396939906 1477728541 1447408083 1457591513 1073884342 1922365329 1386705150 1285716076 1588733117 1144332081 1588776421 1225045206 1689774911 1922105287 1326149881 1609975945 1649379983 1568562890 1699875047 1386703924 1508810417 1851465389 1851460703 1427378330 1881870210 1427338425 1508400300 1427696012 1891313755 1104413095 1518157056

PHARMACY NAME RX FOR LESS PHARMACY WALGREENS WALGREENS SAM'S CLUB PHARMACY AULTMAN EMPLOYEE PHARMACY UNION HOSPITAL PROFESSIONAL PHCY GENOA HEALTHCARE LLC ALLEN CTY HEALTH PARTNERS PHCY GIANT EAGLE PHARMACY BUCKEYE PHARMACY LIFELINE INSTITUTIONAL PHCY KROGER PHARMACY SAM'S CLUB PHARMACY HOLLAND DISCOUNT PHARMACY THE DRUG STORE OF IRON MOUNTAIN MEIJER PHARMACY RITE AID PHARMACY RITE AID PHARMACY CVS PHARMACY RITE AID PHARMACY ABINGTON PHARMACY CVS PHARMACY RITE AID PHARMACY CVS PHARMACY CAMBRIA PHARMACIES INC BAEDERWOOD PHARMACY CVS PHARMACY GENOA HEALTHCARE LLC ESPERANZA HEALTH CENTER WALMART PHARMACY PRICE CHOPPER PHARMACY VITA MEDICAL ASSOCIATES PC CVS PHARMACY CVS PHARMACY WALMART PHARMACY UPPER DARBY FAMILY PHARMACY GENOA HEALTHCARE LLC GIANT EAGLE PHARMACY NEEDLERS PHARMACY VALLEY PHARMACY THE SOUTH BEND CLINIC PHCY DAY RD GIANT EAGLE PHARMACY GIANT EAGLE PHARMACY WALMART PHARMACY WALGREENS WALMART PHARMACY WALGREENS WALGREENS GIANT EAGLE PHARMACY WALGREENS UT CARE PHARMACY CVS PHARMACY LARMOURS VILLAGE DRUG BAY PHARMACY ACTION DRUGS CVS PHARMACY CVS PHARMACY WALGREENS FAMILY FARE PHARMACY ST JOSEPH MERCY PROF PHARMACY CVS PHARMACY RITE AID PHARMACY RITE AID PHARMACY RITE AID PHARMACY RITE AID PHARMACY STANTON-NEGLEY DRUG COMPANY LINMAS DRUGS FINDLEY'S PHARMACY INC PENN WAY PHARMACY MEDICAL PARK PHARMACY WALMART PHARMACY WEBCO PHARMACY GENOA HEALTHCARE LLC EUREKA PHARMACY PHARMOR PHCY OAK STREET CLINIC HEALING HANDS PHARMACY LLC RITE AID PHARMACY

ADDRESS 10930 PENDLETON PIKE STE 102 1001 CALUMET AVE STE 101 8614 PRINCETON GLENDALE RD 6361 SOUTH AVE 2600 6TH ST SW 659 BOULEVARD 611 BELMONT AVE 441 E 8TH ST 14100 DETROIT AVE 15549 STATE ROUTE 170 STE 1 3699 SYMMES RD 131 STATE ROUTE 3 50555 VALLEY PLAZA DR 909 S MCCORD RD STE 1 1112 S STEPHENSON AVE 217 E US HIGHWAY 223 924 W MAIN ST 195 M 66 N 1935 CAMPBELL ST 760 BROAD ST 1460 OLD YORK RD 2200 CUMBERLAND ST 1080 S WASHINGTON AVE 177 ERIE BLVD 2900 GERMANTOWN AVE 1585 THE FAIRWAY ROUTE 60 E 13101 ALLEN RD BLDG 4 STE 511 861 E ALLEGHENY AVE 200 COMMERCE DR 245 WILKES BARRE TOWNSHIP BLVD 306 S NEW ST STE 201 2450 SHOPPERS LN 1200 BALTIMORE PIKE 915 MILLS DR 6756 MARKET ST 1902 OLDE HOMESTEAD LN 2840 WASHINGTON RD 320 N NEW JERSEY ST 325A N HALLECK ST 301 E DAY RD 525 E MAIN ST 6867 E BROAD ST 222 SMOKERISE DR 2730 BROADWAY 2700 BETHEL RD 3141 TREMONT RD 144 E MAIN ST 3050 W 117TH ST 1444 W 5TH AVE 3125 TRAVERSE DR RM 1341 STE M 3424 S HIGH ST 106 S CAPITAL AVENUE 112 S STATE ST 5412 W WARREN AVE 1625 KING RD 27435 FORD RD 1991 E APPLE AVE 6370 LAKE MICHIGAN DR STE 100 44405 WOODWARD AVE 5001 JONESTOWN RD 519 PENN AVE 1777 N KEYSER AVE 1008 LATROBE 30 SHOPPING CTR 431 COMMONS DR 804 N NEGLEY AVE 603 MAIN ST 136 W MAIN ST 3159 MAIN ST 1 MEDICAL PARK 5680 HAMMONDS MILL RD 324 MILLER MOUNTAIN DR 1685 BALDWIN AVE STE 100 2329 EUREKA RD 14529 WOODWARD AVE 9731 HARPER AVE 33 W RIDGE PIKE STE 101

CITY INDIANAPOLIS DYER WEST CHESTER BOARDMAN CANTON DOVER YOUNGSTOWN LIMA LAKEWOOD EAST LIVERPOOL HAMILTON SUNBURY SAINT CLAIRSVILLE HOLLAND IRON MOUNTAIN ADRIAN FREMONT CHARLEVOIX DETROIT MONTOURSVILLE ABINGTON LEBANON SCRANTON SUSQUEHANNA PHILADELPHIA JENKINTOWN GAULEY BRIDGE SOUTHGATE PHILADELPHIA DUNCANSVILLE WILKES BARRE BETHLEHEM WYNCOTE SPRINGFIELD NORTH HUNTINGDON UPPER DARBY LANCASTER MCMURRAY INDIANAPOLIS DEMOTTE MISHAWAKA CANFIELD COLUMBUS WADSWORTH LORAIN COLUMBUS UPPER ARLNGTN RAVENNA CLEVELAND GRANDVIEW TOLEDO COLUMBUS ATHENS SAINT IGNACE DETROIT TRENTON GARDEN CITY MUSKEGON ALLENDALE PONTIAC HARRISBURG PITTSBURGH SCRANTON LATROBE DUBOIS PITTSBURGH EMLENTON SOMERSET WEIRTON WHEELING MARTINSBURG WEBSTER SPRINGS PONTIAC WYANDOTTE HIGHLAND PARK DETROIT LIMERICK

STATE

COUNTY

IN

MARION

IN

LAKE

OH BUTLER

OH MAHONING

OH STARK

OH TUSCARAWAS

OH MAHONING

OH ALLEN

OH CUYAHOGA

OH COLUMBIANA

OH BUTLER

OH DELAWARE

OH BELMONT

OH LUCAS

MI DICKINSON

MI LENAWEE

MI NEWAYGO

MI CHARLEVOIX

MI WAYNE

PA LYCOMING

PA MONTGOMERY

PA LEBANON

PA LACKAWANNA

PA SUSQUEHANNA

PA PHILADELPHIA

PA MONTGOMERY

WV FAYETTE

MI WAYNE

PA PHILADELPHIA

PA BLAIR

PA LUZERNE

PA NORTHAMPTON

PA MONTGOMERY

PA DELAWARE

PA WESTMORELAND

PA DELAWARE

PA LANCASTER

PA WASHINGTON

IN MARION

IN JASPER

IN

ST. JOSEPH

OH MAHONING

OH FRANKLIN

OH MEDINA

OH LORAIN

OH FRANKLIN

OH FRANKLIN

OH PORTAGE

OH CUYAHOGA

OH FRANKLIN

OH LUCAS

OH FRANKLIN

MI CALHOUN

MI MACKINAC

MI WAYNE

MI WAYNE

MI WAYNE

MI MUSKEGON

MI OTTAWA

MI OAKLAND

PA DAUPHIN

PA ALLEGHENY

PA LACKAWANNA

PA WESTMORELAND

PA CLEARFIELD

PA ALLEGHENY

PA VENANGO

PA SOMERSET

WV HANCOCK

WV OHIO

WV BERKELEY

WV WEBSTER

MI OAKLAND

MI WAYNE

MI WAYNE

MI WAYNE

PA MONTGOMERY

ZIP

PHONE

46236 (317)-723-3614

46311 (219)-227-3557

45069 (513)-860-4753

44512 (330)-965-1813

44710 (330)-363-5489

44622 (330)-365-3845

44502 (330)-743-0922

45804 (419)-221-3723

44107 (216)-226-1600

43920 (330)-382-7726

45015 (513)-632-7960

43074 (740)-965-0520

43950 (740)-695-1263

43528 (419)-865-7777

49801 (906)-774-3654

49221 (517)-266-2110

49412 (231)-924-3790

49720 (231)-547-4001

48209 (313)-842-3410

17754 (570)-368-2629

19001 (215)-884-2767

17042 (717)-273-9373

18505 (570)-346-5924

18847 (570)-853-0901

19133 (215)-229-6454

19046 (215)-887-7877

25085 (304)-632-2217

48195 (734)-720-0062

19134 (215)-831-1100

16635 (814)-693-1433

18702 (570)-825-3037

18015 (610)-866-0113

19095 (267)-628-3281

19064 (484)-470-2321

15642 (724)-382-3168

19082 (610)-352-2121

17601 (717)-723-9910

15317 (724)-942-1090

46204 (463)-203-5178

46310 (219)-987-3330

46545 (574)-204-7258

44406 (330)-286-0012

43213 (614)-866-3079

44281 (330)-336-5274

44052 (440)-244-0593

43220 (614)-326-0661

43221 (614)-538-0029

44266 (330)-298-4297

44111 (216)-941-5109

43212 (614)-486-3308

43614 (419)-383-3355

43207 (614)-491-8137

49011 (269)-729-5161

49781 (906)-643-7725

48210 (313)-894-4300

48183 (734)-671-4302

48135 (734)-513-2255

49442 (231)-773-1540

49401 (616)-895-7426

48341 (248)-858-3059

17112 (717)-545-4229

15222 (412)-391-0969

18508 (570)-346-2087

15650 (724)-539-3353

15801 (814)-371-4491

15206 (412)-661-3315

16373 (724)-867-2400

15501 (814)-445-7939

26062 (304)-748-0505

26003 (304)-243-3388

25404 (304)-274-3873

26288 (304)-847-5324

48340 (248)-230-2237

48192 (734)-767-7777

48203 (313)-826-0929

48213 (313)-571-3662

19468 (484)-902-0881

NCPDP 3991812 3994262 3995670 3996153 3998385 3998498 1568899 3670850 3675456 3680332 2302494 2306389 2323676 2331558 2340014 2340254 2347703 3900758 3900811 3901685 3901849 3908590 3908778 3911319 3913907 3916460 3930080 5001487 5054010 5054197 3942922 3951541 3957036 3958836 3960641 5055858 5057244 5057333 5057888 5057991 3672450 3672690 3672741 3673577 3674721 3675115 3677828 3680382 2308509 2320923 2321482 2331546 2337980 2339883 2342979 2344480 2345076 2345571 2346662 2347373 3916573 5007794 5008570 5008873 3647205 3651709 3652585 3653094 3653676 3936397 3939824 3943001 3946297 3947718 3951212 5055656 5056646

NPI 1922245315 1558676866 1568750388 1750661914 1053665067 1457695892 1184133555 1679590871 1427113695 1528332822 1235278052 1720088156 1891889143 1922110857 1881706711 1588670889 1982716825 1417058975 1588762215 1659470995 1619076965 1417046152 1023107760 1073672150 1679676423 1164568770 1336288117 1659349470 1124041421 1831163906 1780701912 1285737031 1891700712 1629001201 1790790616 1447693312 1881118503 1609392273 1194241786 1891211702 1073528022 1821003740 1245245299 1861543761 1588681688 1932260767 1093952129 1366729451 1336258854 1093823452 1336199025 1104938034 1710071113 1295844744 1497855720 1659390730 1043227028 1952323867 1902915457 1255443198 1619988250 1336242098 1093881898 1750444360 1275556987 1992711204 1386747103 1275642522 1992814248 1598863227 1326071655 1295746428 1174612816 1861591125 1437160074 1942575808 1639553464

PHARMACY NAME JUST HERE PHARMACY WALGREENS PETROLIA PHARMACY JJ PHARMACY PATIENT FIRST NEW LIBERTY PHARMACY HORIZON MEDICAL GROUP INC WALMART PHARMACY KROGER PHARMACY GIANT EAGLE PHARMACY MEIJER PHARMACY KAY PHARMACY INC HENRY FORD MEDICAL CENTER PHARMACY CVS PHARMACY CVS PHARMACY RITE AID PHARMACY CVS PHARMACY CVS PHARMACY CVS PHARMACY RITE AID PHARMACY RITE AID PHARMACY RITE AID PHARMACY RITE AID PHARMACY F B THOMAS DRUG STORE INC CVS PHARMACY PORTERS PRESCRIPTION PHARMACY SAXONBURG DRUG MILLERS PHARMACY INC CVS PHARMACY LINCOLN PRIMARY CARE CENTER TUZZE'S PHARMACY CVS PHARMACY GIANT EAGLE PHARMACY PHARMERICA GIANT EAGLE PHARMACY GLEN DANIEL PHARMACY WALGREENS WALGREENS WALGREENS WALGREENS WALGREENS GIANT EAGLE PHARMACY WALGREENS CVS PHARMACY SAM'S CLUB PHARMACY GIANT EAGLE PHARMACY WALGREENS CORAM CVS/SPLTY INFUSION SVCS RITE AID PHARMACY SHELDON PHARMACY OF YALE INC THE DRUG STORE CVS PHARMACY HENRY FORD MEDICAL CENTER PHARMACY RITE AID PHARMACY GLENS PHARMACY MAPLEWOOD PHARMACY WALGREENS OAKWOOD PHARMACY-CANTON RITE AID PHARMACY CVS PHARMACY JAMES DRUG STORE CVS PHARMACY COUNTRY ROADS PHARMACY GREENBRIER MEDICAL ARTS PHARMACY RITE AID PHARMACY RITE AID PHARMACY CVS PHARMACY RITE AID PHARMACY RITE AID PHARMACY CVS PHARMACY WEIS PHARMACY GIANT EAGLE PHARMACY RITE AID PHARMACY RITE AID PHARMACY LECH'S PHARMACY SAM'S CLUB PHARMACY VILLAGE LONG TERM PHARMACY

ADDRESS 3800 N. BROAD ST. UNIT #2 4667 WILLIAM PENN HWY 296 CHURCH STREET 728 RED LION RD 713 BETHLEHEM PIKE 1602 1604 W ALLEN ST 1345 UNITY PL STE 345 540 HARRY SAUNER RD 1001 CHERRY ST STE A 4343 E ROYALTON RD 3757 PLAINFIELD AVE NE 2178 PLAINFIELD AVE NE 6777 W MAPLE RD 807 W CHICAGO BLVD 4995 HIGHLAND RD 500 LAFAYETTE AVE 23001 COOLIDGE HWY 64 S LOCUST ST 635 CARLISLE ST 927 PAOLI PIKE 2178 W UNION BLVD 300 MARKET ST 169 W LANCASTER AVE 327 MAIN ST 200 E PLANK RD 935 BEAVER GRADE RD 115 PITTSBURGH ST 8 E MAIN ST 1329 TARGET WAY 7400 LYNN AVE 509 POPLAR ST 440 N READING RD 344 GOUCHER ST 4000 HEMPFIELD PLAZA BLVD #966 41 TOWNE CENTER DR 6435 HARPER RD 2418 JACKSON AVE 100 21ST ST 71 MOUNTAINEER DR 894 COOK PKWY 2366 HARDING HWY 650 N STATE ST 1400 MICHIGAN ST 900 N HAMILTON RD 1111 MIAMISBURG CENTERVILLE RD 34325 CENTER RIDGE RD 19980 W 130TH ST 4153 ARLINGATE PLZ 4153 4157 25050 ALLEN RD 25 S MAIN ST 2236 US HIGHWAY 23 S 67181 S MAIN ST 29200 SCHOOLCRAFT RD 1133 NORTH US 31 784 S CEDAR ST 920 N JOHNSON ST 50 COLUMBIA AVE W 7330 N CANTON CENTER RD STE 11 1998 BIDDLE AVE 33021 GARFIELD RD 601 2ND STREET 4418 EMERSON AVE 109 BOLT ROAD 128 COMMUNITY LN 5795 STATE RD 130 S DETROIT ST 1109 IRONTON HILLS DR 8619 WAYNESBURG DR SE 1921 S DEFIANCE ST 123 GETTYSBURG PIKE 1100 N 4TH ST 1029 W VIEW PARK DR 1 E HIGH ST 1536 N ATHERTON ST 291 MAIN ST 1100 GRAND CENTRAL AVE 204 THREE SPRING DR STE B

CITY PHILADELPHIA MURRYSVILLE PETROLIA PHILADELPHIA MONTGOMERYVILLE ALLENTOWN LAFAYETTE HILLSBORO BLANCHESTER BROADVIEW HEIGHTS GRAND RAPIDS GRAND RAPIDS WEST BLOOMFIELD TECUMSEH WATERFORD BAY CITY OAK PARK HAZLETON HANOVER WEST CHESTER BETHLEHEM JOHNSTOWN ARDMORE MEYERSDALE ALTOONA CORAOPOLIS SAXONBURG BUCKHANNON MORGANTOWN HAMLIN MAYFIELD EPHRATA JOHNSTOWN GREENSBURG LEECHBURG SURVEYOR POINT PLEASANT NITRO FRANKLIN OCEANA LIMA WESTERVILLE SIDNEY GAHANNA WASHINGTON TOWNSHIP NORTH RIDGEVILLE STRONGSVILLE COLUMBUS WOODHAVEN YALE ALPENA RICHMOND LIVONIA PETOSKEY KALKASKA BAY CITY BATTLE CREEK CANTON WYANDOTTE FRASER CRESSON PARKERSBURG GLEN DANIEL WHT SPHR SPGS PARMA KENTON IRONTON WAYNESBURG ARCHBOLD MECHANICSBURG SUNBURY PITTSBURGH UNION CITY STATE COLLEGE NICHOLSON VIENNA WEIRTON

STATE

COUNTY

PA PHILADELPHIA

PA WESTMORELAND

PA BUTLER

PA PHILADELPHIA

PA MONTGOMERY

PA LEHIGH

IN

TIPPECANOE

OH HIGHLAND

OH CLINTON

OH CUYAHOGA

MI KENT

MI KENT

MI OAKLAND

MI LENAWEE

MI OAKLAND

MI BAY

MI OAKLAND

PA LUZERNE

PA YORK

PA CHESTER

PA LEHIGH

PA CAMBRIA

PA MONTGOMERY

PA SOMERSET

PA BLAIR

PA ALLEGHENY

PA BUTLER

WV UPSHUR

WV MONONGALIA

WV LINCOLN

PA LACKAWANNA

PA LANCASTER

PA CAMBRIA

PA WESTMORELAND

PA WESTMORELAND

WV RALEIGH

WV MASON

WV KANAWHA

WV PENDLETON

WV WYOMING

OH ALLEN

OH DELAWARE

OH SHELBY

OH FRANKLIN

OH MONTGOMERY

OH LORAIN

OH CUYAHOGA

OH FRANKLIN

MI WAYNE

MI ST. CLAIR

MI ALPENA

MI MACOMB

MI WAYNE

MI EMMET

MI KALKASKA

MI BAY

MI CALHOUN

MI WAYNE

MI WAYNE

MI MACOMB

PA CAMBRIA

WV WOOD

WV RALEIGH

WV GREENBRIER

OH CUYAHOGA

OH HARDIN

OH LAWRENCE

OH STARK

OH FULTON

PA CUMBERLAND

PA NORTHUMBERLAND

PA ALLEGHENY

PA ERIE

PA CENTRE

PA WYOMING

WV WOOD

WV HANCOCK

ZIP

PHONE

19140 (215)-228-3470

15668 (724)-325-3478

16050 (724)-756-4050

19115 (215)-698-8080

18936 (267)-695-3944

18102 (610)-437-8800

47905 (765)-446-5111

45133 (937)-840-9459

45107 (937)-783-0270

44147 (440)-526-1584

49525 (616)-365-1410

49505 (616)-361-7319

48322 (248)-325-3820

49286 (517)-423-6676

48328 (248)-674-2261

48708 (989)-892-5300

48237 (248)-547-8230

18201 (570)-454-5521

17331 (717)-637-5228

19380 (610)-696-0818

18018 (610)-867-1004

15901 (814)-536-3544

19003 (610)-649-7150

15552 (814)-634-8614

16602 (814)-944-9224

15108 (412)-264-2230

16056 (724)-352-1900

26201 (304)-472-1484

26501 (304)-599-5581

25523 (304)-824-6337

18433 (570)-876-0740

17522 (717)-733-1818

15905 (814)-288-5843

15601 (724)-836-5749

15656 (724)-845-1077

25932 (304)-934-6337

25550 (304)-675-1624

25143 (304)-755-3391

26807 (304)-358-3272

24870 (304)-682-8586

45804 (419)-222-1600

43082 (614)-865-0487

45365 (937)-492-5340

43230 (614)-428-5201

45459 (937)-291-0197

44039 (440)-327-8085

44136 (440)-572-2833

43228 (614)-351-5953

48183 (734)-675-6110

48097 (810)-387-4244

49707 (989)-354-2171

48062 (586)-727-2781

48150 (734)-523-1710

49770 (231)-348-2767

49646 (231)-258-8681

48708 (989)-892-4531

49015 (269)-969-9500

48187 (734)-454-8070

48192 (734)-285-4100

48026 (586)-293-5012

16630 (814)-886-2266

26104 (304)-485-3245

25844 (304)-934-5327

24986 (304)-536-2454

44134 (440)-884-3549

43326 (419)-673-5220

45638 (740)-533-0747

44688 (330)-866-5020

43502 (419)-446-2335

17055 (717)-697-0359

17801 (570)-286-0276

15229 (412)-931-0393

16438 (814)-438-3112

16803 (814)-237-4133

18446 (570)-942-4207

26105 (304)-295-5675

26062 (304)-723-2528

NCPDP 5057030 5057840 5057927 6003230 3963243 3963940 3964409 3966958 3967479 1530799 2388747 3991759 3994793 3997648 3998436 3998450 3998917 1568344 1569776 1569827 3669946 3670836 3674327 3676434 3678490 3679923 2310946 2321127 2335657 2337118 2337144 2340406 2341458 2342474 2345216 2347068 3900431 3904251 3919872 3932363 5000308 5006956 5011589 5054159 5054616 5055543 3645441 3648118 3648435 3648740 3648980 3649502 3650670 3651228 3651672 3968457 3968661 3969043 3969790 3970159 3971656 3972329 3973016 3975921 6004256 6006173 6006666 6010285 6000791 6003040 6003393 3970971 3972949 6003797 6007404 6008824 5011387

NPI 1497266258 1316463979 1124544143 1407212772 1407955669 1538180856 1225137482 1548330350 1831297456 1578578605 1457977514 1902045255 1881997336 1275805194 1386988160 1770827420 1184962482 1316472376 1174091557 1346807138 1447275151 1750396677 1043225683 1912186446 1326376310 1477832822 1912942111 1265536833 1518007079 1861501306 1306955844 1821138306 1912016460 1538253935 1801908744 1083723530 1043322480 1679662076 1528088028 1023153053 1962505610 1790888451 1376560417 1497824825 1629251038 1245514009 1871508879 1821004136 1306955646 1235163031 1982619896 1265535926 1891898557 1679684765 1740399088 1023087020 1609881556 1215030077 1700998713 1336276591 1821199621 1881624096 1720010739 1013027648 1992252514 1669985404 1326537929 1871176867 1801214309 1518339571 1669831996 1164523064 1659475408 1891140489 1609346543 1144870445 1730106873

PHARMACY NAME MILLER BROTHERS PHARMACY WALGREENS WALGREENS REGIONAL PHARMACY RITE AID PHARMACY TOMS RIVERSIDE PHARMACY RITE AID PHARMACY CHILDRENS HOSPITAL HOME CARE CVS PHARMACY WALGREENS HOLLAND COMMUNITY PHARMACY BLANDON PHARMACY BREWERYTOWN RX PHARMACY GIANT PHARMACY GREENWAY PHARMACY FIRST CLASS PHARMACY EASTON'S NEIGHBORX PHARMACY KROGER PHARMACY RUBICON RX GENOA HEALTHCARE LLC KROGER PHARMACY GIANT EAGLE PHARMACY KHN PHARMACY BEAVERCREEK WOOSTER COMMUNITY PHARMACY CLARK LOWCOST PHARMACY CENTERS FOR FAMILY & CHILDRE MOMBER PHARMACY VILLAGE DRUG SHOP MEIJER PHARMACY RITE AID PHARMACY RITE AID PHARMACY MEIJER PHARMACY RITE AID PHARMACY FAIRLANE PHARMACY SERVICES CORP CVS PHARMACY RITE AID PHARMACY SLOANS PHARMACY INC PARKWOOD STREET ROAD PHARMACY MILL HALL PHARMACY INC PENNSYLVANIA HOSP OUTPATIENT PHCY CVS PHARMACY CVS PHARMACY WALMART PHARMACY CHAPMANVILLE PHARMACY WALGREENS FOOD LION PHARMACY WALGREENS RITE AID PHARMACY RITE AID PHARMACY KROGER SAV-ON GIANT EAGLE PHARMACY CVS PHARMACY CVS PHARMACY RITE AID PHARMACY RITE AID PHARMACY WEGMANS PHARMACY KLINGENSMITH'S DRUG STORES CVS PHARMACY MOUNTAIN CITY HOME PHARMACY HANOVER APOTHECARY RITE AID PHARMACY SYNERGY GRANDVIEW PHARMACY GIANT PHARMACY COSTCO PHARMACY TOPS PHARMACY SHOPRITE PHCY OF BRIDGE & HARBISON HEALTHDIRECT INS PHCY SERV INC WEIS PHARMACY MEDICINE SHOPPE PHARMACY WELLSPAN PHARMACY METHODIST HOSPITAL APOTHECARY RITE AID PHARMACY CVS PHARMACY SOUTH PHILLY PHARMACY BRISTOL DISCOUNT PHCY INC WEIS PHARMACY WALMART PHARMACY

ADDRESS 271 MAIN STREET 401 MORAN AVE 16 RICH CREEK RD 510 E GAY ST UNIT 3 109 ALLEGHENY RIVER BLVD 8868 RT 338 2182 COUNTY LINE RD 3000 HORIZON DR 2838 ROUTE 611 3455 MANN RD 285 JAMES ST 104 ANNA AVE 2621 W GIRARD AVE 50 E WYNNEWOOD RD 310 S MAIN ST STE K 7316 FRANKFORD AVE FL 1 1800 SULLIVAN TRL STE 305 8130 E SOUTHPORT RD 5751 W 73RD ST STE B 3176 LANCER ST RM 102 4506 BRANDT PIKE 1800 W STATE ST 2510 COMMONS BLVD 1761 BEALL AVE 3107 CLARK AVE 3929 ROCK RIVER DR STE P-101 11 S STATE ST 113 W GRAND RIVER AVE 2980 WILDER RD 53 S MAPLE ST 10767 E CARSON CITY RD 36600 VAN DYKE AVE 512 GOODRICH ST 24555 HAIG ST 36540 GARFIELD RD 1025 ASHMUN ST 61 EAST MAIN STREET 3532 STREET RD 260 MAIN ST 800 SPRUCE ST 121 10TH ST 1846 COAL HERITAGE RD 2900 PIKE ST 289 CRAWLEY CREEK RD 615 RANDOLPH AVE 78 WORCHESTER DR 3105 GLENDALE MILFORD RD 29000 LORAIN RD 2574 EASTON ST NE 7855 TYLERSVILLE RD 2700 MAHONING AVE NW 36 E 7TH ST 600 W MAPLE ST 3325 W CENTRAL AVE 429 W CHURCH ST 1315 COLD SPRING RD 650 MAIN ST 3800 PINE AVE 620 HOWARD AVE BLDG G STE 172 310 STOCK ST STE 1 1430 BALTIMORE ST 173 POINT TOWNSHIP DR 600 E LANCASTER AVE 740 UPPER STATE RD 74 MARKET ST 5597 TULIP ST #99 1015 N VINE ST 2425 SCHOENERSVILLE RD 100 E GROVE ST 183 N READING RD STE 9 2301 S BROAD ST 1ST FLOOR 2512 ISLAND AVE 6601 N BROAD ST 2101 S 19TH ST 247 MILL ST 431 DUBLIN PIKE 1142 S BRIDGE ST

CITY MADISON MULLENS ANSTED WEST CHESTER OAKMONT KNOX HUNTINGDON VALLEY KING OF PRUSSIA TANNERSVILLE INDIANAPOLIS HOLLAND BLANDON PHILADELPHIA WYNNEWOOD YEAGERTOWN PHILADELPHIA EASTON INDIANAPOLIS INDIANAPOLIS PORTAGE DAYTON ALLIANCE BEAVERCREEK WOOSTER CLEVELAND CLEVELAND SPARTA WEBBERVILLE BAY CITY GRANT CARSON CITY STERLING HEIGHTS VASSAR TAYLOR CLINTON TOWNSHIP SAULT SAINTE MARIE MOUNT JOY BENSALEM MILL HALL PHILADELPHIA DUNBAR BLUEFIELD PARKERSBURG CHAPMANVILLE ELKINS FALLING WATERS CINCINNATI NORTH OLMSTED CANTON WEST CHESTER WARREN CINCINNATI HARTVILLE TOLEDO UPPER SANDUSKY SCRANTON RIMERSBURG ERIE ALTOONA HANOVER HANOVER NORTHUMBERLAND SHILLINGTON NORTH WALES WARREN PHILADELPHIA BERWICK BETHLEHEM CLARKS SUMMIT EPHRATA PHILADELPHIA PHILADELPHIA PHILADELPHIA PHILADELPHIA BRISTOL PERKASIE NEW MARTINSVILLE

STATE

COUNTY

WV BOONE

WV WYOMING

WV FAYETTE

PA CHESTER

PA ALLEGHENY

PA CLARION

PA MONTGOMERY

PA MONTGOMERY

PA MONROE

IN

MARION

MI OTTAWA

PA BERKS

PA PHILADELPHIA

PA MONTGOMERY

PA MIFFLIN

PA PHILADELPHIA

PA NORTHAMPTON

IN

MARION

IN

MARION

IN

PORTER

OH MONTGOMERY

OH STARK

OH GREENE

OH WAYNE

OH CUYAHOGA

OH CUYAHOGA

MI KENT

MI INGHAM

MI BAY

MI NEWAYGO

MI MONTCALM

MI MACOMB

MI TUSCOLA

MI WAYNE

MI MACOMB

MI CHIPPEWA

PA LANCASTER

PA BUCKS

PA CLINTON

PA PHILADELPHIA

WV KANAWHA

WV MERCER

WV WOOD

WV LOGAN

WV RANDOLPH

WV BERKELEY

OH HAMILTON

OH CUYAHOGA

OH STARK

OH BUTLER

OH TRUMBULL

OH HAMILTON

OH STARK

OH LUCAS

OH WYANDOT

PA LACKAWANNA

PA CLARION

PA ERIE

PA BLAIR

PA YORK

PA YORK

PA NORTHUMBERLAND

PA BERKS

PA MONTGOMERY

PA WARREN

PA PHILADELPHIA

PA COLUMBIA

PA LEHIGH

PA LACKAWANNA

PA LANCASTER

PA PHILADELPHIA

PA PHILADELPHIA

PA PHILADELPHIA

PA PHILADELPHIA

PA BUCKS

PA BUCKS

WV WETZEL

ZIP

PHONE

25130 (304)-369-3838

25882 (304)-294-0343

25812 (304)-658-4426

19380 (610)-696-2020

15139 (412)-828-1530

16232 (814)-797-2828

19006 (215)-953-1655

19406 (800)-866-1242

18372 (570)-629-8554

46221 (317)-487-0722

49424 (616)-994-6620

19510 (610)-944-8899

19130 (267)-773-8349

19096 (610)-602-8015

17099 (717)-953-9534

19136 (215)-331-3361

18040 (610)-829-1515

46259 (317)-245-4454

46278 (317)-552-1100

46368 (219)-841-6011

45424 (937)-233-8930

44601 (330)-829-3192

45431 (937)-558-3030

44691 (330)-202-5570

44109 (216)-651-8685

44111 (216)-938-9435

49345 (616)-887-7323

48892 (517)-521-3484

48706 (989)-667-9510

49327 (231)-834-5744

48811 (989)-584-3077

48312 (586)-274-1610

48768 (989)-823-2391

48180 (313)-292-6260

48035 (586)-790-2415

49783 (906)-632-6874

17552 (717)-653-4001

19020 (215)-639-1950

17751 (570)-726-3213

19107 (215)-829-5873

25064 (304)-768-0023

24701 (304)-324-0021

26101 (304)-489-3268

25508 (304)-855-9502

26241 (304)-636-8180

25419 (304)-271-8836

45241 (513)-563-0546

44070 (440)-777-4524

44721 (330)-492-6203

45069 (513)-777-7393

44483 (330)-395-0505

45202 (513)-721-5450

44632 (330)-877-0311

43606 (419)-531-1172

43351 (419)-294-3469

18508 (570)-383-8730

16248 (814)-473-3141

16504 (814)-825-1564

16601 (814)-949-4272

17331 (717)-630-8835

17331 (717)-632-8833

17857 (570)-473-7506

19607 (610)-777-0027

19454 (215)-353-4152

16365 (814)-723-4450

19124 (215)-288-1947

18603 (800)-988-7107

18017 (610)-694-8739

18411 (570)-586-1961

17522 (717)-721-5784

19148 (215)-952-9384

19153 (215)-937-9665

19126 (215)-924-1633

19145 (267)-773-8007

19007 (267)-812-5355

18944 (215)-249-1448

26155 (304)-455-6473

NCPDP 5011666 5055098 3647899 3647964 3652004 3652395 3939913 3940055 3945219 3946285 3946956 3947681 3948328 3950195 3950258 3952822 3953038 3953088 3955993 3957050 3960792 5055923 5056305 5057117 5057181 5057472 6000082 6000157 6000436 6000563 6001565 6002416 3963180 3965312 3965780 3966833 3968344 3969207 3969245 3973042 6004561 6006630 6007529 6008127 3653551 3940334 3941069 3941259 3941879 3947883 3948758 3949128 3955284 3957480 5056230 5056280 5056785 6001060 6001464 3963558 3963851 3963926 3964764 3967974 3968813 3970212 3971377 3972165 6005830 6007175 6008266 6008850 6008999 1808344 1810793 1813028 1816531

NPI 1245275551 1265663207 1871604959 1942311022 1093824344 1740370857 1679662316 1457441578 1871697615 1457459257 1700975448 1164510582 1770682031 1235228982 1710038039 1760415095 1013069756 1124117874 1487743134 1396778627 1235211046 1346686169 1265847503 1841716560 1922524909 1720504145 1801218763 1093137044 1093134736 1669884086 1659762524 1447632427 1588772727 1568494573 1124126735 1063596708 1235233081 1508938309 1750308813 1588767347 1659822997 1386136505 1043780182 1467912048 1528085701 1053344382 1780617019 1376558296 1386747137 1043314883 1588641625 1396880746 1871645580 1487686499 1154722064 1205231495 1609235795 1487055984 1396142683 1629167374 1316046576 1821070699 1043319205 1336124007 1174635387 1346341245 1245302041 1649203977 1093234171 1376018317 1043871874 1205479375 1427692730 1649336348 1225347719 1427115583 1114951936

PHARMACY NAME PHARMERICA CVS PHARMACY RITE AID PHARMACY RITE AID PHARMACY RITE AID PHARMACY RITE AID PHARMACY RITE AID PHARMACY RITE AID PHARMACY CVS PHARMACY VILLAGE SHIRES PHARMACY RITE AID PHARMACY RITE AID PHARMACY RITE AID PHARMACY RITE AID PHARMACY WELLSPAN PHARMACY WEIS PHARMACY TRIANGLE PHARMACY RITE AID PHARMACY RITE AID PHARMACY WEIS PHARMACY THE APPLE PHARMACY CLAY FAMILY PHARMACY BRIDGEPORT PHARMACY WALGREENS WALGREENS WALGREENS GENOA HEALTHCARE LLC PATIENT FIRST COMMUNITY CARE RX CVS PHARMACY PANTHERX SPECIALTY PHARMACY RIDGE DISCOUNT PHARMACY THE MEDICINE SHOPPE PHARMACY GIANT PHARMACY CVS PHARMACY RITE AID PHARMACY CVS PHARMACY MEDICINE SHOPPE PHARMACY WALMART PHARMACY CVS PHARMACY GREATER PHILADELPHIA PHARMACY LEHIGH CARE PHARMACY INC MEDICAL ARTS PHARMACY HIEBERS PHARMACY WALMART PHARMACY WEIS PHARMACY WEIS PHARMACY GIANT EAGLE PHARMACY CVS PHARMACY CVS PHARMACY MEDICINE SHOPPE PHARMACY JAMESTOWN PHARMACY WELLSPAN PHARMACY GIANT PHARMACY DAVIS BROTHERS PHARMACY CVS PHARMACY DIGNITY RX REDNERS PHARMACY MEDICINE SHOPPE PHARMACY RITE AID PHARMACY RITE AID PHARMACY BUCHANAN BROTHERS PHARMACY INC RITE AID PHARMACY DALTON PHARMACY OMNICARE OF PITTSBURGH RITE AID PHARMACY MEDICINE SHOPPE PHARMACY WEIS PHARMACY THE MEDICINE CENTER EMPIRE PHARMACY INC RITECHOICE PHARMACY V LLC EMMAUS AVE PHARMACY INC PATIENT FIRST LANGHORNE CARPENTER DENT DRUGS BAPTIST HLTH MADISONVILLE O/P LEXINGTON COMPOUNDING PHARMACY KROGER SAV-ON

ADDRESS 78 PERRY WINKLE LN 4205 MACCORKLE AVE SE 20405 CHAGRIN BLVD 1320 E STROOP RD 1895 W STATE ST 25 W MAIN ST 1628 36 CHESTNUT ST 10 W MAIN ST 7 YORK RD 1464 BUCK RD 1650 MAIN ST 791 CARBONDALE HIGHWAY 353 E 6TH ST 6912 NEW FALLS RD 1001 S GEORGE ST 2400 E MARKET ST 89 S MAIN ST 77 REUTER BLVD 2604 LINGLESTOWN RD 100 WEIS LN ERIE AVE AT FRONT ST 2000 MAIN ST 527 MEDICAL PARK DR STE 105 333 MACCORKLE AVE SW 215 STATE ROUTE 34 415 E MAIN ST 119 WALNUT ST STE 500 119 SHOEMAKER RD 725A LONG LANE 160 W DEKALB PIKE 24 SUMMIT PARK DR STE 101 1406 RIDGE AVE STE A 240 WEST MAIN STREET 6560 CARLISLE PIKE STE 100 1760 QUENTIN RD 100 SOUTH 3RD ST 35 N MAIN ST 2 E PHILADELPHIA AVE 980 N SUSQUEHANNA TRL 95 FREEPORT ST 1401 S 31ST ST 59 W JUNIPER ST 220 WILSON ST STE 100 3500 FIFTH AVE SUITE 101 1996 E MAIN ST 5140 SIMPSON FERRY RD 441 W MAIN ST 3812 ONEIL BLVD 100 MARKET ST 755 S CHESTER RD 125 PILLOW ST 121 LIBERTY ST 25 MONUMENT RD STE 265 4655 PERKIOMEN AVE 615 N CHESTER ST 278 E MAIN ST 557 MAIN STREET 110 NORTHSIDE COMMONS 1169 HORSESHOE PIKE 5201 SPRING RD STE 6 3205 CAPE HORN RD 313 W MAIN ST 4 BALLAST LN 102 W MAIN ST 4700 STEUBENVILLE PIKE 6542 LOGAN SQ STE H 1770 PINE HOLLOW RD 11798 ROUTE 6 2209 MACDADE BLVD 7923A BUSTLETON AVE 5201 HAVERFORD AVE FLOOR 1 1932 S 4TH ST FRNT A 100 LINCOLN HWY 1088 VETERANS MEMORIAL HWY 900 HOSPITAL DR 399 WALLER AVE STE 110 7685 MALL RD

CITY HUNTINGTON CHARLESTON SHAKER HEIGHTS KETTERING ALLIANCE EAST PALESTINE PHILADELPHIA LANSDALE WARMINSTER HOLLAND BLAKELY EYNON ERIE LEVITTOWN YORK YORK MOUNTAIN TOP TOWANDA HARRISBURG WEST HAZLETON PHILADELPHIA CLAY BRIDGEPORT SOUTH CHARLESTON HURRICANE KINGWOOD JOHNSTOWN POTTSTOWN UPPER DARBY KING OF PRUSSIA PITTSBURGH PHILADELPHIA BROOKVILLE MECHANICSBURG LEBANON CONNEAUT LAKE BANGOR BOYERTOWN SELINSGROVE NEW KENSINGTON PHILADELPHIA HAZLETON CARLISLE PITTSBURGH ASHLAND MECHANICSBURG MOUNT JOY MCKEESPORT WARREN SWARTHMORE BUTLER JAMESTOWN YORK READING NEW CUMBERLAND MILTON CHAPMANVILLE PALMYRA DOWNINGTOWN SHERMANS DALE RED LION SMETHPORT STEWARTSTOWN DALTON PITTSBURGH NEW HOPE MCKEES ROCKS WELLSBORO HOLMES PHILADELPHIA PHILADELPHIA ALLENTOWN FAIRLESS HILLS SCOTTSVILLE MADISONVILLE LEXINGTON FLORENCE

STATE

COUNTY

WV CABELL

WV KANAWHA

OH CUYAHOGA

OH MONTGOMERY

OH STARK

OH COLUMBIANA

PA PHILADELPHIA

PA MONTGOMERY

PA BUCKS

PA BUCKS

PA LACKAWANNA

PA LACKAWANNA

PA ERIE

PA BUCKS

PA YORK

PA YORK

PA LUZERNE

PA BRADFORD

PA DAUPHIN

PA LUZERNE

PA PHILADELPHIA

WV CLAY

WV HARRISON

WV KANAWHA

WV PUTNAM

WV PRESTON

PA CAMBRIA

PA MONTGOMERY

PA DELAWARE

PA MONTGOMERY

PA ALLEGHENY

PA PHILADELPHIA

PA JEFFERSON

PA CUMBERLAND

PA LEBANON

PA CRAWFORD

PA NORTHAMPTON

PA BERKS

PA SNYDER

PA WESTMORELAND

PA PHILADELPHIA

PA LUZERNE

PA CUMBERLAND

PA ALLEGHENY

OH ASHLAND

PA CUMBERLAND

PA LANCASTER

PA ALLEGHENY

PA WARREN

PA DELAWARE

PA BUTLER

PA MERCER

PA YORK

PA BERKS

WV HANCOCK

WV CABELL

WV LOGAN

PA LEBANON

PA CHESTER

PA PERRY

PA YORK

PA MCKEAN

PA YORK

PA LACKAWANNA

PA ALLEGHENY

PA BUCKS

PA ALLEGHENY

PA TIOGA

PA DELAWARE

PA PHILADELPHIA

PA PHILADELPHIA

PA LEHIGH

PA BUCKS

KY ALLEN

KY HOPKINS

KY FAYETTE

KY BOONE

ZIP

PHONE

25702 (304)-736-8310

25304 (304)-925-0786

44122 (216)-752-4866

45429 (937)-294-2651

44601 (330)-823-0850

44413 (330)-426-9291

19103 (215)-972-0234

19446 (215)-855-1100

18974 (215)-443-8113

18966 (215)-860-8000

18447 (570)-489-8834

18403 (570)-876-3788

16507 (814)-455-2910

19057 (215)-949-3052

17405 (717)-851-2712

17402 (717)-757-5941

18707 (570)-474-6520

18848 (570)-265-7882

17110 (717)-540-4310

18202 (570)-455-6670

19134 (215)-427-6527

25043 (304)-587-2123

26330 (304)-933-3880

25303 (304)-744-8362

25526 (304)-757-7318

26537 (304)-329-2212

15901 (814)-792-3855

19464 (610)-427-4919

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19130 (267)-519-3387

15825 (814)-849-5217

17050 (717)-796-0444

17042 (717)-273-7824

16316 (814)-382-2380

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19512 (610)-369-3888

17870 (570)-374-0299

15068 (724)-337-7691

19146 (215)-789-6931

18201 (570)-497-4970

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15213 (412)-681-6400

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16365 (814)-726-1914

19081 (610)-328-9160

16001 (724)-282-8446

16134 (724)-932-5355

17403 (717)-741-8150

19606 (610)-406-9644

26047 (304)-564-7249

25541 (304)-743-5547

25508 (304)-855-4764

17078 (717)-473-4054

19335 (610)-269-7368

17090 (717)-582-7781

17356 (717)-246-1322

16749 (814)-887-5375

17363 (717)-993-2557

18414 (570)-563-1151

15205 (412)-919-0240

18938 (215)-862-9228

15136 (412)-331-7080

16901 (570)-724-6453

19043 (610)-461-4123

19152 (215)-516-6544

19139 (215)-472-9100

18103 (484)-860-3227

19030 (267)-687-0775

42164 (270)-237-4446

42431 (270)-825-5954

40504 (859)-276-3905

41042 (859)-795-5820

NCPDP 1818066 3604952 3610715 3613406 3976961 3983005 3983461 3984689 3985516 3985934 3988170 1834084 1834298 1834642 1503831 1506976 1520508 2349276 2353326 2357526 2357716 2357881 2361107 3658602 3659589 3660291 3665671 3665948 3666053 3667144 3667714 3668095 3668235 3669326 3965158 1805677 1813939 3615436 3983221 3983889 3983954 3985770 3986823 1833462 1833880 1502310 1505758 1509667 1515280 1517462 1518767 1519454 1521233 1528566 2387036 3990911 3994577 3996521 3997244 3997294 3998563 3999096 3999894 1835086 2376223 2376742 2379421 2379609 2381008 2382517 2384472 2385664 2386666 3682502 3683489 3685558 3686930

NPI 1386742351 1366545071 1528078706 1407839855 1457383473 1831102086 1407888423 1881611036 1710081500 1891732269 1568682854 1629409180 1972923613 1477950285 1407959182 1609979392 1942303664 1497857734 1457463309 1851325609 1386659407 1730194853 1174612618 1295769990 1346359692 1366435976 1780699694 1467781831 1689767329 1841212552 1053327494 1043225964 1083718803 1346255379 1679596415 1891798336 1134190762 1346237146 1306851290 1801829148 1285747691 1538263322 1215021365 1578809638 1174955967 1659386761 1730194846 1619079191 1922160605 1306949011 1932202645 1114088911 1902909419 1942227160 1821642992 1437307436 1952611709 1932477700 1720346166 1770854861 1215271853 1386984771 1811328198 1194197533 1033489562 1457619140 1013319201 1568874923 1487020814 1437609351 1689177388 1336616671 1114587151 1316341373 1356724850 1063924702 1245791581

PHARMACY NAME EMORY CENTRE PHARMACY CVS PHARMACY SCHWIETERMANS DRUG STORE INC BERNENS PHARMACY GIANT PHARMACY JEFFREYS DRUG STORE LTC GIANT PHARMACY WALMART PHARMACY CVS PHARMACY WALGREENS WALGREENS VERSAILLES INDEPENDENT PHCY NORTON PHARMACY KROGER PHARMACY CVS PHARMACY CVS PHARMACY CVS PHARMACY CVS PHARMACY CVS PHARMACY KROGER PHARMACY WALGREENS WALGREENS TOMS PHARMACY LLC KROGER SAV-ON RITE AID PHARMACY UNIVERSITY HSP HOME CARE SVCS GIANT EAGLE PHARMACY CENTRAL OHIO COMPOUNDING PHCY BENZER PHARMACY CVS PHARMACY GIANT EAGLE PHARMACY GIANT EAGLE PHARMACY CVS PHARMACY WALGREENS WHITMAN PHARMACY SOUTHALL PHARMACY DAVIS DRUGS CROSBYS DRUGS WALGREENS WEIS PHARMACY PRICE CHOPPER PHARMACY CVS PHARMACY WALMART PHARMACY ADAIR DRUG KENTUCKYCARE PHARMACY 62 WALGREENS WALGREENS IN UNIV STUDENT HLTH CTR PHCY LYNNS PHARMACY CVS PHARMACY CVS PHARMACY FAMILY PHARMACY INC CVS PHARMACY WALMART PHARMACY CAPITAL AVE PHARMACY CVS PHARMACY FIRXST PHARMACY WALGREENS NORTHEAST DISCOUNT ALIXA RX WALMART PHARMACY PHARMBLUE LLC WALGREENS WALMART PHARMACY OPTIMED SPECIALTY PHARMACY GENOA HEALTHCARE LLC KARMANOS CANCER HOSPITAL PHCY EVART PHARMACY ASPCARES BLOOMS PHARMACY GRACE CARE PHARMACY LLC GROESBECK RX LLC WRIGLEYS PHARMACY 2 LLC SOUTHERN OH MEDICAL CENTER PHCY THOMPSONS COMMUNITY PHARMACY JUNCTION HEALTHMART PHARMACY DEDICATED SENIOR MEDICAL CENTER

