Covered Entity Details

CH04895M Southeast Alabama Rural Health Associates (Active) - information as of 4/25/2025 8:33:16 PM

Main Details

Name

Southeast Alabama Rural Health Associates

Subdivision Name

Dothan Family Health Center

Type

HRSA-Funded Health Center

Site ID

BPS-H80-015193

340B ID

CH04895M

Grant Number

H80CS00376

Additional Details

Current Program Status

Active

Registration Date

6/25/2012

Participating Start Date

10/1/2012

Participating Approval Date

7/24/2012

Last Recertification Date

2/10/2025

Contacts

Authorizing Official

Southeast Alabama Rural Health Associates
Pamylon Bowers, CEO
(334) 670-6726

Primary Contact

Southeast Alabama Rural Health Associates
Lori Bullock Pope, Director of Clinical Informatics
(334) 670-6726

Addresses

Street Address

4300 West Main Street
Suite 300
Dothan, AL 36305

Billing Address

Southeast Alabama Rural Health Associates
1414 Elba Hwy
Troy, AL 36079

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
History

Comments

Comment	Last Updated On
No records to display.

Medicaid Billing

At this site, will the covered entity bill Medicaid fee-for-service for drugs purchased at 340B prices?
Yes

State	Medicaid Number	NPI Number
AL	100479,102516,123522,125522,125526,125758,131843,135365,140056,141152,142098,145394,145546,146366,147269,147668,148732,148944,150467,151229,155595,157918,159823,167510,177422,177905,178250,181095,182563,183310,183344,184541,185415,187684,188267,191426,193667,194000,194489,195503,195719,196165,203490,206758,208487,211425,213519,214554,215779,217938,240284,261369,630000018,630002018,630003018,630004018,630005018,630006018,630007018,631802004,631802019,631802047,631803004,631803019,631804004,631804029,631805004,631805020,631805029,631805035,631805043,631806019,278007,271868,258442,263121,271849,263564,270041,267406,263462,273231,258310,291083,282427,282605,284855,295225,280895,287139,289582,291921,279447,281487,298039,306757,309141,298916	1023290608,1033240601,1043220585,1063573301,1063879054,1063925626,1063956233,1154508380,1164432308,1194087593,1295278653,1346259314,1366623886,1417946930,1548652555,1558321786,1568430056,1578625125,1598775744,1619391265,1659658391,1710048053,1710118898,1710933098,1720098809,1740580422,1780745034,1801829643,1811251010,1891856134,1922018183,1942302435,1942582242,1548846926,1528609146,1598768145,1891794822,1184110850,1639793334,1508531757,1174962971,1639117534,1215901517,1306247796

Shipping Addresses

Shipping Address 1

Dothan Family Health Center
4300 West Main Street
Suite 300
Dothan, AL 36305

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Termination Date	Last Updated On
Contract Detail	ABBEVILLE PHARMACY	DBA DALTON PHARMACY	615 OZARK RD STE B	ABBEVILLE	AL	36310-2629	10/09/2023	01/01/2024		01/01/2024
Contract Detail	B & B DISCOUNT DRUGS	98 S FOREST AVE		LUVERNE	AL	36049-1514	10/09/2023	01/01/2024		01/01/2024
Contract Detail	BBMB LLC	DBA CENTER DRUGS	607A BOLL WEEVIL CIR	ENTERPRISE	AL	36330-2733	10/09/2023	01/01/2024		01/01/2024
Contract Detail	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	376 NORTHLAKE BLVD		ALTAMONTE SPRINGS	FL	32701-5261	10/10/2023	01/01/2024		01/01/2024
Contract Detail	BOWEN PHARMACY	110 HEALTHEAST DR		DOTHAN	AL	36303	10/09/2023	01/01/2024		01/01/2024
Contract Detail	BRYAN PHARMACY INC	ELBA	991 AL HIGHWAY 203	ELBA	AL	36323	10/09/2023	01/01/2024		01/01/2024
Contract Detail	BRYAN PHARMACY INC	SOUTHSIDE STORE	6580 BOLL WEEVIL CIR	ENTERPRISE	AL	36330	10/16/2023	01/01/2024		01/01/2024
Contract Detail	BRYAN PHARMACY, INC.	736 GLOVER AVE		ENTERPRISE	AL	36330	10/09/2023	01/01/2024		01/01/2024
Contract Detail	BRYARS-WARREN DRUG CO., LLC	112 N MAIN ST		ENTERPRISE	AL	36330-2537	10/09/2023	01/01/2024		01/01/2024
Contract Detail	CENTER DRUGS OF DALEVILLE	181 HIGHWAY 84 W		DALEVILLE	AL	36322-9113	10/09/2023	01/01/2024		01/01/2024
Contract Detail	CRENSHAW DRUGS INC	1440 S FOREST AVE	P O BOX 67	LUVERNE	AL	36049-7330	10/09/2023	01/01/2024		01/01/2024
Contract Detail	CYSTIC FIBROSIS SERVICES, LLC	DBA WALGREENS SPECIALTY PHARMACY #16280	10530 JOHN W ELLIOTT DR STE 200	FRISCO	TX	75033	10/09/2023	01/01/2024		01/01/2024
Contract Detail	DALTON PHARMACY	141 S DALTON ST	PO BOX 279	SLOCOMB	AL	36375	10/09/2023	01/01/2024		01/01/2024
Contract Detail	DOCTORS CENTER PHARMACY	4119 W MAIN ST		DOTHAN	AL	36305	10/09/2023	01/01/2024		01/01/2024
Contract Detail	DOGWOOD PHARMACY, INC	D/B/A MEDSCRIPTS MEDICAL PHARMACY	1325 MILLER ROAD SUITE K	GREENVILLE	SC	29607-6540	10/09/2023	01/01/2024		01/01/2024
Contract Detail	GILSTRAP DRUGS	1008 W MAPLE AVE		GENEVA	AL	36340	10/09/2023	01/01/2024		01/01/2024
Contract Detail	HARTFORD PHARMACY LLC DBA DALTON PHARMAC	112 S 4TH AVE		HARTFORD	AL	36344	10/09/2023	01/01/2024		01/01/2024
Contract Detail	HEADLAND PHARMACY LLC	17920 US HIGHWAY 431 S		HEADLAND	AL	36345	10/09/2023	01/01/2024		01/01/2024
Contract Detail	JACK'S DISCOUNT DRUGS	MIDTOWN SHOPPING CENTER	15073 S US HIGHWAY 231	MIDLAND CITY	AL	36350-6305	10/09/2023	01/01/2024		01/01/2024
Contract Detail	MIKE'S DISCOUNT PHARMACY	201 KIRKLAND ST		ABBEVILLE	AL	36310	10/09/2023	01/01/2024		01/01/2024
Contract Detail	MIKE'S PHARMACY OF HEADLAND, INC	202 HOLMAN DR		HEADLAND	AL	36345	10/09/2023	01/01/2024		01/01/2024
Contract Detail	MIKE'S SOUTHSIDE PHARMACY	1006 S. OATES ST.		DOTHAN	AL	36301	10/09/2023	01/01/2024		01/01/2024
Contract Detail	OPP PHARMACY LLC	DBA DALTON PHARMACY	405 N MAIN ST	OPP	AL	36467	10/09/2023	01/01/2024		01/01/2024
Contract Detail	PHILLIPS DRUG COMPANY LLC DBA CLAYTON DR	23 COURT SQ		CLAYTON	AL	36016	10/09/2023	01/01/2024		01/01/2024
Contract Detail	PUBLIX ALABAMA, LLC	PUBLIX PHARMACY #1525	1147 US HIGHWAY 231 SOUTH	TROY	AL	36081	10/09/2023	01/01/2024		01/01/2024
Contract Detail	PUBLIX ALABAMA, LLC	PUBLIX PHARMACY #1369	3525 ROSS CLARK CIRCLE, SUITE 100	DOTHAN	AL	36303	10/09/2023	01/01/2024		01/01/2024
Contract Detail	PUBLIX ALABAMA, LLC	PUBLIX PHARMACY #1375	1620 ROSS CLARK CIRCLE	DOTHAN	AL	36301	10/09/2023	01/01/2024		01/01/2024
Contract Detail	PUBLIX ALABAMA, LLC	PUBLIX PHARMACY #1377	4650 WEST MAIN STREET, SUITE 700	DOTHAN	AL	36305	10/09/2023	01/01/2024		01/01/2024
Contract Detail	PUBLIX SUPER MARKETS, INC.	PUBLIX CENTRAL PHARMACY #3201	2424 ORLANDO CENTRAL PARKWAY	ORLANDO	FL	32809	10/09/2023	01/01/2024		01/01/2024
Contract Detail	PUBLIX SUPER MARKETS, INC.	PUBLIX PHARMACY #3213	1950 SAND LAKE RD, BLDG #5	ORLANDO	FL	32809	10/09/2023	01/01/2024		01/01/2024
Contract Detail	RAINA RX LLC	DBA ROUTE 300 PHARMACY	1208 ROUTE 300 SUITE 103	NEWBURGH	NY	12550	10/09/2023	01/01/2024		01/01/2024
Contract Detail	RIVER MEDICAL PHARMACY LLC	4752 RESEARCH DR		SAN ANTONIO	TX	78240-5002	10/09/2023	01/01/2024		01/01/2024
Contract Detail	SCOTT-COOK PHARMACY	SCOTT-COOK PHARMACY	1233 WESTGATE PKWY	DOTHAN	AL	36303	10/09/2023	01/01/2024		01/01/2024
Contract Detail	T & C PHARMACY	101 PARISH AVE	P.O. BOX 594	OPP	AL	36467	10/09/2023	01/01/2024		01/01/2024
Contract Detail	TROY PHARMACY LLC	DBA DALTON PHARMACY	1412 ELBA HWY STE 1-A	TROY	AL	36079	10/10/2023	01/01/2024		01/01/2024
Contract Detail	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	10/09/2023	01/01/2024		01/01/2024
Contract Detail	WAL-MART PHARMACY 10-0604	4310 MONTGOMERY HWY		DOTHAN	AL	36303	10/09/2023	01/01/2024		01/01/2024
Contract Detail	WAL-MART PHARMACY 10-0723	1420 U.S. HWY 231 SOUTH		TROY	AL	36081	10/09/2023	01/01/2024		01/01/2024
Contract Detail	WAL-MART PHARMACY 10-0734	600 BOLL WEEVIL CIRCLE		ENTERPRISE	AL	36330	10/09/2023	01/01/2024		01/01/2024
Contract Detail	WAL-MART PHARMACY 10-0740	1537 HWY 231 SOUTH		OZARK	AL	36360	10/09/2023	01/01/2024		01/01/2024
Contract Detail	WAL-MART PHARMACY 10-1063	1608 W MAGNOLIA AVE		GENEVA	AL	36340	10/09/2023	01/01/2024		01/01/2024
Contract Detail	WAL-MART PHARMACY 10-1091	1991 M.L. KING JR. EXPRESSWAY		ANDALUSIA	AL	36420	10/09/2023	01/01/2024		01/01/2024
Contract Detail	WAL-MART PHARMACY 10-1638	3176 S EUFAULA AVE		EUFAULA	AL	36027	10/09/2023	01/01/2024		01/01/2024
Contract Detail	WAL-MART PHARMACY 10-2534	3300 S OATES ST		DOTHAN (SOUTH)	AL	36301	10/09/2023	01/01/2024		01/01/2024
Contract Detail	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	10/09/2023	01/01/2024		01/01/2024
Contract Detail	WALGREEN CO	DBA: WALGREENS #11098	100 ELBA HWY	TROY	AL	36079	10/09/2023	01/01/2024		01/01/2024
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 09256	900 RUCKER BLVD	ENTERPRISE	AL	36330-2160	10/09/2023	01/01/2024		01/01/2024
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 07405	2940 WEST MAIN STREET	DOTHAN	AL	36305	10/09/2023	01/01/2024		01/01/2024
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 07404	2041 E MAIN STREET	DOTHAN	AL	36301	10/09/2023	01/01/2024		01/01/2024
Contract Detail	WALGREEN CO.	DBA: WALGREENS #13111	3574 MONTGOMERY HWY	DOTHAN	AL	36303	10/09/2023	01/01/2024		01/01/2024
Contract Detail	WALGREEN CO.	WALGREENS #19668	130 S EUFAULA AVE	EUFAULA	AL	36027-2026	10/10/2023	01/01/2024		01/01/2024
Contract Detail	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15443	10530 JOHN W ELLIOTT DR STE 100	FRISCO	TX	75033	10/09/2023	01/01/2024		01/01/2024
Contract Detail	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #16287	130 ENTERPRISE DR	PITTSBURGH	PA	15275	10/09/2023	01/01/2024		01/01/2024
Contract Detail	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15438	41460 HAGGERTY CIR S	CANTON	MI	48188	10/09/2023	01/01/2024		01/01/2024
Contract Detail	WALMART PHARMACY 10-5169	2252 NORTH 8TH STREET	SUITE A	ROGERS	AR	72756	10/09/2023	01/01/2024		01/01/2024
Contract Detail	WALMART PHARMACY 10-5769	3871 WEST MAIN STREET		DOTHAN	AL	36305	10/09/2023	01/01/2024		01/01/2024
Contract Detail	Walmart Pharmacy 10-7611	2501 Perry Rd		Plainfield	IN	46168	10/09/2023	01/01/2024		01/01/2024
Contract Detail	WIREGRASS COMM PHARMACY	PO BOX 367	430 BROADWAY	ASHFORD	AL	36312-0367	10/09/2023	01/01/2024	11/10/2023	11/16/2023

Grantee Sites

340B ID	340B Status	SiteId	Name	Sub Name	Address	Address Cont.	City	State
CH048950	Active	BPS-H80-001474	SE ALABAMA RURAL HEALTH ASSOCIATES (SARHA)	Administrative Offices	1414 Elba Hwy		Troy	AL
CH04895A	Active	BPS-H80-004721	SOUTHEAST ALABAMA RURAL HEALTH ASSOCIATES (SARHA)	DOZIER FAMILY HEALTH CENTER	18131 DOZIER Hwy		DOZIER	AL
CH04895B	Active	BPS-H80-001149	SOUTHEAST ALABAMA RURAL HEALTH ASSOCIATES	CLAYTON FAMILY HEALTH CENTER	7 Western Byp		Clayton	AL
CH04895D	Active	BPS-H80-001542	SOUTHEAST ALABAMA RURAL HEALTH ASSOCIATES	ENTERPRISE CHILDREN'S CENTER AND FAMILY MEDICINE	105 E Watts St		Enterprise	AL
CH04895F	Active	BPS-H80-004934	SOUTHEAST ALABAMA RURAL HEALTH ASSOCIATES	NEWTON FAMILY HEALTH CENTER	193 Oates Dr		Newton	AL
CH04895G	Active	BPS-H80-002450	SOUTHEAST ALABAMA RURAL HEALTH ASSOCIATES (SARHA)	SARHA DOCTORS CENTER	1412 ELBA HWY		TROY	AL
CH04895H	Active	BPS-H80-010058	SOUTHEAST ALABAMA RURAL HEALTH ASSOCIATES (SARHA)	ABBEVILLE FAMILY HEALTH CENTER	615 OZARK RD.		ABBEVILLE	AL
CH04895J	Active	BPS-H80-012989	SOUTHEAST ALABAMA RURAL HEALTH ASSOCIATES (SARHA)	EUFAULA FAMILY HEALTH CENTER	23 Veteran Blvd		EUFAULA	AL
CH04895K	Active	BPS-H80-011046	SOUTHEAST ALABAMA RURAL HEALTH ASSOCIATES (SARHA)	SLOCOMB FAMILY HEALTH CENTER	162 South Dalton Street		SLOCOMB	AL
CH04895L	Terminated	BPS-H80-010691	Southeast Alabama Rural Health Associates (SARHA)	Geneva Family Health Center	100 W Lake Professional Park	STE 1	Geneva	AL
CH04895M	Active	BPS-H80-015193	Southeast Alabama Rural Health Associates	Dothan Family Health Center	4300 West Main Street	Suite 300	Dothan	AL
CH04895N	Active	BPS-H80-032082	SOUTHEAST ALABAMA RURAL HEALTH ASSOCIATES	Geneva Family Health Center	100 W Lake Professional Park Ste 3		Geneva	AL
CH04895P	Active	BPS-H80-037517	SOUTHEAST ALABAMA RURAL HEALTH ASSOCIATE	SARHA Mobile Health Center	1412 ELBA HWY		TROY	AL
CH04895Q	Active	BPS-H80-038763	SOUTHEAST ALABAMA RURAL HEALTH ASSOCIATE	SARHA Mobile Health Center 2	1412 ELBA HWY		TROY	AL
CH04895R	Active	BPS-H80-039321	SOUTHEAST ALABAMA RURAL HEALTH ASSOCIATE	Andalusia Family Health Center	1021 Sanford Rd		Andalusia	AL