ADDRESS 527 EMORY DR 13956 CEDAR RD 404 W NORTH ST 5053 GLENWAY AVE 3070 W TILGHMAN ST 1 N CENTRAL AVE STE 1 2104 VAN REED RD 567 ROUTE 100 N 290 POTTSTOWN AVE 133 W 8TH AVE 300 N 63RD ST 166 FRANKFORT ST 4001 DUTCHMANS LN 704 EUCLID AVE 415 W 3RD ST 1654 E MARKET ST 668 S US HIGHWAY 231 37340 5 MILE RD 47200 W 10 MILE RD 9968 E GRAND RIVER AVE 7210 N MIDDLEBELT RD 22380 MOROSS RD 1462 E GRAND RIVER AVE 1840 COLUMBUS PIKE 1525 CHERRY ST 4510 RICHMOND RD 8383 TYLER BLVD 5625 N HIGH ST STE 1 155 N POINT DR 1485 POLARIS PKWY 1955 E MAPLE ST 4401 MAYFIELD RD 7314 MONTGOMERY RD 3583 E BROAD ST 4950 YORK RD 325 W WALNUT ST STE 500 250 LONE OAK RD 2609 N HIGH ST 2535 WILLIAM PENN HWY 65 MEADOW GREEN DRIVE 1025 PENNSYLVANIA AVE 1149 BEN FRANKLIN HWY W 620 GRAVEL PIKE 510 BURKESVILLE ST STE 1 125 SOUTH 20TH ST 2123 E COLUMBUS DR 1225 E RIDGE RD 600 N JORDAN AVE 22 W NATIONAL AVE 275 S SECTION ST 715 E BROADWAY ST 508 W 11TH ST 5301 BROADWAY 950 E GREENVILLE PIKE 629 CAPITAL AVE SW 501 MARKETPLACE BLVD 12043 BUSTLETON AVE 8828 FRANKFORD AVE 4675 FRANKFORD AVENUE 1041 WASHINGTON PIKE 100 134 DANIEL KENDALL DR 40 PENNWOOD PL STE 300 996 2ND STREET PIKE 102 GATEWAY CROSSING BLVD 6480 TEHCNOLOGY DR STE A 2280 E GRAND RIVER AVE RM 122 4100 JOHN R STE HP00RX 107 N MAIN ST. 560 W 14 MILE RD 16347 MIDDLEBELT RD 1158 FORT ST 271 N GROESBECK HWY SUITE 1 12230 E 8 MILE RD 1805 27TH ST 2800 W BROAD ST 1339 DORR ST UNIT A 50 N WILSON RD

CITY OWENSBORO UNIVERSITY HEIGHTS COLDWATER CINCINNATI ALLENTOWN CANONSBURG WEST LAWN BECHTELSVILLE PENNSBURG HOMESTEAD PHILADELPHIA VERSAILLES LOUISVILLE LEXINGTON MARION NAPPANEE BLOOMFIELD LIVONIA NOVI BRIGHTON WESTLAND DETROIT PORTLAND DELAWARE TOLEDO WARRENSVILLE HT MENTOR WORTHINGTON MOUNT ORAB COLUMBUS NORTH CANTON SOUTH EUCLID CINCINNATI COLUMBUS HOLICONG LEBANON PADUCAH COLUMBUS PALMER TOWNSHIP MIFFLINBURG MATAMORAS DOUGLASSVILLE EAST GREENVILLE COLUMBIA PADUCAH EAST CHICAGO GRIFFITH BLOOMINGTON BRAZIL SULLIVAN FORTVILLE BICKNELL MERRILLVILLE WINCHESTER BATTLE CREEK SELINSGROVE PHILADELPHIA PHILADELPHIA PHILADELPHIA BRIDGEVILLE WEST BROWNSVILLE WARRENDALE RICHBORO RADCLIFF KALAMAZOO HOWELL DETROIT EVART CLAWSON LIVONIA LINCOLN PARK MOUNT CLEMENS DETROIT PORTSMOUTH COLUMBUS TOLEDO COLUMBUS

STATE

COUNTY

KY DAVIESS

OH CUYAHOGA

OH MERCER

OH HAMILTON

PA LEHIGH

PA WASHINGTON

PA BERKS

PA BERKS

PA MONTGOMERY

PA ALLEGHENY

PA PHILADELPHIA

KY WOODFORD

KY JEFFERSON

KY FAYETTE

IN

GRANT

IN

ELKHART

IN

GREENE

MI WAYNE

MI OAKLAND

MI LIVINGSTON

MI WAYNE

MI WAYNE

MI IONIA

OH DELAWARE

OH LUCAS

OH CUYAHOGA

OH LAKE

OH FRANKLIN

OH BROWN

OH DELAWARE

OH STARK

OH CUYAHOGA

OH HAMILTON

OH FRANKLIN

PA BUCKS

KY MARION

KY MCCRACKEN

OH FRANKLIN

PA NORTHAMPTON

PA UNION

PA PIKE

PA BERKS

PA MONTGOMERY

KY ADAIR

KY MCCRACKEN

IN LAKE

IN LAKE

IN MONROE

IN CLAY

IN SULLIVAN

IN HANCOCK

IN KNOX

IN

LAKE

IN

RANDOLPH

MI CALHOUN

PA SNYDER

PA PHILADELPHIA

PA PHILADELPHIA

PA PHILADELPHIA

PA ALLEGHENY

PA WASHINGTON

PA BUTLER

PA BUCKS

KY HARDIN

MI KALAMAZOO

MI LIVINGSTON

MI WAYNE

MI OSCEOLA

MI OAKLAND

MI WAYNE

MI WAYNE

MI MACOMB

MI WAYNE

OH SCIOTO

OH FRANKLIN

OH LUCAS

OH FRANKLIN

ZIP

PHONE

42301 (270)-684-0649

44118 (216)-371-0877

45828 (419)-678-3435

45238 (513)-471-7575

18104 (610)-351-2091

15317 (724)-745-6078

19609 (610)-670-5426

19505 (610)-367-1052

18073 (215)-541-2300

15120 (412)-461-9782

19139 (215)-476-2094

40383 (859)-879-0199

40207 (502)-893-1115

40502 (859)-687-3270

46952 (765)-662-1316

46550 (574)-773-4311

47424 (812)-384-4820

48154 (734)-953-2727

48374 (248)-380-7840

48116 (810)-225-2275

48185 (734)-427-5958

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48875 (517)-647-7373

43015 (740)-363-0035

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45236 (513)-686-7771

43213 (614)-237-9123

18928 (215)-794-8850

40033 (270)-692-3111

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18045 (610)-252-3538

17844 (570)-966-6505

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42728 (270)-384-9999

42001 (270)-408-1584

46312 (219)-397-6911

46319 (219)-838-4280

47405 (812)-855-3865

47834 (812)-446-2381

47882 (812)-268-6827

46040 (317)-485-7111

47512 (812)-735-4444

46410 (219)-884-0004

47394 (765)-584-3028

49015 (269)-339-0121

17870 (570)-743-4931

19116 (215)-613-8065

19136 (215)-338-4010

19124 (215)-743-5191

15017 (412)-319-4900

15417 (724)-364-4106

15086 (724)-779-4720

18954 (215)-355-4102

40160 (270)-351-3625

49009 (269)-250-8000

48843 (517)-258-0002

48201 (313)-576-9350

49631 (231)-734-5581

48017 (248)-397-8677

48154 (734)-469-4657

48146 (313)-693-4782

48043 (586)-333-5845

48205 (313)-518-1100

45662 (740)-356-8101

43204 (614)-362-6888

43607 (419)-216-2910

43204 (614)-702-7915

NCPDP 3687576 1813181 1814842 1815820 1819018 3610258 3610551 3615626 3977177 3978256 3979587 3981126 3985465 3987053 3987724 3987837 5055555 3652446 3653006 3653347 3936563 3940675 3941982 3948342 3950715 3952644 3953898 3955549 3957163 5057650 5058044 5058195 6001010 6002682 6002961 6003002 6003103 3961631 3966489 3968027 3968407 3973319 3974575 3975200 6004509 6005044 6005587 6006325 6006957 6005905 6008230 6009030 3997840 1567847 1568762 3670280 3670331 3670925 3672260 3672981 3674074 3674454 3675139 3987926 3988308 1834135 3600322 3600562 1503033 1507221 1510569 1527223 1527401 2388103 2388557 3989071 3989158

NPI 1023653185 1730291683 1285651604 1912000662 1619063344 1811090533 1992808612 1639272362 1003814617 1295832780 1437181450 1013953454 1962424606 1710054051 1215090824 1285776252 1609157759 1497760490 1356368534 1700803988 1144319880 1275623399 1194828947 1528157278 1780773432 1861581514 1891799326 1356356273 1467556217 1457877219 1962928242 1912472069 1922409283 1588030001 1629445655 1760853246 1760851265 1114934130 1528157286 1871528927 1750401014 1386662146 1548239452 1720011059 1770038804 1578094751 1801318787 1871099473 1871073155 1144749979 1164081188 1902443260 1073868667 1578015103 1952825564 1871511626 1497819486 1174548887 1669499869 1730194655 1033136130 1417055138 1639244338 1083748776 1710192067 1952722449 1871665190 1982707485 1497858179 1144357328 1841216793 1861407991 1336242981 1386264075 1174138283 1033304183 1922297118

PHARMACY NAME SOLEO HEALTH LUDLOW PHARMACY WALMART PHARMACY CVS PHARMACY MEDICINE STOP PHARMACY CVS PHARMACY CVS PHARMACY CVS PHARMACY HOMETOWN PHARMACY CVS PHARMACY GIANT PHARMACY GEISINGER PHARMACY CVS PHARMACY CVS PHARMACY BRANDYWINE PHARMACY RITE AID PHARMACY FAST & FRIENDLY PHARMACY WALGREENS WALMART PHARMACY WALMART PHARMACY RITE AID PHARMACY RITE AID PHARMACY CVS PHARMACY RITE AID PHARMACY RITE AID PHARMACY RITE AID PHARMACY BIRDSBORO PHARMACY GIANT EAGLE PHARMACY CVS PHARMACY WALGREENS WALGREENS LESTER SQUARE PHARMACY RITE AID PHARMACY CVS PHARMACY ACME PHARMACY WEGMANS PHARMACY SMALL TOWN PHARMACY GIANT EAGLE PHARMACY RITE AID PHARMACY GIANT PHARMACY 65TH AND WOODLAND PHARMACY WALMART PHARMACY WEGMANS PHARMACY WEIS PHARMACY QUAKER COMMUNITY PHARMACY LLC CVS PHARMACY MEDICINE SHOPPE PHARMACY NEWTOWN SQUARE APOTHECARY THE BURGH PHARMACY CUSTOM CARE PHARMACY SERVICES CVS PHARMACY EAST LIBERTY FMLY HLTH CARE CTR MERCY PHARMACY MARTIN'S PHARMACY WALGREENS WALMART PHARMACY MEIJER PHARMACY KROGER PHARMACY WALMART PHARMACY GIANT EAGLE PHARMACY WALMART PHARMACY CVS PHARMACY WALGREENS WALMART PHARMACY WALGREENS EMINENCE APOTHECARY FRANKLIN PHARMACY INC CVS PHARMACY CVS PHARMACY THE SOUTH BEND CLINIC PHARMACY GLOTZBACH PHARMACY WALGREENS CVS PHARMACY KRX PHARMACY GETWELL SAV-ON PHARMACY TANG PHARMACY II

ADDRESS 1746 THOMAS PAINE PKWY 130 ELM ST 5130 HINKLEVILLE RD 307 STURGIS RD 1339 MAIN ST 212 W BAGLEY RD 1116 WHEELING AVE 802 11TH ST 4627 ROUTE 51 SUITE 602 2507 W CHESTER PIKE 202 CHESTNUT ST 21 GEISINGER LANE 87 WAGNER RD 100 MARIS GROVE WAY 2503 CONESTOGA AVE 1401 W TILGHMAN ST 4 GARTON PLAZA 7135 BEECHMONT AVE 2052 N STATE ROUTE 53 6244 WILMINGTON PIKE 200 N ANTRIM WAY 8130 ROOSEVELT BLVD 1805 WILMINGTON RD 630 MAIN ST 15 CENTENNIAL WAY 4390 RICHMOND ST 200 W 1ST ST STE 3 800 MCKEESPORT RD 236 GRANT ST 1201 MAIN ST E 839 S MINERAL ST 837 ROBERT C BYRD DRIVE 1600 9TH AVE 1678 SUSQUEHANNA RD 210141 COTTMAN AVE 100 APPLIED BANK BLVD 1 N WEST END BLVD 100 SETTLERS RIDGE CENTER DR 126 W MAIN ST 2415 E MARKET ST 6548 WOODLAND AVE 9300 STATE ROUTE 61 3900 W TILGHMAN ST 1075 W KING ST 304 VILLAGE AT STONES CROSSING 901 SUMNEYTOWN PIKE 802 NEW HOLLAND AVE STE 200 3547 WEST CHESTER PIKE 7206 MCKNIGHT RD STE 103 59 S FRONT ST 30000 ANNS CHOICE WAY 6023 HARVARD STREET 1503 LANSDOWNE AVE STE 1000 525 S MAYFLOWER RD 803 S MAIN ST 3201 PRINCETON RD 8000 E BROAD ST 2728 E MAIN ST 2925 GLENDALE AVE 515 UNION AVE 1300 E ASH ST 2929 STELZER RD 1000 E MAIN ST 2901 MARKET ST 2655 S 10TH ST 5551 S MAIN ST 1732 YOUNGSTOWN RD SE 921 LILA AVE 1545 N MERIDIAN ST 211 N EDDY ST 500 S GRANT AVE 487 N CASS ST 3600 CASSOPOLIS ST 32932 W WARREN AVE SUITE C 3900 18 MILE RD 851 GAP NEWPORT PIKE 5600 N 5TH ST

CITY CENTERVILLE LUDLOW PADUCAH MARION PARIS BEREA CAMBRIDGE PORTSMOUTH BELLE VERNON BROOMALL COPLAY LEWISTOWN MONACA GLEN MILLS HONEY BROOK ALLENTOWN WESTON CINCINNATI FREMONT CENTERVILLE GREENCASTLE PHILADELPHIA NEW CASTLE PORTAGE SCOTTDALE PHILADELPHIA BIRDSBORO ELIZABETH JOHNSONBURG OAK HILL KEYSER SOPHIA ALTOONA DRESHER PHILADELPHIA GLEN MILLS QUAKERTOWN PITTSBURGH GROVE CITY YORK PHILADELPHIA COAL TOWNSHIP ALLENTOWN SHIPPENSBURG EASTON SPRING HOUSE LANCASTER NEWTOWN SQUARE PITTSBURGH MILTON WARMINSTER PITTSBURGH DARBY SOUTH BEND SALEM HAMILTON REYNOLDSBURG SPRINGFIELD TOLEDO DOVER PIQUA COLUMBUS GREENVILLE WARREN PHILADELPHIA EMINENCE WARREN MILFORD INDIANAPOLIS SOUTH BEND FOWLER WABASH ELKHART WESTLAND STERLING HEIGHTS AVONDALE PHILADELPHIA

STATE

COUNTY

OH MONTGOMERY

KY KENTON

KY MCCRACKEN

KY CRITTENDEN

KY BOURBON

OH CUYAHOGA

OH GUERNSEY

OH SCIOTO

PA FAYETTE

PA DELAWARE

PA LEHIGH

PA MIFFLIN

PA BEAVER

PA DELAWARE

PA CHESTER

PA LEHIGH

WV LEWIS

OH HAMILTON

OH SANDUSKY

OH GREENE

PA FRANKLIN

PA PHILADELPHIA

PA LAWRENCE

PA CAMBRIA

PA WESTMORELAND

PA PHILADELPHIA

PA BERKS

PA ALLEGHENY

PA ELK

WV FAYETTE

WV MINERAL

WV RALEIGH

PA BLAIR

PA MONTGOMERY

PA PHILADELPHIA

PA DELAWARE

PA BUCKS

PA ALLEGHENY

PA MERCER

PA YORK

PA PHILADELPHIA

PA NORTHUMBERLAND

PA LEHIGH

PA FRANKLIN

PA NORTHAMPTON

PA MONTGOMERY

PA LANCASTER

PA DELAWARE

PA ALLEGHENY

PA NORTHUMBERLAND

PA BUCKS

PA ALLEGHENY

PA DELAWARE

IN

ST. JOSEPH

IN

WASHINGTON

OH BUTLER

OH FRANKLIN

OH CLARK

OH LUCAS

OH TUSCARAWAS

OH MIAMI

OH FRANKLIN

OH DARKE

PA WARREN

PA PHILADELPHIA

KY HENRY

OH TRUMBULL

OH CLERMONT

IN

MARION

IN

ST. JOSEPH

IN

BENTON

IN

WABASH

IN

ELKHART

MI WAYNE

MI MACOMB

PA CHESTER

PA PHILADELPHIA

ZIP

PHONE

45459 (937)-401-3033

41016 (859)-261-2210

42001 (270)-444-0046

42064 (270)-965-4114

40361 (859)-987-4023

44017 (440)-243-6676

43725 (740)-439-3502

45662 (740)-354-3259

15012 (724)-379-6000

19008 (610)-325-5301

18037 (610)-262-6314

17044 (717)-242-4264

15061 (724)-728-7259

19342 (610)-387-4540

19344 (610)-273-3900

18102 (610)-434-2874

26452 (304)-269-3737

45230 (513)-231-8714

43420 (419)-334-8410

45459 (937)-848-3218

17225 (717)-597-4617

19152 (215)-331-0160

16105 (724)-656-9185

15946 (814)-736-4323

15683 (724)-887-4727

19137 (215)-533-6564

19508 (610)-582-4005

15037 (412)-384-3939

15845 (814)-965-2566

25901 (304)-465-5658

26726 (304)-788-5931

25921 (304)-683-2111

16602 (814)-941-2406

19025 (215)-628-2712

19149 (215)-728-1015

19342 (484)-785-9945

18951 (215)-538-8800

15205 (412)-490-5160

16127 (724)-458-0944

17402 (717)-755-1693

19142 (215)-727-9501

17866 (570)-648-7776

18104 (610)-336-7940

17257 (717)-532-3432

18045 (844)-716-4727

19477 (215)-646-5089

17602 (717)-874-4150

19073 (610)-273-5110

15237 (412)-837-3701

17847 (570)-989-0990

18974 (215)-347-2097

15206 (833)-789-5320

19023 (610)-237-7330

46619 (574)-334-5200

47167 (812)-883-1023

45011 (513)-869-8410

43068 (614)-322-7410

45503 (937)-525-6770

43614 (419)-380-8670

44622 (330)-602-8490

45356 (937)-615-9968

43219 (614)-337-6210

45331 (937)-547-9324

16365 (814)-723-8250

19148 (215)-467-6050

40019 (502)-518-9120

44484 (330)-369-4567

45150 (513)-831-2623

46202 (317)-923-1491

46617 (574)-237-9295

47944 (765)-884-1520

46992 (260)-563-3183

46514 (574)-262-8247

48185 (734)-427-2850

48314 (586)-275-9970

19311 (610)-268-8578

19120 (215)-224-3333

NCPDP 3989754 3990416 1837066 1838284 1838397 2350077 2351512 2353201 2353667 2354568 2355433 2356411 2359671 2361323 3656393 3661344 3662649 3663792 3663829 3666281 3666584 3668285 3669124 3669225 3669643 3961756 3964017 3688732 1800209 1800475 1802114 1806681 1808293 1813080 1813636 1815072 3600966 3977432 3978333 3980934 3983423 3984920 3986277 3987356 1833640 1834313 1834539 1503374 1836622 1837206 2353655 2357639 2361020 2361094 2361195 2362010 2362488 3655733 3656987 3660188 3662194 3665479 3665974 3668689 3685801 3687778 1802811 1808964 1815882 1816187 1816783 1817850 3606297 3612466 3978559 3978674 1833501

NPI 1780860239 1699932855 1568986057 1588211080 1487296166 1487738480 1851325690 1811009764 1881617355 1083726939 1033125836 1457460933 1710992839 1508966995 1265597041 1114949914 1508873506 1427064732 1205945557 1295717593 1124052832 1194742395 1760497689 1770598708 1558306472 1740212752 1104837343 1104418466 1043225279 1114020856 1922031483 1518184613 1083787923 1477656114 1407910706 1649312778 1245333947 1639191364 1275684516 1982627261 1568580603 1043242068 1386741882 1518049956 1457693822 1225448368 1770982571 1851494538 1861915068 1598288938 1760405229 1154300267 1790893162 1730113580 1942364336 1942215082 1619025715 1568407484 1376646190 1912912858 1073662151 1972601797 1902843287 1043244759 1437657236 1043844004 1174615124 1275518953 1629163142 1396779112 1033124276 1942215181 1144224049 1174635189 1851318083 1225132012 1588902894

PHARMACY NAME GIANT PHARMACY NESHAMINY PHARMACY WALGREENS POOLES PHARMACY CARE MED SAVE LEGENDS ST JOHN PHARMACY KROGER PHARMACY CVS PHARMACY RITE AID PHARMACY CVS PHARMACY SNYDER PHARMACY RITE AID PHARMACY WALGREENS GOOD NEIGHBORS FAMILY PHARMACY MEIJER PHARMACY CVS PHARMACY WALGREENS RITE AID PHARMACY RITE AID PHARMACY CLEVELAND CLINIC O/P PHARMACY KROGER PHARMACY WALMART PHARMACY GIANT EAGLE PHARMACY WALGREENS DISCOUNT DRUG MART GIANT PHARMACY GIANT EAGLE PHARMACY GERMANTOWN PHARMACY WALGREENS CVS PHARMACY GLENN'S PRESCRIPTION CENTER PARK DUVALLE COMM HLTH CTR INC RILEY-WHITE DRUGS CVS PHARMACY BAPTIST REGIONAL APOTHECARY WHITLEYS PHARMACY CVS PHARMACY CVS PHARMACY WELLSPAN INFUSION SERVICE CVS PHARMACY I & L EXPRESS PHARMACY LLC GIANT PHARMACY CVS PHARMACY GIANT PHARMACY MORGAN'S PROFESSIONAL PHARMACY KROGER PHARMACY CLUBB PHARMACY, INC CVS PHARMACY WALGREENS WALGREENS RITE AID PHARMACY RX SPECIALTIES NH INC NOOR PHARMACY KESSEL PHARMACY MEIJER PHARMACY WALGREENS GATEWAY PHARMACY INC DISCOUNT DRUG MART CVS PHARMACY MARCS MEIJER PHARMACY CVS PHARMACY NORTHSIDE PHARMACY FOREST AVE KROGER PHARMACY CIRCLE HEALTH SERVICES RX PHCY GENOA HEALTHCARE LLC CLARKSON DRUG STORE HARLAN ARH PHARMACY MEDICAL ARTS PHARMACY KROGER PHARMACY WALGREENS WALGREENS DAVIES PHARMACY SHELIGA DRUG WALMART PHARMACY CVS PHARMACY APOTHECARE PHARMACY VINE GROVE

ADDRESS 1540 COWPATH RD STE 110 5417 NESHAMINY BLVD 3120 PIMLICO PKWY STE 178 8180 US HIGHWAY 60 W 208 LEGENDS LN 26850 PROVIDENCE PKWY 10951 HIGHLAND RD 23800 WEST RD 2580 LAKE AVE 15121 24 MILE RD 130 E M-35 28350 S RIVER RD 26800 JOHN R RD 1956 VENOY RD 3822 COLONEL GLENN HWY 270 AIRPORT PKWY 9520 FIELDS ERTEL RD 30500 LAKE SHORE BLVD 1045 WHEELING AVE 16761 SOUTHPARK CTR # 1009 1501 W 5TH ST 1 MASSILLON MARKETPLACE DR SW 608 RAFF RD SW 19 LONDON RD 8951 S OLD STATE RD 2641 SHILLINGTON RD 1717 COCHRAN RD 28 N MAIN ST 990 BAXTER AVE 2106 BROWNSBORO RD 119 EAST MAIN ST 3015 WILSON AVE 153 PARKS SQUARE NW 5121 ANTLE DR 1 TRILLIUM WAY 501 N MAIN ST 2680 N HIGH ST 2769 PAPERMILL RD 304 SAINT CHARLES WAY 200 MILL RD 9977 BUSTLETON AVE 3400 CONCORD RD 906 W LEESPORT RD 86 GLOCKER WAY 280 RICHMOND RD 1187 N HIGHWAY 27 13 N MAIN ST 3404 E MARKET ST 201 S MAIN ST 3349 TATES CREEK RD 102 STATE RD 23751 DEQUINDRE RD 4092 E 14 MILE RD STE 200 1542 E PIERSON RD 13000 MIDDLEBELT RD 29030 NORTHWESTERN HWY 15690 JOY RD 6148 DUNHAM RD 5229 MONTGOMERY RD 16224 PEARL RD 888 EASTGATE NORTH DR 2812 SCIOTO TRL 751 FOREST AVE STE 204 210 STERLING RUN BLVD 12201 EUCLID AVE 2458 STETZER RD RM 193 201 MILLERSTOWN ST 37 BALL PARK RD 1220 N RACE ST 2710 W BROADWAY 2290 NICHOLASVILLE RD 10201 DIXIE HWY 2915 TUSCARAWAS ST W 6025 ST CLAIR 100 N LONDONDERRY SQ 3943 ROUTE 309 107 CRUTCHER ST

CITY HATFIELD BENSALEM LEXINGTON LEWISPORT LEXINGTON NOVI WHITE LAKE BROWNSTOWN TOWNSHIP NORTH MUSKEGON SHELBY TOWNSHIP GWINN HARRISON TOWNSHIP MADISON HEIGHTS WESTLAND FAIRBORN HEATH LOVELAND WILLOWICK CAMBRIDGE STRONGSVILLE MARYSVILLE MASSILLON CANTON DELAWARE LEWIS CENTER READING PITTSBURGH GERMANTOWN LOUISVILLE LOUISVILLE SALEM LOUISVILLE RUSSELLVILLE LOUISVILLE CORBIN RUSSELLVILLE COLUMBUS WYOMISSING YORK PHOENIXVILLE PHILADELPHIA ASTON LEESPORT POTTSTOWN MANCHESTER WHITLEY CITY NEW CASTLE LOGANSPORT GREENVILLE LEXINGTON DOWAGIAC HAZEL PARK WARREN FLUSHING LIVONIA SOUTHFIELD DETROIT MAPLE HEIGHTS NORWOOD STRONGSVILLE CINCINNATI PORTSMOUTH ZANESVILLE MOUNT ORAB CLEVELAND BUCYRUS CLARKSON HARLAN GLASGOW LOUISVILLE LEXINGTON LOUISVILLE CANTON CLEVELAND PALMYRA SCHNECKSVILLE VINE GROVE

STATE

COUNTY

PA MONTGOMERY

PA BUCKS

KY FAYETTE

KY HANCOCK

KY FAYETTE

MI OAKLAND

MI OAKLAND

MI WAYNE

MI MUSKEGON

MI MACOMB

MI MARQUETTE

MI MACOMB

MI OAKLAND

MI WAYNE

OH GREENE

OH LICKING

OH HAMILTON

OH LAKE

OH GUERNSEY

OH CUYAHOGA

OH UNION

OH STARK

OH STARK

OH DELAWARE

OH DELAWARE

PA BERKS

PA ALLEGHENY

OH MONTGOMERY

KY JEFFERSON

KY JEFFERSON

KY LIVINGSTON

KY JEFFERSON

KY LOGAN

KY JEFFERSON

KY WHITLEY

KY LOGAN

OH FRANKLIN

PA BERKS

PA YORK

PA MONTGOMERY

PA PHILADELPHIA

PA DELAWARE

PA BERKS

PA CHESTER

KY CLAY

KY MCCREARY

KY HENRY

IN CASS

KY MUHLENBERG

KY FAYETTE

MI CASS

MI OAKLAND

MI MACOMB

MI GENESEE

MI WAYNE

MI OAKLAND

MI WAYNE

OH CUYAHOGA

OH HAMILTON

OH CUYAHOGA

OH CLERMONT

OH SCIOTO

OH MUSKINGUM

OH BROWN

OH CUYAHOGA

OH CRAWFORD

KY GRAYSON

KY HARLAN

KY BARREN

KY JEFFERSON

KY FAYETTE

KY JEFFERSON

OH STARK

OH CUYAHOGA

PA LEBANON

PA LEHIGH

KY HARDIN

ZIP

PHONE

19440 (215)-412-9264

19020 (215)-757-4557

40517 (859)-273-7963

42351 (270)-295-3131

40505 (859)-402-0000

48374 (248)-465-4280

48386 (248)-779-6480

48183 (734)-692-4230

49445 (231)-744-8393

48315 (586)-677-4015

49841 (906)-346-0104

48045 (586)-463-8661

48071 (248)-546-2872

48186 (734)-722-8774

45324 (937)-427-6110

43056 (740)-788-8588

45140 (513)-583-9273

44095 (440)-943-2127

43725 (740)-432-9301

44136 (440)-878-3100

43040 (937)-644-3332

44646 (330)-834-0552

44710 (330)-452-5905

43015 (740)-368-9380

43035 (614)-841-7555

19608 (610)-678-3335

15220 (412)-343-8217

45327 (937)-336-3637

40204 (502)-585-3239

40206 (502)-897-1681

42078 (270)-988-3226

40211 (502)-774-4401

42276 (270)-726-7626

40229 (502)-966-2742

40701 (606)-526-8334

42276 (270)-726-9592

43202 (614)-267-5607

19610 (610)-374-9942

17402 (717)-851-5891

19460 (610)-650-3927

19115 (215)-677-0100

19014 (610)-497-5890

19533 (610)-208-8612

19465 (610)-705-3373

40962 (606)-599-5555

42653 (606)-376-2911

40050 (502)-845-2345

46947 (574)-753-2312

42345 (270)-338-4241

40502 (859)-266-0413

49047 (269)-782-2962

48030 (248)-546-5500

48092 (586)-268-3900

48433 (810)-659-8057

48150 (734)-367-0010

48034 (248)-356-1757

48228 (313)-835-9999

44137 (216)-663-4711

45212 (513)-731-2600

44136 (440)-846-5535

45245 (513)-943-5710

45662 (740)-355-3568

43701 (740)-454-6970

45154 (937)-444-5014

44106 (216)-707-3557

44820 (419)-617-0817

42726 (270)-242-3811

40831 (606)-574-8017

42141 (270)-651-7030

40211 (502)-778-3348

40503 (859)-276-1553

40272 (502)-933-4003

44708 (330)-454-5151

44103 (216)-431-1035

17078 (717)-838-7761

18078 (610)-799-6402

40175 (270)-877-5111

NCPDP 3600334 1509213 1523845 1525964 2386945 2387288 2387808 3989021 3990769 3992218 3994111 3994868 3996975 1570565 3670583 3670595 3670773 3992686 3992775 3995884 3998032 3998842 1567885 1568039 1568926 1569738 3671181 3671612 3672145 3672309 3672688 3673375 3674024 3674632 3675038 3676713 3678464 3679125 2327496 2328551 2328830 2329010 2337081 2342967 2344098 2347044 3901419 3901596 3902675 3904530 3908526 3910103 3911294 3920483 3927754 3929556 5000219 5008645 5009938 5054034 5055187 3645162 3647003 1508526 1525421 1528186 2387618 3990175 3992573 3994591 3996557 3997852 1567758 1569992 1570488 3671838 3672878

NPI 1083756449 1457454159 1104831221 1710926795 1245732809 1548804768 1467083485 1063606275 1730383852 1356577126 1770896714 1497059463 1124393970 1013541259 1336154368 1558383265 1942310578 1578897120 1083940068 1437438405 1912256215 1881934644 1649722190 1346788858 1609384684 1619439387 1689758849 1104850825 1437164480 1144237165 1518972561 1689691784 1699844423 1942233440 1902979859 1205005063 1841526415 1255643011 1679569362 1942340484 1669495230 1851403786 1811910722 1578675419 1275635690 1174632624 1154420495 1578662813 1386743631 1821197187 1063501708 1457362022 1679546360 1730259458 1013011071 1285733543 1053414706 1346255288 1710904842 1801814595 1427380633 1639272099 1629187950 1922036300 1497732028 1104843317 1174160576 1659544237 1356574271 1376843169 1235408709 1518212141 1598215626 1659923894 1053951210 1609940089 1245255967

PHARMACY NAME R M B PRESCRIPTION PHARMACY CVS PHARMACY WALGREENS OMNICARE OF GRIFFITH RXPRESS LTC SAVEON RX PHARMACY MSU HEALTH CARE PHARMACY RITE AID PHARMACY UNIVERSITY ORTHOPEDICS CENTER LTD FARMACIA STAUFFER'S LTC CVS PHARMACY FAMILY PHARMACY OF MOSCOW, INC GENOA HEALTHCARE LLC WALGREENS CVS PHARMACY COSTCO PHARMACY GOOD HEALTH PHARMACY INC GIANT PHARMACY WALMART PHARMACY CHAMBERS' APOTHECARY PATIENT FIRST WALGREENS GD PHARMACY SERVICES GEORGES FAMILY PHARMACY GENOA HEALTHCARE LLC C & R PHARMACY KROGER PHARMACY WALGREENS WALGREENS WALGREENS WALMART PHARMACY KROGER PHARMACY GIANT EAGLE PHARMACY WALGREENS COLLABORATIVE PHARMACY SERVICES CENTERS FOR FAMILIES & CHILDRE BATAVIA COMMUNITY PHARMACY CLARKSTON PHARMACY MEIJER PHARMACY RITE AID PHARMACY CVS PHARMACY RITE AID PHARMACY CVS PHARMACY WRIGHTS PHARMACY RITE AID PHARMACY RITE AID PHARMACY RITE AID PHARMACY RITE AID PHARMACY RITE AID PHARMACY RITE AID PHARMACY SHIPMANS PHARMACY WASHINGTON SQUARE PHARMACY INC TOWN & COUNTRY PHARMACY WEST READING DRUG STORE RITE AID PHARMACY CVS PHARMACY FRUTH PHARMACY WALMART PHARMACY WALMART PHARMACY PRIMARY CARE PHARMACY CVS PHARMACY RITE AID PHARMACY MATHES PHARMACY WILLIAMS BROS HEALTH CARE PHCY WALMART PHARMACY HARPERWOOD FAMILY PHARMACY KLINGENSMITH'S DRUG STORES CVS PHARMACY BHS RETAIL PHARMACY WEIS PHARMACY CVS PHARMACY PHARMASAVE RX GENOA HEALTHCARE LLC PHARMERICA KHN PHARMACY HUBER KROGER PHARMACY

ADDRESS 3545 OLENTANGY RIVER RD 505 W MAIN ST 2811 HOLMANS LN 139 S BROAD ST 40595 KOPPERNICK RD 244 SOUTHBOUND GRATIOT AVE 4660 SOUTH HAGADORN SUITE 100 1050 NORTHERN BLVD 101 REGENT COURT 1530 W MOYAMENSING AVE 147 E MAIN ST 2363 OREGON PIKE 330 N MAIN ST STE 202 831 DILLON DR STE 102 183 E DAYTON YELLOW SPRINGS RD 3245 GEIER DR 1409 GOLDEN GATE BLVD 1592 ROUTE 739 STE 2 3560 ROUTE 611 STE 105 400 S STATE RD 278 LINCOLN WAY EAST 1625 OREGON PIKE 7120 CLEARVISTA DR STE 1900 58 LINCOLNWAY STE A 1198 STATE RD 46 E 7300 E INDIANA ST STE 103 204 N DETROIT STREET 1700 CEDAR ST 850 N BRIDGE ST 4617 E MAIN ST 751 RICHMOND RD 1257 BELLEFONTAINE ST 113 E AIRPORT HWY 873 REFUGEE RD 15 S MAIN ST 4301 LYONS RD 4400 EUCLID AVE 2234 BAUER RD STE A 5838 S MAIN ST 5500 CLYDE PARK AVE SW 28659 TELEGRAPH RD 3678 15 MILE RD 2130 WEALTHY ST SE 19818 KELLY RD 147 W SAGINAW ST 109 N WHITTEMORE ST 4000 WOODHAVEN RD 1222 BROWNSVILLE RD 110 MAIN ST 600 CHESTNUT AVE 304 MARKET ST 326 DELAWARE AVE 241 S 6TH ST 2209 FREEPORT RD 538 PENN AVE 200 KIMBERTON RD 1605 7TH ST 425 CAMDEN RD 2700 MOUNTAINEER BLVD 1881 ROBERT C BYRD DR 122 CENTER ST 145 S STATE ST 2532 E 3RD ST 1621 CHARLESTOWN RD 10 WILLIAMS BROTHERS DR 2001 E 151ST ST 19230 HARPER AVE 332 BROAD ST 6706 CARLISLE PIKE ONE HOSPITAL WAY 170 BUCKAROO LANE 599 BELL TAVERN BLVD 4638 S SCATTERFIELD RD 4022 HOHMAN AVE STE 103 6032 HIGHVIEW DR STE C 8701 TROY PIKE 7833 REFUGEE RD

CITY COLUMBUS DELPHI JEFFERSONVILLE GRIFFITH CANTON MOUNT CLEMENS EAST LANSING SOUTH ABINGTN TWP STATE COLLEGE PHILADELPHIA NEW HOLLAND LANCASTER MOSCOW RICHMOND FAIRBORN CINCINNATI CLEVELAND DINGMANS FERRY BARTONSVILLE SPRINGFIELD CHAMBERSBURG LANCASTER INDIANAPOLIS VALPARAISO BATESVILLE EVANSVILLE WEST LIBERTY FREMONT CHILLICOTHE WHITEHALL RICHMOND HEIGHTS WAPAKONETA SWANTON PICKERINGTON HUBBARD MIAMISBURG CLEVELAND BATAVIA CLARKSTON WYOMING FLAT ROCK STERLING HEIGHTS GRAND RAPIDS HARPER WOODS HEMLOCK SAINT JOHNS PHILADELPHIA PITTSBURGH HELLERTOWN ALTOONA HARRISBURG PALMERTON PHILADELPHIA NEW KENSINGTON WEST READING PHOENIXVILLE PARKERSBURG HUNTINGTON SOUTH CHARLESTON BECKLEY CLAY WESTERVILLE DAYTON NEW ALBANY WASHINGTON CARMEL HARPERWOODS NEW BETHLEHEM MECHANICSBURG BUTLER BELLEFONTE DOWNINGTOWN ANDERSON HAMMOND FORT WAYNE HUBER HEIGHTS PICKERINGTON

STATE

COUNTY

OH FRANKLIN

IN

CARROLL

IN

CLARK

IN

LAKE

MI WAYNE

MI MACOMB

MI INGHAM

PA LACKAWANNA

PA CENTRE

PA PHILADELPHIA

PA LANCASTER

PA LANCASTER

PA LACKAWANNA

IN

WAYNE

OH GREENE

OH HAMILTON

OH CUYAHOGA

PA PIKE

PA MONROE

PA DELAWARE

PA FRANKLIN

PA LANCASTER

IN MARION

IN PORTER

IN RIPLEY

IN VANDERBURGH

OH LOGAN

OH SANDUSKY

OH ROSS

OH FRANKLIN

OH CUYAHOGA

OH AUGLAIZE

OH FULTON

OH FAIRFIELD

OH TRUMBULL

OH MONTGOMERY

OH CUYAHOGA

OH CLERMONT

MI OAKLAND

MI KENT

MI WAYNE

MI MACOMB

MI KENT

MI WAYNE

MI SAGINAW

MI CLINTON

PA PHILADELPHIA

PA ALLEGHENY

PA NORTHAMPTON

PA BLAIR

PA DAUPHIN

PA CARBON

PA PHILADELPHIA

PA WESTMORELAND

PA BERKS

PA CHESTER

WV WOOD

WV WAYNE

WV KANAWHA

WV RALEIGH

WV CLAY

OH FRANKLIN

OH MONTGOMERY

IN

FLOYD

IN

DAVIESS

IN

HAMILTON

MI WAYNE

PA CLARION

PA CUMBERLAND

PA BUTLER

PA CENTRE

PA CHESTER

IN

MADISON

IN

LAKE

IN

ALLEN

OH MONTGOMERY

OH FAIRFIELD

ZIP

PHONE

43214 (614)-566-5115

46923 (765)-564-4117

47130 (812)-288-9287

46319 (219)-924-6671

48187 (734)-405-7800

48043 (586)-846-3998

48823 (517)-353-3500

18411 (570)-587-4508

16801 (814)-231-2101

19145 (215)-465-1318

17557 (717)-355-9304

17601 (717)-560-1499

18444 (570)-843-6369

47374 (765)-598-4874

45324 (937)-878-2889

45209 (513)-631-5717

44124 (440)-544-1352

18328 (570)-828-7494

18321 (570)-421-2896

19064 (610)-605-3179

17201 (717)-263-0747

17601 (717)-925-2995

46256 (317)-567-2651

46383 (219)-462-4147

47006 (812)-932-6251

47715 (812)-909-6895

43357 (937)-650-3333

43420 (419)-332-9187

45601 (740)-779-2905

43213 (614)-868-1224

44143 (440)-442-3368

45895 (419)-738-0490

43558 (419)-825-1475

43147 (614)-866-3756

44425 (330)-534-4519

45342 (937)-458-4949

44103 (216)-325-9300

45103 (513)-732-0356

48346 (248)-625-8030

49509 (616)-530-7110

48134 (734)-783-2572

48310 (586)-977-3610

49506 (616)-451-0711

48225 (313)-526-7900

48626 (989)-642-5411

48879 (989)-224-2313

19154 (215)-637-7840

15210 (412)-884-3356

18055 (610)-838-7371

16601 (814)-943-0545

17101 (717)-234-6149

18071 (610)-826-5555

19106 (215)-925-1466

15068 (724)-335-2330

19611 (610)-375-4366

19460 (610)-935-2020

26101 (304)-485-5428

25704 (304)-429-5544

25309 (304)-746-1725

25801 (304)-256-6496

25043 (304)-587-4555

43081 (614)-890-4660

45403 (937)-258-8101

47150 (812)-944-3612

47501 (812)-254-2497

46033 (317)-844-9064

48225 (313)-473-8712

16242 (814)-275-3424

17050 (717)-697-1645

16001 (724)-284-6363

16823 (814)-355-2429

19335 (610)-873-5480

46013 (765)-374-3444

46327 (219)-228-8202

46818 (260)-209-0522

45424 (937)-558-3333

43147 (614)-417-0020

NCPDP 3674214 3674757 3675684 3675709 3676193 3676319 3676484 3678111 2310643 2322977 2330962 2337132 2337613 2337752 2338336 2339516 2347296 3902396 3906445 3909338 3910115 3915305 3923364 3929544 5007085 5008859 5011147 3637634 3638268 3640338 3642813 3643257 3986013 1833400 1834654 1503538 1504047 1509403 1509794 1520560 2387048 2387834 3990858 3990935 3994200 3995682 3671016 3672258 3674365 3674593 3677513 3678628 3679846 2305375 2319021 2327814 2336318 2338449 2344682 2346624 2347981 3901851 3902233 3906736 3912979 3918298 3923530 3927336 3927576 5008140 5011248 5054604 3640984 3641354 3647560 3648459 3650341

NPI 1407875578 1417976655 1619000684 1548394893 1255523577 1386838522 1285813584 1578799284 1497757355 1801980206 1780607226 1689783128 1679682116 1114036654 1851307151 1578672028 1699815027 1518067966 1376547398 1700897345 1225190747 1780600114 1457431595 1396894564 1437159464 1851325633 1245264035 1275636920 1164514147 1972530327 1528073434 1598874828 1720023955 1073865408 1477950079 1972606655 1609979046 1184727885 1053314021 1689747206 1932759933 1568093995 1669638714 1306094206 1598078602 1063709442 1174568182 1750308953 1508871567 1225076250 1568620417 1437488558 1891074845 1235248519 1427010388 1780793208 1578603031 1679589972 1043482243 1376652826 1154433092 1982704201 1417056763 1336238062 1942308598 1205199445 1619903028 1013940600 1750467239 1386682540 1063446854 1942499223 1831134758 1043256431 1194731406 1215046552 1770500944

PHARMACY NAME DRAKE CENTER INC WALGREENS MARCS WALMART PHARMACY WALGREENS WALGREENS GIANT EAGLE PHARMACY WALGREENS WILTSES PHARMACY HENRY FORD MEDICAL CENTER PHARMACY RITE AID PHARMACY RITE AID PHARMACY RITE AID PHARMACY RITE AID PHARMACY RITE AID PHARMACY RITE AID PHARMACY MEIJER PHARMACY RITE AID PHARMACY ALLEN'S PHARMACY INC UPPER DARBY PHARMACY DOCTORS PHARMACY INC BLAIRSVILLE PHARMACY WEST VILLAGE PHARMACY BERLIN PHARMACY JEFFERSON PHARMACY INC KROGER PHARMACY KROGER PHARMACY CVS PHARMACY CVS PHARMACY ZEIGLER PHARMACY GIANT EAGLE PHARMACY RITE AID PHARMACY HOMETOWN PHARMACY RICKETTS PHARMACY JANE TODD PHARMACY LLC CVS PHARMACY CVS PHARMACY CVS PHARMACY GEORGE'S FAMILY PHARMACY KROGER SAVON PHCY WALGREENS MEIJER PHARMACY WALGREENS SMP PHARMACY LANCASTER PHARMACY CVS PHARMACY DISCOUNT DRUG MART WALMART PHARMACY WALGREENS WALMART PHARMACY MARIETTA MEMORIAL SPECIALTY PHCY ADENA PHARMACY LLC CVS PHARMACY RITE AID PHARMACY GILBERTS DRUG STORE INC RITE AID PHARMACY MEIJER PHARMACY RITE AID PHARMACY MOTOR CITY PHARMACY CORP RITE AID PHARMACY CVS PHARMACY RITE AID PHARMACY RITE AID PHARMACY RITE AID PHARMACY NORVELT PHARMACY HOLLIDAYSBURG VETS HOME PHCY ADZEMA PHARMACY GAUGHNS DRUG STORE MCCRACKEN PHARMACY COMMUNITY HLTH SYSTEMS BECKLEY KROGER PHARMACY CHARLIES PHARMACY OF MULLENS DISCOUNT DRUG MART DISCOUNT DRUG MART RITE AID PHARMACY RITE AID PHARMACY WALMART PHARMACY

ADDRESS 151 W GALBRAITH RD 20200 VAN AKEN BLVD 3303 CENTER RD 1000 CHESTNUT COMMONS DR 1090 NORTHVIEW DR 5000 BRANDT PIKE 6700 HAYDEN RUN RD 1240 COLUMBUS AVE 330 S MAIN ST 7800 W OUTER DR 33330 W 12 MILE RD 507 N LAFAYETTE ST 901 W MIDLAND ST 1565 E PIERSON RD 2980 PACKARD ST 625 N STATE ST 22600 ALLEN RD 1396 W CHESTNUT ST 402 PRESCOTT AVE 119 LONG LN 17 S 20TH ST 135 E MARKET ST STE 100 3901 CONSHOHOCKEN AVE 413 BROADWAY ST 201 S PRESTON ST 1100 FLEDDERJOHN RD 200 MOUNT DE CHANTAL RD 2120 STRINGTOWN RD 4900 OAK ST 159 W MAIN ST 484 E WATERLOO RD 6512 FRANKLIN BLVD 3 NORTHGATE PLAZA 486 N HIGHWAY 25 W 310 INDUSTRIAL PARK RD STE 2 307 E NATIONAL AVE 1320 MAPLE AVE 601 S MAIN ST 480 MAIN ST 916 N MAIN ST 100 W GRAND RIVER AVE 100 PIGEON RD 379 NORTH ST 190 N FRALEY ST STE 2 4127 LANCASTER AVE 101 REECEVILLE RD 5298 DETROIT RD 375 LAFAYETTE ST 6421 MARKET AVE N 223 MEADOWLANDS DR 799 FARSON ST STE 214 272 HOSPITAL RD 9099 PLAINFIELD RD 8360 S SAGINAW ST 212 S STATE ST 3880 WILDER RD 5531 28TH ST SE 2781 PLYMOUTH RD 20526 PLYMOUTH RD STE D 301 SOUTH MAIN STREET 37700 W 12 MILE RD 3200 OREGON DRIVE 3807 W LINCOLN HWY 15 W CENTRE ST 2310 MT PLEASANT RD 138 VETERANS BLVD 8105 PERRY HWY STE 2 348 PENNSYLVANIA AVE W 595 E HIGH ST 252 RURAL ACRES DR 3265 SMOOT AVENUE 224 HOWARD AVE 3889 E 71ST ST 420 CLEVELAND RD E 242 LINCOLN WAY W 180 N STATE ST 2281 US HIGHWAY 68 S

CITY CINCINNATI SHAKER HEIGHTS BRUNSWICK ELYRIA HILLSBORO HUBER HEIGHTS HILLIARD WASHINGTON COURT HOUSE PLYMOUTH DETROIT FARMINGTON HILLS GREENVILLE BAY CITY FLUSHING ANN ARBOR CARO WOODHAVEN WASHINGTON SCRANTON UPPER DARBY PHILADELPHIA BLAIRSVILLE PHILADELPHIA BERLIN RANSON CHARLESTON WHEELING GROVE CITY BERLIN WILMINGTON AKRON CLEVELAND HARMONY WILLIAMSBURG GREENSBURG BRAZIL TERRE HAUTE CHURUBUSCO BROOKVILLE MONTICELLO EAST LANSING BAD AXE MEADVILLE KANE PHILADELPHIA COATESVILLE SHEFFIELD VILLAGE LONDON CANTON CHARDON BELPRE CHILLICOTHE BLUE ASH GRAND BLANC OSCODA BAY CITY GRAND RAPIDS ANN ARBOR DETROIT STANDISH FARMINGTON HILLS LOWER BURRELL DOWNINGTOWN MAHANOY CITY NORVELT DUNCANSVILLE PITTSBURGH WARREN WAYNESBURG BECKLEY MADISON MULLENS CLEVELAND HURON MASSILLON PAINESVILLE BELLEFONTAINE

STATE

COUNTY

OH HAMILTON

OH CUYAHOGA

OH MEDINA

OH LORAIN

OH HIGHLAND

OH MONTGOMERY

OH FRANKLIN

OH FAYETTE

MI WAYNE

MI WAYNE

MI OAKLAND

MI MONTCALM

MI BAY

MI GENESEE

MI WASHTENAW

MI TUSCOLA

MI WAYNE

PA WASHINGTON

PA LACKAWANNA

PA DELAWARE

PA PHILADELPHIA

PA INDIANA

PA PHILADELPHIA

PA SOMERSET

WV JEFFERSON

WV KANAWHA

WV OHIO

OH FRANKLIN

OH HOLMES

OH CLINTON

OH SUMMIT

OH CUYAHOGA

PA BUTLER

KY WHITLEY

KY GREEN

IN CLAY

IN VIGO

IN WHITLEY

IN FRANKLIN

IN WHITE

MI INGHAM

MI HURON

PA CRAWFORD

PA MCKEAN

PA PHILADELPHIA

PA CHESTER

OH LORAIN

OH MADISON

OH STARK

OH GEAUGA

OH WASHINGTON

OH ROSS

OH HAMILTON

MI GENESEE

MI IOSCO

MI BAY

MI KENT

MI WASHTENAW

MI WAYNE

MI ARENAC

MI OAKLAND

PA WESTMORELAND

PA CHESTER

PA SCHUYLKILL

PA WESTMORELAND

PA BLAIR

PA ALLEGHENY

PA WARREN

PA GREENE

WV RALEIGH

WV BOONE

WV WYOMING

OH CUYAHOGA

OH ERIE

OH STARK

OH LAKE

OH LOGAN

ZIP

PHONE

45216 (513)-418-9494

44122 (216)-751-4521

44212 (330)-273-3232

44035 (440)-366-0125

45133 (937)-393-2307

45424 (937)-236-0495

43026 (614)-529-6685

43160 (740)-335-3180

48170 (734)-453-4848

48235 (313)-543-6300

48334 (248)-553-4050

48838 (616)-754-3625

48706 (989)-684-9370

48433 (810)-659-2940

48108 (734)-971-1013

48723 (989)-673-6852

48183 (734)-362-8910

15301 (724)-228-0059

18510 (570)-342-8219

19082 (610)-352-3010

19103 (215)-567-6870

15717 (724)-459-7400

19131 (215)-879-2520

15530 (814)-267-4013

25438 (304)-725-6533

25314 (304)-342-8832

26003 (304)-233-5485

43123 (614)-875-7884

44610 (330)-893-3179

45177 (937)-382-0921

44319 (330)-773-7772

44102 (216)-281-6100

16037 (724)-452-5334

40769 (606)-515-6134

42743 (270)-932-2239

47834 (812)-446-2301

47804 (812)-242-2787

46723 (260)-693-3483

47012 (765)-647-6251

47960 (574)-583-4489

48823 (517)-318-0304

48413 (989)-623-1442

16335 (814)-337-0582

16735 (814)-837-8500

19104 (215)-921-8778

19320 (610)-466-7166

44035 (440)-934-3840

43140 (740)-852-2726

44721 (330)-244-1435

44024 (440)-286-1056

45714 (740)-374-1583

45601 (740)-779-8760

45236 (513)-898-2022

48439 (810)-694-2500

48750 (989)-739-7585

48706 (989)-686-5800

49512 (616)-954-6010

48105 (734)-761-6404

48228 (313)-838-2555

48658 (989)-846-4508

48331 (248)-489-3004

15068 (724)-339-6686

19335 (610)-269-0226

17948 (570)-773-1455

15674 (724)-423-4100

16635 (814)-696-5219

15237 (412)-364-7000

16365 (814)-723-2840

15370 (724)-627-5454

25801 (304)-255-6800

25130 (304)-369-9074

25882 (304)-294-5447

44105 (216)-341-7370

44839 (419)-433-4565

44647 (330)-832-4774

44077 (440)-352-0627

43311 (937)-592-5000

NCPDP 3650492 1813307 1814157 1815515 1815630 1815781 1815793 3610056 3976593 3977521 3978749 3979234 3980693 3981140 3981316 3985047 3985996 3987217 3987697 3988221 3988574 1833905 1507384 1507447 1523251 1523768 1524835 1527110 1529114 2388848 3990492 3993979 3997333 3997535 3998892 3999351 3999781 1567809 3670521 3670610 3673096 3673476 3673591 3967328 3969283 3969803 3973573 3974323 3974436 3974664 6004092 6007339 6008292 6009282 3913541 3933694 5002453 5006374 5007326 5008099 5009279 5011779 3633434 3633991 3635147 3635844 3645023 3645693 3647762 3648524 3651367 3651470 3654933 3655101 3937882 3940384 3947807

NPI 1114021177 1700989217 1205862836 1801990866 1861599607 1679507495 1588698302 1902909625 1629172408 1780788562 1235144122 1922118553 1336142835 1376647164 1356364491 1215909148 1326093170 1083788319 1518023357 1871710418 1619174190 1417382029 1861413817 1467472993 1043244858 1922015916 1831292556 1629085618 1124033253 1437747110 1790945640 1548589062 1598023400 1013279389 1326388836 1912341702 1710313507 1457803074 1801831722 1245245273 1417962465 1659356509 1871508820 1740213073 1437250339 1477586709 1457383465 1629090345 1598782724 1558465336 1548612732 1053881573 1770140170 1114559713 1013015916 1942246038 1477599736 1316018195 1952335739 1316041098 1548287675 1134153927 1336160308 1689751653 1467555110 1063572311 1609915370 1760497606 1356450696 1073547873 1023127362 1275549586 1871651828 1336166511 1861581506 1467467381 1245370394

PHARMACY NAME MEDICINE CTR PHCY-LOUISVILLE THE MEDICAL CTR OF SCOTTSVILLE OWSLEY PRESCRIPTION CENTER EAST BROADWAY PHARMACY GIBSON PHARMACY KROGER SAV-ON KROGER SAV-ON CVS PHARMACY CVS PHARMACY CVS PHARMACY WALGREENS COSTCO PHARMACY PHILADELPHIA PHARMACY CVS PHARMACY LEHIGH VALLEY PHCY SERVICES LOMBARDOS APOTHECARY ACADEMY PHARMACY CVS PHARMACY RITE AID PHARMACY CURTIS PHARMACY RITE AID PHARMACY ANDREWS PHARMACY FREDS NEIGHBORHOOD PHARMACY H & R PHARMACY INC KROGER PHARMACY WALGREENS CVS PHARMACY WALGREENS WALGREENS MI PHARMACY LLC HOMESTAR PHARMACY SUNRAY DRUGS PROGRESS PLAZA FOUR STAR PHARMACY CVS PHARMACY POINT BREEZE PHARMACY WEIS PHARMACY COMMUNITY RX PHARMACY MARTIN'S PHARMACY DISCOUNT DRUG MART WALGREENS WALGREENS MEDI-WISE LTC PHARMACY WALGREENS WEIS PHARMACY RITE AID PHARMACY WEIS PHARMACY GIANT PHARMACY CVS PHARMACY WALMART PHARMACY CVS PHARMACY RITE AID PHARMACY CENTENNIAL PHCY SERVICES INC UPMC COMMUNITY PHARMACIES BROAD AND SNYDER PHARMACY DAKES DRUG STORE GEISINGER PHARMACY MEDICAL ARTS PHARMACY CUMBERLAND HEALTH SERVICES INC KROGER SAV-ON CVS PHARMACY WALMART PHARMACY KROGER PHARMACY TRIHEALTH PHARMACY SOLUTIONS OKULEY'S PHARMACY CVS PHARMACY PATIENT CARE PHARMACY PRESCRIPTION CENTER MARCS RITE AID PHARMACY KROGER SAV-ON RITE AID PHARMACY RITE AID PHARMACY MEDICINE SHOPPE WALMART PHARMACY RITE AID PHARMACY GIANT EAGLE PHARMACY PUBLIC DRUG

ADDRESS 700 W MAIN ST 456 BURNLEY RD 820 KY 11 N 2304 HURSTBOURNE VLGE DR #700 715 E BROADWAY ST 2150 DIXIE HWY 53 DONNERMEYER DR 400 MIAMISBURG CENTERVILLE RD 11240 PERRY HWY 702 CHESTER PIKE 5627 GERMANTOWN AVE 5125 JONESTOWN RD STE 221 101 E LEHIGH AVE 110 REUTER BLVD 2024 LEHIGH ST STE 500 1230 S MILL ST 10101 ACADEMY RD STE 105 1500 SPRUCE ST 3700 WALNUT ST 575 HENDERSON AVE 320 YORK RD 1545 MIDLAND TRL STE 1 320 S MAIN ST 27 W MAIN ST 1027 JEFFERSONVILLE COMMONS DR 5995 US HIGHWAY 6 221 S HIGH ST 1816 FRANKLIN ST 3734 E 38TH ST 30040 FORD ROAD 801 OSTRUM ST STE 101A 1501 N BROAD ST STE 9 6542 LEBANON AVE 7000 W BUTLER PIKE 1407-11 POINT BREEZE AVE #B 140 CONTINENTAL BLVD 800 GARRETT RD 306 N BITTERSWEET RD 33552 DETROIT RD 5501 MAHONING AVE 6 E BAGLEY RD 130 1/2 W HIGH AVE 3390 ELM RD NE 1629 S MARKET ST 469 W PENN AVE 1571 RTE 209 10 NEWPORT RD 857 BALTIMORE PIKE 390 ROUTE 315 HWY 1799 DEKALB PIKE 27 N 7TH ST STE 100 1020 N DELAWARE AVE STE 200 1860 CENTRE AVENUE 2108 S BROAD ST FL 1 201 CITY AVE 16 WOODBINE LANE 949 6TH AVE 4381 COAL HERITAGE ROAD RT 52 930 DIVISION ST 45 S MINERAL ST 721 BEVERLY PIKE 308 STOKES DR 4623 WESLEY AVE STE N 102 S MAIN ST 320 JEFFERSON ST 5502 DIXIE HWY 9798 N LIMA RD 470 HOWE AVE 2701 MARKET ST 4485 REFUGEE RD 1175 LOUISIANA AVE 2434 W LASKEY ROAD 900 E MAIN ST 16280 DRESDEN AVE 375 PHILADELPHIA ST 230 RODI RD 6925 LUDLOW ST

CITY LOUISVILLE SCOTTSVILLE BOONEVILLE LOUISVILLE MAYFIELD FT MITCHELL BELLEVUE CENTERVILLE WEXFORD PROSPECT PARK PHILADELPHIA HARRISBURG PHILADELPHIA TOWANDA ALLENTOWN NEW CASTLE PHILADELPHIA PHILADELPHIA MCKEESPORT WASHINGTON CARLISLE SHELBYVILLE NEW CASTLE POSEYVILLE JEFFERSONVLLE PORTAGE VERSAILLES MICHIGAN CITY INDIANAPOLIS GARDEN CITY BETHLEHEM PHILADELPHIA PHILADELPHIA AMBLER PHILADELPHIA DANVILLE UPPER DARBY MISHAWAKA AVON AUSTINTOWN BEREA NEW PHILADELPHIA WARREN ELIZABETHTOWN CLEONA MILLERSBURG LEOLA SPRINGFIELD PITTSTON BLUE BELL ALLENTOWN PHILADELPHIA PITTSBURGH PHILADELPHIA MERION STATION DANVILLE HUNTINGTON IAEGER PARKERSBURG KEYSER ELKINS HINTON CINCINNATI CONTINENTAL IRONTON FAIRFIELD POLAND CUYAHOGA FALLS YOUNGSTOWN COLUMBUS PERRYSBURG TOLEDO LANCASTER EAST LIVERPOOL INDIANA PITTSBURGH UPPER DARBY

STATE

COUNTY

OH STARK

KY ALLEN

KY OWSLEY

KY JEFFERSON

KY GRAVES

KY KENTON

KY CAMPBELL

OH MONTGOMERY

PA ALLEGHENY

PA DELAWARE

PA PHILADELPHIA

PA DAUPHIN

PA PHILADELPHIA

PA BRADFORD

PA LEHIGH

PA LAWRENCE

PA PHILADELPHIA

PA PHILADELPHIA

PA ALLEGHENY

PA WASHINGTON

PA CUMBERLAND

KY SHELBY

IN HENRY

IN POSEY

IN CLARK

IN PORTER

IN RIPLEY

IN LAPORTE

IN MARION

MI WAYNE

PA LEHIGH

PA PHILADELPHIA

PA PHILADELPHIA

PA MONTGOMERY

PA PHILADELPHIA

PA MONTOUR

PA DELAWARE

IN ST. JOSEPH

OH LORAIN

OH MAHONING

OH CUYAHOGA

OH TUSCARAWAS

OH TRUMBULL

PA LANCASTER

PA LEBANON

PA DAUPHIN

PA LANCASTER

PA DELAWARE

PA LUZERNE

PA MONTGOMERY

PA LEHIGH

PA PHILADELPHIA

PA ALLEGHENY

PA PHILADELPHIA

PA MONTGOMERY

PA MONTOUR

WV CABELL

WV MCDOWELL

WV WOOD

WV MINERAL

WV RANDOLPH

WV SUMMERS

OH HAMILTON

OH PUTNAM

OH LAWRENCE

OH BUTLER

OH MAHONING

OH SUMMIT

OH MAHONING

OH FRANKLIN

OH WOOD

OH LUCAS

OH FAIRFIELD

OH COLUMBIANA

PA INDIANA

PA ALLEGHENY

PA DELAWARE

ZIP

PHONE

44641 (330)-875-5525

42164 (270)-622-2846

41314 (606)-593-6306

40299 (502)-589-1828

42066 (270)-247-7300

41017 (859)-331-0078

41073 (859)-431-5413

45459 (937)-433-7618

15090 (724)-935-7890

19076 (610)-237-3851

19144 (215)-848-4651

17112 (717)-412-2052

19125 (215)-425-2800

18848 (570)-268-0269

18103 (610)-402-1968

16101 (724)-654-8100

19114 (215)-632-2121

19102 (215)-790-3290

15132 (412)-751-0132

15301 (724)-225-1592

17013 (717)-245-0116

40065 (502)-633-5573

47362 (765)-529-3313

47633 (812)-874-2815

47130 (812)-288-9245

46368 (219)-762-2134

47042 (812)-689-5553

46360 (219)-874-2544

46218 (317)-545-6167

48135 (734)-469-2310

18015 (484)-526-7500

19122 (215)-235-4000

19151 (215)-877-2400

19002 (215)-654-8914

19146 (267)-886-9150

17821 (570)-271-0624

19082 (610)-352-7500

46544 (574)-968-1313

44011 (440)-937-4510

44515 (330)-792-4785

44017 (440)-891-9422

44663 (330)-365-1526

44483 (330)-372-4622

17022 (717)-361-8699

17042 (717)-228-2289

17061 (717)-692-3656

17540 (717)-656-8575

19064 (610)-338-0548

18640 (570)-883-9700

19422 (610)-239-1681

18101 (610)-437-7261

19125 (267)-534-5025

15219 (412)-677-1037

19145 (267)-324-3039

19066 (610)-667-1316

17821 (570)-271-8717

25701 (304)-529-7141

24844 (304)-938-2819

26101 (304)-428-8534

26726 (304)-788-3443

26241 (304)-636-3728

25951 (304)-466-6612

45212 (877)-403-4229

45831 (419)-596-3898

45638 (740)-532-4354

45014 (513)-874-5868

44514 (330)-549-5522

44221 (330)-928-8611

44507 (330)-782-8240

43232 (614)-861-7171

43551 (419)-874-3587

43613 (419)-473-1221

43130 (740)-653-7779

43920 (330)-386-9813

15701 (724)-465-2243

15235 (412)-241-6134

19082 (610)-352-5015

NCPDP 3951185 3952430 3957783 3958519 5057357 5058525 6000880 6001488 6002846 6003709 3963673 3964118 3964459 3677145 3678212 3678301 1524431 1530294 3988916 3991901 3992523 3993171 3997686 1567544 1569649 3670204 3674202 3675595 3676004 3676282 3676763 3678250 3679389 3680318 3680700 2306226 2307254 2308054 2317596 2318726 2343298 2345848 3901039 3901279 3908398 3908437 3915329 3926978 3929950 5000865 5008001 5009077 5009469 5010400 5010690 5010715 3634917 3638181 3638460 3642267 3647243 3649095 1568560 1571202 3670139 3670709 3670711 3674858 3678349 3680584 2311265 2323272 2326595 2337245 2337740 2338297 2339679

NPI 1942304787 1316036064 1235229352 1093814253 1669998241 1982233235 1134528045 1699164863 1366818684 1508210451 1861410565 1104859438 1245245174 1982850772 1104055698 1295968238 1255434601 1124063136 1780883314 1659512861 1245462506 1922336221 1841562766 1629525738 1801360490 1518972546 1699780650 1083757546 1851597124 1508053075 1275706749 1063648657 1073822870 1497029854 1649524513 1659489011 1922070929 1003924465 1013959899 1982792214 1396751699 1770647091 1275637019 1164521407 1790874436 1477643583 1083619415 1316015670 1932202785 1295739654 1992708770 1073528915 1275550303 1053414714 1790782274 1891729687 1134152986 1255440582 1073622304 1902909666 1356450688 1053345850 1285159152 1891389490 1518061340 1851318059 1760416481 1760493282 1336473701 1114273943 1609885003 1225050131 1144339664 1942319488 1205945748 1619990082 1992801625

PHARMACY NAME CVS PHARMACY RITE AID PHARMACY RITE AID PHARMACY RITE AID PHARMACY WALGREENS NEW RIVER HEALTH SMITHERS PHARMACY INTEGRATIVE PAIN CLINIC ROCHESTER HEALTH MART PHARMACY ACME PHARMACY PATIENT FIRST WALMART PHARMACY WEIS PHARMACY GIANT EAGLE PHARMACY HOLZER FAMILY PHARMACY WALGREENS THE HOMETOWN PHARMACY CVS PHARMACY CVS PHARMACY SAM'S CLUB PHARMACY SAM'S CLUB PHARMACY WALGREENS TANG PHARMACY III GIANT PHARMACY MARTINS PHARMACY MATHES PHARMACY INC WALGREENS WALGREENS WALGREENS DAVES PHARMACY RX INSTITUTIONAL SERVICES MEIJER PHARMACY COMPLETE PHARMACY SOLUTIONS WHITEHALL PHARMACY KHN PHARMACY - SOIN CENTERS FOR FAMILIES & CHILDRE WEATHERWAX SAV-MOR SPRING ARBOR LTC WELCOME MICHIGAN CENTER WEST GRANGE PHARMACY BRONSON METHODIST HOSP PHCY PUTVIN DRUG STORE RITE AID PHARMACY SPARROW HOSP PHCY-OUTPAT CVS PHARMACY RITE AID PHARMACY RITE AID PHARMACY RITE AID PHARMACY BLOSS PHARMACY INC COMMUNITY PHARMACY CORP CVS PHARMACY JUDY'S DRUG STORE GREENBRIER MEDICAL ARTS PHCY FRUTH PHARMACY WALMART PHARMACY CVS PHARMACY FOLLANSBEE PHARMACY KROGER PHARMACY CHILDREN'S HOSPITAL PHARMACY RITE AID PHARMACY RITE AID PHARMACY CVS PHARMACY RITE AID PHARMACY KROGER SAV-ON KNIPPERX INC MIDTOWN MEDICENTER PHARMACY CVS PHARMACY WALMART PHARMACY KROGER PHARMACY SAM'S CLUB PHARMACY KROGER PHARMACY REMEDI SENIORCARE OF OHIO NE LTC WELCOME PHARMACY LESLIE OAKWOOD PHARMACY DEARBORN RITE AID PHARMACY RITE AID PHARMACY RITE AID PHARMACY RITE AID PHARMACY PROFESSIONAL PHARMACY

ADDRESS 702 SANS SOUCI PKWY 5627 99 CHESTNUT ST 5272 TORRESDALE AVE 351 BRIGHTON AVE 208 S PIKE ST 2 GREYHOUND LANE 1572 MCDANIEL DR 176 VIRGINIA AVE FL 3 180 W GIRARD AVE 938 OLD YORK RD 2150 WILKES BARRE TWP MKT PL 1500 N CEDAR CREST BLVD 1356 HOFFMAN BLVD 2131 E STATE ST 1040 POLARIS PKWY 1108 VILLAGE PLZ 5925 E 71ST ST 8301 BELL OAKS DR 7200 PEACH ST 611 LYCOMING MALL CIR 1800 CENTER ST BLDG 2A FL 1 6801 RISING SUN AVE 1874 BETHLEHEM PIKE 611 E DOUGLAS RD STE 104 1621 CHARLESTOWN RD 4071 LEE RD 318 W PROSPECT RD 764 HEBRON RD 3628 MAYFIELD RD 1419 BOARDMAN CANFIELD RD #340 2811 LONDON GROVEPORT RD 9874 WINDISCH RD 4770 INDIANOLA AVE #208 3535 PENTAGON BLVD 5955 RIDGE RD 8012 SPRING ARBOR ROAD 4646 PAGE AVE 3390 WEST ROAD 601 JOHN ST 119 ELM AVE 120 E CEDAR AVE 1251 E MICHIGAN AVE 1185 N CHURCH ST 2302 SHEFFIELD RD 1441 OLD YORK RD 827 N CENTER ST 2 RIVERSIDE PLAZA 1256 PENNSYLVANIA AVE 700 ROUTE 819 S 24 N MAIN ST 1322 MAPLEWOOD AVE 864 OAKWOOD RD 110 BERLIN RD 2901 5TH AVE 1415 MAIN ST 2627 5TH AVE 700 CHILDRENS DR 633 S BROADWAY 1805 S LIMESTONE ST 134 YOUNGSTOWN HUBBARD RD 93 N PLAINS RD 800 LOVELAND MADEIRA RD 1250 PATROL RD 11 S 9TH STREET 1950 HARD RD 929 E STATE ST 790 W MARKET ST 614 CROSSINGS RD 800 W COSHOCTON ST 26251 BLUESTONE BLVD STE 1 826 W BELLEVUE ST 18181 OAKWOOD BLVD STE 108 26020 COOLIDGE HWY 6155 DIXIE HWY 4515 CORUNNA RD 3251 SOUTH BLVD 9175 CHERRY VALLEY RD

CITY WILKES BARRE PHILADELPHIA PHILADELPHIA ROCHESTER SHINNSTON SMITHERS WEST CHESTER ROCHESTER PHILADELPHIA ABINGTON WILKES BARRE ALLENTOWN WEST MIFFLIN ATHENS COLUMBUS COLUMBIANA INDIANAPOLIS NEWBURGH ERIE MUNCY CAMP HILL PHILADELPHIA FLOURTOWN MISHAWAKA NEW ALBANY CLEVELAND ASHTABULA HEATH CLEVELAND HEIGHTS BOARDMAN GROVE CITY WEST CHESTER COLUMBUS BEAVERCREEK PARMA SPRING ARBOR MICHIGAN CENTER TRENTON KALAMAZOO MUNISING GLADWIN LANSING HAZLE TOWNSHIP ALIQUIPPA ABINGTON CORRY BLOSSBURG TYRONE MOUNT PLEASANT PETERSBURG RONCEVERTE CHARLESTON WESTON HUNTINGTON FOLLANSBEE HUNTINGTON COLUMBUS GENEVA SPRINGFIELD HUBBARD THE PLAINS LOVELAND CHARLESTOWN RICHMOND COLUMBUS ATHENS TIFFIN SANDUSKY JOHNSTOWN EUCLID LESLIE DEARBORN HUNTINGTON WOODS BRIDGEPORT FLINT AUBURN HILLS CALEDONIA

STATE

COUNTY

PA LUZERNE

PA PHILADELPHIA

PA PHILADELPHIA

PA BEAVER

WV HARRISON

WV FAYETTE

PA CHESTER

PA BEAVER

PA PHILADELPHIA

PA MONTGOMERY

PA LUZERNE

PA LEHIGH

PA ALLEGHENY

OH ATHENS

OH DELAWARE

OH MAHONING

IN

MARION

IN

WARRICK

PA ERIE

PA LYCOMING

PA CUMBERLAND

PA PHILADELPHIA

PA MONTGOMERY

IN ST. JOSEPH

IN FLOYD

OH CUYAHOGA

OH ASHTABULA

OH LICKING

OH CUYAHOGA

OH MAHONING

OH FRANKLIN

OH BUTLER

OH FRANKLIN

OH GREENE

OH CUYAHOGA

MI JACKSON

MI JACKSON

MI WAYNE

MI KALAMAZOO

MI ALGER

MI GLADWIN

MI INGHAM

PA LUZERNE

PA BEAVER

PA MONTGOMERY

PA ERIE

PA TIOGA

PA BLAIR

PA WESTMORELAND

WV GRANT

WV GREENBRIER

WV KANAWHA

WV LEWIS

WV CABELL

WV BROOKE

WV CABELL

OH FRANKLIN

OH ASHTABULA

OH CLARK

OH TRUMBULL

OH ATHENS

OH HAMILTON

IN

CLARK

IN

WAYNE

OH FRANKLIN

OH ATHENS

OH SENECA

OH ERIE

OH LICKING

OH CUYAHOGA

MI INGHAM

MI WAYNE

MI OAKLAND

MI SAGINAW

MI GENESEE

MI OAKLAND

MI KENT

ZIP

PHONE

18706 (570)-825-9811

19139 (215)-474-1163

19124 (215)-535-6854

15074 (724)-774-3360

26431 (304)-592-8003

25186 (304)-981-2346

19380 (610)-732-4251

15074 (724)-987-6085

19123 (215)-574-1221

19001 (267)-620-0237

18702 (570)-821-6190

18104 (610)-395-0527

15122 (412)-461-4295

45701 (740)-589-3181

43240 (614)-781-1037

44408 (330)-482-9080

46220 (317)-845-9072

47630 (812)-853-2475

16509 (814)-866-0984

17756 (570)-546-3513

17011 (717)-761-2490

19111 (215)-725-6555

19031 (215)-948-8016

46545 (574)-247-1000

47150 (812)-944-3612

44128 (216)-561-1318

44004 (440)-992-3522

43056 (740)-522-6523

44118 (216)-291-8881

44512 (330)-505-1979

43123 (614)-801-4310

45069 (513)-644-1600

43214 (614)-547-7766

45431 (937)-702-4900

44129 (440)-888-0300

49283 (517)-750-2550

49254 (517)-764-0400

48183 (734)-676-6622

49007 (269)-341-7226

49862 (906)-387-2248

48624 (989)-426-1170

48912 (517)-364-2405

18202 (570)-455-8301

15001 (724)-375-5558

19001 (215)-886-0472

16407 (814)-665-3764

16912 (570)-638-2820

16686 (814)-684-0230

15666 (724)-547-4563

26847 (304)-257-1044

24970 (304)-647-5121

25314 (304)-343-2807

26452 (304)-269-2443

25702 (304)-697-0366

26037 (304)-527-1004

25702 (304)-529-6510

43205 (614)-722-2160

44041 (440)-466-3323

45505 (937)-323-5536

44425 (330)-534-3141

45780 (740)-797-2546

45140 (513)-677-3400

47111 (855)-647-7379

47374 (765)-962-0025

43235 (614)-761-2553

45701 (740)-594-3628

44883 (419)-447-8304

44870 (419)-626-1820

43031 (740)-966-8310

44132 (216)-242-0000

49251 (517)-589-8291

48124 (313)-593-7273

48070 (248)-545-8020

48722 (989)-777-3550

48532 (810)-732-7011

48326 (248)-852-5977

49316 (616)-891-1116

NCPDP 2343589 2344086 2345735 3901344 3901445 3906279 3909326 3911408 3930977 3931400 5009306 5010474 5011313 3655620 3940550 3941970 3943164 3950335 3954864 5056343 5057559 5058575 6000195 6000462 3972747 3973989 3974311 3975111 3975654 6005246 6005789 1505556 3968154 3968863 3970274 3973105 3975224 6003862 6004395 6007810 6007997 2384395 2385551 2386072 3688124 3688186 1811327 1816670 1817379 3600687 3978066 3979107 3979575 3982116 3982267 3982952 3984374 3984653 3985960 3985972 3986291 3988219 3988409 1502776 1505861 1522982 1525825 1528439 1528477 1529190 2389218 3991191 3991519 3995149 3997939 3999298 3999692

NPI 1225130560 1831201771 1376560680 1790884039 1851490197 1124187109 1134125339 1285784603 1356430086 1174612808 1457378580 1548343049 1689614950 1063439248 1184657769 1942211172 1326142167 1235267196 1114016862 1417345901 1730606492 1336754647 1639592520 1730506627 1497844153 1770695785 1710909437 1811929839 1790770709 1134652902 1871011262 1568457901 1376641993 1912976820 1598714503 1215026976 1396888418 1407203995 1922555697 1609335983 1053874404 1518468776 1447735220 1477018919 1093337024 1619592763 1740383488 1932133758 1689602799 1790888493 1811921893 1750337754 1528090545 1184661589 1427070150 1861407751 1386703841 1629133046 1336194364 1447354238 1174552475 1730308826 1811104979 1851494520 1538262225 1487757100 1023035334 1306863527 1215954433 1538176524 1356923411 1023268323 1861638207 1851699169 1295082709 1356788368 1679909576

PHARMACY NAME CVS PHARMACY CVS PHARMACY WALMART PHARMACY RITE AID PHARMACY RITE AID PHARMACY BABIS PHARMACY LINCOLN PHARMACY LETRENTS PHARMACY RITE AID PHARMACY RITE AID PHARMACY WALMART PHARMACY GOMPERS PHARMACY VALLEY HEALTH PHARMACY WALMART PHARMACY PHARMERICA GIANT EAGLE PHARMACY CVS PHARMACY DOUG'S FAMILY PHARMACY RITE AID PHARMACY CVS PHARMACY WALGREENS SPRING MILLS PHARMACY WALGREENS SHOPRITE PHARMACY RITE AID PHARMACY MEDICINE SHOPPE PHARMACY CVS PHARMACY GIANT PHARMACY WILEY'S PHARMACY OF QUARRYVILLE POCONO PHARMACY CONTRACT PHARMACY SERVICES PHILLIPS DRUGS CVS PHARMACY WEGMANS PHARMACY CORAM CVS/SPLTY INFUSION SVCS RITE AID PHARMACY SHOPRITE PHARMACY CVS PHARMACY SANATOGA PHARMACY BERWICK COMMUNITY PHARMACY INC HATFIELD COMMUNITY PHCY INC CENTRAL PHARMACY OWOSSO WELLNESS HEALTH MART YINGER PHARMACY SHOPPE RIVERSIDE COMMUNITY HLTH CTR PHCY KCH OUTPATIENT PHARMACY CVS PHARMACY KROGER PHARMACY STUFFLEBEAN PHARMACY CVS PHARMACY KENNIES PHARMACY-LITTLESTOWN SAV-ON PHARMACY GIANT PHARMACY BROAD AVENUE PHARMACY CVS PHARMACY WALGREENS TOWN CENTER PHARMACY BROCKIE PHARMATECH GIANT EAGLE PHARMACY CVS PHARMACY ROSTRAVER DRUG STORE LIFESTREAM RX CVS PHARMACY CVS PHARMACY CVS PHARMACY CVS PHARMACY WALMART PHARMACY WALMART PHARMACY WALMART PHARMACY WALGREENS KENDALL DRUGS CLARK SUMMIT STATE HOSP PHCY CVS PHARMACY CVS PHARMACY READING DISCOUNT PHARMACY MEDICINE SHOPPE PHARMACY DOWNINGTOWN PHARMACY

ADDRESS 2240 CEDAR ST 66 E WALTON BLVD 1165 SUPERIOR DR 535 LINCOLN AVE 623 E OHIO ST 338 MONTGOMERY AVE LINCOLN AT NORTH AVE 135 W PITT ST 33 PUBLIC SQ 4011 COTTMAN AVE 550 EMILY DR 2202 CHAPLINE ST 3377 US RT 60 EAST 1546 MARION MOUNT GILEAD RD 153 STEWART RD 5260 GROVE RD 6501 HARBISON AVE 101 DARBY SQ 2067 ROUTE 116 496 HIGH ST 300 W MAIN ST 5759 WILLIAMSPORT PIKE STE 105 1 MEDICAL CENTER BLVD 595 W STATE ST 6731 WOODLAND AVE 1707 WILMINGTON RD 2331 E LINCOLN HWY 255 CUMBERLAND PKWY 112 TOWNSEDGE DR 300 COMMERCE BLVD STE 130 125 TITUS AVE UNIT 100 631 E MAIN ST 590 PALMRYA TWNSP 220 HIGHLAND PARK BLVD 6 SPRING MILL DR 825 E CHESTNUT ST STE A 3745 ARAMINGO AVE 749 N KROCKS RD 1630 E HIGH ST BLDG 2 500 FOWLER AVE STE 202 120 BETHLEHEM PIKE STE 103 110 W EXCHANGE ST 11780 TELEGRAPH RD STE 110 1704 S CUSTER RD 405 WOODVILLE RD 1330 COSHOCTON AVE 920 N MAIN ST 150 W LOWRY LN STE 190 STE 190 1031 GRAND AVE 555 E STATE ST 520 W KING ST 48 WEST RD 216 E FAIRMOUNT ST AND RT 309 2329 BROAD AVE 1600 N CEDAR CREST BLVD 201 WYOMING AVE 606 WHARTON BLVD 100 HOMEWOOD WAY 2001 LINCOLN WAY 7720 BUSTLETON AVE 520 CIRCLE DR 847 EASTON RD STE 2775 4000 MONUMENT RD 609 N SAINT JOSEPH AVE 107 N CULLEN ST 8405 SOUTHEASTERN AVE 735 WHITFIELD DR 2321 CHARLES ST 4200 WESTERN AVE 3003 KESSLER BLVD NORTH DR 211 N SHIAWASSEE ST STE E 1451 HILLSIDE DR 7400 BUSTLETON AVE 765 E COUNTY LINE RD 1220 CENTRE AVE 808 MAIN ST 142 WALLACE AVE STE 106

CITY HOLT PONTIAC SAINT JOHNS BELLEVUE PITTSBURGH MERION STATION PITTSBURGH BEDFORD WILKES BARRE PHILADELPHIA CLARKSBURG WHEELING HUNTINGTON MARION HANOVER TOWNSHIP PITTSBURGH PHILADELPHIA ELVERSON SPRING GROVE MORGANTOWN BRIDGEPORT MARTINSBURG CHESTER DOYLESTOWN PHILADELPHIA NEW CASTLE LANGHORNE MECHANICSBURG QUARRYVILLE STROUDSBURG WARRINGTON RICHMOND HAWLEY WILKES BARRE MALVERN LANCASTER PHILADELPHIA ALLENTOWN POTTSTOWN BERWICK COLMAR OWOSSO TAYLOR MONROE TOLEDO MOUNT VERNON MADISONVILLE LEXINGTON BEATTYVILLE ATHENS LITTLESTOWN NEWTOWN COOPERSBURG ALTOONA ALLENTOWN KINGSTON EXTON HANOVER WHITE OAK PHILADELPHIA BELLE VERNON WARRINGTON PHILADELPHIA EVANSVILLE RENSSELAER INDIANAPOLIS COLUMBUS ANDERSON CONNERSVILLE INDIANAPOLIS CORUNNA CLARKS SUMMIT PHILADELPHIA HATBORO READING BENTLEYVILLE DOWNINGTOWN

STATE

COUNTY

MI INGHAM

MI OAKLAND

MI CLINTON

PA ALLEGHENY

PA ALLEGHENY

PA MONTGOMERY

PA ALLEGHENY

PA BEDFORD

PA LUZERNE

PA PHILADELPHIA

WV HARRISON

WV OHIO

WV CABELL

OH MARION

PA LUZERNE

PA ALLEGHENY

PA PHILADELPHIA

PA CHESTER

PA YORK

WV MONONGALIA

WV HARRISON

WV BERKELEY

PA DELAWARE

PA BUCKS

PA PHILADELPHIA

PA LAWRENCE

PA BUCKS

PA CUMBERLAND

PA LANCASTER

PA MONROE

PA BUCKS

IN WAYNE

PA WAYNE

PA LUZERNE

PA CHESTER

PA LANCASTER

PA PHILADELPHIA

PA LEHIGH

PA MONTGOMERY

PA LUZERNE

PA MONTGOMERY

MI SHIAWASSEE

MI WAYNE

MI MONROE

OH LUCAS

OH KNOX

KY HOPKINS

KY FAYETTE

KY LEE

OH ATHENS

PA ADAMS

PA BUCKS

PA LEHIGH

PA BLAIR

PA LEHIGH

PA LUZERNE

PA CHESTER

PA YORK

PA ALLEGHENY

PA PHILADELPHIA

PA WESTMORELAND

PA BUCKS

PA PHILADELPHIA

IN

VANDERBURGH

IN

JASPER

IN

MARION

IN

BARTHOLOMEW

IN

MADISON

IN

FAYETTE

IN

MARION

MI SHIAWASSEE

PA LACKAWANNA

PA PHILADELPHIA

PA MONTGOMERY

PA BERKS

PA WASHINGTON

PA CHESTER

ZIP

PHONE

48842 (517)-694-1994

48340 (248)-334-1896

48879 (989)-224-8299

15202 (412)-761-1890

15212 (412)-322-1566

19066 (610)-664-4815

15209 (412)-821-2379

15522 (814)-623-1442

18701 (570)-829-3568

19135 (215)-332-8899

26301 (304)-622-2784

26003 (304)-234-0002

25705 (304)-525-4112

43302 (740)-389-4573

18706 (570)-821-0842

15236 (412)-881-4602

19149 (215)-333-4300

19520 (610)-286-0496

17362 (717)-225-5227

26505 (304)-284-0499

26330 (304)-842-3131

25404 (304)-676-9878

19013 (610)-876-5700

18901 (215)-348-1503

19142 (215)-724-9677

16105 (724)-652-3366

19047 (215)-269-0750

17055 (717)-591-0993

17566 (717)-786-1191

18360 (570)-421-6789

18976 (267)-487-8900

47374 (765)-966-5544

18428 (570)-226-6550

18702 (570)-825-7890

19355 (610)-722-1600

17602 (717)-293-8001

19137 (215)-288-2828

18106 (610)-366-1103

19464 (484)-949-8505

18603 (570)-520-4170

18915 (267)-956-8400

48867 (989)-725-1344

48180 (734)-921-3971

48161 (734)-243-5451

43605 (419)-219-1820

43050 (740)-326-3485

42431 (270)-825-4770

40503 (859)-276-2119

41311 (606)-464-3396

45701 (740)-593-8501

17340 (717)-359-9899

18940 (215)-504-5512

18036 (610)-282-5880

16601 (814)-943-1310

18104 (610)-398-6617

18704 (570)-283-8267

19341 (610)-458-3776

17331 (717)-632-5000

15131 (412)-673-1870

19152 (215)-342-1091

15012 (724)-929-5533

18976 (215)-491-0979

19131 (267)-233-5021

47712 (812)-424-3894

47978 (219)-866-5400

46239 (317)-862-2414

47201 (812)-372-4220

46013 (765)-642-5365

47331 (765)-825-7664

46222 (317)-925-3788

48817 (989)-720-4295

18411 (570)-587-7194

19152 (267)-350-9481

19040 (215)-322-2443

19601 (610)-236-0911

15314 (724)-239-3600

19335 (484)-593-4321

NCPDP 3999767 1568661 6000070 6001135 6001426 6001779 6003608 3967239 3969310 3970250 3971339 3975438 3976151 6004155 6004535 6005424 6005640 6006793 6006882 6008355 6009218 6009573 5057105 5057193 6003557 3961718 3962049 3962455 3962671 3963849 3966213 3969663 3971668 3972189 3972848 3973698 3974626 6004698 6009460 6009674 1815488 3604801 3607338 3977672 3981051 3981811 3984691 3984893 1521663 1524087 1525635 1525724 1528819 2386894 2387860 3991177 3992991 3995442 3995757 3999010 1568003 1568611 1570515 3670266 3671434 3671547 3672765 3673818 3676737 3677498 3677640 3679339 2304727 2305387 2307026 2309828 2315314

NPI 1932537792 1649784174 1407277890 1063814655 1386041655 1063803724 1922465277 1336218270 1508871435 1235144163 1043300064 1639273410 1992809776 1255705216 1932650926 1447772868 1659895332 1235616905 1194204859 1770146367 1194355172 1912523689 1992220628 1376067090 1548622616 1134130370 1659303667 1285645416 1821096769 1619974268 1023108040 1598855512 1306851399 1467485797 1245497361 1043267495 1538181250 1295278786 1306467808 1689292021 1003919754 1376646083 1245389949 1225132004 1548293889 1295781292 1326060062 1174545115 1306851423 1265403828 1952316085 1578636197 1679590897 1053966036 1538794268 1487805768 1679800452 1356633523 1871881573 1811239056 1982149746 1104335207 1023658283 1982778361 1992752208 1245334077 1649204363 1710911433 1952579104 1285888651 1134374101 1407164619 1629188339 1114066008 1922001189 1699884114 1417066937

PHARMACY NAME GIANT PHARMACY KROGER PHARMACY PATIENT FIRST CVS PHARMACY WALTMIRE PHARMACY CARE TRUST PHARMACY CHARLIES PHARMACY PRIMARY CARE PHARMACY SERVICES INC GIANT EAGLE PHARMACY GIANT EAGLE PHARMACY RITE AID PHARMACY CVS PHARMACY CVS PHARMACY PATIENT CARE PHARMACY GIANT PHARMACY POCONO MEDICAL CENTER SOLEO HEALTH INC SCRANTON PHARMACY INC JOHNSONS PHARMACUETICAL SER INC MEDLY PHARMACY WYOMING PHARMACY HALLSTEAD FAMILY PHARMACY WALGREENS WALGREENS ST. LUKE'S HOMESTAR PHARMACY GIANT EAGLE PHARMACY GIANT PHARMACY GIANT EAGLE PHARMACY WEST GIRARD HEALTH PHARMACY MURRAY OVERHILL PHARMACY RITE AID PHARMACY RITE AID PHARMACY WALGREENS WEIS PHARMACY CROZER CHESTER MEDCL CTR PHCY SAV-ON PHARMACY CVS PHARMACY FOX CHASE CANCER CENTER PHARMACY CAPSULE PHARMACY WILEYS PHARMACY OF STRASBURG CVS PHARMACY CVS PHARMACY HARDING ROAD PHARMACY CVS PHARMACY WEIS PHARMACY SAV-ON PHARMACY CVS PHARMACY NORRISTOWN REGIONAL HEALTH CENTER WALGREENS AUSTIN PHARMACY WALGREENS KROGER PHARMACY WALMART PHARMACY SHEBA PHARMACY 2 LLC JENSENS COMMUNITY PHARMACY - DEXTER WEIS PHARMACY WINDSOR PHARMACY PATIENT FIRST ETHICAL FACTOR RX RITECHOICE PHARMACY MEIJER PHARMACY GENOA HEALTHCARE LLC GENOA HEALTHCARE LLC KHN PHARMACY SOUTHVIEW SBH MEDICAL LTD CVS PHARMACY KROGER PHARMACY KROGER PHARMACY WALGREENS KLEIN'S PHARMACY GIANT EAGLE PHARMACY COMMUNITY FST PHCY INSTITUTION WESTSIDE MEDICAL PHARMACY MEIJER PHARMACY BINSONS PHARMACY I INC RITE AID PHARMACY RITE AID PHARMACY

ADDRESS 850 E MAIN ST 5 BOONE VLG 2450 BUTLER ST 260 ROCK HILL RD 1435 SPRING GARDEN AVE 2534 E ALLEGHENY AVE 2235 VETERANS HWY 2027 LEBANON CHURCH ROAD 1800 MCKEES ROCKS RD 2067 INTERCHANGE RD 2301 WALNUT ST 2020 COLUMBIA AVE 890 E WELSH RD 801-21 WASHINGTON AVE 4930 EDGMONT AVE 206 E BROWN ST FIRST FLOOR 950 CALCON HOOK RD SUITE 19 311 MULBERRY ST 1400 PROLINE PLACE SUITE 800 1222 WALNUT ST 333 E WYOMING AVE 36 ROSE ST 201 ROOSEVELT BLVD 405 FAIRMONT RD 1700 ST LUKES BLVD 5055 LIBRARY RD 5005 JONESTOWN RD 3113 GREEN GARDEN RD 1207 N 5TH ST 32 WEST STATE ST MEDIA PA 7941 OXFORD AVE 1000 MARKET ST # 1008 1319 HANOVER AVE 365 S CEDAR CREST BLVD ONE MEDICAL CENTER BLVD 7901 LANSDOWNE AVE 201 SUNRISE BLVD 333 COTTMAN AVENUE 5846 ELLSWORTH AVE 300 HISTORIC DR 409 E MAIN ST 9040 MENTOR AVE 400 W HARDING RD 409 HARLEYSVILLE PIKE 2150 BUMBLE BEE HOLLOW RD 700 W LANCASTER AVE 2385 COVERED BRIDGE DR 1401 DEKALB ST 1003 N MAIN ST 10 W MAIN ST 1975 N MAIN ST 3100 MERIDIAN PARKE DR 4040 N NEWTON ST 4132 SCHAEFER RD 7067 DEXTER ANN ARBOR RD 1309 BLUE VALLEY DRIVE 1508 HAINES RD 2960 E MARKET ST 4213 BIRNEY AVE STE 4 6328 WOODLAND AVE 6939 W BROADWAY 6401 E WASHINGTON ST 436 E WASHINGTON BLVD STE P 1997 MIAMISBURG CENTERVILLE RD 655 DEARBORN PARK LN 2565 LONDON GROVEPORT RD 4500 MONTGOMERY RD 4633 SUDER AVE 180 COLEMANS XING 150 CROSS ST STE 100 7939 DAY DR 3699 SYMMES RD STE 3 6565 W MAIN ST 3825 CARPENTER RD 26834 LAWRENCE 11743 15 MILE RD 211 W LAKE ST

CITY EPHRATA ZIONSVILLE EASTON BALA CYNWYD PITTSBURGH PHILADELPHIA LEVITTOWN WEST MIFFLIN MC KEES ROCKS ERIE PHILADELPHIA LANCASTER MAPLE GLEN PHILADELPHIA BROOKHAVEN EAST STROUDSBURG SHARON HILL SCRANTON GETTYSBURG PHILADELPHIA PHILADELPHIA HALLSTEAD ELEANOR WESTOVER EASTON BETHEL PARK HARRISBURG ALIQUIPPA PHILADELPHIA MEDIA PHILADELPHIA PHILADELPHIA ALLENTOWN ALLENTOWN UPLAND UPPER DARBY EXTON PHILADELPHIA PITTSBURGH STRASBURG RICHMOND MENTOR SPRINGFIELD SOUDERTON MECHANICSBURG WAYNE LANCASTER NORRISTOWN CROWN POINT AUSTIN BLUFFTON GREENWOOD JASPER DEARBORN DEXTER PEN ARGYL LEVITTOWN YORK MOOSIC PHILADELPHIA MCCORDSVILLE INDIANAPOLIS FORT WAYNE DAYTON COLUMBUS GROVE CITY NORWOOD TOLEDO MARYSVILLE AKRON PARMA HAMILTON KALAMAZOO YPSILANTI CENTER LINE STERLING HEIGHTS TAWAS CITY

STATE

COUNTY

PA LANCASTER

IN

BOONE

PA NORTHAMPTON

PA MONTGOMERY

PA ALLEGHENY

PA PHILADELPHIA

PA BUCKS

PA ALLEGHENY

PA ALLEGHENY

PA ERIE

PA PHILADELPHIA

PA LANCASTER

PA MONTGOMERY

PA PHILADELPHIA

PA DELAWARE

PA MONROE

PA DELAWARE

PA LACKAWANNA

PA ADAMS

PA PHILADELPHIA

PA PHILADELPHIA

PA SUSQUEHANNA

WV PUTNAM

WV MONONGALIA

PA NORTHAMPTON

PA ALLEGHENY

PA DAUPHIN

PA BEAVER

PA PHILADELPHIA

PA DELAWARE

PA PHILADELPHIA

PA PHILADELPHIA

PA LEHIGH

PA LEHIGH

PA DELAWARE

PA DELAWARE

PA CHESTER

PA PHILADELPHIA

PA ALLEGHENY

PA LANCASTER

KY MADISON

OH LAKE

OH CLARK

PA MONTGOMERY

PA CUMBERLAND

PA DELAWARE

PA LANCASTER

PA MONTGOMERY

IN LAKE

IN SCOTT

IN WELLS

IN JOHNSON

IN

DUBOIS

MI WAYNE

MI WASHTENAW

PA NORTHAMPTON

PA BUCKS

PA YORK

PA LACKAWANNA

PA PHILADELPHIA

IN

HANCOCK

IN

MARION

IN

ALLEN

OH MONTGOMERY

OH FRANKLIN

OH FRANKLIN

OH HAMILTON

OH LUCAS

OH UNION

OH SUMMIT

OH CUYAHOGA

OH BUTLER

MI KALAMAZOO

MI WASHTENAW

MI MACOMB

MI MACOMB

MI IOSCO

ZIP

PHONE

17522 (717)-733-6335

46077 (317)-873-8194

18042 (610)-991-3136

19004 (610)-667-5290

15212 (412)-323-1801

19134 (215)-426-0200

19056 (215)-269-7000

15122 (412)-655-6445

15136 (412)-771-8366

16509 (814)-868-7923

19103 (215)-636-9634

17603 (717)-239-5301

19002 (215)-628-6374

19147 (215)-592-1668

19015 (717)-960-8553

18301 (272)-762-6337

19079 (610)-200-6502

18503 (570)-344-7828

17325 (717)-549-4440

19107 (215)-941-6240

19120 (215)-333-1555

18822 (570)-879-9553

25070 (304)-586-9064

26501 (304)-296-2547

18045 (484)-503-7500

15102 (412)-831-7727

17112 (717)-857-3329

15001 (724)-378-9170

19122 (215)-235-3245

19063 (610)-566-2345

19111 (215)-745-9060

19107 (215)-351-5314

18109 (610)-776-5214

18103 (610)-821-4560

19013 (610)-447-2850

19082 (610)-789-5700

19341 (610)-280-7276

19111 (215)-728-3178

15232 (412)-388-4918

17579 (717)-687-6058

40475 (859)-623-7481

44060 (440)-255-9159

45504 (937)-399-8531

18964 (215)-721-1050

17055 (717)-796-1692

19087 (610)-341-0951

17602 (717)-390-9925

19401 (610)-278-7787

46307 (219)-663-6669

47102 (812)-794-4311

46714 (260)-824-1643

46142 (317)-887-5757

47546 (812)-634-1777

48126 (313)-406-4006

48130 (734)-426-6210

18072 (610)-863-3314

19055 (215)-945-1125

17402 (717)-751-2483

18507 (570)-606-3622

19142 (215)-727-7700

46055 (317)-510-0310

46219 (317)-662-3755

46802 (206)-222-2952

45459 (937)-401-7333

43085 (614)-847-6007

43123 (614)-277-2921

45212 (513)-841-6620

43611 (419)-727-2650

43040 (937)-578-0156

44311 (330)-926-5945

44129 (440)-888-7392

45015 (513)-893-9608

49009 (269)-375-1700

48197 (734)-677-7110

48015 (586)-757-2755

48312 (586)-979-3100

48763 (989)-362-3439

NCPDP 2315364 2318803 2344303 2344632 2347311 2347727 3902550 3908110 3912878 3925813 5007364 5009154 5054363 5055606 3648031 3649879 3650531 3650947 3939622 3675367 3675379 3675646 3675696 3675785 3676143 3676547 3676725 3677955 3679632 3679810 3680849 2303080 2326519 2332168 2340595 2340646 2343212 2344668 2347400 3900873 3901495 3901926 3902067 3904629 3909174 3918476 3922463 3923681 5007869 5012062 5054387 3645504 3648512 3654894 1813802 1813838 1817646 3615640 3976694 3977038 3977812 3982205 3982926 3983649 3984184 3988548 1503362 1508641 6003305 3963724 3964550 3966287 3966679 3967140 3967912 3968635 3968673