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
CH048950	ABBEVILLE PHARMACY	DBA DALTON PHARMACY	615 OZARK RD STE B	ABBEVILLE	AL	36310-2629	01/01/2014
CH04895A	ABBEVILLE PHARMACY	DBA DALTON PHARMACY	615 OZARK RD STE B	ABBEVILLE	AL	36310-2629	01/01/2024
CH04895B	ABBEVILLE PHARMACY	DBA DALTON PHARMACY	615 OZARK RD STE B	ABBEVILLE	AL	36310-2629	01/01/2024
CH04895H	ABBEVILLE PHARMACY	DBA DALTON PHARMACY	615 OZARK RD STE B	ABBEVILLE	AL	36310-2629	01/01/2024
CH04895G	ABBEVILLE PHARMACY	DBA DALTON PHARMACY	615 OZARK RD STE B	ABBEVILLE	AL	36310-2629	01/01/2024
CH04895D	ABBEVILLE PHARMACY	DBA DALTON PHARMACY	615 OZARK RD STE B	ABBEVILLE	AL	36310-2629	01/01/2024
CH04895F	ABBEVILLE PHARMACY	DBA DALTON PHARMACY	615 OZARK RD STE B	ABBEVILLE	AL	36310-2629	01/01/2024
CH04895J	ABBEVILLE PHARMACY	DBA DALTON PHARMACY	615 OZARK RD STE B	ABBEVILLE	AL	36310-2629	01/01/2024
CH04895M	ABBEVILLE PHARMACY	DBA DALTON PHARMACY	615 OZARK RD STE B	ABBEVILLE	AL	36310-2629	01/01/2024
CH04895K	ABBEVILLE PHARMACY	DBA DALTON PHARMACY	615 OZARK RD STE B	ABBEVILLE	AL	36310-2629	01/01/2024
CH04895N	ABBEVILLE PHARMACY	DBA DALTON PHARMACY	615 OZARK RD STE B	ABBEVILLE	AL	36310-2629	01/01/2024
CH04895P	ABBEVILLE PHARMACY	DBA DALTON PHARMACY	615 OZARK RD STE B	ABBEVILLE	AL	36310-2629	04/01/2024
CH048950	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04858	100 US HWY 231	TROY	AL	36081	07/01/2017	01/08/2018
CH048950	B & B DISCOUNT DRUGS	98 S FOREST AVE		LUVERNE	AL	36049-1514	04/17/2023
CH04895A	B & B DISCOUNT DRUGS	98 S FOREST AVE		LUVERNE	AL	36049-1514	01/01/2024
CH04895H	B & B DISCOUNT DRUGS	98 S FOREST AVE		LUVERNE	AL	36049-1514	01/01/2024
CH04895F	B & B DISCOUNT DRUGS	98 S FOREST AVE		LUVERNE	AL	36049-1514	01/01/2024
CH04895D	B & B DISCOUNT DRUGS	98 S FOREST AVE		LUVERNE	AL	36049-1514	01/01/2024
CH04895G	B & B DISCOUNT DRUGS	98 S FOREST AVE		LUVERNE	AL	36049-1514	01/01/2024
CH04895B	B & B DISCOUNT DRUGS	98 S FOREST AVE		LUVERNE	AL	36049-1514	01/01/2024
CH04895J	B & B DISCOUNT DRUGS	98 S FOREST AVE		LUVERNE	AL	36049-1514	01/01/2024
CH04895M	B & B DISCOUNT DRUGS	98 S FOREST AVE		LUVERNE	AL	36049-1514	01/01/2024
CH04895K	B & B DISCOUNT DRUGS	98 S FOREST AVE		LUVERNE	AL	36049-1514	01/01/2024
CH04895N	B & B DISCOUNT DRUGS	98 S FOREST AVE		LUVERNE	AL	36049-1514	01/01/2024
CH048950	BBMB LLC	DBA CENTER DRUGS	607A BOLL WEEVIL CIR	ENTERPRISE	AL	36330-2733	04/08/2021
CH04895A	BBMB LLC	DBA CENTER DRUGS	607A BOLL WEEVIL CIR	ENTERPRISE	AL	36330-2733	01/01/2024
CH04895D	BBMB LLC	DBA CENTER DRUGS	607A BOLL WEEVIL CIR	ENTERPRISE	AL	36330-2733	01/01/2024
CH04895B	BBMB LLC	DBA CENTER DRUGS	607A BOLL WEEVIL CIR	ENTERPRISE	AL	36330-2733	01/01/2024
CH04895G	BBMB LLC	DBA CENTER DRUGS	607A BOLL WEEVIL CIR	ENTERPRISE	AL	36330-2733	01/01/2024
CH04895H	BBMB LLC	DBA CENTER DRUGS	607A BOLL WEEVIL CIR	ENTERPRISE	AL	36330-2733	01/01/2024
CH04895F	BBMB LLC	DBA CENTER DRUGS	607A BOLL WEEVIL CIR	ENTERPRISE	AL	36330-2733	01/01/2024
CH04895M	BBMB LLC	DBA CENTER DRUGS	607A BOLL WEEVIL CIR	ENTERPRISE	AL	36330-2733	01/01/2024
CH04895J	BBMB LLC	DBA CENTER DRUGS	607A BOLL WEEVIL CIR	ENTERPRISE	AL	36330-2733	01/01/2024
CH04895K	BBMB LLC	DBA CENTER DRUGS	607A BOLL WEEVIL CIR	ENTERPRISE	AL	36330-2733	01/01/2024
CH04895N	BBMB LLC	DBA CENTER DRUGS	607A BOLL WEEVIL CIR	ENTERPRISE	AL	36330-2733	01/01/2024
CH048950	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	376 NORTHLAKE BLVD		ALTAMONTE SPRINGS	FL	32701-5261	07/01/2018
CH04895A	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	376 NORTHLAKE BLVD		ALTAMONTE SPRINGS	FL	32701-5261	01/01/2024
CH04895F	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	376 NORTHLAKE BLVD		ALTAMONTE SPRINGS	FL	32701-5261	01/01/2024
CH04895G	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	376 NORTHLAKE BLVD		ALTAMONTE SPRINGS	FL	32701-5261	01/01/2024
CH04895H	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	376 NORTHLAKE BLVD		ALTAMONTE SPRINGS	FL	32701-5261	01/01/2024
CH04895B	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	376 NORTHLAKE BLVD		ALTAMONTE SPRINGS	FL	32701-5261	01/01/2024
CH04895D	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	376 NORTHLAKE BLVD		ALTAMONTE SPRINGS	FL	32701-5261	01/01/2024
CH04895J	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	376 NORTHLAKE BLVD		ALTAMONTE SPRINGS	FL	32701-5261	01/01/2024
CH04895N	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	376 NORTHLAKE BLVD		ALTAMONTE SPRINGS	FL	32701-5261	01/01/2024
CH04895K	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	376 NORTHLAKE BLVD		ALTAMONTE SPRINGS	FL	32701-5261	01/01/2024
CH04895M	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	376 NORTHLAKE BLVD		ALTAMONTE SPRINGS	FL	32701-5261	01/01/2024
CH048950	BOWEN PHARMACY	110 HEALTHEAST DR		DOTHAN	AL	36303	07/01/2015
CH04895A	BOWEN PHARMACY	110 HEALTHEAST DR		DOTHAN	AL	36303	01/01/2024
CH04895H	BOWEN PHARMACY	110 HEALTHEAST DR		DOTHAN	AL	36303	01/01/2024
CH04895G	BOWEN PHARMACY	110 HEALTHEAST DR		DOTHAN	AL	36303	01/01/2024
CH04895B	BOWEN PHARMACY	110 HEALTHEAST DR		DOTHAN	AL	36303	01/01/2024
CH04895D	BOWEN PHARMACY	110 HEALTHEAST DR		DOTHAN	AL	36303	01/01/2024
CH04895F	BOWEN PHARMACY	110 HEALTHEAST DR		DOTHAN	AL	36303	01/01/2024
CH04895K	BOWEN PHARMACY	110 HEALTHEAST DR		DOTHAN	AL	36303	01/01/2024
CH04895J	BOWEN PHARMACY	110 HEALTHEAST DR		DOTHAN	AL	36303	01/01/2024
CH04895M	BOWEN PHARMACY	110 HEALTHEAST DR		DOTHAN	AL	36303	01/01/2024
CH04895N	BOWEN PHARMACY	110 HEALTHEAST DR		DOTHAN	AL	36303	01/01/2024
CH048950	BRANNON STAND DRUGS	1971 S BRANNON STAND RD STE 1		DOTHAN	AL	36305-6985	04/01/2016	01/11/2017
CH048950	BRYAN PHARMACY INC	ELBA	991 AL HIGHWAY 203	ELBA	AL	36323	01/01/2015
CH04895A	BRYAN PHARMACY INC	ELBA	991 AL HIGHWAY 203	ELBA	AL	36323	01/01/2024
CH04895F	BRYAN PHARMACY INC	ELBA	991 AL HIGHWAY 203	ELBA	AL	36323	01/01/2024
CH04895H	BRYAN PHARMACY INC	ELBA	991 AL HIGHWAY 203	ELBA	AL	36323	01/01/2024
CH04895D	BRYAN PHARMACY INC	ELBA	991 AL HIGHWAY 203	ELBA	AL	36323	01/01/2024
CH04895B	BRYAN PHARMACY INC	ELBA	991 AL HIGHWAY 203	ELBA	AL	36323	01/01/2024
CH04895G	BRYAN PHARMACY INC	ELBA	991 AL HIGHWAY 203	ELBA	AL	36323	01/01/2024
CH04895N	BRYAN PHARMACY INC	ELBA	991 AL HIGHWAY 203	ELBA	AL	36323	01/01/2024
CH04895M	BRYAN PHARMACY INC	ELBA	991 AL HIGHWAY 203	ELBA	AL	36323	01/01/2024
CH04895K	BRYAN PHARMACY INC	ELBA	991 AL HIGHWAY 203	ELBA	AL	36323	01/01/2024
CH04895J	BRYAN PHARMACY INC	ELBA	991 AL HIGHWAY 203	ELBA	AL	36323	01/01/2024
CH04895J	BRYAN PHARMACY INC	SOUTHSIDE STORE	6580 BOLL WEEVIL CIR	ENTERPRISE	AL	36330	01/01/2024
CH04895A	BRYAN PHARMACY INC	SOUTHSIDE STORE	6580 BOLL WEEVIL CIR	ENTERPRISE	AL	36330	01/01/2024
CH04895K	BRYAN PHARMACY INC	SOUTHSIDE STORE	6580 BOLL WEEVIL CIR	ENTERPRISE	AL	36330	01/01/2024
CH04895M	BRYAN PHARMACY INC	SOUTHSIDE STORE	6580 BOLL WEEVIL CIR	ENTERPRISE	AL	36330	01/01/2024
CH04895F	BRYAN PHARMACY INC	SOUTHSIDE STORE	6580 BOLL WEEVIL CIR	ENTERPRISE	AL	36330	01/01/2024
CH048950	BRYAN PHARMACY INC	SOUTHSIDE STORE	6580 BOLL WEEVIL CIR	ENTERPRISE	AL	36330	01/01/2024
CH04895B	BRYAN PHARMACY INC	SOUTHSIDE STORE	6580 BOLL WEEVIL CIR	ENTERPRISE	AL	36330	01/01/2024
CH04895N	BRYAN PHARMACY INC	SOUTHSIDE STORE	6580 BOLL WEEVIL CIR	ENTERPRISE	AL	36330	01/01/2024
CH04895D	BRYAN PHARMACY INC	SOUTHSIDE STORE	6580 BOLL WEEVIL CIR	ENTERPRISE	AL	36330	01/01/2024
CH04895H	BRYAN PHARMACY INC	SOUTHSIDE STORE	6580 BOLL WEEVIL CIR	ENTERPRISE	AL	36330	01/01/2024
CH04895G	BRYAN PHARMACY INC	SOUTHSIDE STORE	6580 BOLL WEEVIL CIR	ENTERPRISE	AL	36330	01/01/2024
CH048950	BRYAN PHARMACY, INC.	736 GLOVER AVE		ENTERPRISE	AL	36330	07/01/2014
CH04895A	BRYAN PHARMACY, INC.	736 GLOVER AVE		ENTERPRISE	AL	36330	01/01/2024
CH04895F	BRYAN PHARMACY, INC.	736 GLOVER AVE		ENTERPRISE	AL	36330	01/01/2024
CH04895D	BRYAN PHARMACY, INC.	736 GLOVER AVE		ENTERPRISE	AL	36330	01/01/2024
CH04895G	BRYAN PHARMACY, INC.	736 GLOVER AVE		ENTERPRISE	AL	36330	01/01/2024
CH04895H	BRYAN PHARMACY, INC.	736 GLOVER AVE		ENTERPRISE	AL	36330	01/01/2024
CH04895B	BRYAN PHARMACY, INC.	736 GLOVER AVE		ENTERPRISE	AL	36330	01/01/2024
CH04895K	BRYAN PHARMACY, INC.	736 GLOVER AVE		ENTERPRISE	AL	36330	01/01/2024
CH04895J	BRYAN PHARMACY, INC.	736 GLOVER AVE		ENTERPRISE	AL	36330	01/01/2024
CH04895M	BRYAN PHARMACY, INC.	736 GLOVER AVE		ENTERPRISE	AL	36330	01/01/2024
CH04895N	BRYAN PHARMACY, INC.	736 GLOVER AVE		ENTERPRISE	AL	36330	01/01/2024
CH048950	BRYARS-WARREN DRUG CO., LLC	112 N MAIN ST		ENTERPRISE	AL	36330-2537	07/01/2015
CH04895A	BRYARS-WARREN DRUG CO., LLC	112 N MAIN ST		ENTERPRISE	AL	36330-2537	01/01/2024
CH04895F	BRYARS-WARREN DRUG CO., LLC	112 N MAIN ST		ENTERPRISE	AL	36330-2537	01/01/2024
CH04895H	BRYARS-WARREN DRUG CO., LLC	112 N MAIN ST		ENTERPRISE	AL	36330-2537	01/01/2024
CH04895G	BRYARS-WARREN DRUG CO., LLC	112 N MAIN ST		ENTERPRISE	AL	36330-2537	01/01/2024
CH04895D	BRYARS-WARREN DRUG CO., LLC	112 N MAIN ST		ENTERPRISE	AL	36330-2537	01/01/2024
CH04895B	BRYARS-WARREN DRUG CO., LLC	112 N MAIN ST		ENTERPRISE	AL	36330-2537	01/01/2024
CH04895J	BRYARS-WARREN DRUG CO., LLC	112 N MAIN ST		ENTERPRISE	AL	36330-2537	01/01/2024
CH04895K	BRYARS-WARREN DRUG CO., LLC	112 N MAIN ST		ENTERPRISE	AL	36330-2537	01/01/2024
CH04895M	BRYARS-WARREN DRUG CO., LLC	112 N MAIN ST		ENTERPRISE	AL	36330-2537	01/01/2024
CH04895N	BRYARS-WARREN DRUG CO., LLC	112 N MAIN ST		ENTERPRISE	AL	36330-2537	01/01/2024
CH048950	BYRD DRUG COMPANY INC	81 N COURT SQ	WATSON JOSEPH L OWNER	TROY	AL	36081-2607	07/01/2014	12/31/2016
CH048950	CENTER DRUGS OF DALEVILLE	181 HIGHWAY 84 W		DALEVILLE	AL	36322-9113	07/01/2015
CH04895A	CENTER DRUGS OF DALEVILLE	181 HIGHWAY 84 W		DALEVILLE	AL	36322-9113	01/01/2024
CH04895F	CENTER DRUGS OF DALEVILLE	181 HIGHWAY 84 W		DALEVILLE	AL	36322-9113	01/01/2024
CH04895B	CENTER DRUGS OF DALEVILLE	181 HIGHWAY 84 W		DALEVILLE	AL	36322-9113	01/01/2024
CH04895D	CENTER DRUGS OF DALEVILLE	181 HIGHWAY 84 W		DALEVILLE	AL	36322-9113	01/01/2024
CH04895G	CENTER DRUGS OF DALEVILLE	181 HIGHWAY 84 W		DALEVILLE	AL	36322-9113	01/01/2024
CH04895H	CENTER DRUGS OF DALEVILLE	181 HIGHWAY 84 W		DALEVILLE	AL	36322-9113	01/01/2024
CH04895M	CENTER DRUGS OF DALEVILLE	181 HIGHWAY 84 W		DALEVILLE	AL	36322-9113	01/01/2024
CH04895J	CENTER DRUGS OF DALEVILLE	181 HIGHWAY 84 W		DALEVILLE	AL	36322-9113	01/01/2024
CH04895N	CENTER DRUGS OF DALEVILLE	181 HIGHWAY 84 W		DALEVILLE	AL	36322-9113	01/01/2024
CH04895K	CENTER DRUGS OF DALEVILLE	181 HIGHWAY 84 W		DALEVILLE	AL	36322-9113	01/01/2024