NPI 1457466484 1689680480 1386756229 1003928946 1992739759 1609988542 1083718829 1669547139 1215921341 1275544843 1518060276 1720005853 1649364795 1962788364 1831289941 1174626832 1225112352 1184641367 1760571400 1932274511 1306998885 1003941279 1013041797 1346469400 1568653392 1013190099 1154591998 1942441886 1477844926 1891080875 1992043053 1598877417 1326187246 1821100751 1407958747 1316059256 1104910454 1396753877 1902982697 1396843025 1205935541 1255430500 1245339597 1548371602 1558446609 1568424802 1962485961 1609924851 1497789275 1659393353 1912090135 1740225663 1164456968 1083620397 1003919747 1992809958 1457378879 1790888212 1306823984 1316952245 1457373185 1366475600 1629297718 1619987138 1245257492 1821299827 1942303623 1811090517 1184081390 1538258280 1508852120 1700975463 1164511820 1942227004 1154410819 1427157692 1952402752

PHARMACY NAME CORNER DRUG NEGAUNEE SNYDER DRUG CVS PHARMACY CVS PHARMACY KROGER PHARMACY CVS PHARMACY CVS PHARMACY ROSEMONT PHARMACY MONTROSE MEDICAL ARTS PHARMACY STINES PHARMACY INC CVS PHARMACY WALMART PHARMACY WALMART PHARMACY WILLOW DRUG RITE AID PHARMACY CVS PHARMACY MEDICINE SHOPPE PHARMACY WALMART PHARMACY RITE AID PHARMACY WHITACRE PHARMACY WALGREENS WALGREENS WALMART PHARMACY FIRELANDS REGIONAL MED CTR OP PHCY GIANT EAGLE PHARMACY COMMUNITY FIRST PHARMACY GENOA HEALTHCARE LLC HUMANA PHARMACY INC CVS PHARMACY MENORAH PARK CTR FOR SR LIVING SUNRISE TREATMENT CENTER LLC CVS PHARMACY MEIJER PHARMACY CVS PHARMACY CVS PHARMACY CVS PHARMACY HENRY FORD MEDICAL CENTER PHARMACY PROFESSIONAL VILLAGE PHARMACY ARMADA PHARMACY INC CVS PHARMACY RITE AID PHARMACY RITE AID PHARMACY RITE AID PHARMACY HYDE DRUG FIRST NATIONAL PHARMACY DIAMOND DRUGS CAMBRIA PHARMACIES INC BLOOMFILED DRUG STORE KROGER PHARMACY CVS PHARMACY RIVER VALLEY HEALTH & WELLNESS CTR DISCOUNT DRUG MART KROGER SAV-ON RITE AID PHARMACY CVS PHARMACY NATION'S MEDICINES WALMART PHARMACY CVS PHARMACY HONEYBROOK PHARMACY GIANT EAGLE PHARMACY CVS PHARMACY WEIS PHARMACY PHARMACY INNOVATIONS WEGMANS PHARMACY SAM'S CLUB PHARMACY WEIS PHARMACY CVS PHARMACY CVS PHARMACY BUENA SALUD PHARMACY RITE AID PHARMACY CHOICE CRITICAL CARE LTC PHARMACY RITE AID PHARMACY RITE AID PHARMACY WALMART PHARMACY RITE AID PHARMACY RITE AID PHARMACY RITE AID PHARMACY

ADDRESS 154 RIVER ST 390 US 41 EAST 18340 ALLEN RD 7498 HAGGERTY RD 30935 5 MILE RD 724 W HIGHLAND RD 404 N LOGAN BLVD 1149 W LANCASTER AVE 100 HOSPITAL DR 1 E MAIN ST 163 N BEAVER LN 200 ACADEMY DR 5605 UNIVERSITY TOWN CENTRE DR 41 WILLIAMS DR 693 MCCARTNEY RD 1515 W BROAD ST 54 W HIGH ST STE A 2450 ALLENTOWN RD 128 N COURTLAND ST 1816 S LIMESTONE ST 3800 TIPPECANOE RD 6707 N RIDGE RD 1275 E 2ND ST 1111 HAYES AVE 5461 NEW ALBANY RD W 210 S 2ND ST 5982 RHODES RD 9843 WINDISCH RD 1130 LINCOLN WAY E 27100 CEDAR RD 6460 HARRISON AVE 100 W WEST MAPLE RD 5150 COOLIDGE HWY 11125 ALLEN RD 19993 W 12 MILE RD 525 E 4TH ST 14500 HALL RD 11589 FARMINGTON RD 23032 E MAIN ST 1096 WYOMING AVE 4960 ROUTE 8 1200 PITTSBURGH ST 510 E BALTIMORE PIKE 2412 WILMINGTON RD 143 N 1ST ST 670 PHILADELPHIA ST 2860 N 5TH ST 4727 LIBERTY AVE 1229 STAFFORD DR 2800 MEADOWBROOK MALL 606 WASHINGTON ST 4208 LIBERTY AVE 2161 EAKIN RD 5411 SUPERIOR AVE 5300 S 3RD ST 415 CARTER RD 420 FACTORY OUTLET DR 103 N MAYSVILLE AVE 35 VILLAGE SQ 223 GROVE CITY RD 2250 CHEMICAL RD 501 N CENTRE ST 2936 W 17TH ST 1405 MAIN ST 3925 WELSH RD 237 S MOUNTAIN BLVD 298 SW 18TH ST 1615 S LAKE PARK AVE 3119 FRANKFORD AVE 170 SAXER AVE 10 S 6TH ST 1340 MAIN ST 1800 MORNINGSIDE AVE # 1814 180 LEVITTOWN PKWY 802 PENNSYLVANIA AVE 1328 CHESTNUT ST 623 SMITHFIELD ST

CITY ELK RAPIDS NEGAUNEE MELVINDALE WEST BLOOMFIELD LIVONIA HIGHLAND BURNHAM ROSEMONT MONTROSE SCHUYLKILL HAVEN BEAVER RIPLEY MORGANTOWN SPENCER YOUNGSTOWN COLUMBUS LONDON LIMA EAST STROUDSBURG SPRINGFIELD YOUNGSTOWN MADISON FRANKLIN SANDUSKY NEW ALBANY HAMILTON KENT WEST CHESTER MASSILLON BEACHWOOD CINCINNATI WALLED LAKE ROYAL OAK SOUTHGATE SOUTHFIELD ROYAL OAK STERLING HEIGHTS LIVONIA ARMADA WYOMING ALLISON PARK CHESWICK MEDIA NEW CASTLE LEHIGHTON INDIANA PHILADELPHIA PITTSBURGH PRINCETON BRIDGEPORT RAVENSWOOD VERMILION COLUMBUS CLEVELAND LOUISVILLE OWENSBORO HANSON ZANESVILLE HONEY BROOK SLIPPERY ROCK PLYMOUTH MEETING PHILIPSBURG ERIE WARRINGTON WILLOW GROVE MOUNTAIN TOP RICHMOND HOBART PHILADELPHIA SPRINGFIELD MCSHERRYSTOWN BURGETTSTOWN PITTSBURGH LEVITTOWN PITTSBURGH EMMAUS PITTSBURGH

STATE

COUNTY

MI ANTRIM

MI MARQUETTE

MI WAYNE

MI OAKLAND

MI WAYNE

MI OAKLAND

PA MIFFLIN

PA MONTGOMERY

PA SUSQUEHANNA

PA SCHUYLKILL

WV RALEIGH

WV JACKSON

WV MONONGALIA

WV ROANE

OH MAHONING

OH FRANKLIN

OH MADISON

OH ALLEN

PA MONROE

OH CLARK

OH MAHONING

OH LAKE

OH WARREN

OH ERIE

OH FRANKLIN

OH BUTLER

OH PORTAGE

OH BUTLER

OH STARK

OH CUYAHOGA

OH HAMILTON

MI OAKLAND

MI OAKLAND

MI WAYNE

MI OAKLAND

MI OAKLAND

MI MACOMB

MI WAYNE

MI MACOMB

PA LUZERNE

PA ALLEGHENY

PA ALLEGHENY

PA DELAWARE

PA LAWRENCE

PA CARBON

PA INDIANA

PA PHILADELPHIA

PA ALLEGHENY

WV MERCER

WV HARRISON

WV JACKSON

OH LORAIN

OH FRANKLIN

OH CUYAHOGA

KY JEFFERSON

KY DAVIESS

KY HOPKINS

OH MUSKINGUM

PA CHESTER

PA BUTLER

PA MONTGOMERY

PA CENTRE

PA ERIE

PA BUCKS

PA MONTGOMERY

PA LUZERNE

IN

WAYNE

IN

LAKE

PA PHILADELPHIA

PA DELAWARE

PA ADAMS

PA WASHINGTON

PA ALLEGHENY

PA BUCKS

PA ALLEGHENY

PA LEHIGH

PA ALLEGHENY

ZIP

PHONE

49629 (231)-264-8033

49866 (906)-475-9967

48122 (313)-928-2559

48322 (248)-592-2063

48154 (734)-422-3784

48357 (248)-889-2788

17009 (717)-248-3991

19010 (610)-525-0927

18801 (570)-278-2951

17972 (570)-385-3570

25813 (304)-255-6630

25271 (304)-372-4487

26501 (304)-598-3404

25276 (304)-927-3784

44505 (330)-747-2426

43222 (614)-274-1620

43140 (740)-852-5131

45805 (419)-224-3767

18301 (570)-421-8665

45505 (937)-322-1925

44511 (330)-797-3205

44057 (440)-428-3330

45005 (937)-704-0697

44870 (419)-557-7473

43054 (614)-939-4102

45011 (513)-645-5447

44240 (330)-673-8750

45069 (800)-486-2668

44646 (330)-830-6459

44122 (216)-595-7361

45247 (513)-941-4999

48390 (248)-624-4555

48073 (248)-280-5010

48195 (734)-287-4030

48076 (248)-559-9810

48067 (248)-548-5057

48313 (586)-247-2990

48150 (734)-427-2400

48005 (586)-784-9222

18644 (570)-693-0280

15101 (724)-443-5455

15024 (724)-274-7111

19063 (610)-566-3218

16105 (724)-652-1451

18235 (610)-377-0450

15701 (724)-465-4200

19133 (215)-225-2886

15224 (412)-682-4909

24740 (304)-487-1155

26330 (304)-842-7779

26164 (304)-868-6050

44089 (440)-967-3000

43223 (614)-274-7748

44103 (216)-431-5643

40214 (502)-361-2504

42301 (270)-685-0557

42413 (270)-821-4031

43701 (740)-452-7589

19344 (610)-273-7300

16057 (724)-794-0100

19462 (610)-276-0043

16866 (814)-342-1752

16505 (814)-838-2102

18976 (215)-918-3940

19090 (215)-657-4709

18707 (570)-474-9203

47374 (765)-962-5032

46342 (219)-942-0616

19134 (215)-426-5181

19064 (610)-543-1153

17344 (717)-630-2773

15021 (724)-947-4722

15206 (412)-362-6121

19055 (215)-949-6605

15233 (412)-231-0868

18049 (610)-967-6440

15222 (412)-471-8882

NCPDP 3969459 3969601 3970743 3970793 3972660 3972773 3973282 3974309 6005486 6005688 6006301 6009193 3944445 3945245 3946677 3951313 3953153 3953228 3955741 3956200 5056317 5056999 5057763 5058157 6000359 6003254 3966530 3970630 3973434 3974513 3975147 3976339 6006983 6007151 6009458 3979563 3980213 1571101 3669984 3670937 3673185 3674101 3674531 3679909 6008660 3680407 3680560 5054654 5054969 3650959 3651583 3653222 3937010 3941247 3944281 3945738 3947922 3948215 3950955 3951743 3954876 3956325 3957606 3958862 5057028 5057460 5058258 5058513 6000222 6000397 6001375 6002098 6003343 6003533 6003569 3961441 3962215

NPI 1124121983 1801821848 1780630780 1679596811 1831167014 1306936323 1689754079 1447301122 1104356971 1548786122 1912412941 1497385280 1104837335 1275622912 1790836559 1821018383 1942399696 1831102912 1265447189 1225121676 1043617269 1417473463 1427574441 1316424948 1407272479 1992160279 1790875722 1740399856 1295845824 1578641585 1134146368 1770500902 1457844870 1023593712 1225658693 1043237282 1386662153 1811582000 1982619912 1295769917 1689699308 1811932049 1417962473 1801177894 1326500299 1780953802 1639434103 1316124803 1144466723 1992722177 1912018003 1932235983 1487757233 1699879437 1871692137 1437170875 1013015759 1598771941 1770653388 1346325636 1679506901 1508956624 1568551216 1972675767 1154830651 1649796061 1790257798 1366062671 1962826735 1043632128 1003214214 1578950341 1053783563 1811359136 1720452824 1750482212 1992894646

PHARMACY NAME CVS PHARMACY WEIS PHARMACY SAV-ON PHARMACY LEHIGH VALLEY PHARMACY SVCS WEGMANS PHARMACY RITE AID PHARMACY WELLSPAN PHARMACY FAIRFIELD PLANNED PARENTHOOD SOUTHEAST PA CVS PHARMACY BERKS DISCOUNT PHARMACY AHF PHARMACY LEHIGH COMMUNITY PHARMACY GIANT EAGLE PHARMACY RITE AID PHARMACY CENTER PHCY OF ERIE AVE INC KATZ PHARMACY RITE AID PHARMACY JEFFREYS DRUG STORE GIANT EAGLE PHARMACY QUICK STOP PHARMACY COX FAMILY PHARMACY GENOA HEALTHCARE LLC WALGREENS WILLIAMSON PHARMACY EXTRACARE PHARMACY BEST CARE PHARMACY RITE AID PHARMACY REDNER'S PHARMACY COSTCO PHARMACY PHOEBE SERVICES PHARMACY WALMART PHARMACY WALMART PHARMACY PHILADELPHIA DISCOUNT PHARMACY GIANT EAGLE PHARMACY MACUNGIE COMMUNITY PHARMACY INC SAM'S CLUB PHARMACY WALMART PHARMACY GENOA HEALTHCARE LLC WALGREENS KROGER PHARMACY KROGER PHARMACY MARYMOUNT FAMILY PHARMACY WALGREENS CLEVELAND CL HURON CM HLTH CTR PHCY HEALTHDIRECT INST PHCY SVC TOLEDO IV CARE WESTGATE FAMILY PHARMACY KROGER PHARMACY GAULEY RIVER PHARMACY WALMART PHARMACY RITE AID PHARMACY NEON COLLINWOOD HEALTH CENTER CVS PHARMACY CVS PHARMACY RITE AID PHARMACY SUN RAY DRUG CVS PHARMACY GIANT EAGLE PHARMACY OMNICARE OF KING OF PRUSSIA HORSHAM SQUARE PHARM AT ANNS CHOICE WEIS PHARMACY RITE AID PHARMACY RITE AID PHARMACY MEDICINE STOP TRINITY INFUSION WALGREENS MADISON MEDICAL PHARMACY APPALACHIAN RX LLC WALMART PHARMACY HAYDEN'S PHARMACY COORDINATED CARE NETWORK PHCY CVS PHARMACY SUNNY PHARMACY WELLNESS PHARMACY SERVICES MEDICINE SHOPPE PHARMACY CVS PHARMACY RITE AID PHARMACY

ADDRESS 401 CHESTNUT ST 1400 STONY BATTERY RD 6640 OXFORD AVE 1637 CHEW ST 5028 W RIDGE RD 2023 LYCOMING CREEK RD 4910 FAIRFIELD RD # B 1144 LOCUST ST 339 E LANCASTER AVE 500 PENN ST STE B 1211 CHESTNUT ST STE 405 207 N 6TH ST 1165 MCKINNEY LN 640 MONTGOMERY AVE 516 W ERIE AVE 2 E EAGLE RD 1620 MAIN ST 1 N CENTRAL AVE 289 STATE ROUTE 288 3506 EAST LINCOLN HIGHWAY 2012 GARFIELD AVE STE 3 174 LMAH CENTER RD STE P1 901 MAIN ST 48 1/2 W 2ND AVE 1442A CHESTER PIKE 257 N 52ND STREET 5301 CHEW AVE 22 FOREST DR 201 ALLENDALE RD 6520 STONEGATE DR STE 100 300 WALMART DR 5370 ALLENTOWN PIKE 842 RED LION ROAD SUITE 13 1117 MILLTOWN RD 6465 VILLAGE LN STE 9 441 WILKES BARRE TOWNSHIP BLVD 961 E COLUMBUS AVE 222 E OHIO ST RM 102 32798 WALKER RD 2028 E HARBOR RD 199 GRACELAND BLVD 12000 MCCRACKEN RD SUITE 151 2615 BRICE RD 13944 EUCLID AVE 2001 HARRISBURG PIKE 4060 TECHNOLOGY DR 3147 W CENTRAL AVE 500 SUNCREST TOWN CENTRE DR 433 CRAIGSVILLE RD SUITE 2 2400 MICHIGAN ST 302 W ROBB AVE 15322 SAINT CLAIR AVE 1706 THEATRE ST 127 S POTTER ST 780 ROUTE 113 142 S 52ND ST 1116 CARLISLE RD 318 CEDAR AVE 600 ALLENDALE RD 575 HORSHAM RD UNIT C20 3011 WILLIAM PENN HWY 7401 OGONTZ AVE 925 W ERIE PLZ 1529 7TH AVE 327 6TH AVE 3801 MACCORKLE AVE SE 471 MAIN ST 80 NORTH MAIN ST 1500 ECONOMY WAY 535 W MAIN ST 340 N 12TH ST 1198 SCALP AVE 918 E BALTIMORE AVE 1427 HORSHAM RD 206 S MARTIN ST RT 115 AND 209 HCI 65 838 5TH AVE

CITY CARNEGIE LANCASTER PHILADELPHIA ALLENTOWN ERIE WILLIAMSPORT FAIRFIELD PHILADELPHIA WYNNEWOOD READING PHILADELPHIA ALLENTOWN PITTSBURGH NARBERTH PHILADELPHIA HAVERTOWN NORTHAMPTON CANONSBURG ELLWOOD CITY THORNDALE PARKERSBURG LOGAN CHAPMANVILLE WILLIAMSON SHARON HILL PHILADELPHIA PHILADELPHIA HEGINS KING OF PRUSSIA ALLENTOWN EBENSBURG TEMPLE PHILADELPHIA VERONA MACUNGIE WILKES BARRE CORRY INDIANAPOLIS AVON LAKE PORT CLINTON COLUMBUS GARFIELD HEIGHTS REYNOLDSBURG EAST CLEVELAND LANCASTER MAUMEE TOLEDO MORGANTOWN CRAIGSVILLE SIDNEY LIMA CLEVELAND LATROBE BELLEFONTE SOUDERTON PHILADELPHIA CAMP HILL PITTSBURGH KING OF PRUSSIA HORSHAM EASTON PHILADELPHIA ERIE BEAVER FALLS SOUTH CHARLESTON CHARLESTON MADISON WEBSTER SPRINGS BADEN MOUNT PLEASANT PHILADELPHIA JOHNSTOWN LANSDOWNE NORTH WALES TITUSVILLE BRODHEADSVILLE FORD CITY

STATE

COUNTY

PA ALLEGHENY

PA LANCASTER

PA PHILADELPHIA

PA LEHIGH

PA ERIE

PA LYCOMING

PA ADAMS

PA PHILADELPHIA

PA MONTGOMERY

PA BERKS

PA PHILADELPHIA

PA LEHIGH

PA ALLEGHENY

PA MONTGOMERY

PA PHILADELPHIA

PA DELAWARE

PA NORTHAMPTON

PA WASHINGTON

PA BEAVER

PA CHESTER

WV WOOD

WV LOGAN

WV LOGAN

WV MINGO

PA DELAWARE

PA PHILADELPHIA

PA PHILADELPHIA

PA SCHUYLKILL

PA MONTGOMERY

PA LEHIGH

PA CAMBRIA

PA BERKS

PA PHILADELPHIA

PA ALLEGHENY

PA LEHIGH

PA LUZERNE

PA ERIE

IN MARION

OH LORAIN

OH OTTAWA

OH FRANKLIN

OH CUYAHOGA

OH FRANKLIN

OH CUYAHOGA

PA LANCASTER

OH LUCAS

OH LUCAS

WV MONONGALIA

WV NICHOLAS

OH SHELBY

OH ALLEN

OH CUYAHOGA

PA WESTMORELAND

PA CENTRE

PA BUCKS

PA PHILADELPHIA

PA CUMBERLAND

PA ALLEGHENY

PA MONTGOMERY

PA MONTGOMERY

PA NORTHAMPTON

PA PHILADELPHIA

PA ERIE

PA BEAVER

WV KANAWHA

WV KANAWHA

WV BOONE

WV WEBSTER

PA BEAVER

PA WESTMORELAND

PA PHILADELPHIA

PA CAMBRIA

PA DELAWARE

PA MONTGOMERY

PA CRAWFORD

PA MONROE

PA ARMSTRONG

ZIP

PHONE

15106 (412)-279-5020

17601 (717)-285-7493

19111 (215)-725-9319

18102 (610)-969-2780

16506 (814)-835-1910

17701 (570)-327-9920

17320 (717)-642-8812

19107 (215)-351-5560

19096 (610)-649-1391

19602 (610)-373-1800

19107 (215)-971-2808

18102 (864)-643-9386

15220 (412)-921-1610

19072 (610)-664-4010

19140 (215)-225-0998

19083 (610)-446-4040

18067 (610)-262-2022

15317 (724)-745-6480

16117 (724)-752-2101

19372 (610)-384-6100

26101 (304)-893-9100

25601 (304)-953-6010

25508 (304)-855-1032

25661 (304)-235-3784

19079 (484)-540-7917

19139 (267)-292-5011

19138 (215)-438-4695

17938 (570)-682-3855

19406 (610)-337-6625

18106 (610)-794-5380

15931 (814)-471-0579

19560 (610)-939-0616

19115 (215)-464-1700

15147 (412)-704-1015

18062 (978)-863-8342

18702 (570)-824-6712

16407 (814)-663-7065

46204 (317)-225-4012

44012 (440)-930-5873

43452 (419)-732-6452

43214 (614)-410-1108

44125 (216)-587-8822

43068 (614)-866-8218

44112 (216)-767-4200

17601 (717)-393-9314

43537 (419)-471-1527

43606 (419)-531-0000

26505 (304)-285-6781

26205 (304)-742-5001

45365 (937)-498-4112

45801 (419)-229-5846

44110 (216)-851-1500

15650 (724)-537-5571

16823 (814)-355-8244

18964 (215)-723-0953

19139 (215)-474-4615

17011 (717)-612-5063

15212 (412)-321-3553

19406 (610)-962-5995

19044 (215)-674-5050

18045 (610)-923-7932

19138 (215)-224-9997

16505 (814)-454-7800

15010 (724)-843-2338

25303 (304)-746-7201

25304 (304)-925-2168

25130 (304)-807-9208

26288 (304)-619-2401

15005 (724)-390-9048

15666 (724)-547-3400

19107 (267)-928-4381

15904 (814)-266-1454

19050 (610)-259-0660

19454 (215)-277-7132

16354 (814)-827-1849

18322 (570)-992-6454

16226 (724)-763-4260

NCPDP 3963142 3966617 3970399 3972569 3972824 3973078 6000854 3963572 3964055 3964699 3964865 3968700 3970109 3970767 3971858 3973890 6004080 6005866 6005917 6006349 6006717 6008759 6001553 3669477 3962289 3962366 3970476 3970628 3975173 3975375 3976048 3976175 6005575 6005664 6005816 6009446 6009802 5010260 5010587 5010791 5011010 5012036 5054844 3636327 3639739 3648358 3653715 3653993 3936525 3936828 3938137 3938428 3986809 1504530 1515583 1519872 1521219 1522526 1522805 1523667 1529847 1530636 2389369 3988942 3989867 3990442 3992179 3992410 3995199 3995517 3995745 3997701 3997903 3999008 3999337 1570200 3670444

NPI 1497772545 1255420915 1275566580 1336249796 1669587606 1285667519 1265849277 1306863451 1215941216 1922031251 1679565741 1396762456 1972693901 1295822195 1215942206 1851481873 1477904449 1649781444 1629580311 1841707965 1891281135 1164073458 1417355579 1649297847 1346251980 1730294661 1861495772 1376575381 1285738062 1447272166 1679647101 1548369028 1104367812 1437674173 1215446505 1154951267 1851903876 1689689515 1841224623 1518972454 1598868259 1699818377 1255589503 1639272388 1700918141 1770692014 1336175686 1336242213 1669575411 1396822268 1083785687 1689772329 1013022656 1902883994 1689777393 1285737791 1851494579 1346343795 1033282652 1023023140 1447278304 1376566653 1851961502 1639362684 1215114657 1003082553 1386878429 1669602355 1851690903 1417240524 1184912834 1497017461 1902164049 1780926915 1205274073 1285292722 1306863501

PHARMACY NAME WALMART PHARMACY RITE AID PHARMACY ALLEGHENY APOTHECARY RITE AID PHARMACY MEDICINE SHOPPE PHARMACY WEIS PHARMACY SAM'S CLUB PHARMACY WALMART PHARMACY HERSHEY PHARMACY WEIS PHARMACY MEDICINE SHOPPE PHARMACY WALMART PHARMACY RITE AID PHARMACY KENDAL/CROSSLANDS COMMUN PHCY WALGREENS RITE AID PHARMACY SUNRAY DRUGS SPECIALTY GREATER PHILADELPHIA PHARMACY POCONO COMMUNITY PHARMACY INC DEDICATED SENIOR MED CTR OLNEY GIANT PHARMACY CHALFONT PHARMACY INC STELLAR RX WALMART PHARMACY PETER BECKER COMMUNITY PHARMACY SPAN AND TAYLOR DRUG COMPANY PROFESSIONAL PHCY OF PENNSBURG GIANT PHARMACY CVS PHARMACY CVS PHARMACY THE HOMETOWN PHARMACY HERSHEY LONG TERM CARE PHCY MARPLE PHARMACY COMMUNITY CARE RX LTC GREATER PHILADELPHIA PHARMACY NEXTDOOR COMMUNITY PHARMACY PACE FOOT AND ANKLE CENTERS PLLC GIANT EAGLE PHARMACY KROGER PHARMACY FRUTH PHARMACY CVS PHARMACY THE BECKLEY PHARMACY WALGREENS CVS PHARMACY DANNER DRUGS RITE AID PHARMACY DISCOUNT DRUG MART PREMIER HEALTH PHARMACY-AMC CVS PHARMACY UNION PRESCRIPTION CTR RITE AID PHARMACY CVS PHARMACY HEARTLAND PHCY OF PA LLC SWADLEY DRUGS CVS PHARMACY CVS PHARMACY CVS PHARMACY CVS PHARMACY KROGER PHARMACY WALGREENS WALMART PHARMACY CVS PHARMACY BROTHERS 2 PHARMACY WALGREENS GIANT PHARMACY WALGREENS NEIGHBORHOOD PHARMACY WALGREENS PATIENT FIRST CVS PHARMACY COSTCO PHARMACY INNOVATIVE PHARMACY HOMESTAR MAIL ORDER PHARMACY ALLIANCE CANCER SPECIALISTS PC CVS PHARMACY MEMORIAL HOSPITAL OF SOUTH BEND SAM'S CLUB PHARMACY

ADDRESS 72 BEDFORD SQ 1924 40 FAIRMOUNT AVE 2244 E ALLEGHENY AVE 4185 WASHINGTON RD 132 E MAIN ST 500 POTTSVILLE PARK PLZ 6520 CARLISLE PIKE STE 250 120 AJK BLVD 731 CHERRY DR 6 MILLBROOK PLZ 100 LIBERTY ST 1731 BLAKESLEE BOULEVARD DR E 4616 4650 NORTH BROAD STREET 1660 EAST STREET 4098 EDGMONT AVE 201 GRACE STREET 142 S. 52ND ST STE 201 4500 FRANKFORD AVE 1656 ROUTE 209 UNIT 6 5675 FRANKFORD AVE # 141 789 E MAIN ST 1700 HORIZON DR STE 105 302 INDUSTRIAL DRIVE 1397 LEESBURG AVE 815 MAPLEWOOD DR 175 W MAIN ST 931 MAIN ST 350 SCARLET RD STE 220 802 N LANSDOWNE AVE 800 ROCKHILL DR 20 E LAWRENCE ST 1200 GRUBB RD 2070 SPROUL RD 7601 CASTOR AVE SUITE 201 432 N 6TH ST 814 1.2 N 40TH STREET 931 E HAVERFORD RD 3RD FLOOR 130 GREENBAG RD 450 11TH ST 501 ROOSEVELT BLVD 74 W MAIN ST 455 STANAFORD RD 2933 ROBERT C BYRD DR 68501 ADDIE WAY 202 W MAIN ST 1420 SYCAMORE LINE 34100 VINE ST 1 MEDICAL CENTER DR 806 E PITTSBURGH ST 100 N BROAD ST 685 N MAIN ST 2678 W 3RD ST 7010 SNOWDRIFT RD 300 S. PERRY ST 2802 E STATE BLVD 3630 S 18TH ST 110 E LAGRANGE RD 6336 OAKLANDON RD 4445 E 10TH ST 6001 CENTRAL AVE 1750 INDIANAPOLIS RD 2661 E US HIGHWAY 30 4801 FENTON RD 1101 LOCUST ST 315 YORK RD 949 LINCOLN WAY E 5701 CHESTNUT ST 2801 SHARKYS DR 5125 JONESTOWN RD 551 HARRISBURG AVE 14 W LIGHTCAP RD 2014 FORD RD STE B 1736 HAMILTON ST FIRST FLOOR 3998 RED LION RD STE 130 2239 PERKIOMEN AVE 615 N MICHIGAN ST STE 114 5225 COBBLESTONE RD

CITY EVERETT PHILADELPHIA PHILADELPHIA MCMURRAY CARNEGIE POTTSVILLE MECHANICSBURG LEWISBURG HERSHEY MILL HALL CLARION LEHIGHTON PHILADELPHIA KENNETT SQUARE BROOKHAVEN PITTSBURGH PHILADELPHIA PHILADELPHIA BRODHEADSVILLE PHILADELPHIA MOUNT JOY CHALFONT AVONDALE WASHINGTON COURT HOUSE HARLEYSVILLE MONONGAHELA PENNSBURG KENNETT SQUARE DREXEL HILL BENSALEM NEW CASTLE PALMYRA BROOMALL PHILADELPHIA PHILADELPHIA PHILADELPHIA BRYN MAWR MORGANTOWN ELKINS ELEANOR BUCKHANNON BECKLEY BECKLEY SAINT CLAIRSVILLE LOUDONVILLE SANDUSKY WILLOWICK MIDDLETOWN GREENSBURG YORK GREENSBURG MOUNT CARMEL ALLENTOWN ATTICA FORT WAYNE LAFAYETTE HANOVER INDIANAPOLIS INDIANAPOLIS PORTAGE GREENCASTLE MERRILLVILLE FLINT PHILADELPHIA WILLOW GROVE CHAMBERSBURG PHILADELPHIA LATROBE HARRISBURG LANCASTER POTTSTOWN BRISTOL ALLENTOWN PHILADELPHIA READING SOUTH BEND SHEFFIELD VILLAGE

STATE

COUNTY

PA BEDFORD

PA PHILADELPHIA

PA PHILADELPHIA

PA WASHINGTON

PA ALLEGHENY

PA SCHUYLKILL

PA CUMBERLAND

PA UNION

PA DAUPHIN

PA CLINTON

PA CLARION

PA CARBON

PA PHILADELPHIA

PA CHESTER

PA DELAWARE

PA ALLEGHENY

PA PHILADELPHIA

PA PHILADELPHIA

PA MONROE

PA PHILADELPHIA

PA LANCASTER

PA BUCKS

PA CHESTER

OH FAYETTE

PA MONTGOMERY

PA WASHINGTON

PA MONTGOMERY

PA CHESTER

PA DELAWARE

PA BUCKS

PA LAWRENCE

PA LEBANON

PA DELAWARE

PA PHILADELPHIA

PA PHILADELPHIA

PA PHILADELPHIA

PA DELAWARE

WV MONONGALIA

WV RANDOLPH

WV PUTNAM

WV UPSHUR

WV RALEIGH

WV RALEIGH

OH BELMONT

OH ASHLAND

OH ERIE

OH LAKE

OH WARREN

PA WESTMORELAND

PA YORK

PA WESTMORELAND

PA NORTHUMBERLAND

PA LEHIGH

IN

FOUNTAIN

IN

ALLEN

IN

TIPPECANOE

IN

JEFFERSON

IN

MARION

IN

MARION

IN

PORTER

IN

PUTNAM

IN

LAKE

MI GENESEE

PA PHILADELPHIA

PA MONTGOMERY

PA FRANKLIN

PA PHILADELPHIA

PA WESTMORELAND

PA DAUPHIN

PA LANCASTER

PA MONTGOMERY

PA BUCKS

PA LEHIGH

PA PHILADELPHIA

PA BERKS

IN

ST. JOSEPH

OH LORAIN

ZIP

PHONE

15537 (814)-623-1995

19130 (215)-765-5078

19134 (215)-203-0194

15317 (724)-942-9111

15106 (412)-279-3361

17901 (570)-622-8150

17050 (717)-516-3772

17837 (570)-522-8234

17033 (717)-534-1300

17751 (570)-748-1130

16214 (814)-226-9310

18235 (570)-386-3146

19140 (215)-329-4840

19348 (610)-388-5651

19015 (610)-876-8815

15211 (412)-381-1464

19139 (215)-471-4000

19124 (215)-743-4106

18322 (570)-801-7886

19124 (267)-428-6575

17552 (717)-492-7160

18914 (267)-956-8777

19311 (610)-910-9580

43160 (740)-333-7681

19438 (215)-721-4300

15063 (724)-258-4545

18073 (215)-679-9700

19348 (610)-444-8165

19026 (610)-853-6018

19020 (215)-364-9630

16101 (724)-658-8661

17078 (717)-832-2050

19008 (610)-356-6491

19152 (215)-722-2500

19123 (267)-519-0271

19104 (215)-921-3191

19010 (610)-642-5040

26501 (304)-292-0385

26241 (304)-636-6891

25070 (304)-586-0886

26201 (304)-473-0151

25801 (304)-252-1200

25801 (304)-252-0531

43950 (740)-695-6322

44842 (419)-994-3221

44870 (419)-625-2258

44095 (440)-942-3330

45005 (513)-420-5045

15601 (724)-836-7041

17403 (717)-845-5557

15601 (724)-837-4164

17851 (570)-339-0141

18106 (800)-962-9018

47918 (765)-762-3287

46805 (260)-471-5521

47909 (765)-474-3834

47243 (812)-866-5599

46236 (317)-823-6829

46201 (317)-359-1638

46368 (219)-762-8030

46135 (765)-653-6575

46410 (219)-942-1267

48507 (810)-820-8685

19107 (215)-629-5690

19090 (215)-784-1964

17201 (717)-261-1303

19139 (215)-307-3609

15650 (724)-539-8467

17112 (717)-943-1566

17603 (717)-391-9503

19464 (610)-569-4138

19007 (267)-878-0492

18104 (610)-628-8900

19114 (215)-612-4837

19606 (610)-779-7939

46601 (574)-647-3534

44035 (440)-934-4310

NCPDP 3670622 3670735 3672284 3673286 3674810 3675141 3678325 3680320 5054705 5055062 3651622 3654197 3945257 3947035 3950830 3953987 3954446 3958949 3961059 5055973 5056040 5056494 5056610 5057256 5058169 5058210 6000311 6000955 6001159 6002632 6003367 6003470 3961439 3966592 3972040 3973939 6004333 6004446 6005412 6005563 6009977 3672234 3673197 3675468 3675610 3676535 3677373 3678135 3678236 3679620 3680914 2308737 2326800 2332473 2336320 2338223 2340545 2347359 3900986 3927778 5007732 5011262 5011870 3636339 3639296 3645376 3646986 3649437 3651571 3653753 1525560 1528249 1529455 2387024 2387240 2387404 3993119

NPI 1023053030 1407960487 1487671681 1710909429 1154344729 1518040567 1790018752 1336413020 1598935140 1225265341 1104935444 1841241049 1598869331 1932207677 1124122965 1972693091 1588684096 1558450205 1831121847 1164858148 1992127062 1497149579 1659752004 1437675378 1962982652 1578033841 1497171227 1497156111 1780084723 1306212444 1033578505 1689031452 1427152271 1346339009 1477571230 1598724387 1013465764 1245783570 1396271086 1609396621 1871198143 1346255395 1629083563 1972668929 1174657738 1679755516 1891945283 1689801524 1740419142 1104129667 1578802211 1043322969 1770695603 1609820836 1447390919 1669581104 1871605709 1588764815 1639273477 1740262518 1528073467 1750309449 1043244833 1013922947 1700891611 1659387967 1710096045 1841205788 1669581906 1346267523 1609941467 1831116045 1669575395 1184273070 1942842471 1114563400 1447581467

PHARMACY NAME DISCOUNT DRUG MART LINCOLN KNOLLS PHARMACY WALMART PHARMACY CVS PHARMACY WALGREENS WALMART PHARMACY WALGREENS SENIOR CARE PHARMACY POCAHONTAS PHARMACY PIERPONT LANDING PHARMACY RITE AID PHARMACY ALLEN'S PHARMASERV INC CVS PHARMACY CVS PHARMACY CVS PHARMACY RITE AID PHARMACY WALGREENS RITE AID PHARMACY GIANT PHARMACY CVS PHARMACY VALLEY HEALTH CARE PHARMACY MARSHALL PHARMACY AT BCC COWEN PHARMACY WALGREENS NEW HAVEN PHARMACY FRUTH PHARMACY SHOP N SAVE RX STEFKO PHARMACY JEFFERSON PHARMACY OLD FORGE PHARMACY TACONY PHARMACY JEFFERSON APOTHECARY CVS PHARMACY RITE AID PHARMACY WALMART PHARMACY THE COMMUNITY PHARMACY CVS PHARMACY KEYSTONE MED LLC SAM'S CLUB PHARMACY BEST CARE PHARMACY II IN NETWORK PHARMACY WALGREENS MARCS KROGER PHARMACY WALMART PHARMACY KROGER PHARMACY THE HOMETOWN PHARMACY WALGREENS WALGREENS THE PHARMACY AT EASTWAY BRYAN COMMUNITY HEALTH CENTER PHCY CVS PHARMACY CVS PHARMACY SOUTH DEARBORN PHARMACY MEIJER PHARMACY RITE AID PHARMACY CVS PHARMACY GLENS PHARMACY CVS PHARMACY BUCHANAN BROTHERS' PHARMACY INC FRUTH PHARMACY WALMART PHARMACY KROGER PHARMACY ACME PHARMACY GIANT EAGLE PHARMACY RITE AID PHARMACY RITE AID PHARMACY MARCS RITE AID PHARMACY WALMART PHARMACY TOPEKA PHARMACY WALMART PHARMACY CVS PHARMACY RAPID RX PHARMACY HEALTH PARK PHARMACY HENRY FORD MED CTR BLOOMFIELD TWP CVS PHARMACY

ADDRESS 25 BRIGGS DR 819 MCCARTNEY RD 6594 MAYFIELD RD 3955 E BROAD ST 5555 NEW ALBANY RD 250 TALLMADGE RD 1101 HILL RD N 34099 MELINZ PKWY UNIT J 105 DUNCAN RD STE C 7000 MID ATLANTIC RD 105 W AIRPORT HWY 520 GYPSY LN 1424 CHESTNUT ST # 26 334 BALTIMORE PIKE 1034 2ND STREET PIKE 455K N ENOLA RD 190 WILMINGTON W CHESTER PIKE 59 N MAIN ST 141 E SWEDESFORD RD 1000 PINEVIEW DR 46 TOWN CENTER PLAZA 1249 15TH ST 6815 WEBSTER ROAD 150 MAIN ST 307 5TH ST 10 SPRING ST 450 56TH ST 1816 STEFKO BLVD STE A 833 CHESTNUT ST SUITE 125 821 S MAIN ST STE 1 7100 TORRESDALE AVE 111 S 11TH ST SUITE 1850 1054 SHOEMAKER AVE 1443 S 7TH ST 100 SARA WAY 145 N 6TH ST 201 W BEAVER AVE 7273 75 PARK DR 261 WILSON AVE 269 S 52ND ST 160 N POINTE BLVD STE 106 4890 N HIGH ST 550 W AURORA RD 6388 BRANCH HILL GUINEA PIKE 201 CHAMBER DR 60 WORTHINGTON MALL 7160 WARREN SHARON RD 1040 DELAWARE AVE 775 W WENGER RD 600 WAYNE AVE 228 S MAIN ST 3535 PLYMOUTH RD 16000 E 10 MILE RD 9925 DIX AVE SUITE 106 1350 W LAKE LANSING RD 4598 STATE ST 18130 W 10 MILE RD 992 S MAIN ST 823 NEW BERWICK HWY 122 W MAIN ST 101 21ST ST 100 NITRO MARKET PL US RT 119 HOLDEN RD 1835 W MARKET ST 478 BOARDMAN CANFIELD RD 10764 NORTH ST 1955 CLEVELAND RD 7353 MENTOR AVE 305 W MAIN ST 70 HOSPITALITY DR 101 N MAIN ST 2150 E NATIONAL AVE 5802 S ANTHONY BLVD 4800 S SAGINAW ST STE 3-1600 2790 HEALTH PARKWAY 1961 S TELEGRAPH RD 2800 CONRAD WEISER PKWY

CITY ONTARIO YOUNGSTOWN MAYFIELD HEIGHTS WHITEHALL NEW ALBANY KENT PICKERINGTON EASTLAKE MARLINTON MORGANTOWN SWANTON YOUNGSTOWN PHILADELPHIA SPRINGFIELD RICHBORO ENOLA CHADDS FORD PORT ALLEGANY EXTON MORGANTOWN MILL CREEK HUNTINGTON COWEN PARSONS NEW HAVEN CHARLESTON PITTSBURGH BETHLEHEM PHILADELPHIA OLD FORGE PHILADELPHIA PHILADELPHIA SHOEMAKERSVILLE PHILADELPHIA BELLE VERNON READING STATE COLLEGE BATH HANOVER PHILADELPHIA LANCASTER COLUMBUS SAGAMORE HILLS LOVELAND MILFORD COLUMBUS BROOKFIELD MARION ENGLEWOOD DAYTON BRYAN ANN ARBOR EASTPOINTE DEARBORN EAST LANSING SAGINAW SOUTHFIELD CHEBOYGAN BLOOMSBURG WESTFIELD NITRO CROSS LANES LOGAN AKRON YOUNGSTOWN GARRETTSVILLE WOOSTER MENTOR OTTAWA XENIA TOPEKA BRAZIL FORT WAYNE FLINT MT PLEASANT BLOOMFIELD TWP WOMELSDORF

STATE

COUNTY

OH RICHLAND

OH MAHONING

OH CUYAHOGA

OH FRANKLIN

OH FRANKLIN

OH PORTAGE

OH FAIRFIELD

OH LAKE

WV POCAHONTAS

WV MONONGALIA

OH FULTON

OH TRUMBULL

PA PHILADELPHIA

PA DELAWARE

PA BUCKS

PA CUMBERLAND

PA DELAWARE

PA MCKEAN

PA CHESTER

WV MONONGALIA

WV RANDOLPH

WV CABELL

WV WEBSTER

WV TUCKER

WV MASON

WV KANAWHA

PA ALLEGHENY

PA NORTHAMPTON

PA PHILADELPHIA

PA LACKAWANNA

PA PHILADELPHIA

PA PHILADELPHIA

PA BERKS

PA PHILADELPHIA

PA WESTMORELAND

PA BERKS

PA CENTRE

PA NORTHAMPTON

PA YORK

PA PHILADELPHIA

PA LANCASTER

OH FRANKLIN

OH SUMMIT

OH CLERMONT

OH CLERMONT

OH FRANKLIN

OH TRUMBULL

OH MARION

OH MONTGOMERY

OH MONTGOMERY

OH WILLIAMS

MI WASHTENAW

MI MACOMB

MI WAYNE

MI INGHAM

MI SAGINAW

MI OAKLAND

MI CHEBOYGAN

PA COLUMBIA

PA TIOGA

WV KANAWHA

WV KANAWHA

WV LOGAN

OH SUMMIT

OH MAHONING

OH PORTAGE

OH WAYNE

OH LAKE

OH PUTNAM

OH GREENE

IN

LAGRANGE

IN

CLAY

IN

ALLEN

MI GENESEE

MI ISABELLA

MI OAKLAND

PA BERKS

ZIP

PHONE

44906 (419)-529-8101

44505 (330)-744-3337

44124 (440)-446-9325

43213 (614)-236-1583

43054 (614)-855-4806

44240 (330)-673-3368

43147 (614)-751-1736

44095 (440)-942-8674

24954 (304)-799-4944

26508 (304)-594-9955

43558 (419)-825-1161

44504 (330)-744-0707

19102 (215)-963-9316

19064 (610)-543-1765

18954 (215)-322-4060

17025 (717)-732-3666

19317 (610)-459-8552

16743 (814)-642-5021

19341 (610)-594-0851

26505 (304)-598-7535

26280 (304)-335-6005

25701 (304)-696-5000

26206 (304)-226-3600

26287 (304)-478-4864

25265 (304)-882-2005

25302 (304)-533-0320

15201 (412)-784-8600

18017 (610)-419-4198

19107 (215)-955-4400

18518 (570)-457-3200

19135 (267)-686-6256

19107 (215)-955-8845

19555 (610)-562-2454

19147 (215)-463-7748

15012 (724)-929-2437

19601 (610)-208-4660

16801 (814)-238-1962

18014 (610)-837-7138

17331 (717)-969-6041

19139 (267)-292-4114

17601 (717)-844-6444

43214 (614)-261-9013

44067 (330)-468-4868

45140 (513)-697-4820

45150 (513)-248-4284

43085 (614)-410-2007

44403 (330)-448-8009

43302 (740)-383-4529

45322 (937)-836-5714

45410 (937)-396-2538

43506 (567)-239-4560

48105 (734)-994-3636

48021 (586)-777-7570

48120 (313)-841-2272

48823 (517)-333-3010

48603 (989)-792-3451

48075 (248)-569-0233

49721 (231)-627-5371

17815 (570)-784-8061

16950 (814)-367-2327

25143 (304)-755-0128

25313 (304)-769-0140

25601 (304)-239-2380

44313 (330)-867-2740

44512 (330)-726-9518

44231 (330)-527-2828

44691 (330)-262-9045

44060 (440)-951-1721

45875 (419)-523-6030

45385 (937)-376-3700

46571 (260)-593-2252

47834 (812)-443-0466

46816 (260)-456-5518

48507 (810)-535-5220

48858 (989)-953-5320

48302 (248)-209-1943

19567 (610)-589-4417

NCPDP 3994781 3996898 3997989 1568990 1569017 1569740 1570577 1571086 3671585 3673755 3676232 3676650 3677842 3680419 3680611 5054541 3648930 3649273 3651836 3655163 3940916 3942819 3943873 3943998 3944661 3928794 5006146 5010448 5054692 3635387 3638561 3642243 3648877 3651165 3651533 3653258 3653727 3937286 3937577 3955955 3958723 3982421 3984297 3987370 3987394 3987419 1500443 1503285 1505227 1505431 1506419 1507803 1521360 1521651 1523237 1524417 1527261 1529164 3988928 3989843 3989855 3989920 3992662 3993880 3994452 3994957 3996723 3997624 3999604 1570034 1570109 1570527 3670292 3670898 3673971 3674341 3674620

NPI 1003118621 1619240025 1619226156 1265931638 1700386521 1255894564 1013542356 1053905976 1730268228 1972600351 1053505198 1851577076 1467690495 1699035899 1114287547 1497954978 1205841145 1861407868 1477662716 1861417578 1265522387 1770516007 1336200187 1619926144 1104889559 1467457366 1447236583 1932133717 1134307036 1104832419 1447353198 1811921612 1316952955 1639185945 1841309184 1124052923 1386667640 1508899832 1134218878 1174538094 1497740302 1235161258 1154348308 1508939778 1912080961 1811070600 1043381825 1558464099 1366545055 1275636961 1891898581 1194828897 1679676399 1487755781 1760555387 1922025220 1558434860 1033124169 1316131881 1972780419 1629255583 1326224767 1982938767 1558689380 1710296561 1336238120 1013288992 1992077820 1467887331 1932753332 1740832492 1518507755 1770500977 1972518900 1245245208 1023054046 1225144108

PHARMACY NAME CVS PHARMACY MEDICINE SHOPPE CVS PHARMACY INDY SCRIPTS PHARMACY KROGER PHARMACY COSTCO PHARMACY THORNTOWN PHARMACY NORTHSHORE MERRILLVILLE PHARMACY KROGER PHARMACY CNTR FR MDCT MGMT/ BLANCHARD VALLEY CVS PHARMACY RITE AID PHARMACY CENTRAL POINT PHARMACY GENOA HEALTHCARE LLC EQUITAS HEALTH PHARMACY WALMART PHARMACY MARCS WALGREENS RITE AID PHARMACY KROGER SAV-ON RITE AID PHARMACY WEIS PHARMACY RURAL HEALTH CORP NE PA GATEWAY PHCY OF PHOENIXVLL INC LEYO'S PHARMACY FISHERS PHARMACY MEDICINE SHOPPE PHARMACY KROGER PHARMACY REEDS PHARMACY RITE AID PHARMACY CVS PHARMACY KROGER SAV-ON CVS PHARMACY RITE AID PHARMACY RITE AID PHARMACY KROGER SAV-ON MEDICINE SHOPPE PHARMACY WEIS PHARMACY RITE AID PHARMACY GIANT EAGLE PHARMACY MEDICINE SHOPPE PHARMACY GIANT PHARMACY WALMART PHARMACY MEDICAP PHARMACY QUALITY PHARMACY GIANT PHARMACY MADISON APOTHECARY CVS PHARMACY CVS PHARMACY CVS PHARMACY CVS PHARMACY CVS PHARMACY CVS PHARMACY COWAN DRUG KROGER SAVON PHCY WALMART PHARMACY KROGER SAVON PHCY WALGREENS SUSQUEHANNA HEALTH PHARMACY HOSP OF THE UNIV O PA PHCY RITE AID PHARMACY WALMART PHARMACY GIANT PHARMACY WEGMANS PHARMACY GIANT EAGLE PHARMACY PLANNED PARENTHOOD OF W PA KNIGHTS ROAD PHARMACY LLC GIANT PHARMACY EAGLEVILLE HOSPITAL PHARMACY BAPTIST HEALTH FLOYD OUTPATIENT PHA HEALTHY U RX INC GENOA HEALTHCARE LLC SAM'S CLUB PHARMACY WALGREENS WALGREENS CONWAYS EASTSIDE PHARMACY RIESBECKS PHARMACY

ADDRESS 445 WEST STREET RD 3913 HARTZDALE DR STE 1306 611 DUNCAN AVE 5343 W 38TH ST 715 S TILLOTSON AVE 1201 CROSS POINTE PL 151 E BOW ST 6091 BROADWAY 19471 LAKE DR 1900 S MAIN ST 9669 MENTOR AVE 355 E MAIN STREET 699 HARRISBURG PIKE STE L 1977 NILES RD SE 1033 N HIGH ST 100 WALMART DR 4304 BELDEN VILLAGE ST NW 4241 GLENWAY AVE 3030 MARKET AVE N 8000 PRINCETON GLENDALE RD 401 403 SOUTH MAIN STREET 1220 CHESTNUT ST 2888 SR 29 S STE 2 165 NUTT RD 1564 MAIN ST 654 E PITT ST 2402 ADAMS AVE 411 MALL RD 5078 WILLIAMSPORT PIKE STE A 421 N HIGH ST 11223 GRANGER RD 6950 MIAMI AVE 119 N MARKET ST 210 MAIN ST 810 E MANHATTAN BLVD 10477 HARRISON AVE 3300 GREENWICH RD UNIT 14 5020 ROUTE 873 1700 MURRAY AVE 111 W MADISON ST 2665 BRODHEAD RD 3926 LINDEN ST 11415 HYDETOWN RD 5924 TILGHMAN ST STE A 164 MEDICAL CENTER RD STE E 7673 LAKE RAYSTOWN SHOPPING CT 835 W MAIN ST 1375 W 86TH ST 405 GREEN BLVD 2811 GETZ RD 1010 INDIANAPOLIS RD 301 E MAIN ST 104 W HIVELY AVE 112 N LEBANON ST 1930 E MAIN ST 2125 N MORTON ST 55 PINE LAKE AVE 52482 INDIANA STATE ROUTE 933 740 HIGH ST, STE 1001 3400 SPRUCE ST RAVDIN 1 1080 S WEST END BLVD 100 HIGHLANDS MALL 2300 LINGLESTOWN RD 50 FOUNDRY WAY 110 S MARTIN ST 933 LIBERTY AVE 2788 KNIGHTS RD 310 S HENDERSON RD 100 EAGLEVILLE RD 1850 STATE ST 201 S WILLIAM ST 2007 STATE ST STE 110 2675 TAYLOR ROAD EXT 9110 DUBLIN RD 20485 EUCLID AVE 1451 YAUGER RD STE 1H 56130 NATIONAL RD

CITY WARMINSTER CAMP HILL PITTSBURGH INDIANAPOLIS MUNCIE EVANSVILLE THORNTOWN MERRILLVILLE TRIMBLE FINDLAY MENTOR LEXINGTON COLUMBUS WARREN COLUMBUS KINGWOOD CANTON CINCINNATI CANTON WEST CHESTER OLD FORGE EMMAUS MONROE TOWNSHIP PHOENIXVILLE COALPORT BEDFORD HUNTINGTON OAK HILL MARTINSBURG HILLSBORO GARFIELD HEIGHTS MADEIRA SHREVE TOLEDO TOLEDO HARRISON NORTON SCHNECKSVILLE PITTSBURGH ROCHESTER ALIQUIPPA BETHLEHEM TITUSVILLE ALLENTOWN CHICORA HUNTINGDON MADISON INDIANAPOLIS AURORA FORT WAYNE GREENCASTLE GAS CITY ELKHART LEBANON PLAINFIELD FRANKLIN LA PORTE SOUTH BEND WILLIAMSPORT PHILADELPHIA QUAKERTOWN NATRONA HEIGHTS HARRISBURG MALVERN TITUSVILLE PITTSBURGH BENSALEM KING OF PRUSSIA EAGLEVILLE NEW ALBANY SOUTH BEND WASHINGTON REYNOLDSBURG POWELL EUCLID MOUNT VERNON BRIDGEPORT

STATE

COUNTY

PA BUCKS

PA CUMBERLAND

PA ALLEGHENY

IN

MARION

IN

DELAWARE

IN

VANDERBURGH

IN

BOONE

IN

LAKE

OH ATHENS

OH HANCOCK

OH LAKE

OH RICHLAND

OH FRANKLIN

OH TRUMBULL

OH FRANKLIN

WV PRESTON

OH STARK

OH HAMILTON

OH STARK

OH BUTLER

PA LACKAWANNA

PA LEHIGH

PA WYOMING

PA CHESTER

PA CLEARFIELD

PA BEDFORD

WV CABELL

WV FAYETTE

WV BERKELEY

OH HIGHLAND

OH CUYAHOGA

OH HAMILTON

OH WAYNE

OH LUCAS

OH LUCAS

OH HAMILTON

OH SUMMIT

PA LEHIGH

PA ALLEGHENY

PA BEAVER

PA BEAVER

PA NORTHAMPTON

PA CRAWFORD

PA LEHIGH

PA BUTLER

PA HUNTINGDON

IN JEFFERSON

IN MARION

IN DEARBORN

IN ALLEN

IN PUTNAM

IN GRANT

IN

ELKHART

IN

BOONE

IN

HENDRICKS

IN

JOHNSON

IN

LAPORTE

IN

ST. JOSEPH

PA LYCOMING

PA PHILADELPHIA

PA BUCKS

PA ALLEGHENY

PA DAUPHIN

PA CHESTER

PA CRAWFORD

PA ALLEGHENY

PA BUCKS

PA MONTGOMERY

PA MONTGOMERY

IN

FLOYD

IN

ST. JOSEPH

IN

DAVIESS

OH FAIRFIELD

OH DELAWARE

OH CUYAHOGA

OH KNOX

OH BELMONT

ZIP

PHONE

18974 (215)-674-2297

17011 (717)-695-9082

15237 (412)-358-8690

46254 (317)-820-5454

47304 (765)-213-1220

47715 (812)-909-6582

46071 (765)-889-4735

46410 (219)-763-8944

45782 (740)-767-3851

45840 (419)-429-7002

44060 (440)-210-5054

44904 (419)-884-6107

43223 (614)-272-7000

44484 (330)-980-7037

43201 (614)-340-6776

26537 (304)-329-4031

44718 (330)-493-3530

45205 (513)-921-7722

44714 (330)-456-0515

45069 (513)-860-5169

18518 (570)-457-0844

18049 (610)-967-2900

18636 (570)-704-4234

19460 (610)-933-2609

16627 (814)-672-5387

15522 (814)-623-5512

25704 (304)-429-6716

25901 (304)-465-0321

25404 (304)-267-6655

45133 (937)-393-1734

44125 (216)-332-7801

45243 (513)-271-1360

44676 (330)-567-2823

43605 (419)-691-5851

43608 (419)-729-2907

45030 (513)-367-2382

44203 (330)-825-7676

18078 (610)-799-2413

15217 (412)-521-3900

15074 (724)-775-1820

15001 (724)-375-5561

18020 (610)-882-1593

16354 (814)-827-0415

18104 (610)-336-9033

16025 (724)-445-3027

16652 (814)-643-1021

47250 (812)-265-4621

46260 (317)-253-6427

47001 (812)-926-2144

46804 (260)-432-6151

46135 (765)-653-9029

46933 (765)-674-6613

46517 (574)-293-2231

46052 (765)-482-0180

46168 (317)-839-5149

46131 (317)-738-4387

46350 (219)-325-3152

46637 (574)-271-0357

17701 (570)-321-2818

19104 (215)-662-2920

18951 (215)-529-4190

15065 (724)-226-6960

17110 (717)-545-2986

19355 (484)-913-9645

16354 (814)-827-2386

15222 (412)-258-9534

19020 (215)-638-1256

19406 (610)-209-1031

19403 (610)-635-7426

47150 (812)-941-4446

46601 (574)-472-7881

47501 (812)-610-4415

43068 (614)-866-7742

43065 (614)-932-0303

44117 (216)-531-1466

43050 (740)-397-1420

43912 (740)-633-3368

NCPDP 3676888 3677448 3679719 5054717 5054755 3650377 3652434 5055252 5055632 3642445 3645718 3647483 3650290 3651646 3654325 3655656 3937793 3939886 3940106 3945550 3946780 3950169 3951604 3953963 3954600 3960160 3960968 3961124 5056014 5057319 6000993 3961592 3961679 3962241 3962974 3963421 3963611 3966554 3970236 3972519 3974424 6003949 6006351 6006387 6007822 6008800 6010223 5054301 5055226 3639688 3648613 3652662 3653145 3945966 3946350 3947059 3957923 3959256 3961162 5056266 3973600 3976466 6004220 6005448 6007656 6008886 3941463 3942871 3944370 3948734 3949813 3952276 3956301 5055947 5056367 5056975 5057408

NPI 1417123415 1154574010 1346533551 1558532713 1245407949 1750396693 1801813084 1760793772 1891069282 1053326058 1679588511 1083723316 1245250158 1013026350 1790702975 1932133733 1770681413 1861565582 1831288570 1346330461 1891884532 1134179435 1356352926 1760571418 1235256157 1447369608 1255329231 1669561213 1437585056 1386160943 1548660129 1336243187 1922108380 1245334093 1770500829 1609881531 1578596805 1437248192 1063502094 1407954027 1912925777 1104274406 1205330388 1952804312 1093275588 1083261069 1902482805 1952312506 1881918837 1063521391 1134277130 1851402952 1598700502 1538258272 1245380328 1144306333 1114950441 1780774802 1194754051 1376946509 1902839236 1487748885 1588119630 1447791603 1497212658 1487297560 1316970643 1922102987 1144324989 1255420907 1982760252 1790768471 1285732990 1619316981 1134518186 1982129979 1205352895

PHARMACY NAME RITE AID PHARMACY CLARKS RX LTC ALL-CARE LTC PHARMACY CVS PHARMACY WALGREENS MARCS WALMART PHARMACY BYPASS PHARMACY ANILE LONG TERM CARE PHARMACY WALGREENS MARCS RITE AID PHARMACY DAVE'S PHARMACY RITE AID PHARMACY WALMART PHARMACY KROGER SAV-ON CVS PHARMACY MAINLINE PHARMACY HASTINGS RITE AID PHARMACY RITE AID PHARMACY RITE AID PHARMACY STANDARD DRUG STORE SALTSBURG PHARMACY RITE AID PHARMACY OTT & MCHENRY PHARMACY BOSWELL PRESCRIPTION CENTER MINNICHS COLONIAL PHARMACY FAMILY PHARMACY OF ARCHBALD WALMART PHARMACY WALGREENS RITE AID PHARMACY CVS PHARMACY RITE AID PHARMACY CVS PHARMACY WALMART PHARMACY GIANT EAGLE PHARMACY WEIS PHARMACY RITE AID PHARMACY RITE AID PHARMACY CVS PHARMACY WALMART PHARMACY LN PHARMACY VALLEY CARE PHARMACY #1 DEDICATED SEN MED CTR N PHILA READING COMMUNITY PHARMACY INC GENOA HEALTHCARE LLC WALGREENS SOUTH BERKELEY PHARMACY R-EXCELLENCE PROGRAM - MAN RITE AID PHARMACY FREDS FAMILY PHARMACY RITE AID PHARMACY DISCOUNT DRUG MART RITE AID PHARMACY GEISINGER PHARMACY PHARMACY HEALTH CENTER WEIS PHARMACY RITE AID PHARMACY GEISINGER PHARMACY BECKLEY PHARMACY WEIS PHARMACY OMNICARE OF TOPTON WEST TOWN PHARMACY LEHIGH DISCOUNT DRUGS WARRINGTON RX PHARMACY GIANT PHARMACY WEIS PHARMACY TEPPER PHARMACY CVS PHARMACY RITE AID PHARMACY BROCKIE PHARMATECH WARREN STATE HOSPITAL PHARMACY CVS PHARMACY BIOSCRIP INFUSION SERVICES CAMC PHARMACY CAMDEN CLARK OUTPATIENT PHCY WALGREENS

ADDRESS 105 GOLDEN GATE PLZ 922 SENATE DR 151 E AIRPORT HWY STE B 46 MIDDLEWAY PIKE 323 S WALKER ST 12650 ROCKSIDE RD 301 TOWN CENTER BLVD 104 S EISENHOWER DR 2413 PENNSYLVANIA AVE 6355 DIXIE HWY 2753 W MARKET ST 146 WOODMAN DR 1929 E 61ST ST 2229 E STATE ST 8451 COLERAIN AVE 731 W MARKET ST 504 S OXFORD VALLEY RD 317 BEAVER ST 741 ROUTE 113 1707 ROUTE 209 929 S HIGH ST 322 S HANCOCK ST 237 WASHINGTON ST 415 E QUEEN ST 102 MAIN ST 210 OHIO ST 976 S GEORGE ST 4 KELLY ST STE 1 3707 BUFFALO RD 1490 E MAIN ST 1365 LOGAN AVE 702 CHESTNUT ST 4534 BROADWAY BLVD 7700 GERMANTOWN AVE 1275 N HERMITAGE RD 3230 WILMINGTON RD 2850 CARLISLE RD 420 N 3RD ST 704 20 EAST PASSYUNK AVENUE 306 E BALTIMORE PIKE AVE 195 N WEST END BLVD 5929 LANSDOWNE AVE 940 JEFFERSON AVE 2101 W LEHIGH AVE STE A 526 PENN ST 2 EASTGATE AVE STE P 1000 BOWER HILL RD STE 5200 5054 GERRARDSTOWN ROAD 600 E MCDONALD AVE 207 N COURT ST 1136 E STATE ST 4053 S MAIN ST 12575 CHILLICOTHE RD 916 STATE ST 400 HIGHLAND AVE SUITE B 131 E CHELTEN AVE 61 KINGS PLZ 639 HAMLIN HWY 175 S WILKES BARRE BLVD 105 ANWAR FATIMA LANE 1056 WAYNE AVE 1 S HOME AVE 5259 RODMAN ST 1444 W HAMILTON ST 1335 EASTON ROAD 300 LINCOLN AVE 351 E HIGH ST 333 E LANCASTER AVE 101 CHESTER AVE 524 N 6TH ST 275 N PINE ST STE B 33 MAIN DR 7001 N ROUTE 309 2600 MIDDLETOWN CMNS STE 131 3415 MACCORKLE AVE SE 800 GARFIELD AVE 114 S MAIN ST

CITY MAUMEE CENTERVILLE SWANTON INWOOD PRINCETON GARFIELD HTS VAN WERT BECKLEY WEIRTON FAIRFIELD FAIRLAWN DAYTON CLEVELAND SALEM CINCINNATI TROY FAIRLESS HILLS HASTINGS SOUDERTON BRODHEADSVILLE WEST CHESTER MCADOO SALTSBURG CHAMBERSBURG BRADFORD BOSWELL YORK ARCHBALD BUFFALO HARRISVILLE TYRONE EMMAUS MONROEVILLE PHILADELPHIA HERMITAGE NEW CASTLE DOVER WOMELSDORF PHILADELPHIA MEDIA QUAKERTOWN PHILADELPHIA SCRANTON PHILADELPHIA READING MONESSEN PITTSBURGH INWOOD MAN MEDINA SALEM AKRON CHESTERLAND ERIE LEWISTOWN PHILADELPHIA OLEY LAKE ARIEL WILKES BARRE BECKLEY CHAMBERSBURG TOPTON PHILADELPHIA ALLENTOWN WARRINGTON EAST STROUDSBURG CARLISLE WYNNEWOOD YEADON READING LANGHORNE WARREN COOPERSBURG WHITE HALL CHARLESTON PARKERSBURG PHILIPPI

STATE

COUNTY

OH LUCAS

OH MONTGOMERY

OH FULTON

WV BERKELEY

WV MERCER

OH CUYAHOGA

OH VAN WERT

WV RALEIGH

WV HANCOCK

OH BUTLER

OH SUMMIT

OH MONTGOMERY

OH CUYAHOGA

OH COLUMBIANA

OH HAMILTON

OH MIAMI

PA BUCKS

PA CAMBRIA

PA BUCKS

PA MONROE

PA CHESTER

PA SCHUYLKILL

PA INDIANA

PA FRANKLIN

PA MCKEAN

PA SOMERSET

PA YORK

PA LACKAWANNA

WV PUTNAM

WV RITCHIE

PA BLAIR

PA LEHIGH

PA ALLEGHENY

PA PHILADELPHIA

PA MERCER

PA LAWRENCE

PA YORK

PA BERKS

PA PHILADELPHIA

PA DELAWARE

PA BUCKS

PA PHILADELPHIA

PA LACKAWANNA

PA PHILADELPHIA

PA BERKS

PA WESTMORELAND

PA ALLEGHENY

WV BERKELEY

WV LOGAN

OH MEDINA

OH COLUMBIANA

OH SUMMIT

OH GEAUGA

PA ERIE

PA MIFFLIN

PA PHILADELPHIA

PA BERKS

PA WAYNE

PA LUZERNE

WV RALEIGH

PA FRANKLIN

PA BERKS

PA PHILADELPHIA

PA LEHIGH

PA BUCKS

PA MONROE

PA CUMBERLAND

PA MONTGOMERY

PA DELAWARE

PA BERKS

PA BUCKS

PA WARREN

PA LEHIGH

WV MARION

WV KANAWHA

WV WOOD

WV BARBOUR

ZIP

PHONE

43537 (419)-893-5533

45459 (937)-610-3051

43558 (419)-214-4600

25428 (304)-229-4318

24740 (304)-431-4967

44125 (216)-475-2568

45891 (419)-238-5928

25801 (304)-256-2006

26062 (304)-723-1818

45014 (513)-874-3528

44333 (330)-869-0426

45431 (937)-256-1901

44103 (216)-361-0735

44460 (330)-337-3494

45239 (513)-245-9467

45373 (937)-573-4530

19030 (215)-945-5720

16646 (814)-247-9959

18964 (215)-723-5553

18322 (570)-992-2373

19382 (610)-436-6767

18237 (570)-929-1130

15681 (724)-639-9022

17201 (717)-263-8040

16701 (814)-362-3827

15531 (814)-629-6624

17403 (717)-848-2312

18403 (570)-876-3312

25033 (304)-937-4204

26362 (304)-643-2902

16686 (814)-684-5000

18049 (610)-965-5980

15146 (412)-373-5420

19118 (215)-242-0661

16148 (724)-346-5930

16105 (724)-652-3706

17315 (717)-764-3382

19567 (610)-589-4186

19147 (215)-627-3151

19063 (610)-566-8400

18951 (215)-529-7883

19151 (215)-473-0750

18510 (570)-800-2273

19132 (267)-866-7211

19602 (610)-750-6761

15062 (724)-653-6038

15243 (412)-502-2863

25428 (304)-229-2400

25635 (304)-583-0535

44256 (330)-725-4104

44460 (330)-332-9919

44319 (330)-644-9911

44026 (440)-729-2400

16501 (814)-456-0560

17044 (717)-242-7392

19144 (215)-685-5714

19547 (610)-987-9877

18436 (570)-689-4660

18702 (570)-821-0808

25801 (681)-207-7008

17201 (717)-261-2574

19562 (610)-682-1278

19143 (215)-921-9346

18102 (610)-351-1800

18976 (267)-488-1215

18301 (570)-476-8834

17013 (717)-245-2541

19096 (610)-649-0390

19050 (610)-461-2171

19601 (610)-374-6282

19047 (215)-757-8553

16365 (814)-726-4531

18036 (610)-282-4104

26554 (800)-478-2938

25304 (304)-388-9700

26101 (304)-424-2120

26416 (304)-457-4911

NCPDP 6001123 3963293 3963887 3965160 3965778 3970616 3971581 3971896 3973763 3974094 6004193 6004814 6005828 6006654 6006806 6007834 6008381 6009244 6010172 6010297 3648257 3648409 3648637 3655098 3938276 3944306 3944407 3946108 3949091 3953951 3958317 5056052 5056800 5058373 5058652 6002428 6003090 6003444 3965273 3965728 3966186 3969257 3970870 3971113 3975351 3976327 6004787 6004838 6005260 6005638 6006591 6007187 6007579 3654426 3654591 3939963 3941829 3944673 3945221 3947655 3948722 3949623 3949863 3954117 3956642 3958038 3960691 5055834 5057282 5058070 5006045 5010359 5010638 3636808 3637381 3638840 3639638

NPI 1770984270 1053367052 1427126226 1356430011 1689691743 1427005982 1912930249 1477519395 1386748135 1003910886 1457804965 1225573298 1366952632 1750448924 1689151623 1871064543 1033761788 1245861079 1760436240 1518541267 1073622312 1497864730 1396750238 1144248980 1225105356 1598864852 1891885919 1336239458 1891793808 1851480503 1437164357 1396176756 1598210338 1265087753 1649852005 1841682176 1427422823 1043670276 1043237100 1184724155 1528147295 1669499729 1851494611 1972601599 1992788350 1861419095 1447702766 1982147542 1558898023 1013432673 1790276145 1578039723 1942764071 1487669321 1427075605 1598819948 1225061559 1497788723 1780788521 1689775132 1548206352 1497854756 1326137076 1821198573 1730283581 1114911302 1386745453 1376895995 1427574086 1609391358 1982786760 1144323809 1306878327 1932133725 1295769099 1013938638 1871675678

PHARMACY NAME PATIENT FIRST SAV-ON PHARMACY HAYDENS PHARMACY RITE AID PHARMACY WALMART PHARMACY SAV-ON PHARMACY WEIS PHARMACY JAMESON OUTPATIENT PHARMACY CVS PHARMACY CVS PHARMACY VALLEY DISCOUNT PHARMACY INC LINSKY PHARMACY ADVOCATE PHARMACY BRYN MAWR DERMATOLOGY GIANT PHARMACY ABSOLUTECARE OF PHILADELPHIA CVS PHARMACY GIANT EAGLE PHARMACY LTC SUBURBAN UROLOGIC ASSOCIATES GEISINGER PHARMACY RITE AID PHARMACY RITE AID PHARMACY MARCS WALMART PHARMACY BELL APOTHECARY INC RITE AID PHARMACY RITE AID PHARMACY RITE AID PHARMACY FOREST HILLS PHARMACY INC RITE AID PHARMACY GIANT EAGLE PHARMACY BRIDGEPORT FAMILY PHARMACY NEW RIVER HEALTH FAYETTEVILLE PHARM MZM PHARMACY HURRICANE FAMILY PHARMACY SHADELAND PHARMACY HAYDEN'S PHARMACY WELLCARE PHARMACY 3 WALMART PHARMACY DUNCANSVILLE PHARMACY MC KEAN STREET PHARMACY WALMART PHARMACY CVS PHARMACY CVS PHARMACY PENN HOME INFUSION THERAPY WALMART PHARMACY GENOA HEALTHCARE LLC GLOBAL PHARMACY INC DUBOIS DRUG AND WELLNESS CHESTER DISCOUNT PHARMACY REGIONAL DISCOUNT PHARMACY ZEPHYR PHARMACY BRIGHTON HEALTH MART PHARMACY MARCS WALMART PHARMACY MEDICINE SHOPPE PHARMACY WEIS PHARMACY WEIS PHARMACY CVS PHARMACY CVS PHARMACY TOWNE DRUGS INC RITE AID PHARMACY RITE AID PHARMACY VERREE PHARMACY CVS PHARMACY BRIGHTON PHARMACY GIANT EAGLE PHARMACY ALUM CREEK PHARMACY AT SAND PLANT WALGREENS WALGREENS FRUTH PHARMACY CVS PHARMACY MARTINS PHARMACY KROGER SAV-ON KROGER SAV-ON THE CHRIST HOSPITAL APOTHECARY CAMDEN VILLAGE PHARMACY

ADDRESS 75 E STREET RD 3951 W LINCOLN HWY 505 N 4TH ST 623 SAINT CLAIR AVE 150 TOWN CENTRE DR 5300 W BALTIMORE AVE 1651 E CUMBERLAND ST 1211 WILMINGTON AVE 958 S KROCKS RD 3780 MAIN ST 324 N 7TH ST 1701 S 2ND ST 535 SOUTH BROAD STREET 775 E LANCASTER AVE STE 200 176 W STREET RD 1080 N DELAWARE AVE 8TH FL 490 N BROAD ST STE 100 6204 STATE ROUTE 30 STE A 2790 MOSSIDE BLVD STE G110 68 SPRING STREET 4106 E LAKE RD 940 ELIDA AVE 8003 BROADVIEW RD 2801 W STATE ROUTE 18 4014 LANCASTER AVE 3120 CHICHESTER AVE 2503 05 WELSH RD 6 BOCCHICHIO BOULEVARD 552 LOCUST ST 1814 SPRING RD 100 SUGAR RUN RD 460 E MAIN ST 217 W MAPLE AVE 33 MEADOW LN UNIT 7 3860 TEAYS VALLEY RD STE 3 403 SHADELAND AVE 3846 STATE ROUTE 31 612 SNYDER AVE 6520 CARLISLE PIKE STE 550 1328 3RD AVE 2745 MCKEAN ST # MC 2601 MACARTHUR RD 4849 WILLIAM FLYNN HWY 2193 YORK RD 625 CLARK AVE STE 10 45 WILLIAMSON RD 1350 W 26TH ST STE 100 3237 KENSINGTON AVE 700 S BRADY ST 3107 W 9TH ST 910 S DUKE ST STE 104 1618 SCHADT AVENUE 525 5TH AVE 26393 BROOKPARK RD 5500 MILAN RD STE 200 102 E ATLANTIC AVE 1643 MANHEIM PIKE 1440 ALLEGHENY ST 9875 BUSTLETON AVE 606 S MAIN ST 17 S CENTRE STREE 705 W LANCASTER AVE 700 SHARON NEW CASTLE RD 7960 VERREE RD 927 PROVIDENCE RD 525 5TH AVE 606 ERIE ST 1563 SAND PLANT RD 902 N LEWIS ST 406 WASHINGTON ST 125 7TH AVE 447 WASHINGTON AVE 190 FLOWING SPRINGS RD 1508 COVINGTON AVE 4100 HUNT RD 2139 AUBURN AVE 75 W CENTRAL AVE

CITY FEASTERVILLE TREVOSE DOWNINGTOWN YOUNGWOOD CLAIRTON JOHNSTOWN CLIFTON HEIGHTS LEBANON NEW CASTLE ALLENTOWN PHILADELPHIA ALLENTOWN PHILADELPHIA LANSDALE VILLANOVA FEASTERVILLE TRVOSE PHILADELPHIA PHILADELPHIA GREENSBURG MONROEVILLE LOCK HAVEN SHEFFIELD LAKE DELPHOS BROADVIEW HEIGHTS TIFFIN PHILADELPHIA BOOTHWYN PHILADELPHIA MOSCOW SAINT MICHAEL CARLISLE WAYNESBURG BRIDGEPORT FAYETTEVILLE MARTINSBURG HURRICANE DREXEL HILL DONEGAL PHILADELPHIA MECHANICSBURG DUNCANSVILLE PHILADELPHIA WHITEHALL ALLISON PARK JAMISON KING OF PRUSSIA GREENVILLE ERIE PHILADELPHIA DUBOIS CHESTER LANCASTER WHITEHALL NEW BRIGHTON NORTH OLMSTED SANDUSKY FRANKLIN LANCASTER JERSEY SHORE PHILADELPHIA SHREWSBURY POTTSVILLE BRYN MAWR FARRELL PHILADELPHIA SECANE NEW BRIGHTON EDINBORO SOUTH CHARLESTON GLENVILLE RAVENSWOOD HUNTINGTON HUNTINGTON CHARLES TOWN PIQUA CINCINNATI CINCINNATI CAMDEN

STATE

COUNTY

PA BUCKS

PA CHESTER

PA WESTMORELAND

PA ALLEGHENY

PA CAMBRIA

PA DELAWARE

PA LEBANON

PA LAWRENCE

PA LEHIGH

PA PHILADELPHIA

PA LEHIGH

PA PHILADELPHIA

PA MONTGOMERY

PA DELAWARE

PA BUCKS

PA PHILADELPHIA

PA PHILADELPHIA

PA WESTMORELAND

PA ALLEGHENY

PA CLINTON

OH LORAIN

OH ALLEN

OH CUYAHOGA

OH SENECA

PA PHILADELPHIA

PA DELAWARE

PA PHILADELPHIA

PA LACKAWANNA

PA CAMBRIA

PA CUMBERLAND

PA GREENE

WV HARRISON

WV FAYETTE

WV BERKELEY

WV PUTNAM

PA DELAWARE

PA WESTMORELAND

PA PHILADELPHIA

PA CUMBERLAND

PA BLAIR

PA PHILADELPHIA

PA LEHIGH

PA ALLEGHENY

PA BUCKS

PA MONTGOMERY

PA MERCER

PA ERIE

PA PHILADELPHIA

PA CLEARFIELD

PA DELAWARE

PA LANCASTER

PA LEHIGH

PA BEAVER

OH CUYAHOGA

OH ERIE

PA VENANGO

PA LANCASTER

PA LYCOMING

PA PHILADELPHIA

PA YORK

PA SCHUYLKILL

PA MONTGOMERY

PA MERCER

PA PHILADELPHIA

PA DELAWARE

PA BEAVER

PA ERIE

WV KANAWHA

WV GILMER

WV JACKSON

WV CABELL

WV CABELL

WV JEFFERSON

OH MIAMI

OH HAMILTON

OH HAMILTON

OH PREBLE

ZIP

PHONE

19053 (267)-684-1047

19335 (610)-873-8589

15697 (724)-925-1400

15025 (412)-233-2703

15904 (814)-266-7009

19018 (610)-284-6803

17042 (717)-270-1919

16105 (724)-656-4650

18106 (610)-530-7385

19127 (215)-508-3607

18102 (484)-202-7777

19148 (215)-389-4148

19446 (215)-362-2479

19085 (610)-525-7800

19053 (717)-240-7541

19125 (267)-463-5800

19130 (215)-430-5757

15601 (724)-836-6779

15146 (412)-372-6330

17745 (570)-263-5830

44054 (440)-949-6239

45833 (419)-695-8055

44147 (440)-746-1015

44883 (419)-447-9177

19104 (215)-387-9100

19061 (610)-494-2770

19114 (215)-671-0544

18444 (570)-842-6766

15951 (814)-495-9437

17013 (717)-249-7697

15370 (724)-627-5456

26330 (304)-848-9500

25840 (304)-574-3991

25404 (681)-247-2385

25526 (681)-233-5071

19026 (610)-622-1630

15628 (724)-593-4400

19148 (215)-560-8161

17050 (717)-691-3144

16635 (814)-695-8065

19145 (215)-334-4185

18052 (610)-266-9375

15101 (724)-443-2418

18929 (215)-491-7176

19406 (610)-992-3920

16125 (724)-589-0227

16508 (814)-636-6036

19134 (215)-425-4346

15801 (814)-371-5827

19013 (484)-768-6167

17602 (717)-299-3300

18052 (610)-351-6337

15066 (724)-847-7979

44070 (440)-777-2521

44870 (419)-627-8283

16323 (814)-437-9111

17601 (717)-569-7518

17740 (570)-398-7757

19115 (215)-969-8750

17361 (717)-235-4618

17901 (570)-622-2490

19010 (610)-527-3603

16121 (724)-983-1645

19111 (215)-342-0100

19018 (610)-284-3270

15066 (724)-847-7979

16412 (814)-734-5036

25309 (304)-756-2181

26351 (304)-462-4438

26164 (304)-273-4496

25701 (304)-697-2151

25701 (304)-522-0045

25414 (304)-728-8705

45356 (937)-615-7020

45236 (513)-792-1501

45219 (513)-585-0050

45311 (937)-452-1263

NCPDP 3644273 3653929 3937515 3940613 3944267 3947326 3952872 3954662 3956755 3957973 3960538 5056329 5056482 5056711 5057446 3963053 3968229 3970452 3970820 6004650 6006779 6007125 6007543 6007872 5058032 5058260 5058474 6003127 3961819 3964625 3964738 3965425 3965843 3967087 3967138 3968281 3970553 3970933 3971389 3974878 6004927 6007555 6009751 3905784 3907891 3919428 3929429 5006778 5010513 5011894 5054577 5055389 3648574 3652357 3654337 3941160 3942100 3958898 3959054 5056139 5056773 5057371 5057383 5057458 5058018 5058501 6000828 6000967 6002694 3964916 3965449 6000513 6000892 6001173 6001399 3961869 3961883

NPI 1588674378 1518972421 1598854234 1972602233 1144329400 1528157260 1386743540 1245302033 1013928241 1730278482 1134219256 1508277021 1912391772 1578928214 1093234080 1952491078 1285732800 1962506717 1407873623 1942751417 1912484296 1902383185 1740754159 1164994307 1053837963 1467925487 1992344568 1043680846 1932116951 1154336089 1407873565 1023002599 1669573127 1891896791 1033136197 1124112644 1235228990 1871682534 1134218894 1114024601 1629420385 1740754696 1598375875 1093818833 1053328161 1992860316 1184713810 1790867570 1356368484 1467546770 1508051996 1235432121 1871538884 1316968415 1609893882 1215035951 1285717637 1043382302 1982619805 1053730309 1922466200 1437676392 1417473000 1093231904 1538685987 1306476940 1477961662 1538560552 1942686936 1316964471 1952404717 1609295211 1891771044 1063815967 1265830525 1063427987 1184713836

PHARMACY NAME RITE AID PHARMACY GIANT EAGLE PHARMACY RITE AID PHARMACY RITE AID PHARMACY RITE AID PHARMACY RITE AID PHARMACY RITE AID PHARMACY MEDICINE SHOPPE PHARMACY GIANT EAGLE PHARMACY RITE AID PHARMACY RITE AID PHARMACY PRESTON FAMILY PHARMACY WALMART PHARMACY PHILLIPS DRUG WALGREENS RITE AID PHARMACY CVS PHARMACY CVS PHARMACY WALMART PHARMACY OAKLANE PHARMACY PHOEBE SERVICES PHARMACY BEST CARE PHARMACY SPRINGFIELD PHARMACY ARAMINGO PHARMACY WALGREENS HARLESS CENTER PHARMACY MOUNTAIN VALLEY PHARMACY WALMART PHARMACY GIANT EAGLE PHARMACY GIANT EAGLE PHARMACY WALMART PHARMACY WILEYS PHARMACY CVS PHARMACY RITE AID PHARMACY WALMART PHARMACY WATERFORD PHARMACY RITE AID PHARMACY RITE AID PHARMACY RITE AID PHARMACY CVS PHARMACY MEDICINE SHOPPE PHARMACY LIGONIER PHARMACY GANSE APOTHECARY RETAIL CVS PHARMACY SILVERMAN PHARMACY MCDONALD PHARMACY RITE AID PHARMACY MOUNDSVILLE PHARMACY WALMART PHARMACY MEDICAP PHARMACY WALGREENS GOOD FAMILY PHARMACY, INC DISCOUNT DRUG MART IGA COMMUNITY MARKETS PHARMACY WALMART PHARMACY CVS PHARMACY VANDERGRIFT PHARMACY CVS SPECIALTY GIANT EAGLE PHARMACY THE PHARMACY VALLEY WELLNESS PHARMACY WALGREENS WALGREENS WALGREENS WALGREENS AMBER ENTERPRISES ST. JOSEPH AMBULATORY PHARMACY HAVERFORD PHARMACY WEIS PHARMACY WALMART PHARMACY CVS PHARMACY LIFE TREE PHARMACY ASSOCIATES HEMATOLOGY ONCOLOGY PHARMACY OF AMERICA VI DIAMOND PHARMACY GIANT EAGLE PHARMACY RITE AID PHARMACY

ADDRESS 437 N WOLF CREEK ST 3130 CENTER RD 5504 WALNUT ST 23 N ELM ST 120 S MILL RD 412 BROADWAY ST 696 STONY HILL RD 2239 PITTSTON AVE 20111 ROUTE 19 813 3RD AVE 950 E BALTIMORE AVE 17548 VETERANS MEM HWY STE P 369 SCOTTS FORK BONNIE RD 615 WELLS ST 2300 GRAND CENTRAL AVE 8235 STENTON AVE 16 E AFTON AVE 728 UNION BLVD 2501 W STATE ST 6724 OLD YORK RD 311 BETHLEHEM PIKE SUITE N 4931 NORTH BROAD STREET 1154 BALTIMORE PIKE 2313 E VENANGO STREET 1A 260 HUFFCREEK HWY 202 LARRY JOE HARLESS DR 827 FAIRMONT ROAD STE 104 299 VALLEY GATE DR 9805 MCKNIGHT RD 2357 E STATE ST 1 HILLTOP PLZ 903 NISSLEY RD 815 N FRONT ST 818 ROUTE 15 NORTH 2200 GREENGATE CENTRE CIR 216 HIGH ST 1249 HORSESHOE PIKE 820 MAIN ST 10 NEWPORT PL 3300 S BROAD ST # 10 3025-27 KENSINGTON AVE 113 S FAIRFIELD ST STE 1 355 W KING ST 10600 FRANKSTOWN RD 2501 S 7TH ST 303 W BARR ST 3601 WALNUT ST 118 N LAFAYETTE AVE 1976 JEFFERSON ST N 4352 5TH STREET RD 886 RITTER DR 249 B SOUTH PINCH RD 725 E 200TH ST 279 W WATER ST 359 N LEXINGTON SPRINGMILL RD 2410 WILLOW STREET PIKE 224 LONGFELLOW ST STE 100 105 MALL BLVD 50 HADLEY RD 15041 MACCORKLE AVE 3715 MACCORKLE AVE SE 8699 ELK RIVER RD N 627 FAIRMONT AVE 337 MAIN ST 50 S MAIN ST 615 LEE STREET E 2500 BERNVILLE RD FIRST FLOOR 5601 VINE ST UNIT C2 1424 BALTIMORE ST 1102 MILLION DOLLAR HWY 734 E WASHINGTON ST 800 CHESTER PIKE 1 MEDICAL CTR BLVD, STE 341 919 LEVICK ST 2118 DIAMOND ST 4192 GLADES PIKE 44 KINGS VLG

CITY BROOKVILLE POLAND PITTSBURGH KUTZTOWN KENNETT SQUARE CORAOPOLIS YARDLEY SCRANTON CRANBERRY TOWNSHIP NEW BRIGHTON YEADON KINGWOOD SUTTON SISTERSVILLE VIENNA PHILADELPHIA YARDLEY ALLENTOWN NEW CASTLE PHILADELPHIA COLMAR PHILADELPHIA SPRINGFIELD PHILADELPHIA MAN GILBERT MORGANTOWN WARRINGTON PITTSBURGH HERMITAGE KITTANNING LANCASTER PHILIPSBURG DILLSBURG GREENSBURG WATERFORD DOWNINGTOWN ROYERSFORD NEWPORT PHILADELPHIA PHILADELPHIA LIGONIER LANCASTER PITTSBURGH PHILADELPHIA MC DONALD HARRISBURG MOUNDSVILLE LEWISBURG HUNTINGTON BEAVER ELKVIEW EUCLID OAK HARBOR ONTARIO LANCASTER VANDERGRIFT MONROEVILLE GREENVILLE CABIN CREEK CHARLESTON CLENDENIN FAIRMONT GRANTSVILLE PETERSBURG CHARLESTON READING PHILADELPHIA HANOVER SAINT MARYS NEW CASTLE SHARON HILL UPLAND PHILADELPHIA PHILADELPHIA SOMERSET MINERSVILLE

STATE

COUNTY

OH MONTGOMERY

OH MAHONING

PA ALLEGHENY

PA BERKS

PA CHESTER

PA ALLEGHENY

PA BUCKS

PA LACKAWANNA

PA BUTLER

PA BEAVER

PA DELAWARE

WV PRESTON

WV BRAXTON

WV TYLER

WV WOOD

PA PHILADELPHIA

PA BUCKS

PA LEHIGH

PA LAWRENCE

PA PHILADELPHIA

PA MONTGOMERY

PA PHILADELPHIA

PA DELAWARE

PA PHILADELPHIA

WV LOGAN

WV MINGO

WV MONONGALIA

PA BUCKS

PA ALLEGHENY

PA MERCER

PA ARMSTRONG

PA LANCASTER

PA CLEARFIELD

PA YORK

PA WESTMORELAND

PA ERIE

PA CHESTER

PA MONTGOMERY

PA PERRY

PA PHILADELPHIA

PA PHILADELPHIA

PA WESTMORELAND

PA LANCASTER

PA ALLEGHENY

PA PHILADELPHIA

PA WASHINGTON

PA DAUPHIN

WV MARSHALL

WV GREENBRIER

WV WAYNE

WV RALEIGH

WV KANAWHA

OH CUYAHOGA

OH OTTAWA

OH RICHLAND

PA LANCASTER

PA WESTMORELAND

PA ALLEGHENY

PA MERCER

WV KANAWHA

WV KANAWHA

WV KANAWHA

WV MARION

WV CALHOUN

WV GRANT

WV KANAWHA

PA BERKS

PA PHILADELPHIA

PA YORK

PA ELK

PA LAWRENCE

PA DELAWARE

PA DELAWARE

PA PHILADELPHIA

PA PHILADELPHIA

PA SOMERSET

PA SCHUYLKILL

ZIP

PHONE

45309 (937)-833-2174

44514 (330)-757-4099

15232 (412)-681-5144

19530 (610)-683-5520

19348 (610)-444-5332

15108 (412)-264-0810

19067 (215)-321-9143

18505 (570)-347-6575

16066 (724)-772-7420

15066 (724)-843-5440

19050 (610)-622-3795

26537 (304)-329-6979

26601 (304)-689-3006

26175 (304)-652-6131

26105 (304)-295-4573

19150 (215)-247-8535

19067 (215)-321-8355

18109 (610)-432-6303

16101 (724)-657-9487

19126 (215)-924-9929

18915 (610)-794-4250

19141 (215)-842-5620

19064 (610)-544-4645

19134 (267)-297-1929

25635 (304)-583-2404

25621 (304)-664-1147

26501 (304)-943-7177

18976 (215)-488-9025

15237 (412)-366-3214

16148 (724)-981-0271

16201 (724)-543-2041

17601 (717)-898-8804

16866 (814)-342-2646

17019 (717)-432-0490

15601 (724)-830-2445

16441 (814)-796-6655

19335 (610)-873-3720

19468 (610)-948-0838

17074 (717)-567-6670

19145 (215)-463-0891

19134 (215)-426-0250

15658 (724)-238-6988

17603 (717)-394-5671

15235 (412)-241-3348

19148 (215)-465-3081

15057 (724)-926-2117

17109 (717)-545-8183

26041 (304)-845-0390

24901 (304)-645-5291

25701 (304)-523-5003

25813 (304)-256-0412

25071 (304)-935-4812

44119 (216)-531-1700

43449 (419)-898-0954

44906 (419)-529-2487

17602 (717)-464-3736

15690 (724)-567-6615

15146 (800)-238-7828

16125 (724)-588-1381

25035 (304)-595-9500

25304 (304)-932-0032

25045 (304)-548-6593

26554 (304)-366-4526

26147 (304)-354-9232

26847 (304)-257-2072

25301 (888)-370-1724

19605 (610)-378-2862

19139 (267)-787-5210

17331 (717)-637-0607

15857 (814)-781-1389

16101 (724)-654-3294

19079 (610)-522-2010

19013 (610)-619-7420

19111 (215)-535-0555

19121 (215)-278-2284

15501 (814)-443-3152

17954 (570)-544-8290

NCPDP 3962481 3963003 3963231 3963483 3964093 3969930 3975123 3975286 6005513 6006969 6007670 6007694 3653068 3944015 3944572 3946968 3948013 3949382 3952012 3956173 3959484 3960603 5055745 5056913 5057078 5057155 5058311 6002769 6003381 3961782 3962506 3965639 3968306 3971822 3974018 3974892 3975010 3976517 6006705 6007288 6009953 6008418 6009105 1816353 1818446 1818977 3604700 3605980 3977040 3979640 3980706 3981986 3983245 3984021 3984259 1834692 1507637 1518060 1521699 1524695 1527069 1529809 1530624 2387416 2388040 2388329 3989285 3990199 3991482 3994743 3995909 3996696 3998626 3999325 1567328 1570224 3669770

NPI 1497806509 1871692038 1598864753 1033166244 1629167382 1811900038 1316964547 1093819872 1962924944 1528548427 1295292175 1942767025 1942385794 1508965864 1366531006 1043319304 1215087242 1295773828 1093883969 1730288994 1790857597 1841223179 1457605933 1033650098 1780108407 1336664002 1609432459 1720455819 1982063491 1609948405 1508965765 1861595621 1477643492 1720082340 1689691800 1417915653 1902838923 1548293871 1427544782 1588131536 1538769864 1760048672 1457993388 1902823321 1386678100 1992722318 1558464263 1932114865 1043204670 1003954488 1033136270 1508898529 1215942107 1336166586 1073528972 1336547579 1740383447 1033212741 1598776007 1568489862 1578580882 1023023157 1487727905 1144866310 1942829395 1134746787 1528249877 1003086455 1609012863 1245532399 1699055954 1093092447 1760728414 1710325055 1629439583 1922640077 1205841129

PHARMACY NAME MEDVED'S PHARMACY RITE AID PHARMACY RITE AID PHARMACY CHARTWELL PENNSYLVANIA RITE AID PHARMACY PRICE CHOPPER PHARMACY WALMART PHARMACY CVS PHARMACY FLYING HILLS PHARMACY WEIS PHARMACY AUDUBON FAMILY PHARMACY INC LITITZ APOTHECARY ALLIANCE COMMUNITY HOSP PHCY RITE AID PHARMACY RITE AID PHARMACY RITE AID PHARMACY GEISINGER PHARMACY MCCAHAN'S PHARMACY FOULKEWAYS AT GWYNEDD RITE AID PHARMACY MEDICINE SHOPPE PHARMACY WEIS PHARMACY MEDICINE SHOPPE PHARMACY COMMUNITY CARE PHARMACY OF BUCKHANN WALGREENS WALGREENS CHAMPION PHARMACY AND WELLNESS WELLCARE PHARMACY 2 GIANT PHARMACY PRECISION CARE PHARMACY RITE AID PHARMACY CVS PHARMACY RITE AID PHARMACY BROAD & LEHIGH PHARMACY WALMART PHARMACY ACCREDO HEALTH GROUP INC GIANT PHARMACY WEIS PHARMACY CVS PHARMACY AESTHETIC DERMATOLOGY ASSOCIATES LUZERNE DISCOUNT PHARMACY INC RUBYS PHARMACY HAMPTON PHARMACY AND WELLNESS WALMART PHARMACY KROGER PHARMACY WALMART PHARMACY CVS PHARMACY ACME PHARMACY CONCEPT PHARMACY SERVICES LEHIGH PHARMACY WALMART PHARMACY GIANT PHARMACY WALGREENS WALMART PHARMACY WALGREENS SHELDON'S EXPRESS PHARMACY #5 CVS PHARMACY CVS PHARMACY MEDICINE PLUS WALMART PHARMACY WALMART PHARMACY WALGREENS KROGER SAVON PHCY NILES COMMUNITY HEALTH CENTER PHCY LTC WELCOME PHARMACY LESLIE ADRIAN FMC PHARMACY TOPS PHARMACY HOMESTAR RX AND INFUSION SVCS BROWNSVILLE PHARMACY KEWAN PHARMACY PATIENT FIRST PHILLY METRO PHARMACY BEAVER FALLS HEALTH MART PHCY CVS PHARMACY MEIJER PHARMACY IU HEALTH BLOOMINGTON RETAIL PHARM GIANT EAGLE PHARMACY

ADDRESS 536 MCKEAN AVE 2000 HAMILTON ST 2600 WILLOW STREET PIKE N 1001 OAKDALE RD 339 SPRING GARDEN ST 1228 ONEILL HWY 5350 W RIDGE RD 3750 STERRETTANIA RD 2431 MORGANTOWN RD 600 HUNTER HWY 2812 EGYPT RD STE E 100 E MAIN ST 200 E STATE ST 4411 HOWLEY ST 124 S FRONT ST 609 LUZERNE ST 4752 SR 655 STE A 813 LOWER MAIN ST 1120 MEETINGHOUSE RD 1 ICE CREAM ALY 400 A HUNTINGDON PIKE RTE 590 10100 FRANKFORT HWY 37 W. MAIN ST 305 6TH AVE 1301 WASHINGTON ST E 319 S VIRGINIA AVE 1550 PRATT ST 950 WALNUT BOTTOM RD 434 E PITTSBURGH ST STE 17 575 MORGANTOWN RD 1845 MCCLELLANDTOWN RD 4641 51 CHESTNUT ST 1300 W LEHIGH AVE 102 4301 BYBERRY RD 3000 ERICSSON DR STE 100 44 NATURAL SPRINGS RD 70 PHOENIX ST 1000 S BROAD ST 21 INDUSTRIAL BLVD STE 101 101 MAIN ST SUITE D 509 MAIN STREET SUITE 102 4678 WILLIAM FLYNN HWY 150 WALTON AVE 4501 OUTER LOOP 477 VILLAGE DR 14372 SNOW RD 2420 WEDGEWOOD DR 639 CHESTNUT ST 1006 W LEHIGH AVE 60 NOBLE BLVD 397 BALTIMORE RD 52 CHESTER PIKE 50 N MACDADE BLVD 4 OLD CLAIRTON RD 5575 SCOTTSVILLE RD 308 S HUNTINGTON ST 2101 E IRELAND RD 2412 16TH ST 1600 E TIPTON ST 240 MALL RD 2500 GRANT ST 9835 FALL CREEK RD 1951 OAK STREET 826 W BELLEVUE ST 1200 N MAIN ST 1702 E 38TH ST 77 S COMMERCE WAY STE 200 27 MARKET ST 5656 CHEW AVENUE 107 S SPORTING HILL RD 25 E WALNUT LN 1314 7TH AVE 3265 COUNTY LINE RD 5550 N KEYSTONE AVE 601 W 2ND ST STE 100 205 WEST AVE