CH048950	CENTER HOME HEALTH CARE, INC. DBA CENTER	607A BOLL WEEVIL CIR		ENTERPRISE	AL	36330-2733	07/01/2015	11/24/2021
CH04895A	CENTER HOME HEALTH CARE, INC. DBA CENTER	607A BOLL WEEVIL CIR		ENTERPRISE	AL	36330-2733	01/01/2024	11/24/2021
CH04895B	CENTER HOME HEALTH CARE, INC. DBA CENTER	607A BOLL WEEVIL CIR		ENTERPRISE	AL	36330-2733	01/01/2024	11/24/2021
CH04895D	CENTER HOME HEALTH CARE, INC. DBA CENTER	607A BOLL WEEVIL CIR		ENTERPRISE	AL	36330-2733	01/01/2024	11/24/2021
CH048950	CLAYTON DRUG COMPANY	23 COURT SQ	PO BOX 220	CLAYTON	AL	36016-0220	07/01/2014	03/31/2023
CH048950	CLIO DRUG COMPANY		1199 BLUE SPRINGS STREET P.O. BOX 460	CLIO	AL	36017-0460	07/01/2014	12/31/2016
CH048950	CRENSHAW DRUGS INC	1440 S FOREST AVE	P O BOX 67	LUVERNE	AL	36049-7330	07/01/2014
CH04895A	CRENSHAW DRUGS INC	1440 S FOREST AVE	P O BOX 67	LUVERNE	AL	36049-7330	01/01/2024
CH04895G	CRENSHAW DRUGS INC	1440 S FOREST AVE	P O BOX 67	LUVERNE	AL	36049-7330	01/01/2024
CH04895F	CRENSHAW DRUGS INC	1440 S FOREST AVE	P O BOX 67	LUVERNE	AL	36049-7330	01/01/2024
CH04895H	CRENSHAW DRUGS INC	1440 S FOREST AVE	P O BOX 67	LUVERNE	AL	36049-7330	01/01/2024
CH04895D	CRENSHAW DRUGS INC	1440 S FOREST AVE	P O BOX 67	LUVERNE	AL	36049-7330	01/01/2024
CH04895B	CRENSHAW DRUGS INC	1440 S FOREST AVE	P O BOX 67	LUVERNE	AL	36049-7330	01/01/2024
CH04895J	CRENSHAW DRUGS INC	1440 S FOREST AVE	P O BOX 67	LUVERNE	AL	36049-7330	01/01/2024
CH04895M	CRENSHAW DRUGS INC	1440 S FOREST AVE	P O BOX 67	LUVERNE	AL	36049-7330	01/01/2024
CH04895N	CRENSHAW DRUGS INC	1440 S FOREST AVE	P O BOX 67	LUVERNE	AL	36049-7330	01/01/2024
CH04895K	CRENSHAW DRUGS INC	1440 S FOREST AVE	P O BOX 67	LUVERNE	AL	36049-7330	01/01/2024
CH048950	CYSTIC FIBROSIS SERVICES	CYSTIC FIBROSIS SERVICES, INC	10530 JOHN W ELLIOTT DR, STE 200	FRISCO	TX	75033	07/01/2020
CH048950	CYSTIC FIBROSIS SERVICES, LLC	DBA WALGREENS SPECIALTY PHARMACY #16280	10530 JOHN W ELLIOTT DR STE 200	FRISCO	TX	75033	04/01/2019
CH04895A	CYSTIC FIBROSIS SERVICES, LLC	DBA WALGREENS SPECIALTY PHARMACY #16280	10530 JOHN W ELLIOTT DR STE 200	FRISCO	TX	75033	01/01/2024
CH04895G	CYSTIC FIBROSIS SERVICES, LLC	DBA WALGREENS SPECIALTY PHARMACY #16280	10530 JOHN W ELLIOTT DR STE 200	FRISCO	TX	75033	01/01/2024
CH04895F	CYSTIC FIBROSIS SERVICES, LLC	DBA WALGREENS SPECIALTY PHARMACY #16280	10530 JOHN W ELLIOTT DR STE 200	FRISCO	TX	75033	01/01/2024
CH04895D	CYSTIC FIBROSIS SERVICES, LLC	DBA WALGREENS SPECIALTY PHARMACY #16280	10530 JOHN W ELLIOTT DR STE 200	FRISCO	TX	75033	01/01/2024
CH04895B	CYSTIC FIBROSIS SERVICES, LLC	DBA WALGREENS SPECIALTY PHARMACY #16280	10530 JOHN W ELLIOTT DR STE 200	FRISCO	TX	75033	01/01/2024
CH04895H	CYSTIC FIBROSIS SERVICES, LLC	DBA WALGREENS SPECIALTY PHARMACY #16280	10530 JOHN W ELLIOTT DR STE 200	FRISCO	TX	75033	01/01/2024
CH04895N	CYSTIC FIBROSIS SERVICES, LLC	DBA WALGREENS SPECIALTY PHARMACY #16280	10530 JOHN W ELLIOTT DR STE 200	FRISCO	TX	75033	01/01/2024
CH04895K	CYSTIC FIBROSIS SERVICES, LLC	DBA WALGREENS SPECIALTY PHARMACY #16280	10530 JOHN W ELLIOTT DR STE 200	FRISCO	TX	75033	01/01/2024
CH04895M	CYSTIC FIBROSIS SERVICES, LLC	DBA WALGREENS SPECIALTY PHARMACY #16280	10530 JOHN W ELLIOTT DR STE 200	FRISCO	TX	75033	01/01/2024
CH04895J	CYSTIC FIBROSIS SERVICES, LLC	DBA WALGREENS SPECIALTY PHARMACY #16280	10530 JOHN W ELLIOTT DR STE 200	FRISCO	TX	75033	01/01/2024
CH048950	DALTON PHARMACY	141 S DALTON ST	PO BOX 279	SLOCOMB	AL	36375	01/01/2014
CH04895A	DALTON PHARMACY	141 S DALTON ST	PO BOX 279	SLOCOMB	AL	36375	01/01/2024
CH04895B	DALTON PHARMACY	141 S DALTON ST	PO BOX 279	SLOCOMB	AL	36375	01/01/2024
CH04895F	DALTON PHARMACY	141 S DALTON ST	PO BOX 279	SLOCOMB	AL	36375	01/01/2024
CH04895D	DALTON PHARMACY	141 S DALTON ST	PO BOX 279	SLOCOMB	AL	36375	01/01/2024
CH04895H	DALTON PHARMACY	141 S DALTON ST	PO BOX 279	SLOCOMB	AL	36375	01/01/2024
CH04895G	DALTON PHARMACY	141 S DALTON ST	PO BOX 279	SLOCOMB	AL	36375	01/01/2024
CH04895J	DALTON PHARMACY	141 S DALTON ST	PO BOX 279	SLOCOMB	AL	36375	01/01/2024
CH04895M	DALTON PHARMACY	141 S DALTON ST	PO BOX 279	SLOCOMB	AL	36375	01/01/2024
CH04895K	DALTON PHARMACY	141 S DALTON ST	PO BOX 279	SLOCOMB	AL	36375	01/01/2024
CH04895N	DALTON PHARMACY	141 S DALTON ST	PO BOX 279	SLOCOMB	AL	36375	01/01/2024
CH048950	DOCTORS CENTER PHARMACY	4119 W MAIN ST		DOTHAN	AL	36305	07/01/2015
CH04895A	DOCTORS CENTER PHARMACY	4119 W MAIN ST		DOTHAN	AL	36305	01/01/2024
CH04895H	DOCTORS CENTER PHARMACY	4119 W MAIN ST		DOTHAN	AL	36305	01/01/2024
CH04895G	DOCTORS CENTER PHARMACY	4119 W MAIN ST		DOTHAN	AL	36305	01/01/2024
CH04895F	DOCTORS CENTER PHARMACY	4119 W MAIN ST		DOTHAN	AL	36305	01/01/2024
CH04895B	DOCTORS CENTER PHARMACY	4119 W MAIN ST		DOTHAN	AL	36305	01/01/2024
CH04895D	DOCTORS CENTER PHARMACY	4119 W MAIN ST		DOTHAN	AL	36305	01/01/2024
CH04895M	DOCTORS CENTER PHARMACY	4119 W MAIN ST		DOTHAN	AL	36305	01/01/2024
CH04895K	DOCTORS CENTER PHARMACY	4119 W MAIN ST		DOTHAN	AL	36305	01/01/2024
CH04895N	DOCTORS CENTER PHARMACY	4119 W MAIN ST		DOTHAN	AL	36305	01/01/2024
CH04895J	DOCTORS CENTER PHARMACY	4119 W MAIN ST		DOTHAN	AL	36305	01/01/2024
CH048950	DOGWOOD PHARMACY, INC	D/B/A MEDSCRIPTS MEDICAL PHARMACY	1325 MILLER ROAD SUITE K	GREENVILLE	SC	29607-6540	07/01/2018
CH04895A	DOGWOOD PHARMACY, INC	D/B/A MEDSCRIPTS MEDICAL PHARMACY	1325 MILLER ROAD SUITE K	GREENVILLE	SC	29607-6540	01/01/2024
CH04895D	DOGWOOD PHARMACY, INC	D/B/A MEDSCRIPTS MEDICAL PHARMACY	1325 MILLER ROAD SUITE K	GREENVILLE	SC	29607-6540	01/01/2024
CH04895F	DOGWOOD PHARMACY, INC	D/B/A MEDSCRIPTS MEDICAL PHARMACY	1325 MILLER ROAD SUITE K	GREENVILLE	SC	29607-6540	01/01/2024
CH04895G	DOGWOOD PHARMACY, INC	D/B/A MEDSCRIPTS MEDICAL PHARMACY	1325 MILLER ROAD SUITE K	GREENVILLE	SC	29607-6540	01/01/2024
CH04895H	DOGWOOD PHARMACY, INC	D/B/A MEDSCRIPTS MEDICAL PHARMACY	1325 MILLER ROAD SUITE K	GREENVILLE	SC	29607-6540	01/01/2024
CH04895B	DOGWOOD PHARMACY, INC	D/B/A MEDSCRIPTS MEDICAL PHARMACY	1325 MILLER ROAD SUITE K	GREENVILLE	SC	29607-6540	01/01/2024
CH04895M	DOGWOOD PHARMACY, INC	D/B/A MEDSCRIPTS MEDICAL PHARMACY	1325 MILLER ROAD SUITE K	GREENVILLE	SC	29607-6540	01/01/2024
CH04895N	DOGWOOD PHARMACY, INC	D/B/A MEDSCRIPTS MEDICAL PHARMACY	1325 MILLER ROAD SUITE K	GREENVILLE	SC	29607-6540	01/01/2024
CH04895J	DOGWOOD PHARMACY, INC	D/B/A MEDSCRIPTS MEDICAL PHARMACY	1325 MILLER ROAD SUITE K	GREENVILLE	SC	29607-6540	01/01/2024
CH04895K	DOGWOOD PHARMACY, INC	D/B/A MEDSCRIPTS MEDICAL PHARMACY	1325 MILLER ROAD SUITE K	GREENVILLE	SC	29607-6540	01/01/2024
CH048950	FRED'S PHARMACY #1541	996 ALABAMA HIGHWAY 203		ELBA	AL	36323-4222	07/01/2018	09/18/2019
CH048950	FRED'S PHARMACY #3564	132 SOUTH MAIN STREET		BRUNDIDGE	AL	36010-1809	07/01/2018	11/14/2018
CH048950	GILSTRAP DRUGS	1008 W MAPLE AVE		GENEVA	AL	36340	07/01/2015
CH04895A	GILSTRAP DRUGS	1008 W MAPLE AVE		GENEVA	AL	36340	01/01/2024
CH04895F	GILSTRAP DRUGS	1008 W MAPLE AVE		GENEVA	AL	36340	01/01/2024
CH04895D	GILSTRAP DRUGS	1008 W MAPLE AVE		GENEVA	AL	36340	01/01/2024
CH04895B	GILSTRAP DRUGS	1008 W MAPLE AVE		GENEVA	AL	36340	01/01/2024
CH04895H	GILSTRAP DRUGS	1008 W MAPLE AVE		GENEVA	AL	36340	01/01/2024
CH04895G	GILSTRAP DRUGS	1008 W MAPLE AVE		GENEVA	AL	36340	01/01/2024
CH04895N	GILSTRAP DRUGS	1008 W MAPLE AVE		GENEVA	AL	36340	01/01/2024
CH04895J	GILSTRAP DRUGS	1008 W MAPLE AVE		GENEVA	AL	36340	01/01/2024
CH04895K	GILSTRAP DRUGS	1008 W MAPLE AVE		GENEVA	AL	36340	01/01/2024
CH04895M	GILSTRAP DRUGS	1008 W MAPLE AVE		GENEVA	AL	36340	01/01/2024
CH048950	HARTFORD PHARMACY LLC DBA DALTON PHARMAC	112 S 4TH AVE		HARTFORD	AL	36344	01/01/2014
CH04895A	HARTFORD PHARMACY LLC DBA DALTON PHARMAC	112 S 4TH AVE		HARTFORD	AL	36344	01/01/2024
CH04895B	HARTFORD PHARMACY LLC DBA DALTON PHARMAC	112 S 4TH AVE		HARTFORD	AL	36344	01/01/2024
CH04895G	HARTFORD PHARMACY LLC DBA DALTON PHARMAC	112 S 4TH AVE		HARTFORD	AL	36344	01/01/2024
CH04895F	HARTFORD PHARMACY LLC DBA DALTON PHARMAC	112 S 4TH AVE		HARTFORD	AL	36344	01/01/2024
CH04895H	HARTFORD PHARMACY LLC DBA DALTON PHARMAC	112 S 4TH AVE		HARTFORD	AL	36344	01/01/2024
CH04895D	HARTFORD PHARMACY LLC DBA DALTON PHARMAC	112 S 4TH AVE		HARTFORD	AL	36344	01/01/2024
CH04895J	HARTFORD PHARMACY LLC DBA DALTON PHARMAC	112 S 4TH AVE		HARTFORD	AL	36344	01/01/2024
CH04895N	HARTFORD PHARMACY LLC DBA DALTON PHARMAC	112 S 4TH AVE		HARTFORD	AL	36344	01/01/2024
CH04895K	HARTFORD PHARMACY LLC DBA DALTON PHARMAC	112 S 4TH AVE		HARTFORD	AL	36344	01/01/2024
CH04895M	HARTFORD PHARMACY LLC DBA DALTON PHARMAC	112 S 4TH AVE		HARTFORD	AL	36344	01/01/2024
CH048950	HEADLAND DISCOUNT PHARMACY		202 HOLMAN DRIVE POB 245	HEADLAND	AL	36345	07/01/2014	04/07/2016
CH048950	HEADLAND PHARMACY LLC	17920 US HIGHWAY 431 S		HEADLAND	AL	36345	01/01/2023
CH04895A	HEADLAND PHARMACY LLC	17920 US HIGHWAY 431 S		HEADLAND	AL	36345	01/01/2024
CH04895H	HEADLAND PHARMACY LLC	17920 US HIGHWAY 431 S		HEADLAND	AL	36345	01/01/2024
CH04895F	HEADLAND PHARMACY LLC	17920 US HIGHWAY 431 S		HEADLAND	AL	36345	01/01/2024
CH04895B	HEADLAND PHARMACY LLC	17920 US HIGHWAY 431 S		HEADLAND	AL	36345	01/01/2024
CH04895D	HEADLAND PHARMACY LLC	17920 US HIGHWAY 431 S		HEADLAND	AL	36345	01/01/2024
CH04895G	HEADLAND PHARMACY LLC	17920 US HIGHWAY 431 S		HEADLAND	AL	36345	01/01/2024
CH04895J	HEADLAND PHARMACY LLC	17920 US HIGHWAY 431 S		HEADLAND	AL	36345	01/01/2024
CH04895N	HEADLAND PHARMACY LLC	17920 US HIGHWAY 431 S		HEADLAND	AL	36345	01/01/2024
CH04895K	HEADLAND PHARMACY LLC	17920 US HIGHWAY 431 S		HEADLAND	AL	36345	01/01/2024
CH04895M	HEADLAND PHARMACY LLC	17920 US HIGHWAY 431 S		HEADLAND	AL	36345	01/01/2024
CH048950	JACK'S DISCOUNT DRUGS	MIDTOWN SHOPPING CENTER	15073 S US HIGHWAY 231	MIDLAND CITY	AL	36350-6305	07/01/2015
CH04895A	JACK'S DISCOUNT DRUGS	MIDTOWN SHOPPING CENTER	15073 S US HIGHWAY 231	MIDLAND CITY	AL	36350-6305	01/01/2024
CH04895G	JACK'S DISCOUNT DRUGS	MIDTOWN SHOPPING CENTER	15073 S US HIGHWAY 231	MIDLAND CITY	AL	36350-6305	01/01/2024
CH04895D	JACK'S DISCOUNT DRUGS	MIDTOWN SHOPPING CENTER	15073 S US HIGHWAY 231	MIDLAND CITY	AL	36350-6305	01/01/2024
CH04895F	JACK'S DISCOUNT DRUGS	MIDTOWN SHOPPING CENTER	15073 S US HIGHWAY 231	MIDLAND CITY	AL	36350-6305	01/01/2024
CH04895B	JACK'S DISCOUNT DRUGS	MIDTOWN SHOPPING CENTER	15073 S US HIGHWAY 231	MIDLAND CITY	AL	36350-6305	01/01/2024
CH04895H	JACK'S DISCOUNT DRUGS	MIDTOWN SHOPPING CENTER	15073 S US HIGHWAY 231	MIDLAND CITY	AL	36350-6305	01/01/2024
CH04895N	JACK'S DISCOUNT DRUGS	MIDTOWN SHOPPING CENTER	15073 S US HIGHWAY 231	MIDLAND CITY	AL	36350-6305	01/01/2024