CITY CHARLEROI PHILADELPHIA WILLOW STREET OAKDALE PHILADELPHIA DUNMORE ERIE ERIE READING TUNKHANNOCK AUDUBON LITITZ ALLIANCE PITTSBURGH STEELTON SCRANTON BELLEVILLE SAXTON GWYNEDD NEWTOWN JENKINTOWN HAMLIN FORT ASHBY BUCKHANNON SAINT ALBANS CHARLESTON BRIDGEPORT PHILADELPHIA CARLISLE GREENSBURG UNIONTOWN MASONTOWN PHILADELPHIA PHILADELPHIA PHILADELPHIA WARRENDALE GETTYSBURG DURYEA PHILADELPHIA PAOLI LUZERNE SAXTON ALLISON PARK BOWLING GREEN LOUISVILLE PRESTONSBURG BROOKPARK AKRON ASHLAND PHILADELPHIA CARLISLE SHIPPENSBURG DARBY GLENOLDEN PLEASANT HILLS BOWLING GREEN SYRACUSE SOUTH BEND BEDFORD SEYMOUR LOGANSPORT GARY INDIANAPOLIS NILES LESLIE ADRIAN ERIE BETHLEHEM BROWNSVILLE PHILADELPHIA MECHANICSBURG PHILADELPHIA BEAVER FALLS CHALFONT INDIANAPOLIS BLOOMINGTON TALLMADGE

STATE

COUNTY

PA WASHINGTON

PA PHILADELPHIA

PA LANCASTER

PA ALLEGHENY

PA PHILADELPHIA

PA LACKAWANNA

PA ERIE

PA ERIE

PA BERKS

PA WYOMING

PA MONTGOMERY

PA LANCASTER

OH STARK

PA ALLEGHENY

PA DAUPHIN

PA LACKAWANNA

PA MIFFLIN

PA BEDFORD

PA MONTGOMERY

PA BUCKS

PA MONTGOMERY

PA WAYNE

WV MINERAL

WV UPSHUR

WV KANAWHA

WV KANAWHA

WV HARRISON

PA PHILADELPHIA

PA CUMBERLAND

PA WESTMORELAND

PA FAYETTE

PA FAYETTE

PA PHILADELPHIA

PA PHILADELPHIA

PA PHILADELPHIA

PA ALLEGHENY

PA ADAMS

PA LUZERNE

PA PHILADELPHIA

PA CHESTER

PA LUZERNE

PA BEDFORD

PA ALLEGHENY

KY WARREN

KY JEFFERSON

KY FLOYD

OH CUYAHOGA

OH SUMMIT

PA SCHUYLKILL

PA PHILADELPHIA

PA CUMBERLAND

PA CUMBERLAND

PA DELAWARE

PA DELAWARE

PA ALLEGHENY

KY WARREN

IN

KOSCIUSKO

IN

ST. JOSEPH

IN

LAWRENCE

IN

JACKSON

IN

CASS

IN

LAKE

IN

MARION

MI BERRIEN

MI INGHAM

MI LENAWEE

PA ERIE

PA NORTHAMPTON

PA FAYETTE

PA PHILADELPHIA

PA CUMBERLAND

PA PHILADELPHIA

PA BEAVER

PA BUCKS

IN

MARION

IN

MONROE

OH SUMMIT

ZIP

PHONE

15022 (724)-483-6589

19130 (215)-567-2017

17584 (717)-464-1720

15071 (412)-920-7500

19123 (215)-625-9802

18512 (570)-346-4593

16506 (814)-835-0562

16506 (814)-835-4984

19607 (610)-401-0333

18657 (570)-836-0110

19403 (484)-392-7848

17543 (717)-626-2222

44601 (330)-596-7040

15224 (412)-621-9987

17113 (717)-939-7235

18504 (570)-344-4404

17004 (717)-935-2341

16678 (814)-635-2911

19436 (215)-283-7057

18940 (215)-579-0864

19046 (215)-663-1755

18427 (570)-689-5231

26719 (304)-298-4557

26201 (304)-472-1712

25177 (304)-722-4617

25301 (304)-346-9382

26330 (304)-842-7979

19124 (267)-686-8800

17015 (717)-243-3468

15601 (724)-834-5113

15401 (724)-437-2140

15461 (724)-583-2080

19139 (215)-474-5447

19132 (215)-228-9007

19154 (215)-281-3446

15086 (724)-772-6000

17325 (717)-337-0585

18642 (570)-451-6390

19146 (215)-772-3009

19301 (610)-566-7300

18709 (570)-763-7813

16678 (814)-635-7488

15101 (412)-426-7866

42104 (270)-782-9785

40219 (502)-969-2836

41653 (606)-886-1100

44142 (216)-676-4380

44312 (330)-733-9995

17921 (570)-875-3611

19133 (215)-225-7522

17013 (717)-258-4252

17257 (717)-532-7170

19023 (610)-532-1034

19036 (610)-583-2206

15236 (412)-650-7354

42104 (270)-715-0650

46567 (574)-457-4000

46614 (574)-291-1303

47421 (812)-275-3383

47274 (812)-522-5252

46947 (574)-735-0131

46404 (219)-949-1055

46256 (317)-577-3486

49120 (269)-262-4749

49251 (517)-589-8291

49221 (734)-654-2169

16510 (814)-455-9629

18017 (484)-526-4210

15417 (724)-785-7095

19138 (215)-929-1361

17050 (717)-943-1781

19144 (267)-331-5626

15010 (724)-384-0766

18914 (215)-996-9809

46220 (317)-610-2210

47403 (812)-353-9860

44278 (330)-634-0688

NCPDP 3672070 3674682 3674707 3676092 3676496 3677195 3677777 5055163 3651329 3653789 3655252 3965475 3965603 3965855 3968801 3969447 3970313 3971024 3973218 3975159 3975197 3975298 3975337 3975440 3975591 3976391 6006236 6007757 3655113 3655466 3937159 3942960 3949837 3952567 3953470 3954422 3959535 6000347 6000448 6000741 6002365 6002668 3966516 3970678 3972545 3973143 6004167 6004458 6007567 6008141 6008963 6009876 6009890 3949003 3949469 3953305 3956008 3957226 6008040 6008723 6009004 3655024 3655593 3936765 3937565 3940245 3941552 3945156 3949534 3950462 3957555 3958329 3959686 3959977 5056204 5057890 5058068

NPI 1104831023 1093757288 1124046875 1144410143 1417143843 1891943890 1952547390 1386975746 1366458671 1073530259 1245257427 1467559054 1194825554 1922106541 1386676393 1609964816 1558393561 1912008715 1417044173 1083625651 1023115516 1588754501 1720182504 1245245133 1457455230 1689691818 1942357454 1366900458 1891701108 1407842107 1104929959 1821191677 1174683809 1598982613 1710992631 1467556209 1316037435 1285058651 1790105104 1801202817 1154702835 1114393790 1982740593 1144319807 1760596159 1306861919 1992158208 1487009791 1518439314 1174189294 1326683707 1578175790 1780290197 1770687519 1649300187 1023178266 1750470308 1528073442 1073176103 1417513268 1750926119 1891850640 1427109305 1386723054 1225127962 1730291394 1700972411 1306879630 1285671685 1629050620 1205869534 1376642538 1902995657 1245396555 1720495401 1619493202 1598281404

PHARMACY NAME GIANT EAGLE PHARMACY CVS PHARMACY WALMART PHARMACY COSTCO PHARMACY BLACKBURNS PHARMACY LLC GENOA HEALTHCARE LLC CVS PHARMACY E A HAWSE PHARMACY RITE AID PHARMACY WALMART PHARMACY WALMART PHARMACY GLADWYNE PHARMACY RITE AID PHARMACY CVS PHARMACY GIANT PHARMACY TIPTON PHARMACY GIANT PHARMACY RITE AID PHARMACY MARIENVILLE PHARMACY JOHNSONS PHARMACEUTICAL SVCS CVS PHARMACY RITE AID PHARMACY CVS PHARMACY WALGREENS CVS PHARMACY WALMART PHARMACY PENNSYLVANIA DERMATOLOGY GROUP PC SMP CLINICAL PHARMACY RITE AID PHARMACY ROSS PARK PHARMACY INC CVS PHARMACY CVS PHARMACY NORRY PHARMACY LASLOWS PHARMACY GIANT EAGLE PHARMACY CVS PHARMACY RITE AID PHARMACY THE MEDICINE SHOPPE PHARMACY CVS PHARMACY PENN MED UNIV CITY APOTH LEWISBURG PHARMACY LECOM SR LIVING CENTER PHARMACY MEDICINE SHOPPE PHARMACY RITE AID PHARMACY UNION CITY PHARMACY THE HOMETOWN PHARMACY APOLLO PHARMACY COSTCO PHARMACY YORK WELLNESS PHARMACY CVS PHARMACY VISTA PHARMACY UPMC EAST OUTPATIENT PHARMACY WEIS PHARMACY CVS PHARMACY ROBERT T HENRY PHCY ICKES DRUG STORE LORDS VALLEY VILLAGE PHCY INC GIANT EAGLE PHARMACY NORTH SHORE HEALTH MART PHARMACY ANDERSON PHARMACY MORRELL PARK PHARMACY MEIJER PHARMACY CVS PHARMACY SALEM CRSSRDS APOTHECARY RITE AID PHARMACY MEDICINE SHOPPE PHARMACY PHARMACY HEALTH DISTRICT WEIS PHARMACY THOMPSON PHARMACY-INTOWN GENERAL COMMUNITY PHARMACY WEIS PHARMACY RITE AID PHARMACY RITE AID PHARMACY CAMILLA HALL PHARMACY GOOD LIFE APOTHECARY WALGREENS WALGREENS

ADDRESS 290 E AURORA RD 4020 MILAN RD 1355 S MCCORD RD 3405 W CENTRAL AVE 3520 RHODES AVE 526 MAXWELL AVE 400 CORWIN NIXON BLVD 17978 SR 55 4869 N SUMMIT STREET 4490 GALLIA ST 2500 TIFFIN AVE 352 RIGHTERS MILL RD 1130 PERRY HWY 833 BOWMAN ST 450 E MAIN ST 4384 E PLEASANT VALLEY BLVD # 6542 LOGAN SQ 7345 SALTSBURG RD 120 CHERRY ST 2000 CLAIRTON RD 2320 FAIRMOUNT AVE # 26 2131 59 NORTH BROAD STREET 298 E STREET RD 10 YORK RD 5190 LIBRARY RD 2100 SUMMIT RIDGE PLZ 2301 HUNTINGDON PIKE STE 202 43 SERVIDEA DR STE 100 10502 SAINT CLAIR AVE ONE ROSS PARK BLVD 1775 GOLDEN MILE HWY 120 5TH ST 125 DUKE ST 800 CARLISLE ST 600 TOWNE SQUARE WAY 1601 W LIBERTY ST 101 MAIN ST 5225 WILSON LANE 3331 GRANT AVE 3737 MARKET ST 50 N 2ND ST 5535 PEACH ST 501 HARRISON AVE 304 DEPOT ST 16395 ROUTE 8 3589 BRODHEAD RD 460 W LEHIGH AVE 791 N KROCKS RD 605 S GEORGE ST STE 130 1717 N 12TH ST UNIT F 938 N 8TH ST 2775 MOSSIDE BLVD FIRST FLR 112 ATLANTIC AVE 10901C BUSTLETON AVE 54 E KING ST 122 J JULIANA ST 658 RT 739 STE 5 1233 BROAD ST 127 ANDERSON ST SUITE 101 334 MAIN STREET 3808 MORRELL AVENUE 7150 EXECUTIVE BLVD 711 PARK RD 195 SHEFFIELD DR STE B 2300 JANE ST 12238 FRANKSTOWN RD 1900 N 20TH ST 224 N LOGAN BLVD 1118 12TH ST 562 WYOMING AVE 3885 UNION DEPOSIT RD 25 NORTHGATE PLZ UNIT 19 129 E CENTRE ST 100 MAXIS DR 3212 PENNSYLVANIA AVE # 8 7916 WINCHESTER AVE 18116 WEBSTER RD

CITY NORTHFIELD SANDUSKY HOLLAND TOLEDO NEW BOSTON CINCINNATI SOUTH LEBANON BAKER TOLEDO NEW BOSTON FINDLAY GLADWYNE PITTSBURGH LEBANON MIDDLETOWN TIPTON NEW HOPE PITTSBURGH MARIENVILLE WEST MIFFLIN PHILADELPHIA PHILADELPHIA FEASTERVILLE WARMINSTER BETHEL PARK MOUNT PLEASANT HUNTINGDON VALLEY RIDGWAY CLEVELAND STEUBENVILLE MONROEVILLE ELLWOOD CITY NORTHUMBERLAND HANOVER BRENTWOOD ALLENTOWN RIDGWAY MECHANICSBURG PHILADELPHIA PHILADELPHIA LEWISBURG ERIE JEANNETTE LATROBE UNION CITY MONACA PHILADELPHIA ALLENTOWN YORK PHILADELPHIA READING MONROEVILLE DINGMANS FERRY PHILADELPHIA SHIPPENSBURG BEDFORD HAWLEY JOHNSTOWN PITTSBURGH DENVER PHILADELPHIA HUBER HEIGHTS WORTHINGTON DELMONT PITTSBURGH PITTSBURGH PHILADELPHIA BURNHAM ALTOONA KINGSTON HARRISBURG HARMONY ASHLAND MALVERN CHARLESTON INWOOD CRAIGSVILLE

STATE

COUNTY

OH SUMMIT

OH ERIE

OH LUCAS

OH LUCAS

OH SCIOTO

OH HAMILTON

OH WARREN

WV HARDY

OH LUCAS

OH SCIOTO

OH HANCOCK

PA MONTGOMERY

PA ALLEGHENY

PA LEBANON

PA DAUPHIN

PA BLAIR

PA BUCKS

PA ALLEGHENY

PA FOREST

PA ALLEGHENY

PA PHILADELPHIA

PA PHILADELPHIA

PA BUCKS

PA BUCKS

PA ALLEGHENY

PA WESTMORELAND

PA MONTGOMERY

PA ELK

OH CUYAHOGA

OH JEFFERSON

PA ALLEGHENY

PA LAWRENCE

PA NORTHUMBERLAND

PA YORK

PA ALLEGHENY

PA LEHIGH

PA ELK

PA CUMBERLAND

PA PHILADELPHIA

PA PHILADELPHIA

PA UNION

PA ERIE

PA WESTMORELAND

PA WESTMORELAND

PA ERIE

PA BEAVER

PA PHILADELPHIA

PA LEHIGH

PA YORK

PA PHILADELPHIA

PA BERKS

PA ALLEGHENY

PA PIKE

PA PHILADELPHIA

PA CUMBERLAND

PA BEDFORD

PA PIKE

PA CAMBRIA

PA ALLEGHENY

PA LANCASTER

PA PHILADELPHIA

OH MONTGOMERY

OH FRANKLIN

PA WESTMORELAND

PA ALLEGHENY

PA ALLEGHENY

PA PHILADELPHIA

PA MIFFLIN

PA BLAIR

PA LUZERNE

PA DAUPHIN

PA BUTLER

PA SCHUYLKILL

PA CHESTER

WV KANAWHA

WV BERKELEY

WV NICHOLAS

ZIP

PHONE

44067 (330)-468-3263

44870 (419)-609-3341

43528 (419)-867-0452

43606 (419)-381-5009

45662 (740)-456-4500

45219 (513)-221-1650

45065 (513)-494-0701

26801 (304)-897-8220

43611 (419)-726-8449

45662 (740)-456-8267

45840 (419)-425-5511

19035 (610)-649-1100

15237 (412)-369-4267

17046 (717)-274-1463

17057 (717)-944-0882

16684 (814)-684-7979

18938 (215)-862-9065

15235 (412)-798-2344

16239 (814)-927-8700

15122 (412)-655-2151

19130 (215)-232-5262

19122 (215)-236-2297

19053 (215)-942-5141

18974 (215)-956-2834

15102 (412)-833-6029

15666 (724)-542-0374

19006 (215)-947-7500

15853 (814)-245-2950

44108 (216)-451-9027

43952 (740)-283-7272

15146 (724)-325-1225

16117 (724)-752-2588

17857 (570)-473-1126

17331 (717)-637-4003

15227 (412)-881-5120

18102 (610)-820-9737

15853 (814)-776-1428

17055 (717)-516-3103

19114 (215)-464-2636

19104 (215)-294-9393

17837 (570)-768-4446

16509 (814)-868-3869

15644 (724)-523-3550

15650 (724)-532-3219

16438 (814)-438-7570

15061 (724)-774-2990

19133 (215)-426-5100

18106 (484)-273-7066

17401 (717)-747-3586

19122 (215)-235-2001

19604 (610)-927-6566

15146 (412)-357-7479

18328 (570)-832-0294

19116 (215)-677-2122

17257 (717)-532-5812

15522 (814)-623-5615

18428 (570)-775-9555

15906 (814)-535-4496

15212 (412)-209-3866

17517 (717)-336-2292

19114 (267)-329-4900

45424 (937)-237-4610

43085 (614)-841-0336

15626 (724)-468-5565

15203 (412)-431-6773

15235 (412)-798-9800

19121 (215)-685-2936

17009 (717)-248-1525

16601 (814)-944-5033

18704 (570)-552-7500

17109 (717)-558-9407

16037 (724)-452-6851

17921 (570)-875-2475

19355 (484)-321-5656

25302 (304)-345-8600

25428 (304)-229-0935

26205 (304)-742-3072

NCPDP 6001109 6001856 6002579 6003191 3962253 3963801 3963952 3967657 3971187 3972610 3973080 3973749 3974993 3975919 6003759 6007505 6007721 6008076 6009066 6009294 6010146 6001438 6002783 3966302 3967380 3967532 3968231 3969827 3970705 3971303 3971834 3971846 3971997 3974359 3975109 3976074 6004206 6004624 6005323 6005804 6006818 6007199 6009369 6009838 3993816 3998195 3999452 3999539 1569396 3670216 3670507 3670812 3671131 3671686 3671991 3672094 3672727 3675127 3675280 3675381 3678882 3679606 3679771 3680798 2303941 2322597 2325846 2331952 2340735 2347791 3900823 3900897 3902372 3913438 3913539 3913921 5000055

NPI 1083016158 1730573460 1629452974 1619332301 1043237191 1356430003 1457428716 1073612248 1598854259 1770672438 1093748329 1033209051 1760571426 1154336048 1336525708 1912475229 1811454416 1881258622 1962048678 1962036806 1902496573 1669860284 1336517648 1437249463 1659304988 1760409825 1639287808 1124118161 1346270568 1780653758 1669576419 1750496790 1083773139 1730283516 1376647156 1548294499 1144774795 1598207318 1518494780 1639698053 1972080034 1023593886 1205462538 1275146177 1275851271 1790036481 1447691688 1467894600 1720561491 1427063452 1518974526 1467474171 1588681787 1417012394 1295740116 1013922939 1427063478 1275616229 1609923184 1215075221 1740502335 1922398437 1750677944 1699026880 1972612257 1730129487 1134231061 1962448415 1659480101 1629002498 1548364375 1518065242 1780783035 1700996543 1376632000 1588767339 1144323890

PHARMACY NAME CARRICK PHARMACY NORTHWEST COMMUNITY PHARMACY GOOD HEALTH PHARMACY GOLD'S PHARMACY WALMART PHARMACY RITE AID PHARMACY COMMUNITY DRUG RITE AID PHARMACY RITE AID PHARMACY RITE AID PHARMACY WEIS PHARMACY RITE AID PHARMACY RITE AID PHARMACY WALGREENS PROJECT HOME PHARMACY LVRX PHARMACY MCLAUGHLIN PHARMACY INC SHENANDOAH PHARMACY CAPSULE PHARMACY CARE DISCOUNT PHARMACY HAMILTON HEALTH CENTER PHARMACY URBANCARE PHARMACY PENN HIGHLANDS COMMUNITY PHACY RITE AID PHARMACY WEIS PHARMACY WALMART PHARMACY THE MEDICINE SHOPPE PHARMACY RITE AID PHARMACY RITE AID PHARMACY WEGMANS PHARMACY CVS PHARMACY LASLOWS PHARMACY CVS PHARMACY CVS PHARMACY CVS PHARMACY GIANT PHARMACY CVS PHARMACY ACORX PUBLIC DRUGS ON MAIN PHARMACY OF NORRISTOWN MONUMENT PHARMACY SKIPPACK PHARMACY OUR COMMUNITY PHARMACY NEWPORT PHARMACY CVS PHARMACY BEWARD PHARMACY GENOA HEALTHCARE LLC US 1 PHARMACY FAMILY DRUG OF SEYMOUR WALGREENS WALGREENS CVS PHARMACY WALMART PHARMACY MEIJER PHARMACY GIANT EAGLE PHARMACY GIANT EAGLE PHARMACY WALGREENS DISCOUNT DRUG MART GIANT EAGLE PHARMACY TRI COUNTY HEMO AND ONCOLOGY ASSOC SIGNATURE HEALTH INC PHARMACY CVS PHARMACY BUDERER DRUG COMPANY MAC PHARMACY RITE AID PHARMACY LYTLE PHARMACY CVS PHARMACY SABOURINS PHARMACY RITE AID PHARMACY KROGER PHARMACY CVS PHARMACY CVS PHARMACY RITE AID PHARMACY WESTMONT DRUG STORE RITE AID PHARMACY CVS PHARMACY CVS PHARMACY

ADDRESS 2717 BROWNSVILLE RD 740 N MAIN ST EXT STE 102 2224 W 9TH ST 7543 HAVERFORD AVE 10180 US HIGHWAY 522 S 3939 BUTLER ST 3163 STATE ROUTE 257 STE 1 128 AIRPORT RD 500 N MAIN AVE 14 5TH ST 5360 LINCOLN HWY 4965 CARLISLE PIKE 330 CUMBERLAND PKWY 3620 CONCORD RD 2144 CECIL B MOORE AVE 211 S MARKET STREET 122 CARRIAGE LN 33 N MAIN ST 117 SOUTH 20TH STREET 5610 DERRY STREET SUITE 5 891 S ARLINGTON AVE 169 W LEHIGH AVE 621 S MAIN ST 4530 N 5TH ST 4521 WILLIAM PENN HWY 1355 E LEHMAN ST 48 RED HILL COURT 810 S BROAD ST 6515 CASTOR AVE 201 WILLIAM ST 1600 E WADSWORTH AVE 6 SPRINGS AVE 657 HAMLIN HWY 1535 W 26TH ST 3865 DERRY ST 2121 S ATHERTON ST 4664 BROWNS HILL RD 520 E MAIN ST 913 MAIN ST 420 W MARSHALL ST 4160 MONUMENT RD 4118 W SKIPPACK PIKE 1226 N 52ND ST 57 S 2ND ST 3930 WEST CHESTER PIKE 24082 ROUTE 35 N 378 W CHESTNUT ST STE 205 1254 E LINCOLN HWY 202 E TIPTON ST 4580 MONROE ST 1280 DEMOREST RD 417 BOARDMAN POLAND RD 1315 N 21ST ST 6550 HARRISON AVE 25105 CEDAR RD 7400 BROADVIEW RD 3445 S HIGH ST 110 CHESTNUT COMMONS DR 230 HOWE AVE 7337 CARITAS CIR NW STE 150 38882 MENTOR AVE 7292 FULTON DR NW 38530 CHESTER RD STE 400 879 E EXCHANGE ST 3273 W HURON ST 340 S MAIN ST 133 E DUNLAP ST 1461 S HURON RD 29447 FORD RD 6625 DIXIE HWY 1507 LITITZ PIKE 1565 W HARRISBURG PIKE 3215 N 5TH ST STE 5 1741 GOUCHER ST 3900 CASTOR AVE 221 MARKET ST # 223 201 MACCORKLE AVE

CITY PITTSBURGH MEADVILLE CHESTER PHILADELPHIA LEWISTOWN PITTSBURGH SENECA COATESVILLE SCRANTON WILLIAMSPORT GAP MECHANICSBURG MECHANICSBURG ASTON PHILADELPHIA LIGONIER MIFFLINTOWN SHENANDOAH PHILADELPHIA HARRISBURG HARRISBURG PHILADELPHIA DU BOIS PHILADELPHIA MIFFLINTOWN LEBANON NEWPORT PHILADELPHIA PHILADELPHIA WILLIAMSPORT PHILADELPHIA GETTYSBURG HAMLIN ERIE HARRISBURG STATE COLLEGE PITTSBURGH CARNEGIE DARBY NORRISTOWN PHILADELPHIA SCHWENKSVILLE PHILADELPHIA NEWPORT NEWTOWN SQUARE MIFFLINTOWN WASHINGTON LANGHORNE SEYMOUR TOLEDO COLUMBUS BOARDMAN NEWARK CINCINNATI LYNDHURST PARMA COLUMBUS ELYRIA CUYAHOGA FALLS MASSILLON WILLOUGHBY CANTON AVON AKRON WATERFORD ROCHESTER NORTHVILLE KAWKAWLIN GARDEN CITY CLARKSTON LANCASTER MIDDLETOWN READING JOHNSTOWN PHILADELPHIA HARRISBURG SAINT ALBANS

STATE

COUNTY

PA ALLEGHENY

PA CRAWFORD

PA DELAWARE

PA PHILADELPHIA

PA MIFFLIN

PA ALLEGHENY

PA VENANGO

PA CHESTER

PA LACKAWANNA

PA LYCOMING

PA LANCASTER

PA CUMBERLAND

PA CUMBERLAND

PA DELAWARE

PA PHILADELPHIA

PA WESTMORELAND

PA JUNIATA

PA SCHUYLKILL

PA PHILADELPHIA

PA DAUPHIN

PA DAUPHIN

PA PHILADELPHIA

PA CLEARFIELD

PA PHILADELPHIA

PA JUNIATA

PA LEBANON

PA PERRY

PA PHILADELPHIA

PA PHILADELPHIA

PA LYCOMING

PA PHILADELPHIA

PA ADAMS

PA WAYNE

PA ERIE

PA DAUPHIN

PA CENTRE

PA ALLEGHENY

PA ALLEGHENY

PA DELAWARE

PA MONTGOMERY

PA PHILADELPHIA

PA MONTGOMERY

PA PHILADELPHIA

PA PERRY

PA DELAWARE

PA JUNIATA

PA WASHINGTON

PA BUCKS

IN JACKSON

OH LUCAS

OH FRANKLIN

OH MAHONING

OH LICKING

OH HAMILTON

OH CUYAHOGA

OH CUYAHOGA

OH FRANKLIN

OH LORAIN

OH SUMMIT

OH STARK

OH LAKE

OH STARK

OH LORAIN

OH SUMMIT

MI OAKLAND

MI OAKLAND

MI WAYNE

MI BAY

MI WAYNE

MI OAKLAND

PA LANCASTER

PA DAUPHIN

PA BERKS

PA CAMBRIA

PA PHILADELPHIA

PA DAUPHIN

WV KANAWHA

ZIP

PHONE

15227 (412)-206-0996

16335 (814)-724-3107

19013 (610)-497-1015

19151 (215)-879-4653

17044 (717)-242-6206

15201 (412)-682-6970

16346 (814)-677-1408

19320 (610)-384-2011

18504 (570)-342-6411

17701 (570)-321-9350

17527 (717)-442-9448

17050 (717)-975-0117

17055 (717)-796-7685

19014 (610)-485-8102

19121 (215)-309-5223

15658 (724)-995-8868

17059 (717)-436-8020

17976 (703)-424-5494

19103 (215)-867-8777

17111 (717)-900-9200

17109 (717)-230-3968

19133 (267)-858-4662

15801 (814)-375-6165

19140 (215)-455-7330

17059 (717)-436-9149

17046 (717)-228-1210

17074 (717)-567-6367

19146 (215)-985-0113

19149 (215)-535-2800

17701 (570)-320-8787

19150 (215)-836-1323

17325 (717)-337-0881

18427 (570)-689-5011

16508 (814)-461-1215

17111 (717)-558-1601

16801 (814)-861-2790

15217 (412)-521-3059

15106 (412)-857-2922

19023 (484)-497-8558

19401 (484)-231-1014

19131 (215)-279-9151

19473 (610)-584-6979

19131 (215)-377-9531

17074 (717)-204-7676

19073 (610)-353-2061

17059 (717)-436-6844

15301 (724)-705-0012

19047 (215)-750-0111

47274 (812)-522-4522

43613 (419)-474-3915

43204 (614)-279-1962

44512 (330)-758-5930

43055 (740)-364-9114

45247 (513)-598-2010

44124 (216)-920-3320

44134 (216)-328-8263

43207 (614)-497-3745

44035 (440)-366-6785

44221 (330)-929-6372

44646 (330)-478-0001

44094 (440)-954-3333

44718 (330)-837-3095

44011 (440)-934-3100

44306 (330)-375-5040

48328 (248)-682-9400

48307 (248)-651-8511

48167 (248)-348-2010

48631 (989)-667-4877

48135 (734)-525-3246

48346 (248)-620-6680

17601 (717)-397-0369

17057 (717)-944-9681

19605 (610)-929-9775

15905 (814)-255-4101

19124 (215)-289-4566

17101 (717)-238-4618

25177 (304)-722-3335

NCPDP 5008974 5010094 5054767 5055175 3638662 3640857 3644350 3645592 3648752 3654616 3939317 3940093 3940473 6002391 6003165 3961100 5056634 5056735 5057294 5057573 5058056 5058309 6001008 6001325 6001921 6002240 3669629 3962102 3962429 3964992 3969992 3974866 3975907 3976086 6005474 6005929 6006577 6006945 6007240 6007620 6010108 6009410 6009852 3939800 3940512 3942415 3943544 3944368 3945120 3953913 3954838 3955397 5055682 5056278 5057395 5058385 5058450 5058640 6000703 6000715 6001907 3962924 3964221 3965564 3967809 3968166 3973737 3974347 3975678 3975717 3976315 3976505 6004028 2386197 2386399 2386616 3684847

NPI 1811914948 1821057316 1811156417 1366773749 1174626824 1881703114 1275567075 1538262290 1033213616 1922018449 1659468916 1922197664 1063516805 1831579036 1366817991 1932244035 1477938181 1619333515 1063936789 1053825711 1588180863 1962065086 1487055745 1679970354 1790178929 1811374606 1164437190 1215031877 1881609709 1881798635 1932269172 1467556241 1396834057 1548292568 1477095172 1164934899 1003845835 1295215143 1194022392 1356813992 1598356883 1619596475 1528689247 1346399615 1619052578 1730278474 1982685681 1023116761 1922008507 1538174453 1699865717 1841389590 1497001499 1285039727 1215453808 1932753530 1386288264 1447841002 1982019956 1225444532 1588052872 1710076468 1174656177 1952328015 1982703153 1922198944 1124118146 1588687727 1366546145 1467551648 1013939743 1366475691 1457708893 1831656073 1396204129 1891250239 1255873766

PHARMACY NAME WALMART PHARMACY COMPRECARE HARTS PHARMACY INC WARDENSVILLE PHARMACY CVS PHARMACY RITE AID PHARMACY KROGER SAV-ON CVS PHARMACY ST VINCENT MERCY FCC RITE AID PHARMACY PHILADELPHIA HLTH CTR PHCY RITE AID PHARMACY CVS PHARMACY DESTINY PHARMACY PENNSPORT MALL PHARMACY MEDICINE SHOPPE PHARMACY TRIVILLIAN'S PHARMACY PARKERSBURG FAMILY CARE PHCY WALGREENS GENOA HEALTHCARE LLC WALGREENS MON HEALTH PHARMACY RITE AID PHARMACY CARE FILL PHARMACY SHOPRITE PHARMACY AHN PHARMACY WALGREENS MEDICINE SHOPPE PHARMACY GIANT EAGLE PHARMACY CVS PHARMACY MIKES PHARMACY CVS PHARMACY RITE AID PHARMACY GIANT PHARMACY WELLSPAN PHARMACY ALLIANCE CANCER SPECIALISTS PC AESTHETIC DERMATOLOGY ASSOC CVS PHARMACY TRI COUNTY UROLOGY ASSOCIATES PANTHER CREEK PHARMACY LEBANON PHARMACY APOVIA PHARMACY SERVICES LAKE ERIE PHARMACY ROADWAY PHARMACY CENTERVILLE CLINICS INC PHCY RITE AID PHARMACY CUMBERLAND APOTHECARY CVS PHARMACY WESTBROOK PARK PHARMACY GIANT EAGLE PHARMACY RITE AID PHARMACY RITE AID PHARMACY BYPASS PHARMACY CVS PHARMACY WALGREENS NORTHWEST PHARMACY LLC HIGHLAND PHARMACY AND WELLNESS ST GEORGE PHARMACY SLIPPERY ROCK PHARMACY MOUNT MORRIS PHARMACY CRESTWOOD PHARMACY RITE AID PHARMACY BLAKESLEE PHARMACY WALMART PHARMACY RITE AID PHARMACY RITE AID PHARMACY RITE AID PHARMACY LEHIGH VALLEY PHARMACY SVCS CVS PHARMACY RITE AID PHARMACY CVS PHARMACY WEIS PHARMACY PHARMERICA RAYS DRUGS CARELAND PHCY AND MEDICAL SUPPLY SUN VALLEY PHARMACY OPTUMRX AT NATIONWIDE

ADDRESS 204 TOWN CENTER RD 1308 4TH AVE 1073 MCCLELLAN HIGHWAY 333 E MAIN ST 8215 COLERAIN AVE 155 NORTH MAIN STREET 2474 STRINGTOWN RD 1300 N BARRON ST 2213 FRANKLIN AVE 120 S MAIN ST 301-321 W GIRARD AVE 805 HUNTINGDON PIKE 347 S BLAKELY ST 6037 WOODLAND AVE 237 MCCLELLAN ST 132 W MAHONING ST 215 35TH ST 2610 CAMDEN AVE 27 W MAIN ST 101 S EISENHOWER DR STE P 198 POCAHONTAS TRL 1200 J D ANDERSON DR 3106 E PLEASANT VALLEY BLVD 43 WILLIAMSON RD STE 1 4717 FREEMANSBURG AVE 4800 FRIENDSHIP AVE STE 1422 805 N COURT ST 330 S 9TH ST STE 180 510 E PITT ST 870 E BALTIMORE PIKE 211 W WASHINGTON AVE 6900 LINDBERGH BLVD 5214 30 BALTIMORE AVE 4510 MARKETPLACE WAY 252 S 4TH ST 1203 LANGHORNE NEWTOWN RD STE 176 S NEW MIDDLETOWN RD STE 20 314 S 5TH ST 205 MARY HIGGINSON LN 74 WEST CATAWISSA ST 990 ISABEL DR 313 HENDERSON DRIVE 5042 PEACH ST 6858 ROUTE 711 STE 3 1070 OLD NATIONAL PIKE 500 CHESTERBROOK BLVD STE 2 3300 MARKET ST 3010 W TILGHMAN ST 244 W BALTIMORE AVE 51 WALSH RD 1550 COLUMBIA AVE 3773 PETERS MOUNTAIN RD 725 RITTER DR 885 OAKWOOD RD 205 MARSHALL ST 708 BIGLEY AVE STE A 198 MORGANTOWN ST STE 1 221 PENNSYLVANIA AVE 116 NEW CASTLE ST 120 LOCUST AVE EXT STE 2 10 S MOUNTAIN BLVD 54 N MAIN ST 393 ROUTE 940 SUITE 1 1015 N LOYALSOCK AVE 519 CONSTITUTION AVE 103 W ALLEGHENY RD 5040 CITY LINE AVE 2545 SCHOENERSVILLE RD 8525 FRANKFORD AVE 1334 WINDRIM AVE 2610 PLEASANT VALLEY RD 3644 MACARTHUR RD 209 ROBERTS RD STE TRINITY 37672 PROFESSIONAL CNT DR 130B 11919 E WARREN AVE STE C 9291 TELEGRAPH RD ONE NATIONWIDE PLAZA

CITY FAYETTEVILLE HUNTINGTON HARTS WARDENSVILLE CINCINNATI RITTMAN GROVE CITY EATON TOLEDO NEW CARLISLE PHILADELPHIA HUNTINGDON VALLEY DUNMORE PHILADELPHIA PHILADELPHIA PUNXSUTAWNEY CHARLESTON PARKERSBURG SUTTON BECKLEY WHT SPHR SPGS MORGANTOWN ALTOONA GREENVILLE EASTON PITTSBURGH MEDINA PITTSBURGH BEDFORD KENNETT SQUARE MYERSTOWN PHILADELPHIA PHILADELPHIA ENOLA LEBANON LANGHORNE MEDIA PHILADELPHIA UNIONTOWN NESQUEHONING LEBANON SHARON HILL ERIE SEWARD FREDERICKTOWN CHESTERBROOK CAMP HILL ALLENTOWN CLIFTON HEIGHTS PITTSBURGH LANCASTER HALIFAX BEAVER CHARLESTON BENWOOD CHARLESTON BRUCETON MILLS PARSONS SLIPPERY ROCK MOUNT MORRIS MOUNTAIN TOP CARBONDALE BLAKESLEE MONTOURSVILLE PERKASIE IMPERIAL PHILADELPHIA BETHLEHEM PHILADELPHIA PHILADELPHIA YORK WHITEHALL PITTSTON LIVONIA DETROIT REDFORD COLUMBUS

STATE

COUNTY

WV FAYETTE

WV CABELL

WV LINCOLN

WV HARDY

OH HAMILTON

OH WAYNE

OH FRANKLIN

OH PREBLE

OH LUCAS

OH CLARK

PA PHILADELPHIA

PA MONTGOMERY

PA LACKAWANNA

PA PHILADELPHIA

PA PHILADELPHIA

PA JEFFERSON

WV KANAWHA

WV WOOD

WV BRAXTON

WV RALEIGH

WV GREENBRIER

WV MONONGALIA

PA BLAIR

PA MERCER

PA NORTHAMPTON

PA ALLEGHENY

OH MEDINA

PA ALLEGHENY

PA BEDFORD

PA CHESTER

PA LEBANON

PA PHILADELPHIA

PA PHILADELPHIA

PA CUMBERLAND

PA LEBANON

PA BUCKS

PA DELAWARE

PA PHILADELPHIA

PA FAYETTE

PA CARBON

PA LEBANON

PA DELAWARE

PA ERIE

PA WESTMORELAND

PA WASHINGTON

PA CHESTER

PA CUMBERLAND

PA LEHIGH

PA DELAWARE

PA ALLEGHENY

PA LANCASTER

PA DAUPHIN

WV RALEIGH

WV KANAWHA

WV MARSHALL

WV KANAWHA

WV PRESTON

WV TUCKER

PA BUTLER

PA GREENE

PA LUZERNE

PA LACKAWANNA

PA MONROE

PA LYCOMING

PA BUCKS

PA ALLEGHENY

PA PHILADELPHIA

PA LEHIGH

PA PHILADELPHIA

PA PHILADELPHIA

PA YORK

PA LEHIGH

PA LUZERNE

MI WAYNE

MI WAYNE

MI WAYNE

OH FRANKLIN

ZIP

PHONE

25840 (304)-574-1279

25701 (304)-525-1222

25524 (304)-855-5616

26851 (304)-874-3687

45239 (513)-741-4646

44270 (330)-925-6015

43123 (614)-875-0596

45320 (937)-456-6255

43620 (419)-251-2485

45344 (937)-845-2042

19123 (215)-685-3822

19006 (215)-379-2725

18512 (570)-342-9138

19142 (215)-796-9381

19148 (267)-639-4657

15767 (814)-938-3077

25304 (304)-343-8621

26101 (304)-917-3739

26601 (304)-765-2562

25801 (681)-494-2198

24986 (304)-536-2350

26505 (304)-285-2285

16601 (814)-742-8429

16125 (724)-588-1111

18045 (610)-865-2913

15224 (412)-605-6389

44256 (330)-764-4399

15203 (412)-697-4880

15522 (814)-623-1188

19348 (610)-444-9081

17067 (717)-866-7547

19142 (215)-365-5572

19143 (215)-476-1724

17025 (717)-909-6950

17042 (717)-639-3005

19047 (215)-750-5050

19063 (610)-566-7300

19106 (215)-923-1289

15401 (724)-438-8765

18240 (570)-273-5311

17042 (717)-775-5108

19079 (267)-901-0000

16509 (814)-616-8028

15954 (814)-446-5536

15333 (724)-632-6801

19087 (610)-647-4490

17011 (717)-761-4200

18104 (610)-776-6551

19018 (610)-626-2949

15205 (412)-921-7250

17603 (717)-394-2580

17032 (717)-896-9084

25813 (304)-252-3000

25314 (304)-340-9925

26031 (304)-232-6103

25302 (304)-306-7778

26525 (304)-379-6919

26287 (304)-478-3339

16057 (724)-406-0800

15349 (724)-324-5555

18707 (570)-474-5859

18407 (570)-282-3431

18610 (570)-646-8040

17754 (570)-368-5454

18944 (215)-453-7540

15126 (724)-695-7317

19131 (215)-877-2116

18017 (484)-884-7004

19136 (215)-331-9762

19141 (215)-455-6162

17402 (717)-755-0462

18052 (610)-261-3600

18640 (866)-989-1192

48154 (734)-432-2015

48214 (313)-499-1352

48239 (313)-351-1001

43215 (614)-222-0045

NCPDP 3686106 3686839 3687413 3688061 3688299 1800499 1805502 1809877 1817189 3611820 3613014 3977254 3985477 3965526 3965817 3966326 3966390 3967544 3972278 6004840 6005602 6007860 6008280 6009319 3998688 3999301 3999414 1569106 1570363 1571036 3669819 3672929 3673527 3674175 3674719 3676256 3676787 3678363 3680647 2319831 2320288 2331344 2335392 2337257 2339314 3900683 3901647 3930434 3935129 5003861 5008405 5008900 5011402 5011503 5011820 5012187 5053979 5054399 3640934 3642089 3648055 3649881 3651230 3653082 3654399 3937147 3939090 3939494 3941653 3943354 3949027 3951096 3956731 3957377 5057838 5058208 6000575

NPI 1841797073 1386108520 1841831831 1396377578 1255942868 1932202678 1891721486 1972589257 1720005143 1730282468 1053428193 1629000641 1932121670 1245316371 1215035837 1053380766 1689738387 1679590731 1487758231 1316481989 1003330085 1497214670 1467840751 1598306532 1629315346 1356789051 1083055784 1578053799 1710444567 1548865314 1093732299 1942387287 1053326009 1629002340 1265450928 1518151695 1376716464 1730413147 1073724522 1013043413 1689624819 1578675401 1225147754 1851400394 1194765842 1093819823 1922107267 1295825305 1972609105 1043379993 1225132905 1164437000 1770589681 1225180136 1942372743 1760416556 1083617799 1609965292 1144267972 1093818759 1104937283 1952326662 1225051030 1366551616 1336259811 1518061357 1831292689 1699845354 1194814830 1811902737 1275548190 1922106665 1134231145 1235235045 1528584182 1972086338 1972915189

PHARMACY NAME PHARMACY SPECIALTY GROUP LTC MEIJER PHARMACY WEDGEWOOD PHARMACY DOCTORS PHARMACY LIMA DAYTON CHILDREN'S HOSPITAL CVS PHARMACY SAVE-RITE DRUGS WHITESBURG ARH PHARMACY WALMART PHARMACY CVS PHARMACY COLONIAL PHARMACY GIANT PHARMACY CVS PHARMACY ALLIANCE PHARMACY CVS PHARMACY WEGMANS PHARMACY MORRIS DRUGS WALMART PHARMACY CVS PHARMACY JEFFERSON REGIONAL MED CENTER 29TH ST PHARMACY BENTLEYVILLE MEDICINE SHOPPE POSITIVE HEALTH CLINIC HEALTHDIRECT INST PHCY SERV INC 700 PHARMACY OLDE PHILLY PHARMACY FISHTOWN CVS PHARMACY CVS PHARMACY AMERIMED WINDROSE RX - EPLER PARKE SAM'S CLUB PHARMACY FRUTH PHARMACY WALGREENS KROGER PHARMACY WALMART PHARMACY CVS PHARMACY CHURCH SQUARE PHARMACY GENOA HEALTHCARE LLC LICKING MEMORIAL SPECIALTY PHARMACY SANFORD FAMILY PHARMACY RICHARD GILLESPIE PHARMACY CVS PHARMACY RITE AID PHARMACY RITE AID PHARMACY VALUE DRUGS CVS PHARMACY RITE AID PHARMACY RITE AID PHARMACY WASHINGTON HOSPITAL PHARMACY TRAUBERTS PHARMACY CVS PHARMACY FRUTH PHARMACY DENNIS' PHARMACY BURNSVILLE DRUG STORE MEDICAP PHARMACY KROGER PHARMACY TRI STATE PHARMACY WALMART PHARMACY NORTHSIDE SOMERSET PHARMACY CVS PHARMACY RITE AID PHARMACY KROGER SAV-ON RITE AID PHARMACY RITE AID PHARMACY BENZER PHARMACY CVS PHARMACY CVS PHARMACY POTOMAC VALLEY PHARMACY INC RITE AID PHARMACY GIANT EAGLE PHARMACY GIANT EAGLE PHARMACY CVS PHARMACY MEDICAP PHARMACY THE PRESCRIPTION CENTER INC WALGREENS RXBYTEL PHARMACY KINGDOM PHARMACY

ADDRESS 6910 TREELINE DR STE F 9200 MENTOR AVE 4350 NEW RD 920 W MARKET ST STE 101A 1 CHILDRENS PLZ 704 US 31W BYPASS 14020 E HIGHWAY 60 240 HOSPITAL RD 1725 W EVERLY BROTHERS BLVD 2987 DERR RD 1915 N CLEVELAND MASSILLON RD 2721 STREET RD 8931 ROUTE 30 1245 HIGHLAND AVE 6007 ALLENTOWN BLVD 6143 PEACH ST 15 E CENTRE ST 220 ROUTE 6 AND 209 1332 MAIN ST 565 COAL VALLEY RD 2334 NORTH 29TH STREET 808 MAIN STREET 1307 FEDERAL ST STE B110 23 INDUSTRIAL BLVD 700 E TOWNSHIPLINE RD 2600 S 16TH ST 1450 POTTSTOWN PIKE 720 NORTHWESTERN AVE 8034 CASTLEWAY CT W STE 200 5550 SOUTH EAST STREET STE F 432 PRIVATE DRIVE 288 700 E MAIN ST 2012 S UNION AVE 150 W SYCAMORE ST 1161 TRENTON AVE 762 ARLINGTON RDG 7905 EUCLID AVE 9220 MENTOR AVE 1320 W MAIN ST 28 W SAGINAW RD 2020 WASHINGTON AVE 1415 E MICHIGAN AVE 309 N MAIN ST 5050 GRATIOT RD 08337 M 140 UNIT NUMBER-2 1 N MAIN ST 1021 1ST AVE 455 N 3RD ST 155 WILSON AVE 800 CHARLES ST 328 W WASHINGTON ST 12803 WINFIELD RD 6 FIRST STREET 110 MUNICIPAL ST 85 TAVERN RD 91 27TH ST 651 COLLIERS WAY 450 STEWART LN 110 W MAIN ST 8519 MAYFIELD RD 2323 BROADVIEW RD 7580 BEECHMONT AVE 3013 MONROE ST 306 W WATER ST 817 MAIN ST 1052 LITITZ PIKE 2556 CONSTITUTION BLVD 138 WASHINGTON ST 60 S WATER AVE 1700 NEW BUTLER RD 1701 LINCOLN HWY 5001 TOWNSHIP LINE RD 225 GRANT AVE 310 ADAMS AVE 513 STOKES DR 425 WASHINGTON ST W 9014 W CHESTER PIKE

CITY BRECKSVILLE MENTOR AUSTINTOWN LIMA DAYTON BOWLING GREEN IRVINGTON WHITESBURG CENTRAL CITY SPRINGFIELD BATH BENSALEM NORTH HUNTINGDON ABINGTON HARRISBURG ERIE MAHANOY CITY MILFORD HELLERTOWN JEFFERSON HILLS PHILADELPHIA BENTLEYVILLE PITTSBURGH PAOLI HAVERTOWN PHILADELPHIA WEST CHESTER WEST LAFAYETTE INDIANAPOLIS INDIANAPOLIS SOUTH POINT POMEROY ALLIANCE COLUMBUS FINDLAY AKRON CLEVELAND MENTOR NEWARK SANFORD SAINT JOSEPH YPSILANTI FRANKENMUTH SAGINAW SOUTH HAVEN SHICKSHINNY CONWAY OXFORD WASHINGTON WELLSBURG CHARLES TOWN WINFIELD HAMLIN BURNSVILLE MARTINSBURG WELLSBURG WEIRTON TRIADELPHIA SOMERSET CHESTERLAND CLEVELAND CINCINNATI TOLEDO OAK HARBOR DRESDEN LITITZ BEAVER FALLS HYNDMAN SHARON NEW CASTLE NORTH VERSAILLES DREXEL HILL MILLVALE SCRANTON HINTON CHARLESTON UPPER DARBY

STATE

COUNTY

OH CUYAHOGA

OH LAKE

OH MAHONING

OH ALLEN

OH MONTGOMERY

KY WARREN

KY BRECKINRIDGE

KY LETCHER

KY MUHLENBERG

OH CLARK

OH SUMMIT

PA BUCKS

PA WESTMORELAND

PA MONTGOMERY

PA DAUPHIN

PA ERIE

PA SCHUYLKILL

PA PIKE

PA NORTHAMPTON

PA ALLEGHENY

PA PHILADELPHIA

PA WASHINGTON

PA ALLEGHENY

PA CHESTER

PA DELAWARE

PA PHILADELPHIA

PA CHESTER

IN TIPPECANOE

IN MARION

IN MARION

OH LAWRENCE

OH MEIGS

OH STARK

OH FRANKLIN

OH HANCOCK

OH SUMMIT

OH CUYAHOGA

OH LAKE

OH LICKING

MI MIDLAND

MI BERRIEN

MI WASHTENAW

MI SAGINAW

MI SAGINAW

MI VAN BUREN

PA LUZERNE

PA BEAVER

PA CHESTER

PA WASHINGTON

WV BROOKE

WV JEFFERSON

WV PUTNAM

WV LINCOLN

WV BRAXTON

WV BERKELEY

WV BROOKE

WV BROOKE

WV OHIO

OH PERRY

OH GEAUGA

OH CUYAHOGA

OH HAMILTON

OH LUCAS

OH OTTAWA

OH MUSKINGUM

PA LANCASTER

PA BEAVER

PA BEDFORD

PA MERCER

PA LAWRENCE

PA ALLEGHENY

PA DELAWARE

PA ALLEGHENY

PA LACKAWANNA

WV SUMMERS

WV KANAWHA

PA DELAWARE

ZIP

PHONE

44141 (844)-969-7999

44060 (440)-266-4410

44515 (330)-799-2503

45805 (567)-250-6602

45404 (937)-641-3463

42101 (270)-842-8111

40146 (270)-547-2855

41858 (606)-633-3503

42330 (270)-754-3924

45503 (937)-390-2500

44210 (330)-666-3569

19020 (215)-604-1390

15642 (724)-863-5398

19001 (215)-481-4319

17112 (717)-540-5893

16509 (814)-866-6580

17948 (570)-773-3860

18337 (570)-491-4536

18055 (610)-838-5611

15025 (412)-469-7618

19132 (215)-309-3866

15314 (724)-239-3600

15212 (412)-359-6423

19301 (833)-917-2102

19083 (215)-525-1100

19148 (267)-773-7825

19380 (610)-692-6393

47906 (765)-743-1554

46250 (317)-841-5050

46227 (317)-434-0736

45680 (740)-894-0702

45769 (740)-992-1536

44601 (330)-829-3782

43215 (614)-340-7980

45840 (419)-425-5992

44312 (330)-645-8253

44103 (216)-721-1772

44060 (440)-497-4168

43055 (220)-564-4545

48657 (989)-687-2612

49085 (269)-983-5181

48198 (734)-482-2550

48734 (989)-652-2613

48638 (989)-249-4215

49090 (269)-637-3222

18655 (570)-542-4250

15027 (724)-869-2369

19363 (610)-932-5200

15301 (724)-250-2812

26070 (304)-737-0383

25414 (304)-728-7418

25213 (304)-586-3088

25523 (304)-824-2667

26335 (304)-853-2500

25401 (304)-260-9040

26070 (304)-243-6230

26062 (304)-723-6331

26059 (304)-547-1950

43783 (740)-743-2185

44026 (440)-729-9070

44109 (216)-661-5077

45255 (513)-233-4420

43606 (419)-243-9803

43449 (419)-898-3911

43821 (740)-754-3434

17543 (717)-626-4115

15010 (724)-847-2190

15545 (814)-842-3201

16146 (724)-981-4072

16101 (724)-654-9051

15137 (412)-824-3221

19026 (610)-853-2962

15209 (412)-821-1524

18503 (507)-343-2448

25951 (304)-466-5069

25302 (304)-342-6001

19082 (484)-455-7915

NCPDP 6002252 6002341 3964726 3965350 3965829 3967075 3968382 3974145 3974703 3975096 3975387 3975705 3975743 3976252 3976531 6004559 6006200 6007000 6007668 6008014 6009080 3649716 3650810 3651595 3655430 3937022 3939456 3941766 3949231 3949712 3985530 3988067 1833828 1834325 1507827 1519492 1524734 1528504 2387632 2388064 3990264 3991937 3992369 3993676 3993739 3998018 3998789 3998929 1568750 1569005 3670874 3671737 3675901 3676561 3679240 5054628 5054806 5054995 3648954 3651242 3652131 3653513 3937527 3942251 3942910 3946348 3949635 3954636 1833397 1834058 1506089 1518589 1523720 1523756 1527312 1528198 1528516

NPI 1457740300 1548641178 1598782658 1386744746 1124126743 1982793642 1881783546 1114017019 1407873631 1588753248 1598770422 1275637050 1184728313 1346262060 1801990684 1285183632 1326553074 1386126803 1386101269 1477116192 1548809304 1457454811 1700989464 1649381732 1104831049 1295838043 1851480594 1699874958 1497800593 1598788598 1629172416 1376677088 1609208396 1033529607 1003919705 1497858849 1831104959 1396818811 1568008969 1316568645 1962675512 1336381110 1033348859 1043536162 1336467836 1609126382 1023356599 1972844504 1134645146 1740780550 1669487583 1154338168 1700093689 1720260516 1891009502 1891970414 1972767515 1194965376 1023023967 1548276850 1720197072 1942234745 1407945140 1407949852 1164443982 1740320282 1013016278 1669404679 1033470034 1477982650 1265535959 1023111739 1104833193 1578578696 1295764090 1013934223 1124045349

PHARMACY NAME MEDICAL TOWER PHARMACY CVS PHARMACY WALMART PHARMACY RITE AID PHARMACY CVS PHARMACY RITE AID PHARMACY RITE AID PHARMACY EXPRESS MED PHARMACEUTICALS INC WALMART PHARMACY RITE AID PHARMACY GIANT EAGLE PHARMACY CVS PHARMACY BILLS SHOPRITE PHARMACY CVS PHARMACY CVS PHARMACY MEDICINE SHOPPE PHARMACY PRIME HEALTH PHARMACY LLC DERRY STREET PHARMACY SKIPPACK COMMUNITY PHARMACY INC JEFFERSON NAVY YARD PHCY 5 STAR PHARMACY MEDICAL SUPPLY CVS PHARMACY CVS PHARMACY RITE AID PHARMACY MARCS CVS PHARMACY RITE AID PHARMACY RITE AID PHARMACY CITY DRUGS OF CURWENSVILLE THRIVE RX ENHANCED PHARMACY CVS PHARMACY NEFF DRUGS LLC CULL FAMILY PHARMACY LIFECARE PHARMACY CVS PHARMACY CVS PHARMACY WALGREENS KROGER SAVON PHCY GLADWIN FAMILY PHARMACY LLC EHARDTS PHARMACY CAPAC WALMART PHARMACY WALGREENS ALLTOWN PHARMACY TOPS PHARMACY AVENUE PHARMACY CVS PHARMACY QRX2 PHARMACY SAUBELS PHARMACY SHREWSBURY SHERIDAN-ELLIOTT PHARMACY KROGER PHARMACY GIANT EAGLE PHARMACY WALGREENS CVS PHARMACY RITE AID PHARMACY HEALTHSOURCE OF OHIO BATAVIA PCY FAMILY LIFE PHARMACY TRISTATE LTC PHARMACY CRAIGSVILLE HOMETOWN PHARMACY MARCS RITE AID PHARMACY RITE AID PHARMACY KROGER SAV-ON RITE AID PHARMACY MEDICINE SHOPPE PHARMACY CLAYSVILLE PHARMACY YOCUMS PHARMACY INC RITE AID PHARMACY GIANT PHARMACY RUSSELL FORK PHARMACY B+H APOTHECARY CVS PHARMACY CVS PHARMACY WALGREENS WALGREENS KABAFUSION IN WALMART PHARMACY WALMART PHARMACY

ADDRESS 255 S 17TH ST 1040 W CHESTER PIKE 495 EISENHOWER DR 331 PENN AVE 6301 GRAYSON RD 6039 NATIONAL PIKE 6363 FRANKFORD AVE 3950 BRODHEAD RD STE 330 167 HOGAN BLVD 3210 BANKSVILLE RD 100 BUFFALO PLZ 305 W 4TH ST 921 DRINKER TPKE STE 24 401 EASTON RD 2870 W MORELAND RD 645 MILLER AVE 1514 E WADSWORTH AVE 1304 DERRY STREET 3801 SKIPPACK PIKE STE A1 3 CRESCENT DR FL 1 209 2ND STREET PIKE 5811 COLERAIN AVE 1205 E CENTRAL AVE 1816 E 2ND ST 360 E WATERLOO RD 300 8TH ST 5694 RISING SUN AVE STE 11 5430 PEACH ST 360 THOMPSON ST 627 S CHESTER RD 730 NEWARK RD 128 S 60TH ST 965 HIGHWAY 127 N 1502 S 7TH ST 286 W WALKER WAY 4495 W STATE ROAD 46 6201 STELLHORN RD 4526 W WESTERN AVE 307 W CEDAR AVE 3433 CAPAC RD SUITE 3 2101 BLAIR MILL RD 1000 LINCOLN PL 1137 BUSTLETON PIKE 525 N FRALEY ST 1111 AVENUE OF THE STATES 2132 SOUTH ST 7339 FRANFORD AVE 65 E FORREST AVE 508 E 10TH STREET 10679 N MICHIGAN RD 900 NORTHFIELD RD 3093 CLEVELAND AVE 3100 W 117TH ST 3362 NAVARRE AVE 2055 HOSPITAL DR STE 130 21189 COAL RIVER RD 651 COLLIERS WAY STE 202 18077 WEBSTER RD 7359 NORTHCLIFF AVE 5224 DORR ST 364 MAIN ST 2129 S MAIN ST 230 HAYS AVE 1740 E STATE ST 802 VANDERBILT ROAD 1749 E BROAD ST 601 S 25TH ST 330 MARKETPLACE BLVD 10363 REGINA BELCHER HWY 99 KY 11 S 310 N HALLECK ST 1130 S MAIN ST 252 MORTHLAND DR 308 N MAIN ST 8765 GUION RD STE E 2936 E 79TH AVE 1115 AMERICAN WAY

CITY PHILADELPHIA WEST CHESTER HANOVER WILKINSBURG HARRISBURG GRINDSTONE PHILADELPHIA MONACA MILL HALL PITTSBURGH SARVER BETHLEHEM COVINGTON TOWNSHIP WARRINGTON WILLOW GROVE CLAIRTON PHILADELPHIA HARRISBURG SKIPPACK PHILADELPHIA SOUTHAMPTON CINCINNATI MIAMISBURG DEFIANCE AKRON AMBRIDGE PHILADELPHIA ERIE CURWENSVILLE SWARTHMORE LANDENBERG PHILADELPHIA OWENTON LOUISVILLE COLUMBIA CITY COLUMBUS FORT WAYNE SOUTH BEND GLADWIN MUSSEY WILLOW GROVE GREENSBURG FEASTERVILLE TREVOSE KANE CHESTER PHILADELPHIA PHILADELPHIA SHREWSBURY SHERIDAN ZIONSVILLE BEDFORD COLUMBUS CLEVELAND OREGON BATAVIA COMFORT WEIRTON CRAIGSVILLE BROOKLYN TOLEDO CONNEAUT BELLEFONTAINE PITTSBURGH HERMITAGE CONNELLSVILLE HAZLETON EASTON SELINSGROVE ELKHORN CITY BOONEVILLE DEMOTTE DUNKIRK VALPARAISO HEBRON INDIANAPOLIS MERRILLVILLE BOONVILLE

STATE

COUNTY

PA PHILADELPHIA

PA CHESTER

PA YORK

PA ALLEGHENY

PA DAUPHIN

PA FAYETTE

PA PHILADELPHIA

PA BEAVER

PA CLINTON

PA ALLEGHENY

PA BUTLER

PA NORTHAMPTON

PA LACKAWANNA

PA BUCKS

PA MONTGOMERY

PA ALLEGHENY

PA PHILADELPHIA

PA DAUPHIN

PA MONTGOMERY

PA PHILADELPHIA

PA BUCKS

OH HAMILTON

OH MONTGOMERY

OH DEFIANCE

OH SUMMIT

PA BEAVER

PA PHILADELPHIA

PA ERIE

PA CLEARFIELD

PA DELAWARE

PA CHESTER

PA PHILADELPHIA

KY OWEN

KY JEFFERSON

IN WHITLEY

IN BARTHOLOMEW

IN ALLEN

IN ST. JOSEPH

MI GLADWIN

MI ST. CLAIR

PA MONTGOMERY

PA WESTMORELAND

PA BUCKS

PA MCKEAN

PA DELAWARE

PA PHILADELPHIA

PA PHILADELPHIA

PA YORK

IN HAMILTON

IN HAMILTON

OH CUYAHOGA

OH FRANKLIN

OH CUYAHOGA

OH LUCAS

OH CLERMONT

WV BOONE

WV BROOKE

WV NICHOLAS

OH CUYAHOGA

OH LUCAS

OH ASHTABULA

OH LOGAN

PA ALLEGHENY

PA MERCER

PA FAYETTE

PA LUZERNE

PA NORTHAMPTON

PA SNYDER

KY PIKE

KY OWSLEY

IN

JASPER

IN

JAY

IN

PORTER

IN

PORTER

IN

MARION

IN

LAKE

IN

WARRICK

ZIP

PHONE

19103 (215)-545-3525

19382 (610)-344-7469

17331 (717)-632-2010

15221 (412)-731-9822

17111 (717)-561-2658

15442 (724)-785-4522

19135 (215)-335-4882

15061 (855)-398-6471

17751 (570)-893-8184

15216 (412)-388-1601

16055 (724)-294-2802

18015 (610)-691-4085

18444 (570)-842-7848

18976 (215)-491-5377

19090 (215)-658-1465

15025 (412)-233-3303

19150 (267)-331-5490

17104 (717)-547-6219

19474 (484)-991-8007

19112 (215)-890-2000

18966 (215)-355-2004

45239 (513)-741-8870

45342 (937)-866-6651

43512 (419)-782-7832

44319 (330)-773-5554

15003 (724)-266-9194

19120 (215)-725-5132

16509 (814)-868-4624

16833 (814)-236-1820

19081 (610)-338-0966

19350 (610)-268-1214

19139 (215)-474-4550

40359 (502)-484-3046

40208 (502)-912-8966

46725 (260)-244-3113

47201 (812)-342-6817

46815 (260)-485-0755

46619 (574)-239-2480

48624 (989)-709-5288

48014 (810)-310-8300

19090 (215)-830-9760

15601 (724)-850-8191

19053 (215)-354-9440

16735 (814)-837-4931

19013 (484)-816-0344

19146 (215)-772-1260

19136 (215)-331-2100

17361 (717)-235-7720

46069 (317)-758-4171

46077 (317)-733-2566

44146 (440)-439-1416

43224 (614)-263-7551

44111 (216)-325-0773

43616 (419)-690-8269

45103 (513)-732-0700

25049 (304)-837-3777

26062 (304)-723-0127

26205 (304)-742-6040

44144 (216)-398-1464

43615 (419)-531-2115

44030 (440)-593-6258

43311 (937)-592-3464

15210 (412)-431-8282

16148 (724)-983-8451

15425 (724)-626-1091

18201 (570)-454-1135

18045 (610)-252-7405

17870 (570)-743-1608

41522 (606)-754-7085

41314 (606)-593-6337

46310 (219)-987-3301

47336 (765)-768-6131

46383 (219)-464-9776

46341 (219)-996-2930

46268 (800)-906-0050

46410 (219)-942-8270

47601 (812)-897-0089

NCPDP 1529520 1529607 3988738 3992129 3993145 3994325 3995391 3995555 1568471 3671270 3672501 3674353 3676066 3679098 3679593 3680003 3680899 3651204 3651949 3655048 6004725 6006604 6006616 6007353 6010045 3651482 3652270 3653157 3936121 3939367 3939557 3943467 3948265 3950828 3955943 3957959 3960615 5056470 5057597 5058272 3956147 3958470 3959218 3959953 5055719 5056759 5057042 3942667 3944851 3947061 3949255 3952327 3955183 3957202 3959472 5056658 5056925 5057321 6000361 6001262 6001313 6002442 3962405 3962621 3964752 3965677 3966162 3967215 3967342 3972886 3973383 3973395 3975476 6003850 6004600 6007783 6008470

NPI 1588679617 1730112301 1528258522 1609001635 1639400559 1437464203 1003107384 1295029692 1770006173 1609881648 1982619938 1629045976 1992904890 1407176563 1053619957 1366725863 1437499647 1073684676 1366551608 1427063338 1407308620 1396236733 1376033365 1861962250 1124616339 1013028109 1972506582 1619970845 1366423139 1265440119 1851329437 1093804734 1992738579 1215031059 1588697817 1144225095 1316964463 1316330624 1457876112 1194289934 1295824944 1295729838 1093804742 1801831326 1679824031 1063879096 1750807491 1558450296 1982692679 1619066354 1942233275 1801801725 1013063916 1619982535 1043322050 1700253861 1447783931 1629594296 1568886778 1902201205 1114324910 1487036521 1487752192 1053410217 1134228398 1770500837 1932122405 1356424709 1336238096 1033165030 1942256946 1851347850 1205882206 1558729319 1952852881 1407314883 1508410531

PHARMACY NAME WALGREENS PHARMERICA WALGREENS CVS PHARMACY CVS PHARMACY PHARMACY OF AMERICA II GEISINGER PHARMACY CVS PHARMACY PEOPLES DRUG STORE WALGREENS WALGREENS SKILLED CARE PHARMACY CLEVELAND WALGREENS TWC PHARMACY AND WELLNESS CTR LLC WALGREENS TOLEDO FAMILY PHARMACY DISCOUNT DRUG MART RITE AID PHARMACY RITE AID PHARMACY GIANT EAGLE PHARMACY QRX3 PHARMACY AND MEDICAL SUPPLY RITE AID PHARMACY WELLCARE PHARMACY COATESVILLE COMMUNITY PHCY INC MAX WELL PHARMACY SERVICES RITE AID PHARMACY WEYRAUCH'S PHARMACY BIOSCRIP PHARMACY SERVICES MEDICINE SHOPPE PHARMACY CONTRACT PHARMACY SERVICES INC SOLLON PHARMACY RITE AID PHARMACY PHARMERICA CVS PHARMACY WEIS PHARMACY FAMCARE PHARMACY WALMART PHARMACY SAM'S CLUB PHARMACY WALGREENS BYPASS PHARMACY RITE AID PHARMACY BENNETTS VALLEY PHARMACY RITE AID PHARMACY GEISINGER PHARMACY OAK HILL HOMETOWN PHARMACY HPC SPECIALTY RX WEST VIRGINIA INC WALGREENS RITE AID PHARMACY HEIGHTS-TERRACE PHARMACY RITE AID PHARMACY WEIS PHARMACY GIANT EAGLE PHARMACY HOLLY PHARMACY INC GIANT EAGLE PHARMACY MEDICINE SHOPPE PHARMACY BYPASS PHARMACY # 4 PINE GROVE PHARMACY WALGREENS U-HEALTH PHARMACY INC CARE PARTNERS MEDICAL FORBES HOSPITAL GOLDEN HEALTH PHARMACY CVS PHARMACY RITE AID PHARMACY RITE AID PHARMACY WALMART PHARMACY MEDICINE SHOPPE PHARMACY LEECHBURG PHARMACY LTC RITE AID PHARMACY SAV-ON PHARMACY SAV-ON PHARMACY SAV-ON PHARMACY SAV-ON PHARMACY LOST AND FOUND PHARMACY WHITE OAKS PHARMACY THE MEDICINE SHOPPE COMMUNITY A WALGREENS PHARMACY

ADDRESS 7235 W 10TH ST 6330 E 75TH ST STE 322 100 RHODE ISLAND AVE 4599 PERKIOMEN AVE 8310 EASTON RD 5872 OXFORD AVE 114 LT. MICHAEL CLEARY DR 31 WILSON AVE 301 N MICHIGAN ST 1033 MILITARY RD 911 N MEMORIAL DR 9299 MARKET PL 1321 DELAWARE AVE 273A W SCHROCK RD 2001 SUNSET BLVD 1601 W SYLVANIA AVE 5270 CENTER RD 1605 BROADWAY ST 300 E LINCOLNWAY 15937 STATE ROUTE 170 962 E TIOGA ST 503 CLIFTON ROAD 600 WASHINGTON AVE UNIT 12 260 E LINCOLN HWY 375 WEST STREET RD 6484 MONROE ST 4959 KIDRON RD 5700 PERIMETER DR STE B 2113 W MAIN ST 1660 EASTON RD 368 EUCLID AVE 446 W MAIN ST 1011 BERK RD 5020 PENNELL RD 2160 WHITE ST 1429 BURGETTSTOWN PLZ 2801 E MARKET ST BLDG B 200 EMILY DR 1138 HAL GREER BLVD 360 MOUNT GAY RD 674 ROUTE 196 STE 14 18496 BENNETTS VALLEY HWY 480 W BERTSCH ST 100 N ACADEMY AVE # 42-01 819 EAST MAIN ST 66 SIXTH AVE 120 JEFFERSON AVE 175 WILSON RD 475 S POPLAR ST 211 E MAIN ST 331 N READING RD 200 TARENTUM BRIDGE RD 31 N BALTIMORE AVE 475 BEN FRANKLIN RD S 18 N MILL ST 5151 MACCORKLE AVE SW 13030 SHORTLINE HWY 109 E MAIN ST 2704 W ALLEGHENY AVE # 06 5055 SWAMP RD STE 202 2570 HAYMAKER RD 5401 CEDAR AVE 760 MILES RD 925 MERCHANT ST 577 S MAIN ST 900 COMMERCE BLVD 26 DALLAS VILLAGE SHOPPING CTR 111 2ND ST 807 S 4TH ST 323 OLD YORK RD 105 E STREET RD 920 RED LION RD 2301 BRISTOL RD 11555 FRANKSTOWN RD 800 STATE RD 100 LIBERTY ST 3550 MARKET ST STE 103

CITY INDIANAPOLIS INDIANAPOLIS ROCHESTER READING OTTSVILLE PHILADELPHIA DALLAS HANOVER PLYMOUTH ZANESVILLE LANCASTER BROADVIEW HTS MARION WESTERVILLE STEUBENVILLE TOLEDO BRUNSWICK TOLEDO MINERVA EAST LIVERPOOL PHILADELPHIA BETHEL PARK PHILADELPHIA COATESVILLE WARMINSTER SYLVANIA KIDRON DUBLIN NORRISTOWN WARRINGTON CANONSBURG MONONGAHELA LEESPORT ASTON YORK BURGETTSTOWN YORK CLARKSBURG HUNTINGTON MT GAY TOBYHANNA WEEDVILLE LANSFORD DANVILLE OAK HILL SAINT ALBANS MOUNDSVILLE BENTLEYVILLE HAZLETON EVERETT EPHRATA NEW KENSINGTON MOUNT HOLLY SPRINGS INDIANA NEW CASTLE SOUTH CHARLESTON PINE GROVE MANNINGTON PHILADELPHIA FOUNTAINVILLE MONROEVILLE PHILADELPHIA WEST CHESTER AMBRIDGE SHREWSBURY DICKSON CITY DALLAS LEECHBURG HAMBURG JENKINTOWN FEASTERVILLE TREVOSE PHILADELPHIA CORNWELLS HEIGHTS PITTSBURGH CROYDON CLARION PHILADELPHIA

STATE

COUNTY

IN

MARION

IN

MARION

PA BEAVER

PA BERKS

PA BUCKS

PA PHILADELPHIA

PA LUZERNE

PA YORK

IN

MARSHALL

OH MUSKINGUM

OH FAIRFIELD

OH CUYAHOGA

OH MARION

OH FRANKLIN

OH JEFFERSON

OH LUCAS

OH MEDINA

OH LUCAS

OH STARK

OH COLUMBIANA

PA PHILADELPHIA

PA ALLEGHENY

PA PHILADELPHIA

PA CHESTER

PA BUCKS

OH LUCAS

OH WAYNE

OH FRANKLIN

PA MONTGOMERY

PA BUCKS

PA WASHINGTON

PA WASHINGTON

PA BERKS

PA DELAWARE

PA YORK

PA WASHINGTON

PA YORK

WV HARRISON

WV CABELL

WV LOGAN

PA MONROE

PA ELK

PA CARBON

PA MONTOUR

WV FAYETTE

WV KANAWHA

WV MARSHALL

PA WASHINGTON

PA LUZERNE

PA BEDFORD

PA LANCASTER

PA WESTMORELAND

PA CUMBERLAND

PA INDIANA

PA LAWRENCE

WV KANAWHA

WV WETZEL

WV MARION

PA PHILADELPHIA

PA BUCKS

PA ALLEGHENY

PA PHILADELPHIA

PA CHESTER

PA BEAVER

PA YORK

PA LACKAWANNA

PA LUZERNE

PA ARMSTRONG

PA BERKS

PA MONTGOMERY

PA BUCKS

PA PHILADELPHIA

PA BUCKS

PA ALLEGHENY

PA BUCKS

PA CLARION

PA PHILADELPHIA

ZIP

PHONE

46214 (317)-487-9250

46250 (317)-595-6270

15074 (724)-774-2105

19606 (484)-651-1921

18942 (610)-847-5915

19149 (215)-613-7900

18612 (570)-255-1167

17331 (717)-634-3141

46563 (574)-936-3167

43701 (740)-588-0690

43130 (740)-681-9579

44147 (855)-765-9400

43302 (740)-386-5146

43081 (614)-942-6240

43952 (740)-282-0173

43612 (419)-470-0700

44212 (330)-273-8300

43609 (419)-244-5781

44657 (330)-868-4171

43920 (330)-385-2327

19134 (267)-606-6363

15102 (412)-854-8260

19147 (267)-488-1099

19320 (610)-383-3800

18974 (215)-956-9280

43560 (419)-885-3616

44636 (330)-857-0115

43017 (877)-410-0132

19403 (610)-539-7282

18976 (215)-345-3225

15317 (724)-745-6700

15063 (724)-258-6161

19533 (610)-373-1600

19014 (610)-497-2225

17404 (717)-845-1318

15021 (724)-947-7000

17402 (717)-751-0494

26301 (304)-918-6056

25701 (304)-523-0167

25637 (304)-752-1445

18466 (570)-894-0571

15868 (814)-787-4400

18232 (570)-645-3179

17822 (570)-271-6451

25901 (304)-465-0222

25177 (800)-757-9192

26041 (304)-845-4230

15314 (724)-239-3400

18201 (570)-454-8748

15537 (814)-652-2052

17522 (717)-733-4052

15068 (724)-339-4943

17065 (717)-486-5321

15701 (724)-464-2108

16101 (724)-652-8132

25309 (304)-766-0900

26419 (304)-889-3131

26582 (304)-986-2280

19132 (267)-758-2991

18923 (267)-880-6578

15146 (412)-858-2393

19143 (267)-969-3111

19380 (610)-429-3477

15003 (724)-266-7664

17361 (717)-235-6854

18519 (570)-383-4533

18612 (570)-674-5577

15656 (724)-845-1184

19526 (610)-562-9454

19046 (215)-886-6925

19053 (215)-942-4894

19115 (215)-676-6279

19020 (215)-741-9772

15235 (412)-243-1369

19021 (267)-812-5075

16214 (814)-226-9310

19104 (267)-892-3107

NCPDP 6008622 6008634 6009799 6010021 6000789 6001755 3965704 3968522 3972230 6001022 6002620 6002959 3962683 3965689 3966035 3971226 3971290 3971884 3973840 6003874 6009422 6009624 3655416 3937729 3938353 3939672 3941261 3941994 5055822 6000599 3967708 3967760 3971860 3972216 3973357 3975262 6005169 6005361 6005979 6005981 6007315 6007911 6007947 6009042 3650896 3652042 3652321 3653272 3653652 3653777 3936892 3941540 3942023 3942213 3943392 3946401 3976214 6004066 6004876 6005020 6005703 6009989 3958444 3959624 3960110 5057484 5057749 3968471 3968736 3969029 3970337 3970490 3972266 3976240 6006894 6010362 3947580

NPI 1750843751 1073075701 1184236101 1255920310 1548677941 1891187290 1699780528 1588681647 1811929821 1720489081 1316313539 1821465857 1831224252 1588754600 1497772552 1144235078 1750398772 1578667325 1295839058 1134576622 1295355428 1457985228 1215092085 1922101773 1215026950 1659474401 1477656221 1912096652 1912247750 1235556150 1831122167 1245329903 1124033113 1649371444 1215027230 1780624973 1376077545 1891225306 1972017671 1548626922 1275002214 1336606029 1407319338 1124580998 1447361522 1427068238 1477656296 1033143839 1437176617 1164449344 1184635757 1730260704 1821187568 1952334286 1740348630 1902903834 1063427953 1760834402 1639616790 1699206284 1760921555 1801493606 1447328687 1023041357 1457450611 1417473844 1568988285 1609975879 1306949169 1023035185 1992715551 1598782716 1962417899 1356363071 1811476609 1508431081 1356343800

PHARMACY NAME HEALTHDIRECT INST PHCY SERVICES HEALTHDIRECT INST PHCY SVC PACE FOOT AND ANKLE CENTERS PLLC MCCRACKEN PHARMACY GIANT EAGLE PHARMACY SUNRAY DRUGS KENSINGTON & ALLEGHENY GIANT EAGLE PHARMACY WALMART PHARMACY GIANT PHARMACY RITE AID PHARMACY PRICE CHOPPER PHARMACY ACME PHARMACY CHICORA DRUG RITE AID PHARMACY WALMART PHARMACY GIANT EAGLE PHARMACY GIANT EAGLE PHARMACY CVS PHARMACY CVS PHARMACY CVS PHARMACY JOES PHARMACY HEALTHDIRECT INSTITUTIONAL PHCY SER MEIJER PHARMACY CVS PHARMACY RITE AID PHARMACY CVS PHARMACY CVS PHARMACY RITE AID PHARMACY CAMC PHARMACY 2 WALMART PHARMACY WEIS PHARMACY RITE AID PHARMACY WALGREENS RITE AID PHARMACY RITE AID PHARMACY SAV-ON PHARMACY CVS PHARMACY WE CARE PHARMACY INC CVS PHARMACY GENOA HEALTHCARE LLC DARLING SUGAR GROVE HMART PHCY PITTSBURGH MERCY PHARMACY YOCUMS PHARMACY 2 INC SMART CHOICE PHARMACY OMNICARE OF CINCINNATI RITE AID PHARMACY CVS PHARMACY KROGER SAV-ON WALMART PHARMACY WALMART PHARMACY VALLEY PHARMACY, INC. PHARMACY HEALTH CENTER RITE AID PHARMACY WEIS PHARMACY PLUMBS DRUG STORE QUALITY CARE PHARMACY WALGREENS RXBOX PHARMACY PHARMACY OF NORRISTOWN READING HOSP AMBULATORY PHARMACY S S PHARMACY SOMERSET PHARMACY LLC RAPOPORT PHARMACY WEIS PHARMACY RITE AID PHARMACY WALGREENS WALGREENS RITE AID PHARMACY CVS PHARMACY WALMART PHARMACY BRIDGE & PRATT FAMILY PHARMACY WALMART PHARMACY GIANT EAGLE PHARMACY CVS PHARMACY MEDSPACK RITE AID PHARMACY MILLERSBURG PHARMACY

ADDRESS 208 N LIME ST 600 WILLOW VALLEY SQ 708 W NIELDS ST 595 E HIGH ST 3239 WASHINGTON PIKE 825 E ALLEGHENY AVE 2650 CONSTITUTION BLVD 3942 BROADHEAD RD 502 CHURCH ST 94 JUNE DR 16750 PA STATE ROUTE 105 643 CONCHESTER HWY 100 W SLIPPERY ROCK ST 1201 S BETHLEHEM PIKE 1169 S MAIN ST 18511 SMOCK HWY 1606 N CENTER AVE 3401 WALNUT ST 5242 CLAIRTON BLVD 1122 CHESTNUT ST # 38 2401 PENNSYLVANIA AVE 590 COAL STREET 9200 N MAIN ST 2501 WARREN RD 5400 RISING SUN AVE 9 MAIN ST 5801 TILGHMAN ST 3200 92 RED LION RD 501 MORRIS STREET 3400 HARTZDALE DR 1130 MAE ST 5675 YORK RD 2014 S BROAD ST # 24 361 S CEDAR CREST BLVD 260 W LEHIGH AVE # 80 124 MORTON AVE 2400 BUTLER PIKE 3671 CRESCENT CT E 141 W LINCOLN HWY 335 S FRANKLIN ST STE 130 17 FOREST ST 249 SOUTH 9TH ST 1ST FLOOR 1090 N CHURCH ST STE C 1941 STREET ROAD 5549 SPELLMIRE DR 613 W MAIN ST 2424 N VERITY PKWY 299 W BRIDGE ST 2826 E HARBOR RD 100 WALMART DR 827 SHARON NEW CASTLE RD 1700 S BROAD ST 710 BURMONT RD 611 619 FIFTEENTH ST 105 N ALLEGHENY ST 1 SPRINT DR 7001 FRANKFORD AVE # 7027 225 OLD SOLDIERS RD 420 W MARSHALL ST 420 S 5TH AVENUE 8275 BUSTLETON AVENUE 216 W SOMERSET STREET 6934 BUSTLETON AVE 6901 WESTBRANCH HWY 3382 ROUTE 940 1360 COVE RD 2100 E DUPONT AVE 1804 GOLDEN MILE HWY 5600 WILKINS AVE 1675 CHRISTOPHER COLUMBUS BLVD 5107 FRANKFORD AVE 3722 EASTON NAZARETH HWY 105 ROBERTSON ST 9805 MCKNIGHT RD 5006 E TRINDLE RD STE 103 307 E MARKET ST 242 MARKET ST

CITY LANCASTER LANCASTER WEST CHESTER WAYNESBURG BRIDGEVILLE PHILADELPHIA BEAVER FALLS MONACA DANVILLE ROARING SPRINGS MONTROSE BOOTHWYN CHICORA AMBLER MANSFIELD MEADVILLE SOMERSET PHILADELPHIA PITTSBURGH PHILADELPHIA PHILADELPHIA LEHIGHTON ENGLEWOOD INDIANA PHILADELPHIA WELLSBORO ALLENTOWN PHILADELPHIA CHARLESTON CAMP HILL HUMMELSTOWN NEW OXFORD PHILADELPHIA ALLENTOWN PHILADELPHIA FOLSOM PLYMOUTH MEETING WHITEHALL EXTON WILKES BARRE SUGAR GROVE PITTSBURGH HAZLE TOWNSHIP BENSALEM WEST CHESTER LOUISVILLE MIDDLETOWN DUBLIN PORT CLINTON JACKSON FARRELL PHILADELPHIA DREXEL HILL HUNTINGDON BELLEFONTE CARLISLE PHILADELPHIA CHELTENHAM NORRISTOWN READING PHILADELPHIA PHILADELPHIA PHILADELPHIA LEWISBURG MOUNT POCONO WEIRTON BELLE PITTSBURGH PITTSBURGH PHILADELPHIA PHILADELPHIA EASTON WEST NEWTON PITTSBURGH MECHANICSBURG CLEARFIELD MILLERSBURG

STATE

COUNTY

PA LANCASTER

PA LANCASTER

PA CHESTER

PA GREENE

PA ALLEGHENY

PA PHILADELPHIA

PA BEAVER

PA BEAVER

PA MONTOUR

PA BLAIR

PA SUSQUEHANNA

PA DELAWARE

PA BUTLER

PA MONTGOMERY

PA TIOGA

PA CRAWFORD

PA SOMERSET

PA PHILADELPHIA

PA ALLEGHENY

PA PHILADELPHIA

PA PHILADELPHIA

PA CARBON

OH MONTGOMERY

PA INDIANA

PA PHILADELPHIA

PA TIOGA

PA LEHIGH

PA PHILADELPHIA

WV KANAWHA

PA CUMBERLAND

PA DAUPHIN

PA ADAMS

PA PHILADELPHIA

PA LEHIGH

PA PHILADELPHIA

PA DELAWARE

PA MONTGOMERY

PA LEHIGH

PA CHESTER

PA LUZERNE

PA WARREN

PA ALLEGHENY

PA LUZERNE

PA BUCKS

OH BUTLER

OH STARK

OH BUTLER

OH FRANKLIN

OH OTTAWA

OH JACKSON

PA MERCER

PA PHILADELPHIA

PA DELAWARE

PA HUNTINGDON

PA CENTRE

PA CUMBERLAND

PA PHILADELPHIA

PA MONTGOMERY

PA MONTGOMERY

PA BERKS

PA PHILADELPHIA

PA PHILADELPHIA

PA PHILADELPHIA

PA UNION

PA MONROE

WV HANCOCK

WV KANAWHA

PA ALLEGHENY

PA ALLEGHENY

PA PHILADELPHIA

PA PHILADELPHIA

PA NORTHAMPTON

PA WESTMORELAND

PA ALLEGHENY

PA CUMBERLAND

PA CLEARFIELD

PA DAUPHIN

ZIP

PHONE

17602 (717)-393-9811

17602 (717)-464-4200

19382 (610)-431-0200

15370 (724)-627-5454

15017 (412)-914-0752

19134 (215)-425-7700

15010 (724)-843-3922

15061 (724)-773-0240

17821 (570)-271-2509

16673 (814)-224-5553

18801 (570)-278-8790

19061 (610)-859-0008

16025 (724)-445-2210

19002 (215)-646-8351

16933 (570)-662-1120

16335 (814)-724-6292

15501 (814)-443-0544

19104 (215)-662-1333

15236 (412)-885-5864

19107 (215)-574-3502

19130 (267)-975-2281

18235 (610)-377-9730

45415 (937)-832-5110

15701 (724)-349-5620

19120 (215)-329-0312

16901 (570)-724-4303

18104 (610)-398-3228

19114 (215)-637-1200

25301 (304)-388-7400

17011 (717)-409-3109

17036 (717)-533-2963

17350 (717)-624-8080

19145 (215)-551-3818

18103 (610)-821-7999

19133 (215)-425-3784

19033 (610)-237-3810

19462 (610)-941-1291

18052 (484)-350-3999

19341 (610)-363-1008

18702 (570)-704-3238

16350 (814)-489-7777

15203 (412)-246-2380

18202 (570)-535-3500

19020 (215)-638-0000

45246 (513)-874-0009

44641 (330)-875-1429

45042 (513)-423-0298

43017 (614)-889-0710

43452 (419)-732-3866

45640 (740)-286-6860

16121 (724)-981-4553

19145 (215)-685-1834

19026 (610)-626-4350

16652 (814)-643-1291

16823 (814)-355-3225

17015 (717)-249-5691

19135 (215)-543-0715

19012 (267)-579-2692

19401 (484)-231-1014

19611 (484)-628-7426

19152 (215)-722-5300

19133 (267)-534-4030

19149 (215)-333-1566

17837 (570)-524-5757

18344 (570)-839-3797

26062 (304)-723-2110

25015 (304)-949-6237

15239 (724)-327-4850

15217 (412)-521-5690

19148 (215)-468-4230

19124 (215)-537-5000

18045 (610)-250-8610

15089 (724)-872-3350

15237 (412)-369-9446

17050 (717)-893-7746

16830 (717)-975-5937

17061 (717)-692-2161

NCPDP 3948203 3951779 3952593 3958999 3960223 6000498 6000842 6001666 6001717 6002214 6003177 3975212 3975692 6004864 6004991 6007606 6007985 6008937 6009612 6010184 3938480 5053981 5054464 3648132 3653486 3936486 3937781 3939305 3939444 3942061 3944142 3946057 3950208 3960261 5058412 6000385 6003696 3961528 3963736 3963813 3967164 3967758 3973294 3973484 3974400 6003800 6006743 6009395 3677260 3678034 3678351 3680344 2308965 2317849 2324642 2326393 2327662 2337512 2346814 2346941 3900532 3901089 3902663 3917195 3919226 3925712 3926930 3929948 3935600 5004332 5006386 5006401 5008241 5008354 5010412 5011565 5054212

NPI 1558587030 1710014576 1487677530 1578663928 1811086564 1558771048 1922057629 1124410360 1962462366 1760869010 1609246727 1639102965 1952328189 1720522246 1306397948 1992261382 1013470889 1881237311 1497377501 1437742624 1366541625 1679507461 1083740864 1649286956 1194828913 1235228974 1043309784 1164518866 1740383595 1912000761 1639268378 1881666923 1144319898 1780720490 1316596794 1396163697 1689028631 1366531014 1972607729 1710076476 1790874451 1841380862 1477657229 1043344930 1851480511 1992150882 1487148524 1891324653 1902054000 1508009697 1932432267 1659647170 1528078094 1649216557 1174627137 1952413882 1871602391 1447362371 1275673600 1548379092 1194829929 1992809735 1477652725 1992787766 1497722128 1073550042 1124019773 1710076443 1083703714 1780639286 1164525820 1801956701 1063516029 1881753218 1962505628 1578581260 1326064288

PHARMACY NAME CHRISTIAN STREET PHARMACY SH PHARMACY MOSHANNON VALLEY PHARMACY RITE AID PHARMACY RITE AID PHARMACY CVS PHARMACY LANCASTER UROLOGY SHURFINE PHARMACY SPRY HEMATOLOGY & ONCOLOGY CONSULTANTS UROLOGY CARE ALLIANCE PHARMACY OF HATBORO WEIS PHARMACY WALMART PHARMACY WEIS PHARMACY SOMERSET HOSPITAL OUTPATIENT PHCY LEHIGH VALLEY PHARMACY SVCS COORDINATED CARE NETWORK PHCY UPPER DARBY COMMUNITY PHARMACY INC LEHIGH VALLEY PHCY SER - SCHUYLKILL SHOPRITE PHARMACY OF BIRNEY AVENUE RITE AID PHARMACY KROGER PHARMACY GILBERT PHARMACY INC RITE AID PHARMACY CVS PHARMACY RITE AID PHARMACY RITE AID PHARMACY PHILADELPHIA HLTH CTR PHCY CVS PHARMACY CVS PHARMACY RITE AID PHARMACY LEBANON SHOPS PHARMACY RITE AID PHARMACY JOHNSONS PHARMACY OF HAZLETON MARTINSBURG PHARMACY LLC SEDGLEY PLAZA PHARMACY JAY'S HUNTING PARK PHARMACY RITE AID PHARMACY CVS PHARMACY RITE AID PHARMACY RITE AID PHARMACY RITE AID PHARMACY CVS PHARMACY CHELTEN DRUG RITE AID PHARMACY DREAM PHARMACY PHOEBE SERVICES PHARMACY YORK CARE PHARMACY CVS PHARMACY MEDICINE CENTER INSTITUTIONAL PHCY COSTCO PHARMACY ADENA CANCER CENTER PHARMACY RITE AID PHARMACY CVS PHARMACY HOMETOWN PHARMACY CVS PHARMACY RITE AID PHARMACY CVS PHARMACY MEIJER PHARMACY RITE AID PHARMACY CVS PHARMACY CVS PHARMACY RITE AID PHARMACY BUCHANAN BROTHERS PHARMACY KELLER & MUNRO DRUG INC VANTAGE CARE APOTHECARY COOKES PHARMACY RITE AID PHARMACY RITE AID PHARMACY ARACOMA DRUG COMPANY CVS PHARMACY ADKINS PHARMACY GIL-CO FAITH PHARMACY INC DUTTON PHARMACY CVS PHARMACY WALMART PHARMACY COMMUNITY CARE PHARMACY

ADDRESS 1947 CHRISTIAN ST 451 CHEW ST STE 201 208 MEDICAL CENTER DRIVE 9773 ROOSEVELT BLVD 1001 JEFFERSON AVE 717 E MAIN ST 2106 HARRISBURG PIKE STE 200 2720 S QUEEN ST 101 ERFORD RD STE 101 859 TOWN CENTER DR 420 SOUTH YORK RD SUITE D 553 555 MAHONING ST 890 E MAIN ST 4525 VALLEY ROAD 225 S CENTER AVE STE 1049 2024 LEHIGH ST STE 600 100 N CAMERON ST STE 201 57 LONG LANE 700 E NORWEGIAN ST 3382 BIRNEY PLZ 3200 MARKET ST 981 DUNBAR VILLAGE PLZ 761 LARRY JOE HARLESS DRIVE 3402 CLARK AVE 610 CHERRY ST 621 CLAY AVE 1927 S ATHERTON ST 4400 HAVERFORD AVE 3210 CARLISLE RD 302 W BRIDGE ST 4400 PENNELL RD 300 MOUNT LEBANON BLVD 801 WYOMING AVE STE 9 901 W 15TH ST 900 WINCHESTER AVE 2917 RIDGE AVE 2001 W HUNTING PARK AVE 2121 W LEHIGH AVE 41 W EAGLE RD 100 FRANKLIN ST 3000 02 REED ST 136 N 63RD ST 1001 WASHINGTON AVE # 99 2137 E CHELTEN AVE 1000 N CHURCH ST 9808 BUSTLETON AVE UNIT F 1001 E OREGON RD 180 LEADERS HEIGHTS RD STE 15 3445 UNION RD 700 W MAIN ST STE A 16690 ROYALTON RD 4435 STATE ROUTE 159 51341 W HURON RIVER DR 632 N DIBBLE AVE 130 W UPTON AVE 31411 CHERRY HILL RD 3050 UNION LAKE RD 7960 COOLEY LAKE RD 1015 E PICKARD ST 936 E LUDINGTON AVE 1200 MARKET ST 110 GREEN RIDGE ST 31 N JEFFERSON ST 206 MAIN ST 127 E CHURCH ST 1305 S MAIN ST 14 ELMIRA ST 8878 CLRFIELD CURWENSVILLE HWY 5911 RIDGE AVE # 5933 772 MAIN ST 188 FLOWING SPRINGS RD 81 STATE ROUTE 80 356 WV HIGHWAY 5 E 3201 GRAND CENTRAL AVE 701 E MAIN ST 320 MALLARD LANE 149 IVY LN

CITY PHILADELPHIA ALLENTOWN PHILIPSBURG PHILADELPHIA WASHINGTON PALMYRA LANCASTER YORK CAMP HILL LANGHORNE HATBORO MILTON EPHRATA ENOLA SOMERSET ALLENTOWN HARRISBURG UPPER DARBY POTTSVILLE MOOSIC CAMP HILL DUNBAR GILBERT CLEVELAND BLANCHESTER JEANNETTE STATE COLLEGE PHILADELPHIA DOVER NEW HOPE ASTON PITTSBURGH WEST PITTSTON HAZLETON MARTINSBURG PHILADELPHIA PHILADELPHIA PHILADELPHIA HAVERTOWN MERCER PHILADELPHIA PHILADELPHIA PHILADELPHIA PHILADELPHIA HAZLETON PHILADELPHIA LITITZ YORK FRANKLIN LOUISVILLE STRONGSVILLE CHILLICOTHE BELLEVILLE LANSING REED CITY WESTLAND COMMERCE TOWNSHIP WATERFORD MOUNT PLEASANT LUDINGTON LEMOYNE SCRANTON NEW CASTLE ELKLAND LOCK HAVEN MEADVILLE TROY CLEARFIELD PHILADELPHIA CHAPMANVILLE CHARLES TOWN GILBERT GLENVILLE VIENNA CLARKSBURG MASON PARSONS

STATE

COUNTY

PA PHILADELPHIA

PA LEHIGH

PA CENTRE

PA PHILADELPHIA

PA WASHINGTON

PA LEBANON

PA LANCASTER

PA YORK

PA CUMBERLAND

PA BUCKS

PA MONTGOMERY

PA NORTHUMBERLAND

PA LANCASTER

PA CUMBERLAND

PA SOMERSET

PA LEHIGH

PA DAUPHIN

PA DELAWARE

PA SCHUYLKILL

PA LACKAWANNA

PA CUMBERLAND

WV KANAWHA

WV MINGO

OH CUYAHOGA

OH CLINTON

PA WESTMORELAND

PA CENTRE

PA PHILADELPHIA

PA YORK

PA BUCKS

PA DELAWARE

PA ALLEGHENY

PA LUZERNE

PA LUZERNE

WV BERKELEY

PA PHILADELPHIA

PA PHILADELPHIA

PA PHILADELPHIA

PA DELAWARE

PA MERCER

PA PHILADELPHIA

PA PHILADELPHIA

PA PHILADELPHIA

PA PHILADELPHIA

PA LUZERNE

PA PHILADELPHIA

PA LANCASTER

PA YORK

OH WARREN

OH STARK

OH CUYAHOGA

OH ROSS

MI WAYNE

MI EATON

MI OSCEOLA

MI WAYNE

MI OAKLAND

MI OAKLAND

MI ISABELLA

MI MASON

PA CUMBERLAND

PA LACKAWANNA

PA LAWRENCE

PA TIOGA

PA CLINTON

PA CRAWFORD

PA BRADFORD

PA CLEARFIELD

PA PHILADELPHIA

WV LOGAN

WV JEFFERSON

WV MINGO

WV GILMER

WV WOOD

WV HARRISON

WV MASON

WV TUCKER

ZIP

PHONE

19146 (215)-545-3582

18102 (610)-776-4999

16866 (814)-342-3750

19114 (215)-673-0747

15301 (724)-223-4971

17078 (717)-838-8242

17604 (717)-723-4579

17403 (717)-741-5973

17011 (717)-975-9415

19047 (215)-750-6510

19040 (215)-443-9999

17847 (570)-742-8253

17522 (717)-721-6690

17025 (717)-732-4106

15501 (814)-443-5352

18103 (610)-402-2748

17101 (717)-614-8800

19082 (443)-370-6964

17901 (570)-621-4016

18507 (570)-904-6042

17011 (717)-763-1181

25064 (304)-768-7326

25621 (304)-664-6337

44109 (216)-961-9414

45107 (937)-783-4669

15644 (724)-527-3888

16801 (814)-237-1625

19104 (215)-685-7626

17315 (717)-292-6665

18938 (215)-862-5917

19014 (610)-494-2055

15234 (412)-344-6700

18643 (570)-654-6689

18201 (570)-455-5884

25401 (304)-901-5705

19121 (215)-978-0104

19140 (215)-226-0140

19132 (215)-226-6479

19083 (610)-853-1768

16137 (724)-662-2009

19146 (215)-467-7920

19139 (215)-472-7820

19147 (215)-755-7803

19138 (215)-548-5221

18201 (570)-450-7272

19115 (215)-904-5548

17543 (717)-581-3950

17402 (717)-912-0111

45005 (513)-727-0927

44641 (330)-875-9090

44136 (440)-783-3424

45601 (740)-542-6337

48111 (734)-484-0482

48917 (517)-323-2382

49677 (231)-832-5521

48186 (734)-326-2990

48382 (248)-363-4392

48327 (248)-366-3101

48858 (989)-775-2110

49431 (231)-845-7332

17043 (717)-761-1995

18509 (570)-344-7400

16101 (724)-652-0981

16920 (814)-258-7332

17745 (570)-748-5209

16335 (814)-336-1301

16947 (570)-297-2848

16830 (814)-765-2753

19128 (215)-482-1992

25508 (304)-855-4541

25414 (304)-725-9707

25621 (304)-664-8883

26351 (304)-462-8300

26105 (304)-295-9594

26301 (304)-624-0161

25260 (304)-773-9186

26287 (304)-478-2319

NCPDP 5055303 3639804 3643031 3644829 3652903 3936688 3943087 3943099 3944320 3945194 3945776 3947756 3949887 3950183 3950424 3956527 3957199 3639436 3640390 3641633 3650339 3651040 3939951 3940310 3940942 3941487 3941893 3944279 3946665 3948695 3949483 3955222 3958165 3958406 5056189 5056836 5057143 5057561 5058347 6001147 3961807 3962001 3962417 3962746 3963433 3967481 3968370 3969233 3969372 3970111 3971961 3972052 3972975 3973903 6004270 6004763 6009662 6009864 3944382 3951527 3954321 3954410 3954547 3956666 5056090 5056684 5058246 6002404 3961213 3962354 3962936 3963015 3966655 3968724 3969904 3970868 3971238