CH04895M	JACK'S DISCOUNT DRUGS	MIDTOWN SHOPPING CENTER	15073 S US HIGHWAY 231	MIDLAND CITY	AL	36350-6305	01/01/2024
CH04895J	JACK'S DISCOUNT DRUGS	MIDTOWN SHOPPING CENTER	15073 S US HIGHWAY 231	MIDLAND CITY	AL	36350-6305	01/01/2024
CH04895K	JACK'S DISCOUNT DRUGS	MIDTOWN SHOPPING CENTER	15073 S US HIGHWAY 231	MIDLAND CITY	AL	36350-6305	01/01/2024
CH048950	KING DRUG COMPANY	7 NORTH BROAD STREET		SAMSON	AL	36477	01/01/2016	11/01/2017
CH048950	MIKE'S DISCOUNT PHARMACY	201 KIRKLAND ST		ABBEVILLE	AL	36310	07/01/2014
CH04895A	MIKE'S DISCOUNT PHARMACY	201 KIRKLAND ST		ABBEVILLE	AL	36310	01/01/2024
CH04895F	MIKE'S DISCOUNT PHARMACY	201 KIRKLAND ST		ABBEVILLE	AL	36310	01/01/2024
CH04895H	MIKE'S DISCOUNT PHARMACY	201 KIRKLAND ST		ABBEVILLE	AL	36310	01/01/2024
CH04895G	MIKE'S DISCOUNT PHARMACY	201 KIRKLAND ST		ABBEVILLE	AL	36310	01/01/2024
CH04895B	MIKE'S DISCOUNT PHARMACY	201 KIRKLAND ST		ABBEVILLE	AL	36310	01/01/2024
CH04895D	MIKE'S DISCOUNT PHARMACY	201 KIRKLAND ST		ABBEVILLE	AL	36310	01/01/2024
CH04895K	MIKE'S DISCOUNT PHARMACY	201 KIRKLAND ST		ABBEVILLE	AL	36310	01/01/2024
CH04895M	MIKE'S DISCOUNT PHARMACY	201 KIRKLAND ST		ABBEVILLE	AL	36310	01/01/2024
CH04895J	MIKE'S DISCOUNT PHARMACY	201 KIRKLAND ST		ABBEVILLE	AL	36310	01/01/2024
CH04895N	MIKE'S DISCOUNT PHARMACY	201 KIRKLAND ST		ABBEVILLE	AL	36310	01/01/2024
CH048950	MIKE'S PHARMACY OF HEADLAND, INC	202 HOLMAN DR		HEADLAND	AL	36345	04/01/2017
CH04895A	MIKE'S PHARMACY OF HEADLAND, INC	202 HOLMAN DR		HEADLAND	AL	36345	01/01/2024
CH04895H	MIKE'S PHARMACY OF HEADLAND, INC	202 HOLMAN DR		HEADLAND	AL	36345	01/01/2024
CH04895B	MIKE'S PHARMACY OF HEADLAND, INC	202 HOLMAN DR		HEADLAND	AL	36345	01/01/2024
CH04895F	MIKE'S PHARMACY OF HEADLAND, INC	202 HOLMAN DR		HEADLAND	AL	36345	01/01/2024
CH04895G	MIKE'S PHARMACY OF HEADLAND, INC	202 HOLMAN DR		HEADLAND	AL	36345	01/01/2024
CH04895D	MIKE'S PHARMACY OF HEADLAND, INC	202 HOLMAN DR		HEADLAND	AL	36345	01/01/2024
CH04895K	MIKE'S PHARMACY OF HEADLAND, INC	202 HOLMAN DR		HEADLAND	AL	36345	01/01/2024
CH04895J	MIKE'S PHARMACY OF HEADLAND, INC	202 HOLMAN DR		HEADLAND	AL	36345	01/01/2024
CH04895M	MIKE'S PHARMACY OF HEADLAND, INC	202 HOLMAN DR		HEADLAND	AL	36345	01/01/2024
CH04895N	MIKE'S PHARMACY OF HEADLAND, INC	202 HOLMAN DR		HEADLAND	AL	36345	01/01/2024
CH048950	MIKE'S SOUTHSIDE PHARMACY	1006 S. OATES ST.		DOTHAN	AL	36301	07/01/2014
CH04895A	MIKE'S SOUTHSIDE PHARMACY	1006 S. OATES ST.		DOTHAN	AL	36301	01/01/2024
CH04895B	MIKE'S SOUTHSIDE PHARMACY	1006 S. OATES ST.		DOTHAN	AL	36301	01/01/2024
CH04895G	MIKE'S SOUTHSIDE PHARMACY	1006 S. OATES ST.		DOTHAN	AL	36301	01/01/2024
CH04895H	MIKE'S SOUTHSIDE PHARMACY	1006 S. OATES ST.		DOTHAN	AL	36301	01/01/2024
CH04895F	MIKE'S SOUTHSIDE PHARMACY	1006 S. OATES ST.		DOTHAN	AL	36301	01/01/2024
CH04895D	MIKE'S SOUTHSIDE PHARMACY	1006 S. OATES ST.		DOTHAN	AL	36301	01/01/2024
CH04895N	MIKE'S SOUTHSIDE PHARMACY	1006 S. OATES ST.		DOTHAN	AL	36301	01/01/2024
CH04895J	MIKE'S SOUTHSIDE PHARMACY	1006 S. OATES ST.		DOTHAN	AL	36301	01/01/2024
CH04895M	MIKE'S SOUTHSIDE PHARMACY	1006 S. OATES ST.		DOTHAN	AL	36301	01/01/2024
CH04895K	MIKE'S SOUTHSIDE PHARMACY	1006 S. OATES ST.		DOTHAN	AL	36301	01/01/2024
CH048950	NORTHCUTT DRUG CO	1774 W MAIN ST		DOTHAN	AL	36301-1318	04/01/2016	07/13/2016
CH048950	OPP PHARMACY LLC	DBA DALTON PHARMACY	405 N MAIN ST	OPP	AL	36467	01/01/2021
CH04895A	OPP PHARMACY LLC	DBA DALTON PHARMACY	405 N MAIN ST	OPP	AL	36467	01/01/2024
CH04895B	OPP PHARMACY LLC	DBA DALTON PHARMACY	405 N MAIN ST	OPP	AL	36467	01/01/2024
CH04895D	OPP PHARMACY LLC	DBA DALTON PHARMACY	405 N MAIN ST	OPP	AL	36467	01/01/2024
CH04895G	OPP PHARMACY LLC	DBA DALTON PHARMACY	405 N MAIN ST	OPP	AL	36467	01/01/2024
CH04895H	OPP PHARMACY LLC	DBA DALTON PHARMACY	405 N MAIN ST	OPP	AL	36467	01/01/2024
CH04895F	OPP PHARMACY LLC	DBA DALTON PHARMACY	405 N MAIN ST	OPP	AL	36467	01/01/2024
CH04895J	OPP PHARMACY LLC	DBA DALTON PHARMACY	405 N MAIN ST	OPP	AL	36467	01/01/2024
CH04895M	OPP PHARMACY LLC	DBA DALTON PHARMACY	405 N MAIN ST	OPP	AL	36467	01/01/2024
CH04895K	OPP PHARMACY LLC	DBA DALTON PHARMACY	405 N MAIN ST	OPP	AL	36467	01/01/2024
CH04895N	OPP PHARMACY LLC	DBA DALTON PHARMACY	405 N MAIN ST	OPP	AL	36467	01/01/2024
CH048950	OZARK PHARMACY LLC	DBA DALTON PHARMACY	986 E BROAD ST	OZARK	AL	36360	01/01/2018	01/24/2018
CH048950	PHILLIPS DRUG COMPANY LLC DBA CLAYTON DR	23 COURT SQ		CLAYTON	AL	36016	04/01/2023
CH04895A	PHILLIPS DRUG COMPANY LLC DBA CLAYTON DR	23 COURT SQ		CLAYTON	AL	36016	01/01/2024
CH04895F	PHILLIPS DRUG COMPANY LLC DBA CLAYTON DR	23 COURT SQ		CLAYTON	AL	36016	01/01/2024
CH04895D	PHILLIPS DRUG COMPANY LLC DBA CLAYTON DR	23 COURT SQ		CLAYTON	AL	36016	01/01/2024
CH04895G	PHILLIPS DRUG COMPANY LLC DBA CLAYTON DR	23 COURT SQ		CLAYTON	AL	36016	01/01/2024
CH04895B	PHILLIPS DRUG COMPANY LLC DBA CLAYTON DR	23 COURT SQ		CLAYTON	AL	36016	01/01/2024
CH04895H	PHILLIPS DRUG COMPANY LLC DBA CLAYTON DR	23 COURT SQ		CLAYTON	AL	36016	01/01/2024
CH04895M	PHILLIPS DRUG COMPANY LLC DBA CLAYTON DR	23 COURT SQ		CLAYTON	AL	36016	01/01/2024
CH04895K	PHILLIPS DRUG COMPANY LLC DBA CLAYTON DR	23 COURT SQ		CLAYTON	AL	36016	01/01/2024
CH04895N	PHILLIPS DRUG COMPANY LLC DBA CLAYTON DR	23 COURT SQ		CLAYTON	AL	36016	01/01/2024
CH04895J	PHILLIPS DRUG COMPANY LLC DBA CLAYTON DR	23 COURT SQ		CLAYTON	AL	36016	01/01/2024
CH048950	PRIME THERAPEUTICS SPECIALTY PHARMACY LL	ALLIANCERX WALGREENS PRIME #16568	2354 COMMERCE PARK DRIVE SUITE 100	ORLANDO	FL	32819-9992	04/01/2019	10/01/2022
CH048950	PUBLIX ALABAMA, LLC	PUBLIX PHARMACY #1375	1620 ROSS CLARK CIRCLE	DOTHAN	AL	36301	10/01/2018
CH048950	PUBLIX ALABAMA, LLC	PUBLIX PHARMACY #1369	3525 ROSS CLARK CIRCLE, SUITE 100	DOTHAN	AL	36303	10/01/2018
CH048950	PUBLIX ALABAMA, LLC	PUBLIX PHARMACY #1525	1147 US HIGHWAY 231 SOUTH	TROY	AL	36081	07/01/2020
CH048950	PUBLIX ALABAMA, LLC	PUBLIX PHARMACY #1377	4650 WEST MAIN STREET, SUITE 700	DOTHAN	AL	36305	04/01/2021
CH04895A	PUBLIX ALABAMA, LLC	PUBLIX PHARMACY #1375	1620 ROSS CLARK CIRCLE	DOTHAN	AL	36301	01/01/2024
CH04895A	PUBLIX ALABAMA, LLC	PUBLIX PHARMACY #1369	3525 ROSS CLARK CIRCLE, SUITE 100	DOTHAN	AL	36303	01/01/2024
CH04895A	PUBLIX ALABAMA, LLC	PUBLIX PHARMACY #1525	1147 US HIGHWAY 231 SOUTH	TROY	AL	36081	01/01/2024
CH04895A	PUBLIX ALABAMA, LLC	PUBLIX PHARMACY #1377	4650 WEST MAIN STREET, SUITE 700	DOTHAN	AL	36305	01/01/2024
CH04895G	PUBLIX ALABAMA, LLC	PUBLIX PHARMACY #1377	4650 WEST MAIN STREET, SUITE 700	DOTHAN	AL	36305	01/01/2024
CH04895G	PUBLIX ALABAMA, LLC	PUBLIX PHARMACY #1369	3525 ROSS CLARK CIRCLE, SUITE 100	DOTHAN	AL	36303	01/01/2024
CH04895H	PUBLIX ALABAMA, LLC	PUBLIX PHARMACY #1369	3525 ROSS CLARK CIRCLE, SUITE 100	DOTHAN	AL	36303	01/01/2024
CH04895F	PUBLIX ALABAMA, LLC	PUBLIX PHARMACY #1525	1147 US HIGHWAY 231 SOUTH	TROY	AL	36081	01/01/2024
CH04895H	PUBLIX ALABAMA, LLC	PUBLIX PHARMACY #1525	1147 US HIGHWAY 231 SOUTH	TROY	AL	36081	01/01/2024
CH04895B	PUBLIX ALABAMA, LLC	PUBLIX PHARMACY #1377	4650 WEST MAIN STREET, SUITE 700	DOTHAN	AL	36305	01/01/2024
CH04895D	PUBLIX ALABAMA, LLC	PUBLIX PHARMACY #1377	4650 WEST MAIN STREET, SUITE 700	DOTHAN	AL	36305	01/01/2024
CH04895D	PUBLIX ALABAMA, LLC	PUBLIX PHARMACY #1369	3525 ROSS CLARK CIRCLE, SUITE 100	DOTHAN	AL	36303	01/01/2024
CH04895B	PUBLIX ALABAMA, LLC	PUBLIX PHARMACY #1369	3525 ROSS CLARK CIRCLE, SUITE 100	DOTHAN	AL	36303	01/01/2024
CH04895F	PUBLIX ALABAMA, LLC	PUBLIX PHARMACY #1377	4650 WEST MAIN STREET, SUITE 700	DOTHAN	AL	36305	01/01/2024
CH04895B	PUBLIX ALABAMA, LLC	PUBLIX PHARMACY #1375	1620 ROSS CLARK CIRCLE	DOTHAN	AL	36301	01/01/2024
CH04895G	PUBLIX ALABAMA, LLC	PUBLIX PHARMACY #1375	1620 ROSS CLARK CIRCLE	DOTHAN	AL	36301	01/01/2024
CH04895D	PUBLIX ALABAMA, LLC	PUBLIX PHARMACY #1525	1147 US HIGHWAY 231 SOUTH	TROY	AL	36081	01/01/2024
CH04895D	PUBLIX ALABAMA, LLC	PUBLIX PHARMACY #1375	1620 ROSS CLARK CIRCLE	DOTHAN	AL	36301	01/01/2024
CH04895G	PUBLIX ALABAMA, LLC	PUBLIX PHARMACY #1525	1147 US HIGHWAY 231 SOUTH	TROY	AL	36081	01/01/2024
CH04895F	PUBLIX ALABAMA, LLC	PUBLIX PHARMACY #1369	3525 ROSS CLARK CIRCLE, SUITE 100	DOTHAN	AL	36303	01/01/2024
CH04895B	PUBLIX ALABAMA, LLC	PUBLIX PHARMACY #1525	1147 US HIGHWAY 231 SOUTH	TROY	AL	36081	01/01/2024
CH04895H	PUBLIX ALABAMA, LLC	PUBLIX PHARMACY #1375	1620 ROSS CLARK CIRCLE	DOTHAN	AL	36301	01/01/2024
CH04895F	PUBLIX ALABAMA, LLC	PUBLIX PHARMACY #1375	1620 ROSS CLARK CIRCLE	DOTHAN	AL	36301	01/01/2024
CH04895H	PUBLIX ALABAMA, LLC	PUBLIX PHARMACY #1377	4650 WEST MAIN STREET, SUITE 700	DOTHAN	AL	36305	01/01/2024
CH04895J	PUBLIX ALABAMA, LLC	PUBLIX PHARMACY #1375	1620 ROSS CLARK CIRCLE	DOTHAN	AL	36301	01/01/2024
CH04895J	PUBLIX ALABAMA, LLC	PUBLIX PHARMACY #1369	3525 ROSS CLARK CIRCLE, SUITE 100	DOTHAN	AL	36303	01/01/2024
CH04895M	PUBLIX ALABAMA, LLC	PUBLIX PHARMACY #1525	1147 US HIGHWAY 231 SOUTH	TROY	AL	36081	01/01/2024
CH04895N	PUBLIX ALABAMA, LLC	PUBLIX PHARMACY #1369	3525 ROSS CLARK CIRCLE, SUITE 100	DOTHAN	AL	36303	01/01/2024
CH04895K	PUBLIX ALABAMA, LLC	PUBLIX PHARMACY #1375	1620 ROSS CLARK CIRCLE	DOTHAN	AL	36301	01/01/2024
CH04895J	PUBLIX ALABAMA, LLC	PUBLIX PHARMACY #1525	1147 US HIGHWAY 231 SOUTH	TROY	AL	36081	01/01/2024
CH04895M	PUBLIX ALABAMA, LLC	PUBLIX PHARMACY #1369	3525 ROSS CLARK CIRCLE, SUITE 100	DOTHAN	AL	36303	01/01/2024
CH04895N	PUBLIX ALABAMA, LLC	PUBLIX PHARMACY #1525	1147 US HIGHWAY 231 SOUTH	TROY	AL	36081	01/01/2024
CH04895K	PUBLIX ALABAMA, LLC	PUBLIX PHARMACY #1377	4650 WEST MAIN STREET, SUITE 700	DOTHAN	AL	36305	01/01/2024
CH04895M	PUBLIX ALABAMA, LLC	PUBLIX PHARMACY #1375	1620 ROSS CLARK CIRCLE	DOTHAN	AL	36301	01/01/2024
CH04895J	PUBLIX ALABAMA, LLC	PUBLIX PHARMACY #1377	4650 WEST MAIN STREET, SUITE 700	DOTHAN	AL	36305	01/01/2024
CH04895K	PUBLIX ALABAMA, LLC	PUBLIX PHARMACY #1525	1147 US HIGHWAY 231 SOUTH	TROY	AL	36081	01/01/2024
CH04895N	PUBLIX ALABAMA, LLC	PUBLIX PHARMACY #1375	1620 ROSS CLARK CIRCLE	DOTHAN	AL	36301	01/01/2024
CH04895M	PUBLIX ALABAMA, LLC	PUBLIX PHARMACY #1377	4650 WEST MAIN STREET, SUITE 700	DOTHAN	AL	36305	01/01/2024
CH04895K	PUBLIX ALABAMA, LLC	PUBLIX PHARMACY #1369	3525 ROSS CLARK CIRCLE, SUITE 100	DOTHAN	AL	36303	01/01/2024
CH04895N	PUBLIX ALABAMA, LLC	PUBLIX PHARMACY #1377	4650 WEST MAIN STREET, SUITE 700	DOTHAN	AL	36305	01/01/2024
CH048950	PUBLIX SUPER MARKETS, INC.	PUBLIX PHARMACY #3213	1950 SAND LAKE RD, BLDG #5	ORLANDO	FL	32809	10/01/2018