NPI 1043528482 1720176878 1871697474 1629171384 1528170537 1962591602 1417051251 1285723924 1215037668 1770638702 1801985544 1255420998 1114006376 1497859235 1770528994 1922197672 1144224585 1831105147 1568496362 1952347346 1790790608 1720094030 1568560597 1235162561 1871526103 1366544140 1003905746 1053410316 1124062088 1881680718 1124051453 1932298684 1114944873 1376632026 1750726444 1104279066 1164947941 1750807046 1407314313 1427451764 1154336071 1295712065 1972518892 1962501122 1518972447 1750499919 1972692630 1841217908 1417962341 1326137084 1508807314 1952328171 1316045933 1760572788 1588110837 1609311299 1043831761 1982217253 1053415893 1689771529 1750313763 1013015726 1548268022 1417903410 1104248269 1073980710 1508339482 1962884544 1093819849 1457348138 1861419913 1891780797 1215954375 1114944279 1295752350 1225128242 1093747008

PHARMACY NAME GREENBANK PHARMACY MERCY PROFESSIONAL PHARMACY ST ANNE MERCY OUTPATIENT PHCY CVS PHARMACY SAND RUN PHARMACY RITE AID PHARMACY CVS PHARMACY RITE AID PHARMACY RITE AID PHARMACY MAINLINE PHARMACY RITE AID PHARMACY RITE AID PHARMACY MODNUR PRESCRIPTION PHCY INC CVS PHARMACY PENTEC HEALTH RITE AID PHARMACY MEDICINE SHOPPE PHARMACY RITE AID PHARMACY KROGER SAV-ON DISCOUNT DRUG MART GIANT EAGLE PHARMACY RITE AID PHARMACY JOMICI APOTHECARY WEIS PHARMACY WEIS PHARMACY REDNER'S PHARMACY RITE AID PHARMACY RITE AID PHARMACY SOUTHERN CHESTER COUNTY PHCY. BANKS APOTHECARY WEIS PHARMACY RITE AID PHARMACY FALK PHARMACY RITE AID PHARMACY KANAWHA CITY HLTH CENTER PHCY VALLEY HEALTH PHARMACY WALGREENS WALGREENS SUMMERSVILLE REGIONAL MED CTR AHN PHARMACY GIANT EAGLE PHARMACY CVS PHARMACY GIANT EAGLE PHARMACY RITE AID PHARMACY GIANT EAGLE PHARMACY THE MEDICINE SHOPPE PHARMACY RITE AID PHARMACY WALMART PHARMACY GIANT EAGLE PHARMACY RITE AID PHARMACY GIANT EAGLE PHARMACY WALMART PHARMACY CVS PHARMACY RITE AID PHARMACY WALMART PHARMACY KEYSTONE PHARMACY WILLIAMSBURG PHARMACY GENOA HEALTHCARE LLC CVS PHARMACY BATH DRUG GIANT PHARMACY CVS PHARMACY BAYSIDE PHARMACY SAV-ON PHARMACY SOUTH FORK PHARMACY ALLIED HEALTH SOLUTIONS SMITHERS FAMILY PHARMACY TYAN PHARMACY & MEDICAL SUPPLY CVS PHARMACY LG HEALTH CONVENIENCE PHCY S P WALMART PHARMACY A AND G PHARMACY SERVICE INC WALMART PHARMACY WALMART PHARMACY WALMART PHARMACY RITE AID PHARMACY GIANT PHARMACY

ADDRESS 4498 POTOMAC HIGHLAND TRL. 1330 MERCY DR NW 3404 W SYLVANIA AVE 120 E MAIN ST 40 SAND RUN RD 525 PENN AVE 1600 ALEXANDRA LN 217 S BLAKELY ST 6200 SALTSBURG RD 619 MAIN ST 215 S BROAD ST 1120 PHILADELPHIA AVE 52 KEEFER DR 1457 8TH AVE 4 CREEK PKWY STE A 102 EASTON RD 33 E SIMPSON ST 1915 CENTRAL AVE 226 E PERKINS AVE 8500 MENTOR AVE 5220 MAHONING AVE 120 W MAIN ST 273 S 15TH ST 313-337 W BALD EAGLE ST 740 S BROAD ST 2977 STATE ROUTE 22 1137 MARKET ST 1035 COUNTY LINE RD 1011 W BALTIMORE PIKE STE 109 3800 HORIZON BLVD STE 103 1204 MILLERSVILLE PIKE 12311 ACADEMY RD 3601 FIFTH AVE ROOM 211 2722 W 9TH ST 4602 MACCORKLE AVE SE 1301 HAL GREER BLVD 111 KRUGER ST 126 12TH ST 400 FAIRVIEW HEIGHTS RD 12311 PERRY HWY STE F 1705 S BRADDOCK AVE 1216 W 6TH ST 1050 MOUNTAIN LAUREL PLZ 105 W MAIN ST 200 STATION ST 730 WASHINGTON ST 43 47 BALTIMORE STREET 2351 CENTURY DR 541 ALLEGHENY BLVD 5440 LANSDOWNE AVE 5142 ROUTE 30 250 SUMMIT PARK DR 32 W LEMON ST # 54 762 E JOHNSON HWY 7500 UNIVERSITY BLVD 106 PENN PLAZA 318 EAST 1ST STREET 245 W RACE ST STE 115 1776 E LANCASTER AVE 310 S WALNUT ST 4001 NEW FALLS RD 3298 EDGMONT AVE 300 STATE ST STE 102 480 N MAIN ST 732 N MAIN ST 3040 UNIVERSITY AVE STE 1400 505 VIRGINIA AVENUE 2803 BRISTOL PIKE 45 CONSTITUTION BLVD 2108 HARRISBURG PIKE STE 314 16086 CONNEAUT LAKE RD 2665 BRODHEAD RD STE B 1566 W MAIN STREET EXT 1887 ELMIRA ST 3100 OAKLAND AVE 2674 EGYPT RD 2670 EGYPT RD

CITY GREENBANK CANTON TOLEDO WILMINGTON AKRON WEST READING HARRISBURG DUNMORE PITTSBURGH PORTAGE PHILADELPHIA NORTHERN CAMBRIA MERCERSBURG BETHLEHEM BOOTHWYN NAZARETH MECHANICSBURG MIDDLETOWN SANDUSKY MENTOR YOUNGSTOWN RUSSELLS POINT PHILADELPHIA LOCK HAVEN LITITZ FREDERICKSBURG LEMOYNE HUNTINGDON VALLEY WEST GROVE TREVOSE LANCASTER PHILADELPHIA PITTSBURGH CHESTER CHARLESTON HUNTINGTON WHEELING WELLSBURG SUMMERSVILLE WEXFORD PITTSBURGH ERIE LATROBE NORTH EAST MC DONALD HUNTINGDON HANOVER WEST MIFFLIN FRANKLIN PHILADELPHIA GREENSBURG PITTSBURGH LANCASTER NORRISTOWN MOON TOWNSHIP TURTLE CREEK WILLIAMSBURG SOMERSET PAOLI BATH LEVITTOWN BROOKHAVEN ERIE DOYLESTOWN MOORFIELD MORGANTOWN SMITHERS BENSALEM KUTZTOWN LANCASTER MEADVILLE ALIQUIPPA GROVE CITY SAYRE INDIANA AUDUBON NORRISTOWN

STATE

COUNTY

WV POCAHONTAS

OH STARK

OH LUCAS

OH CLINTON

OH SUMMIT

PA BERKS

PA DAUPHIN

PA LACKAWANNA

PA ALLEGHENY

PA CAMBRIA

PA PHILADELPHIA

PA CAMBRIA

PA FRANKLIN

PA LEHIGH

PA DELAWARE

PA NORTHAMPTON

PA CUMBERLAND

OH BUTLER

OH ERIE

OH LAKE

OH MAHONING

OH LOGAN

PA PHILADELPHIA

PA CLINTON

PA LANCASTER

PA LEBANON

PA CUMBERLAND

PA BUCKS

PA CHESTER

PA BUCKS

PA LANCASTER

PA PHILADELPHIA

PA ALLEGHENY

PA DELAWARE

WV KANAWHA

WV CABELL

WV OHIO

WV BROOKE

WV NICHOLAS

PA ALLEGHENY

PA ALLEGHENY

PA ERIE

PA WESTMORELAND

PA ERIE

PA WASHINGTON

PA HUNTINGDON

PA YORK

PA ALLEGHENY

PA VENANGO

PA PHILADELPHIA

PA WESTMORELAND

PA ALLEGHENY

PA LANCASTER

PA MONTGOMERY

PA ALLEGHENY

PA ALLEGHENY

PA BLAIR

PA SOMERSET

PA CHESTER

PA NORTHAMPTON

PA BUCKS

PA DELAWARE

PA ERIE

PA BUCKS

WV HARDY

WV MONONGALIA

WV FAYETTE

PA BUCKS

PA BERKS

PA LANCASTER

PA CRAWFORD

PA BEAVER

PA MERCER

PA BRADFORD

PA INDIANA

PA MONTGOMERY

PA MONTGOMERY

ZIP

PHONE

24944 (304)-456-3333

44708 (330)-489-1400

43623 (419)-407-1777

45177 (937)-382-3232

44313 (330)-864-2138

19611 (610)-373-5241

17110 (717)-545-9188

18512 (570)-343-5525

15235 (412)-798-0490

15946 (814)-736-4530

19107 (215)-735-3593

15714 (814)-948-6102

17236 (717)-328-3612

18018 (610)-861-0152

19061 (610)-494-8700

18064 (610)-759-6066

17055 (717)-697-0551

45044 (513)-420-2546

44870 (419)-627-1271

44060 (440)-255-0040

44515 (330)-793-9345

43348 (937)-843-2048

19102 (215)-735-6337

17745 (570)-748-1790

17543 (717)-626-8507

17026 (717)-865-6566

17043 (717)-737-3359

19006 (215)-364-2980

19390 (610)-869-3200

19053 (215)-494-9403

17603 (717)-393-6074

19154 (215)-637-4690

15213 (412)-623-6222

19013 (610)-494-3910

25304 (304)-205-7534

25701 (304)-399-3355

26003 (304)-242-0273

26070 (304)-737-0205

26651 (304)-872-8481

15090 (878)-332-4118

15218 (412)-371-4456

16507 (814)-844-6265

15650 (724)-537-4995

16428 (814)-725-3076

15057 (724)-926-2201

16652 (814)-641-7442

17331 (717)-632-5490

15122 (412)-655-3909

16323 (814)-432-2024

19131 (215)-877-1506

15601 (724)-836-7613

15275 (412)-788-9110

17603 (717)-394-4013

19401 (610)-272-5401

15108 (412)-893-0142

15145 (412)-646-2619

16693 (814)-407-4742

15501 (814)-701-0986

19301 (610)-647-4366

18014 (610)-837-9992

19056 (215)-946-2857

19015 (610)-876-5100

16507 (814)-351-0026

18901 (215)-340-1983

26836 (304)-530-1044

26505 (304)-285-7216

25186 (304)-981-2323

19020 (215)-639-9400

19530 (610)-683-7349

17601 (717)-544-3154

16335 (814)-724-6351

15001 (724)-375-1230

16127 (724)-458-5977

18840 (570)-888-3729

15701 (724)-349-5759

19403 (610)-650-8490

19403 (610)-631-8134

NCPDP 3972622 3973307 3975161 6003836 6010158 3958812 3959458 3960007 3960134 3960425 3960831 3960932 5056153 5057965 3965235 6004117 6005018 6006907 6009939 3944356 3945524 3947225 3947845 3952911 3953521 3956680 5055670 5057369 5057686 6001351 6002163 6002670 6003115 3963166 3968560 3969221 3969613 3969942 3971101 3972280 3972696 3972759 3972925 3973787 3973852 3976288 6004989 6005967 6006060 6009597 6009737 6009814 6006856 6007391 6007733 6009383 6009636 3650771 3651090 3651848 3651937 3653703 3940322 3940992 3952670 3954648 5056191 5057977 5058602 6000296 6001882 3964079 3969396 3971202 3973092 3973597 3973674

NPI 1821029430 1770500993 1558460733 1215381496 1164015343 1811096076 1407946528 1487754834 1285738039 1366541526 1922030931 1548359292 1396158135 1952827388 1972518801 1669823266 1285175851 1801375506 1164029914 1548359284 1740388776 1457366379 1134223977 1689763336 1023118478 1326094327 1770841637 1942727698 1235655200 1053718494 1134515471 1114393063 1285009100 1053381749 1568495893 1932126091 1346330370 1093813610 1841394699 1295839041 1689763344 1306935069 1831293687 1851494017 1356334585 1861414591 1548709561 1184138489 1891217618 1336771344 1811506561 1942821517 1588142293 1316417355 1912464496 1427687177 1780201178 1689689689 1407880206 1538175849 1457460792 1407891419 1144253477 1972607711 1558465393 1447265368 1104233329 1174040604 1205423498 1518382258 1043609597 1265521918 1053484774 1316036072 1598866311 1710912753 1811920143

PHARMACY NAME OMNICARE OF WILLIAMSPORT WALMART PHARMACY RITE AID PHARMACY RENA'S PHARMACY GENOA HEALTHCARE LLC RITE AID PHARMACY RITE AID PHARMACY RITE AID PHARMACY CVS PHARMACY RITE AID PHARMACY GIANT PHARMACY RITE AID PHARMACY BYPASS PHARMACY WALGREENS GIANT EAGLE PHARMACY VALEDA RX KEYSTONE CARE PHARMACY HORSHAM PHARMACY RANN PHARMACY RITE AID PHARMACY ADAMS CUMBERLAND PHARMACY GIANT EAGLE PHARMACY CVS PHARMACY RITE AID PHARMACY RITE AID PHARMACY SAV-ON PHARMACY MACE'S PHARMACY INC. WALGREENS WALGREENS FRANKFORD HEALTH PHARMACY GANSE APOTHECARY LTC CVS PHARMACY RITE AID PHARMACY FRIENDLY PHARMACY WEIS PHARMACY WALMART PHARMACY RITE AID PHARMACY CVS PHARMACY CVS PHARMACY CVS PHARMACY RITE AID PHARMACY RITE AID PHARMACY CVS PHARMACY WELLSPAN PHARMACY HERITAGE PHARMACY CVS PHARMACY GEISINGER MAIL ORDER PHARMACY BETHLEHEM PHARMACY RX INC HEALTHDIRECT INST PHCY SVCS GIANT EAGLE PHARMACY TEMPLE COMMUNITY PHARMACY LONG LANE DISCOUNT PHARMACY WEGMANS PHARMACY POCONO COMMUNITY PHCY II INC GENOA HEALTHCARE LLC KINGSTON COMMUNITY PHARMACY INC FREELAND PHARMACY WALGREENS KROGER SAV-ON RITE AID PHARMACY RITE AID PHARMACY DISCOUNT DRUG MART WEIS PHARMACY CVS PHARMACY CVS PHARMACY GIANT EAGLE PHARMACY SISTERSVILLE PHARMACY WALGREENS WEIS PHARMACY LANSDALE RX PHARMACY CONNECTED HEALTH PHARMACY RITE AID PHARMACY SMARTMED PRESCRIPTION CENTER RITE AID PHARMACY RITE AID PHARMACY WEIS PHARMACY WEIS PHARMACY

ADDRESS 3570 W 4TH ST STE 2 698 SHREWSBURY COMMONS AVE 3730 BRIGHTON RD 2904 S 70TH ST UNIT 3 2922 STATE ST 1710 MOUNT ROYAL BLVD 10 DONNER AVE 1915 1921 EAST CARSON STREET 835 OLD YORK RD 429 S HANOVER ST 993 WAYNE AVE 847 MIDLAND AVE 1802 HARPER RD 19258 SENECA TRAIL 117 S WALNUT ST 250 MOUNT LEBANON BLVD STE 208 203 NORTH BROAD STREET 316 HORSHAM RD STE E 377 MAIN STREET 270 MAIN ST 3463 BIGLERVILLE RD 910 FREEPORT RD 1575 S MARKET ST 6531 ROUTE 22 547 W TRENTON AVE 785 STARR ST 204 S CRIM AVE 4402 PENNSYLVANIA AVE 164 HOLDEN RD 4943 FRANKFORD AVE 7 N CHARLOTTE ST 259 MARKET ST 1900 ARCH ST 2258 N FRONT ST 5580 CRAWFORD DR 100 SUPERCENTER DR 1105 09 N. 63RD STREET 1109 W CHESTER PIKE 327 WOODLAWN AVE 1901 W OREGON AVE 100 WILLIAM MARKS WAY 208 E CENTRAL AVE 5843 RISING SUN AVE # 45 40 V TWIN DR 1091 GENERAL KNOX RD 125 WITCHWOOD DR 210 INDUSTRIAL PARK ROAD 817 E 4TH ST FLR1 1100 WEST CHESTNUT STREET 3220 LEECHBURG RD 3535 N 5TH STREET HWY STE 2 434 LONG LN 2000 CROSSINGS BLVD 175 E BROWN ST STE 107 4900 WYALUSING AVE RM 106108 511 PIERCE ST UNIT 1 611 CENTRE ST 1982 EIGHT MILE RD 1474 MAIN ST 3720 TUSCARAWAS ST W 21991 W STATE ROUTE 51 6476 YORK RD 1105 CHESTNUT ST 644 E PENN ST 315 W EMAUS AVE 4265 BUFFALO RD 312 DIAMOND ST 448 APPALACHIAN HWY 400 ENTERPRISE CIRCLE 1801 N BROAD ST STE 14 12620 PERRY HWY 900 MOUNT ROYAL BLVD 233 E HIGH ST 1500 W MOYAMENSING AVE 5176 COLD SPRING CREAMERY RD 1800 ROOSEVELT AVE T 209 E WEIR LK RD

CITY WILLIAMSPORT SHREWSBURY PITTSBURGH PHILADELPHIA ERIE GLENSHAW MONESSEN PITTSBURGH JENKINTOWN CARLISLE CHAMBERSBURG MIDLAND BECKLEY MARLINTON LIGONIER PITTSBURGH LANSDALE HORSHAM HARLEYSVILLE HARLEYSVILLE BIGLERVILLE PITTSBURGH ELIZABETHTOWN DELMONT MORRISVILLE PHOENIXVILLE BELINGTON BIG CHIMNEY MOUNT GAY PHILADELPHIA LANCASTER PHILADELPHIA PHILADELPHIA PHILADELPHIA BETHLEHEM CLEARFIELD PHILADELPHIA HAVERTOWN BETHLEHEM PHILADELPHIA MUNHALL TITUSVILLE PHILADELPHIA GETTYSBURG WASHINGTON XING NORTH WALES ELYSBURG BETHLEHEM WASHINGTON LOWER BURRELL READING UPPER DARBY LANCASTER EAST STROUDSBURG PHILADELPHIA KINGSTON FREELAND CINCINNATI HAMILTON CANTON GENOA PARMA HEIGHTS BERWICK BEDFORD ALLENTOWN ERIE SISTERSVILLE PINEVILLE MARTINSBURG LANSDALE WEXFORD PITTSBURGH CARLISLE PHILADELPHIA DOYLESTOWN YORK BRODHEADSVILLE

STATE

COUNTY

PA LYCOMING

PA YORK

PA ALLEGHENY

PA PHILADELPHIA

PA ERIE

PA ALLEGHENY

PA WESTMORELAND

PA ALLEGHENY

PA MONTGOMERY

PA CUMBERLAND

PA FRANKLIN

PA BEAVER

WV RALEIGH

WV POCAHONTAS

PA WESTMORELAND

PA ALLEGHENY

PA MONTGOMERY

PA MONTGOMERY

PA MONTGOMERY

PA MONTGOMERY

PA ADAMS

PA ALLEGHENY

PA LANCASTER

PA WESTMORELAND

PA BUCKS

PA CHESTER

WV BARBOUR

WV KANAWHA

WV LOGAN

PA PHILADELPHIA

PA LANCASTER

PA PHILADELPHIA

PA PHILADELPHIA

PA PHILADELPHIA

PA NORTHAMPTON

PA CLEARFIELD

PA PHILADELPHIA

PA DELAWARE

PA NORTHAMPTON

PA PHILADELPHIA

PA ALLEGHENY

PA CRAWFORD

PA PHILADELPHIA

PA ADAMS

PA BUCKS

PA MONTGOMERY

PA NORTHUMBERLAND

PA NORTHAMPTON

PA WASHINGTON

PA WESTMORELAND

PA BERKS

PA DELAWARE

PA LANCASTER

PA MONROE

PA PHILADELPHIA

PA LUZERNE

PA LUZERNE

OH HAMILTON

OH BUTLER

OH STARK

OH OTTAWA

OH CUYAHOGA

PA COLUMBIA

PA BEDFORD

PA LEHIGH

PA ERIE

WV TYLER

WV WYOMING

WV BERKELEY

PA MONTGOMERY

PA ALLEGHENY

PA ALLEGHENY

PA CUMBERLAND

PA PHILADELPHIA

PA BUCKS

PA YORK

PA MONROE

ZIP

PHONE

17701 (570)-323-9147

17361 (717)-235-7544

15212 (412)-761-3363

19142 (267)-457-4555

16508 (814)-240-1653

15116 (412)-487-8767

15062 (724)-684-0153

15203 (412)-481-8818

19046 (215)-886-2923

17013 (717)-258-4800

17201 (717)-261-1556

15059 (724)-643-6520

25801 (304)-252-1111

24954 (304)-799-6617

15658 (724)-238-0342

15234 (855)-698-2533

19446 (215)-647-9308

19044 (267)-282-5747

19438 (215)-256-4146

19438 (215)-256-4749

17307 (717)-677-8144

15238 (412)-781-1600

17022 (717)-367-2173

15626 (724)-468-6282

19067 (215)-736-9501

19460 (610)-935-7791

26250 (304)-823-1001

25302 (304)-965-7301

25637 (304)-239-2020

19124 (215)-533-9300

17603 (717)-984-2204

19106 (215)-625-3740

19103 (215)-587-2101

19133 (215)-425-5230

18017 (610)-954-8323

16830 (814)-765-8587

19151 (215)-879-1663

19083 (610)-446-5245

18018 (610)-691-4460

19145 (215)-551-8265

15120 (412)-461-4699

16354 (814)-827-7083

19120 (215)-728-4146

17325 (717)-339-2600

18977 (215)-321-7670

19454 (215)-699-7767

17824 (844)-878-5562

18015 (610)-419-6522

15301 (724)-223-7710

15068 (724)-212-2036

19605 (484)-317-1600

19082 (484)-469-4966

17601 (717)-358-9445

18301 (570)-664-8226

19131 (215)-764-6519

18704 (484)-274-5192

18224 (570)-526-2400

45255 (513)-474-4723

45013 (513)-868-6578

44708 (330)-478-8129

43430 (419)-855-8363

44130 (440)-845-6800

18603 (570)-759-0896

15522 (814)-623-1973

18103 (610)-791-4404

16510 (814)-899-6063

26175 (304)-652-3711

24874 (304)-732-8886

25405 (304)-263-4185

19446 (215)-855-7500

15090 (724)-933-4320

15223 (412)-487-5706

17013 (717)-243-9100

19145 (215)-465-1475

18902 (215)-489-5481

17408 (717)-767-7009

18322 (570)-992-5114

NCPDP 6007632 6008088 3671294 3672157 3672842 3675331 3675886 3676030 3676927 3678678 3680762 3680990 2322422 2335241 2336596 3916991 3919543 3928629 5008176 5009964 5010602 5054488 5055024 5055036 3628596 3632064 3636404 3643500 3643714 3643904 3651975 3937185 3940372 3941071 3949279 3953874 3954383 3960627 3961097 5056355 5057179 5057511 5058587 6000602 6001274 3962568 3965348 3655529 3938012 3940699 3941716 3944231 3944584 3945889 3947768 3950082 3956286 3961150 5056951 5057004 5057698 5058121 6000866 6000943 3669465 3961364 3962811 3965336 3965552 3967835 3972139 3973220 3974157 3975680 3975856 6007644 6008216

NPI 1174089858 1093379521 1518972553 1235146259 1871500892 1245371186 1720200330 1174723167 1255507976 1699004747 1013253806 1386088003 1912007501 1457463382 1225147762 1538251988 1972615490 1659375210 1215961099 1518960111 1235238122 1760601850 1235364043 1124253786 1790754653 1962566844 1437268760 1518993864 1457385254 1437159068 1275642514 1780773424 1558376475 1598798829 1689778425 1487730222 1063562999 1124139365 1013039254 1184022428 1326564170 1275059610 1003414392 1801208491 1063769701 1326147588 1770682932 1912000738 1689763328 1952401309 1053388470 1326147687 1124128574 1316041155 1164511804 1659470813 1992730931 1457440109 1336661834 1548779531 1164948972 1679073779 1386053627 1194126128 1649215567 1366546111 1487752309 1861591026 1215035829 1477585487 1952490617 1568566313 1972560688 1043237274 1184728966 1063978104 1366001083

PHARMACY NAME MIDLANTIC UROLOGY QWIK MED PHARMACY WALGREENS WALGREENS WALGREENS GIANT EAGLE PHARMACY WALGREENS MEIJER PHARMACY RITE AID PHARMACY CVS PHARMACY AHF PHARMACY HOCKS TIPP CITY PHARMACY COMMUNITY DRUG OF FRANKFORT CVS PHARMACY RITE AID PHARMACY BRACKENS PHARMACY AYRES DRUG STORE BELL APOTHECARY KROGER PHARMACY UNION PHARMACY RAINELLE MEDICAL CTR PHCY PRESTON-TAYLOR PHARMACY CVS PHARMACY WALGREENS TUCKERS PHARMACY ST VINCENT CHARITY MEDICAL CTR RITE AID PHARMACY DISCOUNT DRUG MART KROGER SAV-ON SCHAEPER'S NORTHSIDE PHARMACY RITE AID PHARMACY RITE AID PHARMACY GIANT EAGLE PHARMACY WEIS PHARMACY CVS PHARMACY STRAWBERRY MANSION HEALTH CTR OXFORD CIRCLE PHARMACY MEANS LAUF SUPER DRUG LIZZA'S APOTHECARE PHARMACY COMMUNITY CARE PHARMACY OF WES WALGREENS WALGREENS BYPASS PHARMACY 5 RELIANT CARE SOLUTIONS ACADEMIC UROLOGY OF PA, LLC RITE AID PHARMACY RITE AID PHARMACY CVS PHARMACY RITE AID PHARMACY RITE AID PHARMACY BOALSBURG APOTHECARY RITE AID PHARMACY RITE AID PHARMACY CVS PHARMACY RITE AID PHARMACY RITE AID PHARMACY WEIS PHARMACY RITE AID PHARMACY MAXWELTON HEALTH CENTER PHARMACY VALLEY HEALTH CARE PHARMACY ELKINS WALGREENS BOONE MEMORIAL HOSPITAL OPT PENNSBURY PHARMACY INC. PRIMARY CHOICE PHARMACY DISCOUNT DRUG MART CVS PHARMACY YORKE PHARMACY RITE AID PHARMACY CVS PHARMACY GIANT PHARMACY RITE AID PHARMACY CVS PHARMACY WALGREENS SPECIALTY PHARMACY WALMART PHARMACY CVS PHARMACY QWIKSCRIPT PHARMACY KOP COMMUNITY PHARMACY INC

ADDRESS 400 DAVIS DR SUITE 200A 369 LOCUST ST REAR 5690 W BROAD ST 2203 BEECHMONT AVE 5090 TURNEY RD 6259 MAYFIELD RD 14210 SCOTTS LAWN RD 3711 STONECREEK BLVD 3911 SECOR RD 3316 NAVARRE AVE STE E 1230 N HIGH ST 5175 S COUNTY ROAD 25A 401 MAIN ST 27050 JOHN R RD 13157 1/2 SCHAVEY RD 7 WATER ST 3000 WALNUT ST 2045 FAIRVIEW AVE 19 7TH AVE W 335 S MAIN ST 176 MEDICAL CENTER DR 725 N PIKE ST 436 RETAIL COMMONS PKWY 38 VICTORY AVE 1831 E MAIN ST 2351 E 22ND ST 34 S ALLISON AVE 814 N MAIN ST 3417 N HIGH ST 4187 HAMILTON AVE 7800 CLEVELAND AVE NW 360 E MAIN ST 6320 SHAKESPEARE ST 339 W WALNUT ST 920 BETHLEHEM PIKE 2840 W DAUPHIN ST 1501 E CHELTENHAM AVE # 3 265 ALLEGHENY BLVD 173 MORGANTOWN ST 107 STAUNTON DR 1015 BRIDGE RD 1101 MYERS AVE 816 MAIN ST STE A 403 S OXFORD VALLEY RD STE 2 211 S GULPH RD STE 200 1505 7TH AVE 1759 GOUCHER ST 1208 MAPLE AVE 500 E LANCASTER AVE 8775 NORWIN AVE 3901 SOUTH ATHERTON ST STE 1 1650 LIMEKILN PIKE 228 MAIN ST 2333 WELSH RD 101 E SHIRLEY ST 5633 BAUM BLVD 1916 LYCOMING CREEK RD 6101 N BROAD ST 390 INDUSTRIAL PARK RD 240 ALLEGHENY HIGHWAY 5798 MCCLELLAN HWY 697 MADISON AVE 8545 NEW FALLS RD 5575 OLD YORK RD 5863 DARROW RD 2651 EASTON AVE 5524 NEW FALLS RD 120 LAUREL PLZ 45 CHELTENHAM AVE 1255 CARLISLE RD 1529 FREEPORT RD 3295 ROUTE 100 130 ENTERPRISE DR 10 KIMBERLY LN 525 W MAIN ST 701 W LEHIGH AVE 580 SHOEMAKER RD STE 140

CITY PLYMOUTH MEETING COLUMBIA GALLOWAY MOUNT WASHINGTON GARFIELD HEIGHTS MAYFIELD HEIGHTS MARYSVILLE CINCINNATI TOLEDO OREGON COLUMBUS TIPP CITY FRANKFORT MADISON HEIGHTS DEWITT EAST BRADY MCKEESPORT EASTON HUNTINGTON UNION RAINELLE GRAFTON MARTINSBURG GRAFTON OTTAWA CLEVELAND XENIA WELLINGTON COLUMBUS CINCINNATI NORTH CANTON MIDDLETOWN PITTSBURGH SHAMOKIN ERDENHEIM PHILADELPHIA PHILADELPHIA BROOKVILLE UNIONTOWN WESTON CHARLESTON DUNBAR CHAPMANVILLE FAIRLESS HILLS KING OF PRUSSIA BEAVER FALLS JOHNSTOWN ZANESVILLE SHILLINGTON NORTH HUNTINGDON STATE COLLEGE DRESHER STROUDSBURG LANSDALE MOUNT UNION PITTSBURGH WILLIAMSPORT PHILADELPHIA MAXWELTON ELKINS BRANCHLAND MADISON LEVITTOWN PHILADELPHIA HUDSON BETHLEHEM LEVITTOWN PITTSTON CHELTENHAM YORK NATRONA HEIGHTS MACUNGIE PITTSBURGH CRANBERRY MOUNT JOY PHILADELPHIA KING OF PRUSSIA

STATE

COUNTY

PA MONTGOMERY

PA LANCASTER

OH FRANKLIN

OH HAMILTON

OH CUYAHOGA

OH CUYAHOGA

OH UNION

OH HAMILTON

OH LUCAS

OH LUCAS

OH FRANKLIN

OH MIAMI

MI BENZIE

MI OAKLAND

MI CLINTON

PA CLARION

PA ALLEGHENY

PA NORTHAMPTON

WV CABELL

WV MONROE

WV GREENBRIER

WV TAYLOR

WV BERKELEY

WV TAYLOR

OH PUTNAM

OH CUYAHOGA

OH GREENE

OH LORAIN

OH FRANKLIN

OH HAMILTON

OH STARK

PA DAUPHIN

PA ALLEGHENY

PA NORTHUMBERLAND

PA MONTGOMERY

PA PHILADELPHIA

PA PHILADELPHIA

PA JEFFERSON

PA FAYETTE

WV LEWIS

WV KANAWHA

WV KANAWHA

WV LOGAN

PA BUCKS

PA MONTGOMERY

PA BEAVER

PA CAMBRIA

OH MUSKINGUM

PA BERKS

PA WESTMORELAND

PA CENTRE

PA MONTGOMERY

PA MONROE

PA MONTGOMERY

PA HUNTINGDON

PA ALLEGHENY

PA LYCOMING

PA PHILADELPHIA

WV GREENBRIER

WV RANDOLPH

WV LINCOLN

WV BOONE

PA BUCKS

PA PHILADELPHIA

OH SUMMIT

PA NORTHAMPTON

PA BUCKS

PA LUZERNE

PA MONTGOMERY

PA YORK

PA ALLEGHENY

PA LEHIGH

PA ALLEGHENY

PA VENANGO

PA LANCASTER

PA PHILADELPHIA

PA MONTGOMERY

ZIP

PHONE

19462 (610)-825-2151

17512 (717)-449-5636

43119 (614)-870-7816

45230 (513)-232-7200

44125 (216)-581-6791

44124 (440)-449-3940

43041 (937)-642-4606

45251 (513)-245-7510

43623 (419)-472-8027

43616 (419)-691-3814

43201 (614)-291-2670

45371 (937)-667-5803

49635 (231)-352-4471

48071 (248)-547-0800

48820 (517)-669-2585

16028 (724)-526-3110

15132 (412)-672-3000

18042 (610)-258-2311

25701 (304)-522-6677

24983 (304)-772-5701

25962 (304)-438-6188

26354 (304)-265-7400

25403 (304)-264-5201

26354 (304)-265-0926

45875 (419)-523-6122

44115 (216)-592-2853

45385 (937)-372-1677

44090 (440)-647-6634

43214 (614)-263-1796

45223 (513)-541-0354

44720 (330)-499-3448

17057 (717)-944-0262

15206 (412)-361-5248

17872 (570)-648-7669

19038 (215)-233-4485

19132 (215)-685-2401

19124 (215)-535-4302

15825 (814)-849-7504

15401 (724)-437-7801

26452 (304)-269-9555

25314 (304)-344-2030

25064 (304)-768-1284

25508 (304)-853-5554

19030 (215)-547-1700

19406 (610)-382-5900

15010 (724)-843-6774

15905 (814)-255-6601

43701 (740)-453-3442

19607 (610)-775-0307

15642 (724)-863-9074

16801 (814)-466-7936

19025 (215)-628-4404

18360 (570)-424-9096

19446 (215)-855-1900

17066 (814)-542-8003

15206 (412)-441-6991

17701 (570)-326-5144

19141 (215)-924-9645

24957 (681)-318-3610

26241 (304)-635-4036

25506 (304)-824-7077

25130 (304)-369-8821

19054 (215)-547-2378

19141 (215)-437-9043

44236 (330)-342-5500

18017 (610)-865-3671

19056 (215)-945-5700

18640 (570)-655-9920

19012 (215)-782-1501

17404 (717)-718-7770

15065 (724)-226-4725

18062 (610)-967-5684

15275 (888)-347-3416

16319 (814)-676-1813

17552 (717)-653-4747

19133 (267)-534-5856

19406 (267)-952-6200

NCPDP 6008672 6009903 6009915 6010069 3967506 3967695 3972494 3972987 3973030 3974917 3975135 6004408 6004939 6005385 6006135 6006678 3651191 3651278 3651557 3652092 3652561 3653335 3653765 3936246 3938822 3948683 3954713 3955563 3957834 5056723 5057989 5058361 6002973 6003038 3965122 3965362 3968267 3970123 3970298 3970414 3972038 3975250 3975313 6004268 6010033 6010071 3678832 3679872 5055618 3650822 3651468 3654084 3942504 3943152 3943671 3946312 3948330 3950400 3951426 3956250 3958963 3959941 5057016 5057509 5057775 6000626 6000830 3963988 3968964 3969651 3971365 3971632 3971923 3973460 3973977 3974828 6005525

NPI 1083176721 1174121982 1417555616 1548859150 1528089976 1700987609 1861419087 1699835942 1548292550 1013938075 1225055452 1194274936 1023553708 1801326319 1205353166 1750874517 1396854634 1114036456 1750490090 1245341346 1710904990 1891712071 1255358438 1720187081 1104847169 1376646125 1841373875 1063584852 1114096807 1457716334 1245756683 1245890243 1558731588 1033589833 1841207867 1194823708 1679572887 1053415802 1750338901 1013934173 1730280538 1396791398 1902900780 1720533243 1861081093 1144811894 1013246941 1013210244 1043589062 1326089186 1932210028 1831239375 1306842224 1770684227 1235233073 1790834968 1619066362 1053400705 1780607929 1275668758 1679656623 1447340476 1306362355 1780100123 1508382227 1215347208 1598877813 1215954367 1376520676 1740339688 1699874867 1043309701 1043237266 1972536191 1104920966 1811094741 1568982858

PHARMACY NAME WILLIAMS APOTHECARY GENOA HEALTHCARE LLC PENN HIGHLANDS COMMUNITY PHARMACY LEHIGHTON PHARMACY INC WALGREENS RITE AID PHARMACY WALMART PHARMACY KING PHARMACY GIANT PHARMACY SHOP N SAVE PHARMACY WALMART PHARMACY PREMIER PHARMACY SERVICES CONTRACT PHARMACY SERVICES-PPH FAMILY PHARMACY OF CARBONDALE INC WALGREENS CVS PHARMACY RITE AID PHARMACY RITE AID PHARMACY RITE AID PHARMACY RITE AID PHARMACY WALMART PHARMACY WALMART PHARMACY WALMART PHARMACY RITE AID PHARMACY CLINIC PHARMACY CVS PHARMACY SLOANS MOUNTVILLE PHARMACY MEDICINE SHOPPE PHARMACY EVANS CITY PHARMACY DOUG'S DRUGS WALGREENS BLUEWELLS FAMILY PHARMACY INC PINNACLE HEALTH CONNECTIONS RX RESES PHARMACY INC GIANT EAGLE PHARMACY CVS PHARMACY ROSICA PHARMACY CVS PHARMACY THOMPSON LTC PHARMACY WALMART PHARMACY RITE AID PHARMACY SAV-ON PHARMACY CVS PHARMACY BIANCARELLI'S PHARMACY, LLC MILL STREET PHARMACY EMMAUS DRUG STORE PHARMACY SOLUTIONS MERCY ANDERSON OUTPATIENT PHCY MEDICINE CABINET PHARMACY BROSSART PHARMACY RITE AID PHARMACY DAY'S MIAMI HEIGHTS PHARMACY HARRIS PHARMACY CVS PHARMACY CVS PHARMACY YOUGH VALLEY PHARMACY RITE AID PHARMACY RITE AID PHARMACY LEIGH VALLEY PHARMACY SRVCS HOFFMAN'S DRUG STORE INC NEW STANTON PHARMACY RITE AID PHARMACY GENOA HEALTHCARE LLC WALGREENS WALGREENS OUTLOOK PHARMACY SERVICES MAIN LINE ONCOLOGY HEMA ASSOC PC WALMART PHARMACY GRANE SUPPLY BROCKIE PHARMATECH RITE AID PHARMACY RITE AID PHARMACY WALMART PHARMACY OMNICARE OF GREENSBURG CVS PHARMACY A & W PHARMACY INC PATIENT CARE PHARMACY

ADDRESS 201 E CHESTNUT ST 807 LAWN AVE STE 104 265 HOLIDAY INN DRIVE ROUTE 68 428 S 7TH ST STE 3 10 E STREET RD 178 POINT PLZ 355 LINCOLN AVE 2100 W CAMBRIA ST 2174 W UNION BLVD 799 CASTLE SHANNON BLVD 100 WALMART DR 1049-51 BROADWAY SUITE 2 6500 TABOR AVE 70 N CHURCH ST 667 ROUTE 739 456 N 5TH ST 1111 SCOTT STREET 2430 GLENDALE AVE 1496 N SHOOP AVE 2110 WALES RD NE 11217 STATE ROUTE 41 4370 EASTGATE SQUARE DR 7680 BRANDT PIKE 9910 FRANKFORD AVE 1 GUTHRIE SQ STE EC101 2001 N 11TH ST 2 COLLEGE AVENUE 95 YORK RD 201 E MAIN ST 1125 COOK PARKWAY 26 MADDEX SQUARE 140 MAJESTIC PLACE 111 S FRONT ST STE 1 5739 CHESTER AVE 700 MORAINE POINTE PLZ 317 W LANCASTER AVE 2065 SNYDER AVE 239 FOX RUN LN 600 E CHESTNUT AVE 373 BENNER PIKE 13 E GAY ST 39 LEOPARD RD 3422 FORBES AVE 1318 MAIN STREET 416 MILL ST 6 SOUTH 4TH ST 112B E MAIN ST 7500 STATE ROAD 50 LINCOLN ST 45 S MIAMI AVE 5033 SUDER AVENUE 7567 BRIDGETOWN RD 511 EAST ST 405 W DUBOIS AVE 1833 E HIGH ST 511 WILLIAMS ST STE 2 610 BROAD ST 221 GROVE CITY RD 1202 S CEDAR CREST BLVD 536 FRANKLIN AVE 144 POST AVE 113 131 WEST WYOMING AVENUE 804 INDUSTRIAL PARK RD RM 27 1600 MAIN ST 8 GAYLE DR 301 S 7TH AVE STE 146 100 E LANCASTER AVE SUITE B20 2028 N CENTER AVE 105 GAMMA DR STE 100 209 N BEAVER ST 418 PENN ST 4299 UNION DEPOSIT RD 2034 LINCOLN HWY E 1171 GARDEN ST 6344 STENTON AVE 2623 E WESTMORELAND ST 902 MANOR STREET

CITY LANCASTER SELLERSVILLE CLARION LEHIGHTON WEST CHESTER BUTLER EAST STROUDSBURG PHILADELPHIA BETHLEHEM PITTSBURGH NORTH VERSAILLES BETHLEHEM PHILADELPHIA CARBONDALE HAWLEY PHILADELPHIA NAPOLEON TOLEDO WAUSEON MASSILLON WEST UNION CINCINNATI HUBER HEIGHTS PHILADELPHIA SAYRE READING MOUNTVILLE WARMINSTER EVANS CITY OCEANA SHEPHERDSTOWN BLUEFIELD HARRISBURG PHILADELPHIA BUTLER ARDMORE PHILADELPHIA EAST STROUDSBURG ALTOONA STATE COLLEGE WEST CHESTER PAOLI PITTSBURGH PECKVILLE BRISTOL EMMAUS PANDORA CINCINNATI KERMIT CLEVES TOLEDO CINCINNATI DOYLESTOWN DUBOIS POTTSTOWN CONFLUENCE NEW BETHLEHEM SLIPPERY ROCK ALLENTOWN ALIQUIPPA NEW STANTON PHILADELPHIA MAXWELTON FOLLANSBEE BERKELEY SPRINGS WEST READING WYNNEWOOD SOMERSET PITTSBURGH YORK READING HARRISBURG LANCASTER GREENSBURG PHILADELPHIA PHILADELPHIA LANCASTER

STATE

COUNTY

PA LANCASTER

PA BUCKS

PA CLARION

PA CARBON

PA CHESTER

PA BUTLER

PA MONROE

PA PHILADELPHIA

PA LEHIGH

PA ALLEGHENY

PA ALLEGHENY

PA LEHIGH

PA PHILADELPHIA

PA LACKAWANNA

PA PIKE

PA PHILADELPHIA

OH HENRY

OH LUCAS

OH FULTON

OH STARK

OH ADAMS

OH CLERMONT

OH MONTGOMERY

PA PHILADELPHIA

PA BRADFORD

PA BERKS

PA LANCASTER

PA BUCKS

PA BUTLER

WV WYOMING

WV JEFFERSON

WV MERCER

PA DAUPHIN

PA PHILADELPHIA

PA BUTLER

PA MONTGOMERY

PA PHILADELPHIA

PA MONROE

PA BLAIR

PA CENTRE

PA CHESTER

PA CHESTER

PA ALLEGHENY

PA LACKAWANNA

PA BUCKS

PA LEHIGH

OH PUTNAM

OH HAMILTON

WV WAYNE

OH HAMILTON

OH LUCAS

OH HAMILTON

PA BUCKS

PA CLEARFIELD

PA MONTGOMERY

PA SOMERSET

PA CLARION

PA BUTLER

PA LEHIGH

PA BEAVER

PA WESTMORELAND

PA PHILADELPHIA

WV GREENBRIER

WV BROOKE

WV MORGAN

PA BERKS

PA MONTGOMERY

PA SOMERSET

PA ALLEGHENY

PA YORK

PA BERKS

PA DAUPHIN

PA LANCASTER

PA WESTMORELAND

PA PHILADELPHIA

PA PHILADELPHIA

PA LANCASTER

ZIP

PHONE

17602 (717)-393-3814

18960 (267)-354-8166

16214 (814)-299-7553

18235 (484)-613-0440

19382 (610)-399-3920

16001 (724)-285-5800

18301 (570)-424-8612

19132 (215)-226-2000

18018 (610)-691-2845

15234 (412)-561-2417

15137 (412)-816-0307

18015 (484)-821-0540

19111 (215)-214-6608

18407 (570)-281-6300

18428 (570)-775-0405

19123 (215)-592-0104

43545 (419)-592-9086

43614 (419)-381-6981

43567 (419)-337-5050

44646 (330)-833-3194

45693 (937)-544-7291

45245 (513)-753-3370

45424 (937)-237-8411

19114 (215)-824-2700

18840 (570)-887-2800

19604 (610)-921-1200

17554 (717)-285-7443

18974 (215)-675-0777

16033 (724)-538-4240

24870 (304)-682-6900

25443 (304)-876-0505

24701 (304)-589-5025

17101 (717)-782-3200

19143 (215)-726-1224

16001 (724)-283-3779

19003 (610)-658-0737

19145 (215)-334-4477

18302 (570)-223-6892

16601 (814)-944-5837

16801 (814)-235-9402

19380 (610)-696-0409

19301 (610)-240-0110

15213 (412)-687-4181

18452 (570)-382-8570

19007 (215)-788-8879

18049 (610)-421-6400

45877 (419)-384-3303

45255 (513)-624-4669

25674 (304)-393-3386

45002 (513)-941-0428

43611 (419)-729-9934

45248 (513)-941-4011

18901 (215)-345-4800

15801 (814)-371-9480

19464 (610)-327-2020

15424 (814)-395-5300

16242 (814)-275-4241

16057 (724)-794-6365

18103 (610)-402-8444

15001 (724)-375-4111

15672 (724)-925-9810

19140 (215)-329-1516

24957 (304)-520-0576

26037 (304)-527-4082

25411 (304)-258-4955

19611 (610)-370-7559

19096 (610)-645-2494

15501 (814)-443-6963

15238 (412)-449-0680

17401 (717)-854-9028

19602 (610)-373-4511

17111 (717)-564-6750

17602 (717)-390-7031

15601 (724)-832-1233

19138 (215)-548-1902

19134 (215)-426-4100

17603 (717)-690-2700

NCPDP 6007062 6008569 3940663 3941817 3947287 3948811 3949320 3951161 3952606 3955931 3956781 3957531 3960665 5056381 5057080 5057864 5058448 6002478 3970147 3974210 6004523 6007238 6009472

NPI 1750864047 1093362527 1659460392 1215978192 1558464305 1164511812 1578642526 1194823831 1528177896 1821192675 1649374497 1659460301 1043300163 1518355999 1295259919 1801312467 1972146314 1467835546 1649202656 1679663694 1659822518 1962979708 1083255418

PHARMACY NAME YORK DRUG MART CVS PHARMACY RITE AID PHARMACY BILL'S HOMETOWN PHARMACY CVS PHARMACY RITE AID PHARMACY STAUFFERS DRUG STORE CVS PHARMACY HIXENBAUGHS DRUG STORE CVS PHARMACY CVS PHARMACY RITE AID PHARMACY RITE AID PHARMACY THOMAS FAMILY PHARMACY WALGREENS WALGREENS SHADY SPRING PHARMACY CVS PHARMACY GIANT PHARMACY RITE AID PHARMACY EASTON SPECIALTY PHARMACY INC NOCKLEY FAMILY PHARMACY WELLNESS FAMILY PHARMACY

ADDRESS 135 NORTH DUKE STREET SUITE 1 1225 3RD ST 200 RESORT PLAZA DR 1095 UNITY CENTER ROAD 328 COCHRAN RD 6375 LIBRARY RD 149 E MAIN ST 1600 MAIN ST 304 MORGANTOWN ST 430 N KEYSTONE AVE 4361 W SWAMP RD 118 EAGLEVIEW BLVD 656 PHILADELPHIA AVE 4605 MACCORKLE AVE SW 71 W MAIN ST 74 JOSHUA M FREEMAN BLVD 2795 RITTER DR 1650 MENOHER BLVD 1760 DEKALB PIKE 7972 CASTOR AVE 2024 LEHIGH ST 1150 S MAIN AVE STE 100 3250 CHICHESTER AVE

CITY YORK WHITEHALL BLAIRSVILLE PITTSBURGH MOUNT LEBANON SOUTH PARK NEW HOLLAND DICKSON CITY UNIONTOWN SAYRE DOYLESTOWN EXTON READING SOUTH CHARLESTON BUCKHANNON RANSON SHADY SPRING JOHNSTOWN BLUE BELL PHILADELPHIA EASTON SCRANTON UPPER CHICHESTER

STATE

COUNTY

PA YORK

PA LEHIGH

PA INDIANA

PA ALLEGHENY

PA ALLEGHENY

PA ALLEGHENY

PA LANCASTER

PA LACKAWANNA

PA FAYETTE

PA BRADFORD

PA BUCKS

PA CHESTER

PA BERKS

WV KANAWHA

WV UPSHUR

WV JEFFERSON

WV RALEIGH

PA CAMBRIA

PA MONTGOMERY

PA PHILADELPHIA

PA NORTHAMPTON

PA LACKAWANNA

PA DELAWARE

ZIP

PHONE

17401 (717)-356-2650

18052 (484)-488-0001

15717 (724)-459-5938

15239 (412)-793-6500

15228 (412)-563-3444

15129 (412)-831-8350

17557 (717)-355-9300

18519 (570)-383-3211

15401 (724)-437-2828

18840 (570)-888-7763

18902 (215)-348-7803

19341 (610)-363-0554

19607 (610)-777-8278

25309 (304)-414-4820

26201 (304)-472-0150

25438 (304)-728-7713

25918 (681)-207-3822

15905 (814)-255-2792

19422 (610)-239-7810

19152 (215)-728-4981

18042 (484)-600-6666

18504 (570)-207-1318

19061 (610)-234-2922


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