CH048950	PUBLIX SUPER MARKETS, INC.	PUBLIX CENTRAL PHARMACY #3201	2424 ORLANDO CENTRAL PARKWAY	ORLANDO	FL	32809	10/01/2018
CH04895A	PUBLIX SUPER MARKETS, INC.	PUBLIX PHARMACY #3213	1950 SAND LAKE RD, BLDG #5	ORLANDO	FL	32809	01/01/2024
CH04895A	PUBLIX SUPER MARKETS, INC.	PUBLIX CENTRAL PHARMACY #3201	2424 ORLANDO CENTRAL PARKWAY	ORLANDO	FL	32809	01/01/2024
CH04895D	PUBLIX SUPER MARKETS, INC.	PUBLIX PHARMACY #3213	1950 SAND LAKE RD, BLDG #5	ORLANDO	FL	32809	01/01/2024
CH04895H	PUBLIX SUPER MARKETS, INC.	PUBLIX CENTRAL PHARMACY #3201	2424 ORLANDO CENTRAL PARKWAY	ORLANDO	FL	32809	01/01/2024
CH04895D	PUBLIX SUPER MARKETS, INC.	PUBLIX CENTRAL PHARMACY #3201	2424 ORLANDO CENTRAL PARKWAY	ORLANDO	FL	32809	01/01/2024
CH04895F	PUBLIX SUPER MARKETS, INC.	PUBLIX PHARMACY #3213	1950 SAND LAKE RD, BLDG #5	ORLANDO	FL	32809	01/01/2024
CH04895F	PUBLIX SUPER MARKETS, INC.	PUBLIX CENTRAL PHARMACY #3201	2424 ORLANDO CENTRAL PARKWAY	ORLANDO	FL	32809	01/01/2024
CH04895G	PUBLIX SUPER MARKETS, INC.	PUBLIX PHARMACY #3213	1950 SAND LAKE RD, BLDG #5	ORLANDO	FL	32809	01/01/2024
CH04895H	PUBLIX SUPER MARKETS, INC.	PUBLIX PHARMACY #3213	1950 SAND LAKE RD, BLDG #5	ORLANDO	FL	32809	01/01/2024
CH04895G	PUBLIX SUPER MARKETS, INC.	PUBLIX CENTRAL PHARMACY #3201	2424 ORLANDO CENTRAL PARKWAY	ORLANDO	FL	32809	01/01/2024
CH04895B	PUBLIX SUPER MARKETS, INC.	PUBLIX CENTRAL PHARMACY #3201	2424 ORLANDO CENTRAL PARKWAY	ORLANDO	FL	32809	01/01/2024
CH04895B	PUBLIX SUPER MARKETS, INC.	PUBLIX PHARMACY #3213	1950 SAND LAKE RD, BLDG #5	ORLANDO	FL	32809	01/01/2024
CH04895M	PUBLIX SUPER MARKETS, INC.	PUBLIX CENTRAL PHARMACY #3201	2424 ORLANDO CENTRAL PARKWAY	ORLANDO	FL	32809	01/01/2024
CH04895N	PUBLIX SUPER MARKETS, INC.	PUBLIX PHARMACY #3213	1950 SAND LAKE RD, BLDG #5	ORLANDO	FL	32809	01/01/2024
CH04895K	PUBLIX SUPER MARKETS, INC.	PUBLIX CENTRAL PHARMACY #3201	2424 ORLANDO CENTRAL PARKWAY	ORLANDO	FL	32809	01/01/2024
CH04895N	PUBLIX SUPER MARKETS, INC.	PUBLIX CENTRAL PHARMACY #3201	2424 ORLANDO CENTRAL PARKWAY	ORLANDO	FL	32809	01/01/2024
CH04895J	PUBLIX SUPER MARKETS, INC.	PUBLIX CENTRAL PHARMACY #3201	2424 ORLANDO CENTRAL PARKWAY	ORLANDO	FL	32809	01/01/2024
CH04895M	PUBLIX SUPER MARKETS, INC.	PUBLIX PHARMACY #3213	1950 SAND LAKE RD, BLDG #5	ORLANDO	FL	32809	01/01/2024
CH04895J	PUBLIX SUPER MARKETS, INC.	PUBLIX PHARMACY #3213	1950 SAND LAKE RD, BLDG #5	ORLANDO	FL	32809	01/01/2024
CH04895K	PUBLIX SUPER MARKETS, INC.	PUBLIX PHARMACY #3213	1950 SAND LAKE RD, BLDG #5	ORLANDO	FL	32809	01/01/2024
CH048950	RAINA RX LLC	DBA ROUTE 300 PHARMACY	1208 ROUTE 300 SUITE 103	NEWBURGH	NY	12550	07/01/2018
CH04895A	RAINA RX LLC	DBA ROUTE 300 PHARMACY	1208 ROUTE 300 SUITE 103	NEWBURGH	NY	12550	01/01/2024
CH04895G	RAINA RX LLC	DBA ROUTE 300 PHARMACY	1208 ROUTE 300 SUITE 103	NEWBURGH	NY	12550	01/01/2024
CH04895D	RAINA RX LLC	DBA ROUTE 300 PHARMACY	1208 ROUTE 300 SUITE 103	NEWBURGH	NY	12550	01/01/2024
CH04895B	RAINA RX LLC	DBA ROUTE 300 PHARMACY	1208 ROUTE 300 SUITE 103	NEWBURGH	NY	12550	01/01/2024
CH04895H	RAINA RX LLC	DBA ROUTE 300 PHARMACY	1208 ROUTE 300 SUITE 103	NEWBURGH	NY	12550	01/01/2024
CH04895F	RAINA RX LLC	DBA ROUTE 300 PHARMACY	1208 ROUTE 300 SUITE 103	NEWBURGH	NY	12550	01/01/2024
CH04895M	RAINA RX LLC	DBA ROUTE 300 PHARMACY	1208 ROUTE 300 SUITE 103	NEWBURGH	NY	12550	01/01/2024
CH04895N	RAINA RX LLC	DBA ROUTE 300 PHARMACY	1208 ROUTE 300 SUITE 103	NEWBURGH	NY	12550	01/01/2024
CH04895K	RAINA RX LLC	DBA ROUTE 300 PHARMACY	1208 ROUTE 300 SUITE 103	NEWBURGH	NY	12550	01/01/2024
CH04895J	RAINA RX LLC	DBA ROUTE 300 PHARMACY	1208 ROUTE 300 SUITE 103	NEWBURGH	NY	12550	01/01/2024
CH048950	RIVER MEDICAL PHARMACY LLC	4752 RESEARCH DR		SAN ANTONIO	TX	78240-5002	07/01/2018
CH04895A	RIVER MEDICAL PHARMACY LLC	4752 RESEARCH DR		SAN ANTONIO	TX	78240-5002	01/01/2024
CH04895B	RIVER MEDICAL PHARMACY LLC	4752 RESEARCH DR		SAN ANTONIO	TX	78240-5002	01/01/2024
CH04895G	RIVER MEDICAL PHARMACY LLC	4752 RESEARCH DR		SAN ANTONIO	TX	78240-5002	01/01/2024
CH04895F	RIVER MEDICAL PHARMACY LLC	4752 RESEARCH DR		SAN ANTONIO	TX	78240-5002	01/01/2024
CH04895H	RIVER MEDICAL PHARMACY LLC	4752 RESEARCH DR		SAN ANTONIO	TX	78240-5002	01/01/2024
CH04895D	RIVER MEDICAL PHARMACY LLC	4752 RESEARCH DR		SAN ANTONIO	TX	78240-5002	01/01/2024
CH04895J	RIVER MEDICAL PHARMACY LLC	4752 RESEARCH DR		SAN ANTONIO	TX	78240-5002	01/01/2024
CH04895M	RIVER MEDICAL PHARMACY LLC	4752 RESEARCH DR		SAN ANTONIO	TX	78240-5002	01/01/2024
CH04895K	RIVER MEDICAL PHARMACY LLC	4752 RESEARCH DR		SAN ANTONIO	TX	78240-5002	01/01/2024
CH04895N	RIVER MEDICAL PHARMACY LLC	4752 RESEARCH DR		SAN ANTONIO	TX	78240-5002	01/01/2024
CH048950	SCOTT-COOK PHARMACY	SCOTT-COOK PHARMACY	1233 WESTGATE PKWY	DOTHAN	AL	36303	07/01/2015
CH04895A	SCOTT-COOK PHARMACY	SCOTT-COOK PHARMACY	1233 WESTGATE PKWY	DOTHAN	AL	36303	01/01/2024
CH04895B	SCOTT-COOK PHARMACY	SCOTT-COOK PHARMACY	1233 WESTGATE PKWY	DOTHAN	AL	36303	01/01/2024
CH04895G	SCOTT-COOK PHARMACY	SCOTT-COOK PHARMACY	1233 WESTGATE PKWY	DOTHAN	AL	36303	01/01/2024
CH04895D	SCOTT-COOK PHARMACY	SCOTT-COOK PHARMACY	1233 WESTGATE PKWY	DOTHAN	AL	36303	01/01/2024
CH04895F	SCOTT-COOK PHARMACY	SCOTT-COOK PHARMACY	1233 WESTGATE PKWY	DOTHAN	AL	36303	01/01/2024
CH04895H	SCOTT-COOK PHARMACY	SCOTT-COOK PHARMACY	1233 WESTGATE PKWY	DOTHAN	AL	36303	01/01/2024
CH04895K	SCOTT-COOK PHARMACY	SCOTT-COOK PHARMACY	1233 WESTGATE PKWY	DOTHAN	AL	36303	01/01/2024
CH04895M	SCOTT-COOK PHARMACY	SCOTT-COOK PHARMACY	1233 WESTGATE PKWY	DOTHAN	AL	36303	01/01/2024
CH04895J	SCOTT-COOK PHARMACY	SCOTT-COOK PHARMACY	1233 WESTGATE PKWY	DOTHAN	AL	36303	01/01/2024
CH04895N	SCOTT-COOK PHARMACY	SCOTT-COOK PHARMACY	1233 WESTGATE PKWY	DOTHAN	AL	36303	01/01/2024
CH048950	T & C PHARMACY	101 PARISH AVE	P.O. BOX 594	OPP	AL	36467	10/01/2016
CH04895A	T & C PHARMACY	101 PARISH AVE	P.O. BOX 594	OPP	AL	36467	01/01/2024
CH04895G	T & C PHARMACY	101 PARISH AVE	P.O. BOX 594	OPP	AL	36467	01/01/2024
CH04895F	T & C PHARMACY	101 PARISH AVE	P.O. BOX 594	OPP	AL	36467	01/01/2024
CH04895B	T & C PHARMACY	101 PARISH AVE	P.O. BOX 594	OPP	AL	36467	01/01/2024
CH04895H	T & C PHARMACY	101 PARISH AVE	P.O. BOX 594	OPP	AL	36467	01/01/2024
CH04895D	T & C PHARMACY	101 PARISH AVE	P.O. BOX 594	OPP	AL	36467	01/01/2024
CH04895K	T & C PHARMACY	101 PARISH AVE	P.O. BOX 594	OPP	AL	36467	01/01/2024
CH04895J	T & C PHARMACY	101 PARISH AVE	P.O. BOX 594	OPP	AL	36467	01/01/2024
CH04895M	T & C PHARMACY	101 PARISH AVE	P.O. BOX 594	OPP	AL	36467	01/01/2024
CH04895N	T & C PHARMACY	101 PARISH AVE	P.O. BOX 594	OPP	AL	36467	01/01/2024
CH048950	TROY PHARMACY LLC	DBA DALTON PHARMACY	1412 ELBA HWY STE 1-A	TROY	AL	36079	01/01/2016
CH04895A	TROY PHARMACY LLC	DBA DALTON PHARMACY	1412 ELBA HWY STE 1-A	TROY	AL	36079	01/01/2024
CH04895B	TROY PHARMACY LLC	DBA DALTON PHARMACY	1412 ELBA HWY STE 1-A	TROY	AL	36079	01/01/2024
CH04895F	TROY PHARMACY LLC	DBA DALTON PHARMACY	1412 ELBA HWY STE 1-A	TROY	AL	36079	01/01/2024
CH04895D	TROY PHARMACY LLC	DBA DALTON PHARMACY	1412 ELBA HWY STE 1-A	TROY	AL	36079	01/01/2024
CH04895G	TROY PHARMACY LLC	DBA DALTON PHARMACY	1412 ELBA HWY STE 1-A	TROY	AL	36079	01/01/2024
CH04895H	TROY PHARMACY LLC	DBA DALTON PHARMACY	1412 ELBA HWY STE 1-A	TROY	AL	36079	01/01/2024
CH04895J	TROY PHARMACY LLC	DBA DALTON PHARMACY	1412 ELBA HWY STE 1-A	TROY	AL	36079	01/01/2024
CH04895K	TROY PHARMACY LLC	DBA DALTON PHARMACY	1412 ELBA HWY STE 1-A	TROY	AL	36079	01/01/2024
CH04895N	TROY PHARMACY LLC	DBA DALTON PHARMACY	1412 ELBA HWY STE 1-A	TROY	AL	36079	01/01/2024
CH04895M	TROY PHARMACY LLC	DBA DALTON PHARMACY	1412 ELBA HWY STE 1-A	TROY	AL	36079	01/01/2024
CH048950	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	10/01/2017
CH04895A	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	01/01/2024
CH04895G	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	01/01/2024
CH04895D	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	01/01/2024
CH04895F	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	01/01/2024
CH04895B	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	01/01/2024
CH04895H	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	01/01/2024
CH04895J	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	01/01/2024
CH04895M	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	01/01/2024
CH04895K	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	01/01/2024
CH04895N	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	01/01/2024
CH048950	WAL-MART PHARMACY 10-0604	4310 MONTGOMERY HWY		DOTHAN	AL	36303	07/01/2018
CH04895A	WAL-MART PHARMACY 10-0604	4310 MONTGOMERY HWY		DOTHAN	AL	36303	01/01/2024
CH04895G	WAL-MART PHARMACY 10-0604	4310 MONTGOMERY HWY		DOTHAN	AL	36303	01/01/2024
CH04895D	WAL-MART PHARMACY 10-0604	4310 MONTGOMERY HWY		DOTHAN	AL	36303	01/01/2024
CH04895H	WAL-MART PHARMACY 10-0604	4310 MONTGOMERY HWY		DOTHAN	AL	36303	01/01/2024
CH04895B	WAL-MART PHARMACY 10-0604	4310 MONTGOMERY HWY		DOTHAN	AL	36303	01/01/2024
CH04895F	WAL-MART PHARMACY 10-0604	4310 MONTGOMERY HWY		DOTHAN	AL	36303	01/01/2024
CH04895J	WAL-MART PHARMACY 10-0604	4310 MONTGOMERY HWY		DOTHAN	AL	36303	01/01/2024
CH04895K	WAL-MART PHARMACY 10-0604	4310 MONTGOMERY HWY		DOTHAN	AL	36303	01/01/2024
CH04895N	WAL-MART PHARMACY 10-0604	4310 MONTGOMERY HWY		DOTHAN	AL	36303	01/01/2024
CH04895M	WAL-MART PHARMACY 10-0604	4310 MONTGOMERY HWY		DOTHAN	AL	36303	01/01/2024
CH048950	WAL-MART PHARMACY 10-0723	1420 U.S. HWY 231 SOUTH		TROY	AL	36081	01/01/2018
CH04895A	WAL-MART PHARMACY 10-0723	1420 U.S. HWY 231 SOUTH		TROY	AL	36081	01/01/2024
CH04895D	WAL-MART PHARMACY 10-0723	1420 U.S. HWY 231 SOUTH		TROY	AL	36081	01/01/2024
CH04895F	WAL-MART PHARMACY 10-0723	1420 U.S. HWY 231 SOUTH		TROY	AL	36081	01/01/2024
CH04895H	WAL-MART PHARMACY 10-0723	1420 U.S. HWY 231 SOUTH		TROY	AL	36081	01/01/2024
CH04895G	WAL-MART PHARMACY 10-0723	1420 U.S. HWY 231 SOUTH		TROY	AL	36081	01/01/2024
CH04895B	WAL-MART PHARMACY 10-0723	1420 U.S. HWY 231 SOUTH		TROY	AL	36081	01/01/2024
CH04895N	WAL-MART PHARMACY 10-0723	1420 U.S. HWY 231 SOUTH		TROY	AL	36081	01/01/2024
CH04895J	WAL-MART PHARMACY 10-0723	1420 U.S. HWY 231 SOUTH		TROY	AL	36081	01/01/2024
CH04895M	WAL-MART PHARMACY 10-0723	1420 U.S. HWY 231 SOUTH		TROY	AL	36081	01/01/2024
CH04895K	WAL-MART PHARMACY 10-0723	1420 U.S. HWY 231 SOUTH		TROY	AL	36081	01/01/2024
CH048950	WAL-MART PHARMACY 10-0734	600 BOLL WEEVIL CIRCLE		ENTERPRISE	AL	36330	07/01/2018
CH04895A	WAL-MART PHARMACY 10-0734	600 BOLL WEEVIL CIRCLE		ENTERPRISE	AL	36330	01/01/2024
CH04895H	WAL-MART PHARMACY 10-0734	600 BOLL WEEVIL CIRCLE		ENTERPRISE	AL	36330	01/01/2024
CH04895D	WAL-MART PHARMACY 10-0734	600 BOLL WEEVIL CIRCLE		ENTERPRISE	AL	36330	01/01/2024
CH04895G	WAL-MART PHARMACY 10-0734	600 BOLL WEEVIL CIRCLE		ENTERPRISE	AL	36330	01/01/2024
CH04895B	WAL-MART PHARMACY 10-0734	600 BOLL WEEVIL CIRCLE		ENTERPRISE	AL	36330	01/01/2024
CH04895F	WAL-MART PHARMACY 10-0734	600 BOLL WEEVIL CIRCLE		ENTERPRISE	AL	36330	01/01/2024
CH04895K	WAL-MART PHARMACY 10-0734	600 BOLL WEEVIL CIRCLE		ENTERPRISE	AL	36330	01/01/2024
CH04895J	WAL-MART PHARMACY 10-0734	600 BOLL WEEVIL CIRCLE		ENTERPRISE	AL	36330	01/01/2024
CH04895N	WAL-MART PHARMACY 10-0734	600 BOLL WEEVIL CIRCLE		ENTERPRISE	AL	36330	01/01/2024
CH04895M	WAL-MART PHARMACY 10-0734	600 BOLL WEEVIL CIRCLE		ENTERPRISE	AL	36330	01/01/2024
CH048950	WAL-MART PHARMACY 10-0740	1537 HWY 231 SOUTH		OZARK	AL	36360	07/01/2018
CH04895A	WAL-MART PHARMACY 10-0740	1537 HWY 231 SOUTH		OZARK	AL	36360	01/01/2024
CH04895F	WAL-MART PHARMACY 10-0740	1537 HWY 231 SOUTH		OZARK	AL	36360	01/01/2024
CH04895B	WAL-MART PHARMACY 10-0740	1537 HWY 231 SOUTH		OZARK	AL	36360	01/01/2024
CH04895D	WAL-MART PHARMACY 10-0740	1537 HWY 231 SOUTH		OZARK	AL	36360	01/01/2024
CH04895H	WAL-MART PHARMACY 10-0740	1537 HWY 231 SOUTH		OZARK	AL	36360	01/01/2024
CH04895G	WAL-MART PHARMACY 10-0740	1537 HWY 231 SOUTH		OZARK	AL	36360	01/01/2024
CH04895N	WAL-MART PHARMACY 10-0740	1537 HWY 231 SOUTH		OZARK	AL	36360	01/01/2024
CH04895J	WAL-MART PHARMACY 10-0740	1537 HWY 231 SOUTH		OZARK	AL	36360	01/01/2024
CH04895K	WAL-MART PHARMACY 10-0740	1537 HWY 231 SOUTH		OZARK	AL	36360	01/01/2024
CH04895M	WAL-MART PHARMACY 10-0740	1537 HWY 231 SOUTH		OZARK	AL	36360	01/01/2024
CH048950	WAL-MART PHARMACY 10-1063	1608 W MAGNOLIA AVE		GENEVA	AL	36340	07/01/2018
CH04895A	WAL-MART PHARMACY 10-1063	1608 W MAGNOLIA AVE		GENEVA	AL	36340	01/01/2024
CH04895G	WAL-MART PHARMACY 10-1063	1608 W MAGNOLIA AVE		GENEVA	AL	36340	01/01/2024
CH04895D	WAL-MART PHARMACY 10-1063	1608 W MAGNOLIA AVE		GENEVA	AL	36340	01/01/2024
CH04895F	WAL-MART PHARMACY 10-1063	1608 W MAGNOLIA AVE		GENEVA	AL	36340	01/01/2024
CH04895B	WAL-MART PHARMACY 10-1063	1608 W MAGNOLIA AVE		GENEVA	AL	36340	01/01/2024
CH04895H	WAL-MART PHARMACY 10-1063	1608 W MAGNOLIA AVE		GENEVA	AL	36340	01/01/2024
CH04895K	WAL-MART PHARMACY 10-1063	1608 W MAGNOLIA AVE		GENEVA	AL	36340	01/01/2024
CH04895N	WAL-MART PHARMACY 10-1063	1608 W MAGNOLIA AVE		GENEVA	AL	36340	01/01/2024
CH04895J	WAL-MART PHARMACY 10-1063	1608 W MAGNOLIA AVE		GENEVA	AL	36340	01/01/2024
CH04895M	WAL-MART PHARMACY 10-1063	1608 W MAGNOLIA AVE		GENEVA	AL	36340	01/01/2024
CH048950	WAL-MART PHARMACY 10-1091	1991 M.L. KING JR. EXPRESSWAY		ANDALUSIA	AL	36420	04/01/2021
CH04895A	WAL-MART PHARMACY 10-1091	1991 M.L. KING JR. EXPRESSWAY		ANDALUSIA	AL	36420	01/01/2024
CH04895F	WAL-MART PHARMACY 10-1091	1991 M.L. KING JR. EXPRESSWAY		ANDALUSIA	AL	36420	01/01/2024
CH04895D	WAL-MART PHARMACY 10-1091	1991 M.L. KING JR. EXPRESSWAY		ANDALUSIA	AL	36420	01/01/2024
CH04895G	WAL-MART PHARMACY 10-1091	1991 M.L. KING JR. EXPRESSWAY		ANDALUSIA	AL	36420	01/01/2024
CH04895B	WAL-MART PHARMACY 10-1091	1991 M.L. KING JR. EXPRESSWAY		ANDALUSIA	AL	36420	01/01/2024
CH04895H	WAL-MART PHARMACY 10-1091	1991 M.L. KING JR. EXPRESSWAY		ANDALUSIA	AL	36420	01/01/2024
CH04895M	WAL-MART PHARMACY 10-1091	1991 M.L. KING JR. EXPRESSWAY		ANDALUSIA	AL	36420	01/01/2024
CH04895J	WAL-MART PHARMACY 10-1091	1991 M.L. KING JR. EXPRESSWAY		ANDALUSIA	AL	36420	01/01/2024
CH04895K	WAL-MART PHARMACY 10-1091	1991 M.L. KING JR. EXPRESSWAY		ANDALUSIA	AL	36420	01/01/2024
CH04895N	WAL-MART PHARMACY 10-1091	1991 M.L. KING JR. EXPRESSWAY		ANDALUSIA	AL	36420	01/01/2024
CH04895R	WAL-MART PHARMACY 10-1091	1991 M.L. KING JR. EXPRESSWAY		ANDALUSIA	AL	36420	04/01/2025
CH048950	WAL-MART PHARMACY 10-1638	3176 S EUFAULA AVE		EUFAULA	AL	36027	01/01/2018
CH04895A	WAL-MART PHARMACY 10-1638	3176 S EUFAULA AVE		EUFAULA	AL	36027	01/01/2024
CH04895H	WAL-MART PHARMACY 10-1638	3176 S EUFAULA AVE		EUFAULA	AL	36027	01/01/2024
CH04895B	WAL-MART PHARMACY 10-1638	3176 S EUFAULA AVE		EUFAULA	AL	36027	01/01/2024
CH04895F	WAL-MART PHARMACY 10-1638	3176 S EUFAULA AVE		EUFAULA	AL	36027	01/01/2024
CH04895G	WAL-MART PHARMACY 10-1638	3176 S EUFAULA AVE		EUFAULA	AL	36027	01/01/2024
CH04895D	WAL-MART PHARMACY 10-1638	3176 S EUFAULA AVE		EUFAULA	AL	36027	01/01/2024
CH04895K	WAL-MART PHARMACY 10-1638	3176 S EUFAULA AVE		EUFAULA	AL	36027	01/01/2024
CH04895J	WAL-MART PHARMACY 10-1638	3176 S EUFAULA AVE		EUFAULA	AL	36027	01/01/2024
CH04895N	WAL-MART PHARMACY 10-1638	3176 S EUFAULA AVE		EUFAULA	AL	36027	01/01/2024
CH04895M	WAL-MART PHARMACY 10-1638	3176 S EUFAULA AVE		EUFAULA	AL	36027	01/01/2024
CH048950	WAL-MART PHARMACY 10-2534	3300 S OATES ST		DOTHAN (SOUTH)	AL	36301	07/01/2018
CH04895A	WAL-MART PHARMACY 10-2534	3300 S OATES ST		DOTHAN (SOUTH)	AL	36301	01/01/2024
CH04895F	WAL-MART PHARMACY 10-2534	3300 S OATES ST		DOTHAN (SOUTH)	AL	36301	01/01/2024
CH04895B	WAL-MART PHARMACY 10-2534	3300 S OATES ST		DOTHAN (SOUTH)	AL	36301	01/01/2024
CH04895H	WAL-MART PHARMACY 10-2534	3300 S OATES ST		DOTHAN (SOUTH)	AL	36301	01/01/2024
CH04895D	WAL-MART PHARMACY 10-2534	3300 S OATES ST		DOTHAN (SOUTH)	AL	36301	01/01/2024
CH04895G	WAL-MART PHARMACY 10-2534	3300 S OATES ST		DOTHAN (SOUTH)	AL	36301	01/01/2024
CH04895K	WAL-MART PHARMACY 10-2534	3300 S OATES ST		DOTHAN (SOUTH)	AL	36301	01/01/2024
CH04895J	WAL-MART PHARMACY 10-2534	3300 S OATES ST		DOTHAN (SOUTH)	AL	36301	01/01/2024
CH04895N	WAL-MART PHARMACY 10-2534	3300 S OATES ST		DOTHAN (SOUTH)	AL	36301	01/01/2024
CH04895M	WAL-MART PHARMACY 10-2534	3300 S OATES ST		DOTHAN (SOUTH)	AL	36301	01/01/2024
CH048950	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	10/01/2017
CH04895A	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	01/01/2024
CH04895G	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	01/01/2024
CH04895D	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	01/01/2024
CH04895B	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	01/01/2024
CH04895H	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	01/01/2024
CH04895F	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	01/01/2024
CH04895N	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	01/01/2024
CH04895M	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	01/01/2024
CH04895J	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	01/01/2024
CH04895K	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	01/01/2024
CH048950	WALGREEN CO	DBA: WALGREENS #11098	100 ELBA HWY	TROY	AL	36079	04/01/2019
CH04895A	WALGREEN CO	DBA: WALGREENS #11098	100 ELBA HWY	TROY	AL	36079	01/01/2024
CH04895D	WALGREEN CO	DBA: WALGREENS #11098	100 ELBA HWY	TROY	AL	36079	01/01/2024
CH04895B	WALGREEN CO	DBA: WALGREENS #11098	100 ELBA HWY	TROY	AL	36079	01/01/2024
CH04895G	WALGREEN CO	DBA: WALGREENS #11098	100 ELBA HWY	TROY	AL	36079	01/01/2024
CH04895H	WALGREEN CO	DBA: WALGREENS #11098	100 ELBA HWY	TROY	AL	36079	01/01/2024
CH04895F	WALGREEN CO	DBA: WALGREENS #11098	100 ELBA HWY	TROY	AL	36079	01/01/2024
CH04895M	WALGREEN CO	DBA: WALGREENS #11098	100 ELBA HWY	TROY	AL	36079	01/01/2024
CH04895J	WALGREEN CO	DBA: WALGREENS #11098	100 ELBA HWY	TROY	AL	36079	01/01/2024
CH04895N	WALGREEN CO	DBA: WALGREENS #11098	100 ELBA HWY	TROY	AL	36079	01/01/2024
CH04895K	WALGREEN CO	DBA: WALGREENS #11098	100 ELBA HWY	TROY	AL	36079	01/01/2024
CH04895P	WALGREEN CO	DBA: WALGREENS #11098	100 ELBA HWY	TROY	AL	36079	04/01/2025
CH048950	WALGREEN CO.	DBA: WALGREENS # 07404	2041 E MAIN STREET	DOTHAN	AL	36301	04/01/2019
CH048950	WALGREEN CO.	DBA: WALGREENS #13111	3574 MONTGOMERY HWY	DOTHAN	AL	36303	04/01/2019
CH048950	WALGREEN CO.	DBA: WALGREENS # 09256	900 RUCKER BLVD	ENTERPRISE	AL	36330-2160	04/01/2019
CH048950	WALGREEN CO.	DBA: WALGREENS # 07405	2940 WEST MAIN STREET	DOTHAN	AL	36305	04/01/2019
CH048950	WALGREEN CO.	WALGREENS #19668	130 S EUFAULA AVE	EUFAULA	AL	36027-2026	04/01/2019
CH04895A	WALGREEN CO.	DBA: WALGREENS # 09256	900 RUCKER BLVD	ENTERPRISE	AL	36330-2160	01/01/2024
CH04895A	WALGREEN CO.	DBA: WALGREENS # 07405	2940 WEST MAIN STREET	DOTHAN	AL	36305	01/01/2024
CH04895A	WALGREEN CO.	DBA: WALGREENS # 07404	2041 E MAIN STREET	DOTHAN	AL	36301	01/01/2024
CH04895A	WALGREEN CO.	WALGREENS #19668	130 S EUFAULA AVE	EUFAULA	AL	36027-2026	01/01/2024
CH04895A	WALGREEN CO.	DBA: WALGREENS #13111	3574 MONTGOMERY HWY	DOTHAN	AL	36303	01/01/2024
CH04895B	WALGREEN CO.	WALGREENS #19668	130 S EUFAULA AVE	EUFAULA	AL	36027-2026	01/01/2024
CH04895D	WALGREEN CO.	DBA: WALGREENS #13111	3574 MONTGOMERY HWY	DOTHAN	AL	36303	01/01/2024
CH04895B	WALGREEN CO.	DBA: WALGREENS # 07405	2940 WEST MAIN STREET	DOTHAN	AL	36305	01/01/2024
CH04895H	WALGREEN CO.	DBA: WALGREENS # 07404	2041 E MAIN STREET	DOTHAN	AL	36301	01/01/2024
CH04895G	WALGREEN CO.	DBA: WALGREENS # 09256	900 RUCKER BLVD	ENTERPRISE	AL	36330-2160	01/01/2024
CH04895B	WALGREEN CO.	DBA: WALGREENS # 09256	900 RUCKER BLVD	ENTERPRISE	AL	36330-2160	01/01/2024
CH04895G	WALGREEN CO.	DBA: WALGREENS # 07405	2940 WEST MAIN STREET	DOTHAN	AL	36305	01/01/2024
CH04895H	WALGREEN CO.	DBA: WALGREENS #13111	3574 MONTGOMERY HWY	DOTHAN	AL	36303	01/01/2024
CH04895D	WALGREEN CO.	DBA: WALGREENS # 07404	2041 E MAIN STREET	DOTHAN	AL	36301	01/01/2024
CH04895G	WALGREEN CO.	WALGREENS #19668	130 S EUFAULA AVE	EUFAULA	AL	36027-2026	01/01/2024
CH04895F	WALGREEN CO.	DBA: WALGREENS # 07404	2041 E MAIN STREET	DOTHAN	AL	36301	01/01/2024
CH04895G	WALGREEN CO.	DBA: WALGREENS #13111	3574 MONTGOMERY HWY	DOTHAN	AL	36303	01/01/2024
CH04895H	WALGREEN CO.	DBA: WALGREENS # 07405	2940 WEST MAIN STREET	DOTHAN	AL	36305	01/01/2024
CH04895G	WALGREEN CO.	DBA: WALGREENS # 07404	2041 E MAIN STREET	DOTHAN	AL	36301	01/01/2024
CH04895F	WALGREEN CO.	DBA: WALGREENS #13111	3574 MONTGOMERY HWY	DOTHAN	AL	36303	01/01/2024
CH04895F	WALGREEN CO.	DBA: WALGREENS # 09256	900 RUCKER BLVD	ENTERPRISE	AL	36330-2160	01/01/2024
CH04895D	WALGREEN CO.	WALGREENS #19668	130 S EUFAULA AVE	EUFAULA	AL	36027-2026	01/01/2024
CH04895B	WALGREEN CO.	DBA: WALGREENS # 07404	2041 E MAIN STREET	DOTHAN	AL	36301	01/01/2024
CH04895H	WALGREEN CO.	WALGREENS #19668	130 S EUFAULA AVE	EUFAULA	AL	36027-2026	01/01/2024
CH04895F	WALGREEN CO.	WALGREENS #19668	130 S EUFAULA AVE	EUFAULA	AL	36027-2026	01/01/2024
CH04895D	WALGREEN CO.	DBA: WALGREENS # 09256	900 RUCKER BLVD	ENTERPRISE	AL	36330-2160	01/01/2024
CH04895H	WALGREEN CO.	DBA: WALGREENS # 09256	900 RUCKER BLVD	ENTERPRISE	AL	36330-2160	01/01/2024
CH04895B	WALGREEN CO.	DBA: WALGREENS #13111	3574 MONTGOMERY HWY	DOTHAN	AL	36303	01/01/2024
CH04895D	WALGREEN CO.	DBA: WALGREENS # 07405	2940 WEST MAIN STREET	DOTHAN	AL	36305	01/01/2024
CH04895F	WALGREEN CO.	DBA: WALGREENS # 07405	2940 WEST MAIN STREET	DOTHAN	AL	36305	01/01/2024
CH04895K	WALGREEN CO.	DBA: WALGREENS # 07405	2940 WEST MAIN STREET	DOTHAN	AL	36305	01/01/2024
CH04895M	WALGREEN CO.	DBA: WALGREENS # 09256	900 RUCKER BLVD	ENTERPRISE	AL	36330-2160	01/01/2024
CH04895K	WALGREEN CO.	WALGREENS #19668	130 S EUFAULA AVE	EUFAULA	AL	36027-2026	01/01/2024
CH04895M	WALGREEN CO.	DBA: WALGREENS # 07405	2940 WEST MAIN STREET	DOTHAN	AL	36305	01/01/2024
CH04895N	WALGREEN CO.	DBA: WALGREENS # 09256	900 RUCKER BLVD	ENTERPRISE	AL	36330-2160	01/01/2024
CH04895N	WALGREEN CO.	DBA: WALGREENS # 07404	2041 E MAIN STREET	DOTHAN	AL	36301	01/01/2024
CH04895K	WALGREEN CO.	DBA: WALGREENS # 07404	2041 E MAIN STREET	DOTHAN	AL	36301	01/01/2024
CH04895J	WALGREEN CO.	WALGREENS #19668	130 S EUFAULA AVE	EUFAULA	AL	36027-2026	01/01/2024
CH04895K	WALGREEN CO.	DBA: WALGREENS # 09256	900 RUCKER BLVD	ENTERPRISE	AL	36330-2160	01/01/2024
CH04895J	WALGREEN CO.	DBA: WALGREENS # 07404	2041 E MAIN STREET	DOTHAN	AL	36301	01/01/2024
CH04895N	WALGREEN CO.	DBA: WALGREENS # 07405	2940 WEST MAIN STREET	DOTHAN	AL	36305	01/01/2024
CH04895M	WALGREEN CO.	DBA: WALGREENS # 07404	2041 E MAIN STREET	DOTHAN	AL	36301	01/01/2024
CH04895N	WALGREEN CO.	WALGREENS #19668	130 S EUFAULA AVE	EUFAULA	AL	36027-2026	01/01/2024
CH04895J	WALGREEN CO.	DBA: WALGREENS # 07405	2940 WEST MAIN STREET	DOTHAN	AL	36305	01/01/2024
CH04895M	WALGREEN CO.	DBA: WALGREENS #13111	3574 MONTGOMERY HWY	DOTHAN	AL	36303	01/01/2024
CH04895J	WALGREEN CO.	DBA: WALGREENS #13111	3574 MONTGOMERY HWY	DOTHAN	AL	36303	01/01/2024
CH04895K	WALGREEN CO.	DBA: WALGREENS #13111	3574 MONTGOMERY HWY	DOTHAN	AL	36303	01/01/2024
CH04895N	WALGREEN CO.	DBA: WALGREENS #13111	3574 MONTGOMERY HWY	DOTHAN	AL	36303	01/01/2024
CH04895J	WALGREEN CO.	DBA: WALGREENS # 09256	900 RUCKER BLVD	ENTERPRISE	AL	36330-2160	01/01/2024
CH04895M	WALGREEN CO.	WALGREENS #19668	130 S EUFAULA AVE	EUFAULA	AL	36027-2026	01/01/2024
CH048950	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15438	41460 HAGGERTY CIR S	CANTON	MI	48188	04/01/2019
CH048950	WALGREENS SPECIALTY PHARMACY, LLC	ALLIANCERX WALGREENS PRIME #12314	9775 SW GEMINI DR, STE 1	BEAVERTON	OR	97008	04/01/2019	10/01/2021
CH048950	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15443	10530 JOHN W ELLIOTT DR STE 100	FRISCO	TX	75033	04/01/2019
CH048950	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #16287	130 ENTERPRISE DR	PITTSBURGH	PA	15275	04/01/2019
CH04895A	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15443	10530 JOHN W ELLIOTT DR STE 100	FRISCO	TX	75033	01/01/2024
CH04895A	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15438	41460 HAGGERTY CIR S	CANTON	MI	48188	01/01/2024
CH04895A	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #16287	130 ENTERPRISE DR	PITTSBURGH	PA	15275	01/01/2024
CH04895B	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #16287	130 ENTERPRISE DR	PITTSBURGH	PA	15275	01/01/2024
CH04895D	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15438	41460 HAGGERTY CIR S	CANTON	MI	48188	01/01/2024
CH04895B	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15443	10530 JOHN W ELLIOTT DR STE 100	FRISCO	TX	75033	01/01/2024
CH04895B	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15438	41460 HAGGERTY CIR S	CANTON	MI	48188	01/01/2024
CH04895F	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #16287	130 ENTERPRISE DR	PITTSBURGH	PA	15275	01/01/2024
CH04895F	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15438	41460 HAGGERTY CIR S	CANTON	MI	48188	01/01/2024
CH04895H	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #16287	130 ENTERPRISE DR	PITTSBURGH	PA	15275	01/01/2024
CH04895D	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15443	10530 JOHN W ELLIOTT DR STE 100	FRISCO	TX	75033	01/01/2024
CH04895G	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15438	41460 HAGGERTY CIR S	CANTON	MI	48188	01/01/2024
CH04895F	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15443	10530 JOHN W ELLIOTT DR STE 100	FRISCO	TX	75033	01/01/2024
CH04895G	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #16287	130 ENTERPRISE DR	PITTSBURGH	PA	15275	01/01/2024
CH04895H	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15443	10530 JOHN W ELLIOTT DR STE 100	FRISCO	TX	75033	01/01/2024
CH04895D	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #16287	130 ENTERPRISE DR	PITTSBURGH	PA	15275	01/01/2024
CH04895G	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15443	10530 JOHN W ELLIOTT DR STE 100	FRISCO	TX	75033	01/01/2024
CH04895H	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15438	41460 HAGGERTY CIR S	CANTON	MI	48188	01/01/2024
CH04895M	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15443	10530 JOHN W ELLIOTT DR STE 100	FRISCO	TX	75033	01/01/2024
CH04895N	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #16287	130 ENTERPRISE DR	PITTSBURGH	PA	15275	01/01/2024
CH04895J	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #16287	130 ENTERPRISE DR	PITTSBURGH	PA	15275	01/01/2024
CH04895K	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15438	41460 HAGGERTY CIR S	CANTON	MI	48188	01/01/2024
CH04895J	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15443	10530 JOHN W ELLIOTT DR STE 100	FRISCO	TX	75033	01/01/2024
CH04895N	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15438	41460 HAGGERTY CIR S	CANTON	MI	48188	01/01/2024
CH04895M	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #16287	130 ENTERPRISE DR	PITTSBURGH	PA	15275	01/01/2024
CH04895K	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #16287	130 ENTERPRISE DR	PITTSBURGH	PA	15275	01/01/2024
CH04895M	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15438	41460 HAGGERTY CIR S	CANTON	MI	48188	01/01/2024
CH04895K	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15443	10530 JOHN W ELLIOTT DR STE 100	FRISCO	TX	75033	01/01/2024
CH04895J	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15438	41460 HAGGERTY CIR S	CANTON	MI	48188	01/01/2024
CH04895N	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15443	10530 JOHN W ELLIOTT DR STE 100	FRISCO	TX	75033	01/01/2024
CH048950	WALMART PHARMACY 10-5169	2252 NORTH 8TH STREET	SUITE A	ROGERS	AR	72756	07/01/2023
CH04895A	WALMART PHARMACY 10-5169	2252 NORTH 8TH STREET	SUITE A	ROGERS	AR	72756	01/01/2024
CH04895G	WALMART PHARMACY 10-5169	2252 NORTH 8TH STREET	SUITE A	ROGERS	AR	72756	01/01/2024
CH04895D	WALMART PHARMACY 10-5169	2252 NORTH 8TH STREET	SUITE A	ROGERS	AR	72756	01/01/2024
CH04895H	WALMART PHARMACY 10-5169	2252 NORTH 8TH STREET	SUITE A	ROGERS	AR	72756	01/01/2024
CH04895B	WALMART PHARMACY 10-5169	2252 NORTH 8TH STREET	SUITE A	ROGERS	AR	72756	01/01/2024
CH04895F	WALMART PHARMACY 10-5169	2252 NORTH 8TH STREET	SUITE A	ROGERS	AR	72756	01/01/2024
CH04895J	WALMART PHARMACY 10-5169	2252 NORTH 8TH STREET	SUITE A	ROGERS	AR	72756	01/01/2024
CH04895N	WALMART PHARMACY 10-5169	2252 NORTH 8TH STREET	SUITE A	ROGERS	AR	72756	01/01/2024
CH04895M	WALMART PHARMACY 10-5169	2252 NORTH 8TH STREET	SUITE A	ROGERS	AR	72756	01/01/2024
CH04895K	WALMART PHARMACY 10-5169	2252 NORTH 8TH STREET	SUITE A	ROGERS	AR	72756	01/01/2024
CH048950	WALMART PHARMACY 10-5769	3871 WEST MAIN STREET		DOTHAN	AL	36305	04/01/2021
CH04895A	WALMART PHARMACY 10-5769	3871 WEST MAIN STREET		DOTHAN	AL	36305	01/01/2024
CH04895G	WALMART PHARMACY 10-5769	3871 WEST MAIN STREET		DOTHAN	AL	36305	01/01/2024
CH04895B	WALMART PHARMACY 10-5769	3871 WEST MAIN STREET		DOTHAN	AL	36305	01/01/2024
CH04895F	WALMART PHARMACY 10-5769	3871 WEST MAIN STREET		DOTHAN	AL	36305	01/01/2024
CH04895H	WALMART PHARMACY 10-5769	3871 WEST MAIN STREET		DOTHAN	AL	36305	01/01/2024
CH04895D	WALMART PHARMACY 10-5769	3871 WEST MAIN STREET		DOTHAN	AL	36305	01/01/2024
CH04895N	WALMART PHARMACY 10-5769	3871 WEST MAIN STREET		DOTHAN	AL	36305	01/01/2024
CH04895J	WALMART PHARMACY 10-5769	3871 WEST MAIN STREET		DOTHAN	AL	36305	01/01/2024
CH04895M	WALMART PHARMACY 10-5769	3871 WEST MAIN STREET		DOTHAN	AL	36305	01/01/2024
CH04895K	WALMART PHARMACY 10-5769	3871 WEST MAIN STREET		DOTHAN	AL	36305	01/01/2024
CH04895A	Walmart Pharmacy 10-7611	2501 Perry Rd		Plainfield	IN	46168	01/01/2024
CH04895F	Walmart Pharmacy 10-7611	2501 Perry Rd		Plainfield	IN	46168	01/01/2024
CH04895B	Walmart Pharmacy 10-7611	2501 Perry Rd		Plainfield	IN	46168	01/01/2024
CH04895G	Walmart Pharmacy 10-7611	2501 Perry Rd		Plainfield	IN	46168	01/01/2024
CH04895H	Walmart Pharmacy 10-7611	2501 Perry Rd		Plainfield	IN	46168	01/01/2024
CH048950	Walmart Pharmacy 10-7611	2501 Perry Rd		Plainfield	IN	46168	01/01/2024
CH04895K	Walmart Pharmacy 10-7611	2501 Perry Rd		Plainfield	IN	46168	01/01/2024
CH04895N	Walmart Pharmacy 10-7611	2501 Perry Rd		Plainfield	IN	46168	01/01/2024
CH04895M	Walmart Pharmacy 10-7611	2501 Perry Rd		Plainfield	IN	46168	01/01/2024
CH04895J	Walmart Pharmacy 10-7611	2501 Perry Rd		Plainfield	IN	46168	01/01/2024
CH048950	WIREGRASS COMM PHARMACY	PO BOX 367	430 BROADWAY	ASHFORD	AL	36312-0367	07/01/2015	11/10/2023
CH04895A	WIREGRASS COMM PHARMACY	PO BOX 367	430 BROADWAY	ASHFORD	AL	36312-0367	01/01/2024	11/10/2023
CH04895D	WIREGRASS COMM PHARMACY	PO BOX 367	430 BROADWAY	ASHFORD	AL	36312-0367	01/01/2024	11/10/2023
CH04895G	WIREGRASS COMM PHARMACY	PO BOX 367	430 BROADWAY	ASHFORD	AL	36312-0367	01/01/2024	11/10/2023
CH04895F	WIREGRASS COMM PHARMACY	PO BOX 367	430 BROADWAY	ASHFORD	AL	36312-0367	01/01/2024	11/10/2023
CH04895H	WIREGRASS COMM PHARMACY	PO BOX 367	430 BROADWAY	ASHFORD	AL	36312-0367	01/01/2024	11/10/2023
CH04895B	WIREGRASS COMM PHARMACY	PO BOX 367	430 BROADWAY	ASHFORD	AL	36312-0367	01/01/2024	11/10/2023
CH04895N	WIREGRASS COMM PHARMACY	PO BOX 367	430 BROADWAY	ASHFORD	AL	36312-0367	01/01/2024	11/10/2023
CH04895M	WIREGRASS COMM PHARMACY	PO BOX 367	430 BROADWAY	ASHFORD	AL	36312-0367	01/01/2024	11/10/2023
CH04895J	WIREGRASS COMM PHARMACY	PO BOX 367	430 BROADWAY	ASHFORD	AL	36312-0367	01/01/2024	11/10/2023
CH04895K	WIREGRASS COMM PHARMACY	PO BOX 367	430 BROADWAY	ASHFORD	AL	36312-0367	01/01/2024	11/10/2023
CH048950	WIREGRASS DRUGS INC	D/B/A CENTER DRUG STORE	702 W MAPLE AVE	GENEVA	AL	36340-1632	01/01/2016	07/31/2017
CH04895Q	WIREGRASS DRUGS INC	D/B/A CENTER DRUG STORE	702 W MAPLE AVE	GENEVA	AL	36340-1632	04/01/2025	03/12/2025

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Contacts	Authorizing Official	Update	Group Change Request	Bowers, Pamylon Chief Executive Officer Southeast Alabama Rural Health Associates 3346706726-173	Bowers, Pamylon CEO Southeast Alabama Rural Health Associates 3346706726	3/19/2025 7:35 AM
Contacts	Primary Contact	Update	Group Change Request	Pope, Lori Director of Clinical Informatics Southeast Alabama Rural Health Associates 3346706726	Pope, Lori Bullock Director of Clinical Informatics Southeast Alabama Rural Health Associates 3346706726	3/19/2025 7:35 AM
Details	Last Recertification Date	Update	Recertification	1/29/2024 10:14:23 AM	2/10/2025 12:37:22 PM	2/10/2025 12:37 PM
Details	Last Recertification Date	Update	Recertification	2/2/2023 3:30:39 PM	1/29/2024 10:14:23 AM	1/29/2024 10:14 AM
Medicaid Billing	Medicaid: Is Primary	Insert	Group Change Request		False	10/10/2023 5:40 PM
Medicaid Billing	Medicaid: Number	Insert	Group Change Request		306757	10/10/2023 5:40 PM
Medicaid Billing	Medicaid: State	Insert	Group Change Request		AL	10/10/2023 5:40 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Group Change Request		False	10/10/2023 5:40 PM
Medicaid Billing	Medicaid: Number	Insert	Group Change Request		309141	10/10/2023 5:40 PM
Medicaid Billing	Medicaid: State	Insert	Group Change Request		AL	10/10/2023 5:40 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Group Change Request		False	10/10/2023 5:40 PM
Medicaid Billing	Medicaid: Number	Insert	Group Change Request		298916	10/10/2023 5:40 PM
Medicaid Billing	Medicaid: State	Insert	Group Change Request		AL	10/10/2023 5:40 PM
Medicaid Billing	NPI: Number	Insert	Group Change Request		1306247796	10/10/2023 5:40 PM
Medicaid Billing	NPI: State	Insert	Group Change Request		AL	10/10/2023 5:40 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Change Request		False	3/8/2023 11:52 AM
Medicaid Billing	Medicaid: Number	Insert	Change Request		291083	3/8/2023 11:52 AM
Medicaid Billing	Medicaid: State	Insert	Change Request		AL	3/8/2023 11:52 AM
Medicaid Billing	Medicaid: Is Primary	Insert	Change Request		False	3/8/2023 11:52 AM
Medicaid Billing	Medicaid: Number	Insert	Change Request		282427	3/8/2023 11:52 AM
Medicaid Billing	Medicaid: State	Insert	Change Request		AL	3/8/2023 11:52 AM
Medicaid Billing	Medicaid: Is Primary	Insert	Change Request		False	3/8/2023 11:52 AM
Medicaid Billing	Medicaid: Number	Insert	Change Request		282605	3/8/2023 11:52 AM
Medicaid Billing	Medicaid: State	Insert	Change Request		AL	3/8/2023 11:52 AM
Medicaid Billing	Medicaid: Is Primary	Insert	Change Request		False	3/8/2023 11:52 AM
Medicaid Billing	Medicaid: Number	Insert	Change Request		284855	3/8/2023 11:52 AM
Medicaid Billing	Medicaid: State	Insert	Change Request		AL	3/8/2023 11:52 AM
Medicaid Billing	Medicaid: Is Primary	Insert	Change Request		False	3/8/2023 11:52 AM
Medicaid Billing	Medicaid: Number	Insert	Change Request		295225	3/8/2023 11:52 AM
Medicaid Billing	Medicaid: State	Insert	Change Request		AL	3/8/2023 11:52 AM
Medicaid Billing	Medicaid: Is Primary	Insert	Change Request		False	3/8/2023 11:52 AM
Medicaid Billing	Medicaid: Number	Insert	Change Request		280895	3/8/2023 11:52 AM
Medicaid Billing	Medicaid: State	Insert	Change Request		AL	3/8/2023 11:52 AM
Medicaid Billing	Medicaid: Is Primary	Insert	Change Request		False	3/8/2023 11:52 AM
Medicaid Billing	Medicaid: Number	Insert	Change Request		287139	3/8/2023 11:52 AM
Medicaid Billing	Medicaid: State	Insert	Change Request		AL	3/8/2023 11:52 AM
Medicaid Billing	Medicaid: Is Primary	Insert	Change Request		False	3/8/2023 11:52 AM
Medicaid Billing	Medicaid: Number	Insert	Change Request		289582	3/8/2023 11:52 AM
Medicaid Billing	Medicaid: State	Insert	Change Request		AL	3/8/2023 11:52 AM
Medicaid Billing	Medicaid: Is Primary	Insert	Change Request		False	3/8/2023 11:52 AM
Medicaid Billing	Medicaid: Number	Insert	Change Request		291921	3/8/2023 11:52 AM
Medicaid Billing	Medicaid: State	Insert	Change Request		AL	3/8/2023 11:52 AM
Medicaid Billing	Medicaid: Is Primary	Insert	Change Request		False	3/8/2023 11:52 AM
Medicaid Billing	Medicaid: Number	Insert	Change Request		279447	3/8/2023 11:52 AM
Medicaid Billing	Medicaid: State	Insert	Change Request		AL	3/8/2023 11:52 AM
Medicaid Billing	Medicaid: Is Primary	Insert	Change Request		False	3/8/2023 11:52 AM
Medicaid Billing	Medicaid: Number	Insert	Change Request		281487	3/8/2023 11:52 AM
Medicaid Billing	Medicaid: State	Insert	Change Request		AL	3/8/2023 11:52 AM
Medicaid Billing	Medicaid: Is Primary	Insert	Change Request		False	3/8/2023 11:52 AM
Medicaid Billing	Medicaid: Number	Insert	Change Request		298039	3/8/2023 11:52 AM
Medicaid Billing	Medicaid: State	Insert	Change Request		AL	3/8/2023 11:52 AM
Medicaid Billing	NPI: Number	Insert	Change Request		1174962971	3/8/2023 11:52 AM
Medicaid Billing	NPI: State	Insert	Change Request		AL	3/8/2023 11:52 AM
Medicaid Billing	NPI: Number	Insert	Change Request		1639117534	3/8/2023 11:52 AM
Medicaid Billing	NPI: State	Insert	Change Request		AL	3/8/2023 11:52 AM
Medicaid Billing	NPI: Number	Insert	Change Request		1215901517	3/8/2023 11:52 AM
Medicaid Billing	NPI: State	Insert	Change Request		AL	3/8/2023 11:52 AM
Details	Last Recertification Date	Update	Recertification	2/8/2022 2:53:15 PM	2/2/2023 3:30:39 PM	2/2/2023 3:30 PM
Medicaid Billing	Medicaid: Number	Delete	Recertification	102521 (AL)		2/8/2022 2:53 PM
Medicaid Billing	Medicaid: Number	Delete	Recertification	163453 (AL)		2/8/2022 2:53 PM
Medicaid Billing	Medicaid: Number	Delete	Recertification	197130 (AL)		2/8/2022 2:53 PM
Medicaid Billing	Medicaid: Number	Delete	Recertification	211618 (AL)		2/8/2022 2:53 PM
Medicaid Billing	Medicaid: Number	Delete	Recertification	213586 (AL)		2/8/2022 2:53 PM
Medicaid Billing	Medicaid: Number	Delete	Recertification	242451 (AL)		2/8/2022 2:53 PM
Medicaid Billing	Medicaid: Number	Delete	Recertification	243879 (AL)		2/8/2022 2:53 PM
Medicaid Billing	Medicaid: Number	Delete	Recertification	244174 (AL)		2/8/2022 2:53 PM
Medicaid Billing	Medicaid: Number	Delete	Recertification	244753 (AL)		2/8/2022 2:53 PM
Medicaid Billing	Medicaid: Number	Delete	Recertification	247161 (AL)		2/8/2022 2:53 PM
Medicaid Billing	Medicaid: Number	Delete	Recertification	247241 (AL)		2/8/2022 2:53 PM
Medicaid Billing	Medicaid: Number	Delete	Recertification	247254 (AL)		2/8/2022 2:53 PM
Medicaid Billing	Medicaid: Number	Delete	Recertification	249672 (AL)		2/8/2022 2:53 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/8/2022 2:53 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		278007	2/8/2022 2:53 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/8/2022 2:53 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/8/2022 2:53 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		271868	2/8/2022 2:53 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/8/2022 2:53 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/8/2022 2:53 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		258442	2/8/2022 2:53 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/8/2022 2:53 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/8/2022 2:53 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		263121	2/8/2022 2:53 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/8/2022 2:53 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/8/2022 2:53 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		271849	2/8/2022 2:53 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/8/2022 2:53 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/8/2022 2:53 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		263564	2/8/2022 2:53 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/8/2022 2:53 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/8/2022 2:53 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		270041	2/8/2022 2:53 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/8/2022 2:53 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/8/2022 2:53 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		267406	2/8/2022 2:53 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/8/2022 2:53 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/8/2022 2:53 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		263462	2/8/2022 2:53 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/8/2022 2:53 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/8/2022 2:53 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		273231	2/8/2022 2:53 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/8/2022 2:53 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/8/2022 2:53 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		258310	2/8/2022 2:53 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/8/2022 2:53 PM
Medicaid Billing	NPI: Number	Delete	Recertification	1225346265 (AL)		2/8/2022 2:53 PM
Medicaid Billing	NPI: Number	Delete	Recertification	1295143733 (AL)		2/8/2022 2:53 PM
Medicaid Billing	NPI: Number	Delete	Recertification	1295198687 (AL)		2/8/2022 2:53 PM
Medicaid Billing	NPI: Number	Delete	Recertification	1427561976 (AL)		2/8/2022 2:53 PM
Medicaid Billing	NPI: Number	Delete	Recertification	1457806754 (AL)		2/8/2022 2:53 PM
Medicaid Billing	NPI: Number	Delete	Recertification	1730568171 (AL)		2/8/2022 2:53 PM
Medicaid Billing	NPI: Number	Delete	Recertification	1871591933 (AL)		2/8/2022 2:53 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1548846926	2/8/2022 2:53 PM
Medicaid Billing	NPI: State	Insert	Recertification		AL	2/8/2022 2:53 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1528609146	2/8/2022 2:53 PM
Medicaid Billing	NPI: State	Insert	Recertification		AL	2/8/2022 2:53 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1598768145	2/8/2022 2:53 PM
Medicaid Billing	NPI: State	Insert	Recertification		AL	2/8/2022 2:53 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1891794822	2/8/2022 2:53 PM
Medicaid Billing	NPI: State	Insert	Recertification		AL	2/8/2022 2:53 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1184110850	2/8/2022 2:53 PM
Medicaid Billing	NPI: State	Insert	Recertification		AL	2/8/2022 2:53 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1639793334	2/8/2022 2:53 PM
Medicaid Billing	NPI: State	Insert	Recertification		AL	2/8/2022 2:53 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1508531757	2/8/2022 2:53 PM
Medicaid Billing	NPI: State	Insert	Recertification		AL	2/8/2022 2:53 PM
Details	Last Recertification Date	Update	Recertification	2/16/2021 2:38:31 PM	2/8/2022 2:53:15 PM	2/8/2022 2:53 PM
Contacts	Primary Contact	Update	Change Request	Pope, Lori Director of Clinical Informatics Southeast Alabama Rural Health Associates 3346706726	Pope, Lori Director of Clinical Informatics Southeast Alabama Rural Health Associates 3346706726	2/16/2021 8:36 PM
Medicaid Billing	Medicaid: Number	Delete	Recertification	213586 (AL)		2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		100479	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		102516	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		102521	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		123522	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		125522	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		125526	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		125758	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		131843	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		135365	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		140056	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		141152	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		142098	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		145394	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		145546	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		146366	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		147269	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		147668	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		148732	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		148944	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		150467	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		151229	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		155595	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		157918	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		159823	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		163453	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		167510	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		177422	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		177905	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		178250	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		181095	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		182563	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		183310	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		183344	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		184541	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		185415	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		187684	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		188267	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		191426	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		193667	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		194000	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		194489	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		195503	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		195719	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		196165	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		197130	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		203490	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		206758	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		208487	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		211425	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		211618	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		213519	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		213586	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		214554	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		215779	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		217938	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		240284	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		242451	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		243879	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		244174	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		244753	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		247161	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		247241	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		247254	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		249672	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		261369	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		630000018	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		630002018	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		630003018	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		630004018	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		630005018	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		630006018	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		630007018	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		631802004	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		631802019	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		631802047	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		631803004	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		631803019	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		631804004	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		631804029	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		631805004	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		631805020	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		631805029	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		631805035	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		631805043	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		631806019	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Delete	Recertification	141152 (AL)		2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Delete	Recertification	140056 (AL)		2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Delete	Recertification	168373 (AL)		2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Delete	Recertification	181095 (AL)		2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Delete	Recertification	147269 (AL)		2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Delete	Recertification	148732 (AL)		2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Delete	Recertification	150467 (AL)		2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Delete	Recertification	147668 (AL)		2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Delete	Recertification	148944 (AL)		2/16/2021 2:38 PM
Medicaid Billing	Medicaid: Number	Delete	Recertification	630000018 (AL)		2/16/2021 2:38 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1023290608	2/16/2021 2:38 PM
Medicaid Billing	NPI: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1033240601	2/16/2021 2:38 PM
Medicaid Billing	NPI: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1043220585	2/16/2021 2:38 PM
Medicaid Billing	NPI: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1063573301	2/16/2021 2:38 PM
Medicaid Billing	NPI: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1063879054	2/16/2021 2:38 PM
Medicaid Billing	NPI: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1063925626	2/16/2021 2:38 PM
Medicaid Billing	NPI: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1063956233	2/16/2021 2:38 PM
Medicaid Billing	NPI: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1154508380	2/16/2021 2:38 PM
Medicaid Billing	NPI: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1164432308	2/16/2021 2:38 PM
Medicaid Billing	NPI: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1194087593	2/16/2021 2:38 PM
Medicaid Billing	NPI: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1225346265	2/16/2021 2:38 PM
Medicaid Billing	NPI: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1295143733	2/16/2021 2:38 PM
Medicaid Billing	NPI: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1295198687	2/16/2021 2:38 PM
Medicaid Billing	NPI: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1295278653	2/16/2021 2:38 PM
Medicaid Billing	NPI: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1346259314	2/16/2021 2:38 PM
Medicaid Billing	NPI: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1366623886	2/16/2021 2:38 PM
Medicaid Billing	NPI: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1417946930	2/16/2021 2:38 PM
Medicaid Billing	NPI: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1427561976	2/16/2021 2:38 PM
Medicaid Billing	NPI: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1457806754	2/16/2021 2:38 PM
Medicaid Billing	NPI: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1548652555	2/16/2021 2:38 PM
Medicaid Billing	NPI: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1558321786	2/16/2021 2:38 PM
Medicaid Billing	NPI: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1568430056	2/16/2021 2:38 PM
Medicaid Billing	NPI: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1578625125	2/16/2021 2:38 PM
Medicaid Billing	NPI: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1598775744	2/16/2021 2:38 PM
Medicaid Billing	NPI: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1619391265	2/16/2021 2:38 PM
Medicaid Billing	NPI: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1659658391	2/16/2021 2:38 PM
Medicaid Billing	NPI: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1710048053	2/16/2021 2:38 PM
Medicaid Billing	NPI: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1710118898	2/16/2021 2:38 PM
Medicaid Billing	NPI: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1710933098	2/16/2021 2:38 PM
Medicaid Billing	NPI: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1720098809	2/16/2021 2:38 PM
Medicaid Billing	NPI: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1730568171	2/16/2021 2:38 PM
Medicaid Billing	NPI: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1740580422	2/16/2021 2:38 PM
Medicaid Billing	NPI: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1780745034	2/16/2021 2:38 PM
Medicaid Billing	NPI: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1801829643	2/16/2021 2:38 PM
Medicaid Billing	NPI: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1811251010	2/16/2021 2:38 PM
Medicaid Billing	NPI: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1871591933	2/16/2021 2:38 PM
Medicaid Billing	NPI: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1891856134	2/16/2021 2:38 PM
Medicaid Billing	NPI: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1922018183	2/16/2021 2:38 PM
Medicaid Billing	NPI: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1942302435	2/16/2021 2:38 PM
Medicaid Billing	NPI: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1942582242	2/16/2021 2:38 PM
Medicaid Billing	NPI: State	Insert	Recertification		AL	2/16/2021 2:38 PM
Medicaid Billing	NPI: Number	Delete	Recertification	1194087593 ( )		2/16/2021 2:38 PM
Medicaid Billing	NPI: Number	Delete	Recertification	1568430056 ( )		2/16/2021 2:38 PM
Medicaid Billing	NPI: Number	Delete	Recertification	1043251036 ( )		2/16/2021 2:38 PM
Medicaid Billing	NPI: Number	Delete	Recertification	1033240601 ( )		2/16/2021 2:38 PM
Medicaid Billing	NPI: Number	Delete	Recertification	1558321786 ( )		2/16/2021 2:38 PM
Medicaid Billing	NPI: Number	Delete	Recertification	1366623886 ( )		2/16/2021 2:38 PM
Medicaid Billing	NPI: Number	Delete	Recertification	1710118898 ( )		2/16/2021 2:38 PM
Medicaid Billing	NPI: Number	Delete	Recertification	1164432308 ( )		2/16/2021 2:38 PM
Medicaid Billing	NPI: Number	Delete	Recertification	1417946930 ( )		2/16/2021 2:38 PM
Medicaid Billing	NPI: Number	Delete	Recertification	1043220585 ( )		2/16/2021 2:38 PM
Medicaid Billing	NPI: Number	Delete	Recertification	1457806754 ( )		2/16/2021 2:38 PM
Details	Last Recertification Date	Update	Recertification	2/4/2020 5:05:13 PM	2/16/2021 2:38:31 PM	2/16/2021 2:38 PM
Contacts	Authorizing Official	Update	AO Change Request	Pope, Lori Director of Clinical Informatics Southeast Alabama Rural Health Associates 3346706726	Bowers, Pamylon Chief Executive Officer Southeast Alabama Rural Health Associates 3346706726-173	2/16/2021 1:55 PM
Contacts	Authorizing Official	Update	AO Change Request	LITTLE, JOHN A. CEO Southeast Alabama Rural Health Associates 3346706726	Pope, Lori Director of Clinical Informatics Southeast Alabama Rural Health Associates 3346706726	2/16/2021 9:09 AM
Contacts	Primary Contact	Update	Profile Change Request	Pope, Lori Dir QA/RM Southeast Alabama Rural Health Associates 3346706726-176	Pope, Lori Director of Clinical Informatics Southeast Alabama Rural Health Associates 3346706726	1/22/2021 5:26 PM
Details	Last Recertification Date	Update	Recertification	2/8/2019 10:08:35 AM	2/4/2020 5:05:13 PM	2/4/2020 5:05 PM
Details	Last Recertification Date	Update	Recertification	2/7/2018 3:00:00 PM	2/8/2019 10:08:35 AM	2/8/2019 10:08 AM
Medicaid Billing	Medicaid: Is Primary	Insert	Change Request		False	1/11/2019 12:08 PM
Medicaid Billing	Medicaid: Number	Insert	Change Request		213586	1/11/2019 12:08 PM
Medicaid Billing	Medicaid: State	Insert	Change Request		AL	1/11/2019 12:08 PM
Medicaid Billing	NPI: Number	Insert	Change Request		1457806754	1/11/2019 12:08 PM
Details	Last Recertification Date	Update	Recertification	2/1/2017 12:00:00 AM	2/7/2018 3:00:00 PM	2/7/2018 3:00 PM
Contacts	Authorizing Official	Update		LITTLE, JOHN A. CEO 3346706726	LITTLE, JOHN A. CEO Southeast Alabama Rural Health Associates 3346706726	9/18/2017 4:49 PM
Contacts	Signed By	Update		LITTLE, JOHN A. CEO 3346706726	LITTLE, JOHN A. CEO Southeast Alabama Rural Health Associates 3346706726	9/18/2017 4:49 PM
Contacts	Primary Contact	Update		Pope, Lori Dir QA/RM 3346706726	Pope, Lori Dir QA/RM Southeast Alabama Rural Health Associates 3346706726-176	9/18/2017 4:29 PM
Contacts	Authorizing Official	Insert			LITTLE, JOHN A. CEO 3346706726	7/27/2017 6:09 PM
Contacts	Signed By	Insert			LITTLE, JOHN A. CEO 3346706726	7/27/2017 6:09 PM
Contacts	Primary Contact	Update		Bradford, Melissa DPD 3346706726	Pope, Lori Dir QA/RM 3346706726	7/26/2017 11:55 AM
Addresses	Main Address	Insert			4300 West Main Street Suite 300 Dothan, AL 36305	3/14/2017 4:39 PM
Addresses	Billing Address	Insert			Southeast Alabama Rural Health Associates 1414 Elba Hwy Troy, AL 36079	3/14/2017 4:39 PM
Addresses	Shipping Address	Insert			Dothan Family Health Center 4300 West Main Street Suite 300 Dothan, AL 36305	3/14/2017 4:39 PM
Medicaid Billing	Medicaid: Is Primary	Insert			False	3/14/2017 4:39 PM
Medicaid Billing	Medicaid: Number	Insert			630000018	3/14/2017 4:39 PM
Medicaid Billing	Medicaid: State	Insert			AL	3/14/2017 4:39 PM
Medicaid Billing	NPI: Number	Insert			1043220585	3/14/2017 4:39 PM
Medicaid Billing	Medicaid: Is Primary	Insert			False	3/14/2017 3:39 PM
Medicaid Billing	Medicaid: Number	Insert			141152	3/14/2017 3:39 PM
Medicaid Billing	Medicaid: State	Insert			AL	3/14/2017 3:39 PM
Medicaid Billing	Medicaid: Is Primary	Insert			False	3/14/2017 3:39 PM
Medicaid Billing	Medicaid: Number	Insert			140056	3/14/2017 3:39 PM
Medicaid Billing	Medicaid: State	Insert			AL	3/14/2017 3:39 PM
Medicaid Billing	Medicaid: Is Primary	Insert			False	3/14/2017 3:39 PM
Medicaid Billing	Medicaid: Number	Insert			168373	3/14/2017 3:39 PM
Medicaid Billing	Medicaid: State	Insert			AL	3/14/2017 3:39 PM
Medicaid Billing	Medicaid: Is Primary	Insert			False	3/14/2017 3:39 PM
Medicaid Billing	Medicaid: Number	Insert			181095	3/14/2017 3:39 PM
Medicaid Billing	Medicaid: State	Insert			AL	3/14/2017 3:39 PM
Medicaid Billing	Medicaid: Is Primary	Insert			False	3/14/2017 3:39 PM
Medicaid Billing	Medicaid: Number	Insert			147269	3/14/2017 3:39 PM
Medicaid Billing	Medicaid: State	Insert			AL	3/14/2017 3:39 PM
Medicaid Billing	Medicaid: Is Primary	Insert			False	3/14/2017 3:39 PM
Medicaid Billing	Medicaid: Number	Insert			148732	3/14/2017 3:39 PM
Medicaid Billing	Medicaid: State	Insert			AL	3/14/2017 3:39 PM
Medicaid Billing	Medicaid: Is Primary	Insert			False	3/14/2017 3:39 PM
Medicaid Billing	Medicaid: Number	Insert			150467	3/14/2017 3:39 PM
Medicaid Billing	Medicaid: State	Insert			AL	3/14/2017 3:39 PM
Medicaid Billing	Medicaid: Is Primary	Insert			False	3/14/2017 3:39 PM
Medicaid Billing	Medicaid: Number	Insert			147668	3/14/2017 3:39 PM
Medicaid Billing	Medicaid: State	Insert			AL	3/14/2017 3:39 PM
Medicaid Billing	Medicaid: Is Primary	Insert			False	3/14/2017 3:39 PM
Medicaid Billing	Medicaid: Number	Insert			148944	3/14/2017 3:39 PM
Medicaid Billing	Medicaid: State	Insert			AL	3/14/2017 3:39 PM
Medicaid Billing	NPI: Number	Insert			1194087593	3/14/2017 3:39 PM
Medicaid Billing	NPI: Number	Insert			1568430056	3/14/2017 3:39 PM
Medicaid Billing	NPI: Number	Insert			1043251036	3/14/2017 3:39 PM
Medicaid Billing	NPI: Number	Insert			1033240601	3/14/2017 3:39 PM
Medicaid Billing	NPI: Number	Insert			1558321786	3/14/2017 3:39 PM
Medicaid Billing	NPI: Number	Insert			1366623886	3/14/2017 3:39 PM
Medicaid Billing	NPI: Number	Insert			1710118898	3/14/2017 3:39 PM
Medicaid Billing	NPI: Number	Insert			1164432308	3/14/2017 3:39 PM
Medicaid Billing	NPI: Number	Insert			1417946930	3/14/2017 3:39 PM
Contacts	Primary Contact	Insert			Bradford, Melissa DPD 3346706726	2/1/2017 5:46 PM
Details	Last Recertification Date	Update		2/15/2016 12:00:00 AM	2/1/2017 12:00:00 AM	2/1/2017 5:46 PM
Details	Last Recertification Date	Update		2/11/2015 12:00:00 AM	2/15/2016 12:00:00 AM	2/15/2016 9:54 AM
Details	Last Recertification Date	Update		3/13/2014 12:00:00 AM	2/11/2015 12:00:00 AM	2/11/2015 10:06 AM
Details	Last Recertification Date	Update		4/1/2013 12:00:00 AM	3/13/2014 12:00:00 AM	3/13/2014 4:24 PM
Details	Last Recertification Date	Update			4/1/2013 12:00:00 AM	3/26/2013 11:12 AM
Details	340B ID	Update		IS-FF-CH04895M	CH04895M	7/24/2012 10:44 AM
Dates	Participating Approval Date	Update			7/24/2012 12:00:00 AM	7/24/2012 10:44 AM
Details	State	Update		Pending	Active	7/24/2012 10:44 AM
Dates	Start Date	Update			10/1/2012 12:00:00 AM	7/24/2012 10:44 AM
Details	340B ID	Update		ONLINE_REG	IS-FF-CH04895M	7/23/2012 5:04 PM
Details	Last Recertification Date	Insert				6/25/2012 11:01 AM
Details	Grant Number	Insert			H80CS00376	6/25/2012 11:01 AM
Details	340B ID	Insert			ONLINE_REG	6/25/2012 11:01 AM
Details	Is Authorizing Official EHB Data	Insert				6/25/2012 11:01 AM
Dates	Last Date That 340B Drugs Purchased	Insert				6/25/2012 11:01 AM
Details	Medicare Provider Number	Insert				6/25/2012 11:01 AM
Details	Entity Name	Insert			Southeast Alabama Rural Health Associates	6/25/2012 11:01 AM
Details	Program Code	Insert			CH	6/25/2012 11:01 AM
Details	Entity Subname	Insert			Dothan Family Health Center	6/25/2012 11:01 AM
Dates	Participating Approval Date	Insert				6/25/2012 11:01 AM
Details	State	Insert			Pending	6/25/2012 11:01 AM
Dates	Registration Date	Insert			6/25/2012 12:00:00 AM	6/25/2012 11:01 AM
Dates	Signed By Date	Insert			6/25/2012 12:00:00 AM	6/25/2012 11:01 AM
Dates	Start Date	Insert				6/25/2012 11:01 AM
Terminations	Termination Comments	Insert				6/25/2012 11:01 AM
Terminations	Termination Date	Insert				6/25/2012 11:01 AM
Terminations	Termination Effective Date	Insert				6/25/2012 11:01 AM
Terminations	Termination Reason	Insert				6/25/2012 11:01 AM

340B Drug Pricing Program Database