Covered Entity Details

CHC26604-03 NEIGHBORHOOD OUTREACH ACCESS TO HEALTH (Terminated) - information as of 5/6/2025 11:04:53 PM

Main Details

Name

NEIGHBORHOOD OUTREACH ACCESS TO HEALTH

Subdivision Name

NOAH Balsz Health Center

Type

HRSA-Funded Health Center

Site ID

BPS-H80-013226

340B ID

CHC26604-03

Grant Number

H80CS26604

Additional Details

Current Program Status

Terminated

Registration Date

4/15/2014

Participating Start Date

7/1/2014

Participating Approval Date

4/30/2014

Last Recertification Date

1/31/2019

Termination Date
Termination Reason

1/1/2020
Business decision by the Covered Entity

Contacts

Authorizing Official

Neighborhood Outreach Access to Health
Wendy Armendariz, Chief Executive Officer
(602) 786-0003

Primary Contact

Neighborhood Outreach Access to Health
Julia Nierad, Chief Financial Officer
(602) 786-0004

Addresses

Street Address

1300 N 48th Street
Phoenix, AZ 85008

Billing Address

Neighborhood Outreach Access to Health
3634 N. Drinkwater Blvd
Scottsdale, AZ 85251

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
AZ	552822,949792
		1790189991,1942518550

Shipping Addresses

Shipping Address 1

Neighborhood Outreach Access to Health
7301 E. Second St.
Suite 210
Scottsdale, AZ 85251

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Carve-In Effective Date	Termination Date	Last Updated On
No records to display.

Grantee Sites

340B ID	340B Status	SiteId	Name	Sub Name	Address	City	State
CHC26604-00	Terminated	BPS-H80-013119	NEIGHBORHOOD OUTREACH ACCESS TO HEALTH	Heuser Family Health Center	7301 E 2nd Street # 210	Scottsdale	AZ
CHC26604-01	Terminated	BPS-H80-013138	NEIGHBORHOOD OUTREACH ACCESS TO HEALTH	NOAH Mobile Clinic	3634 N. Drinkwater Boulevard	Scottsdale	AZ
CHC26604-02	Active	BPS-H80-021282	NEIGHBORHOOD OUTREACH ACCESS TO HEALTH	Palomino Health Center	16251 N. Cave Creek Road	Phoenix	AZ
CHC26604-03	Terminated	BPS-H80-013226	NEIGHBORHOOD OUTREACH ACCESS TO HEALTH	NOAH Balsz Health Center	1300 N 48th Street	Phoenix	AZ
CHC26604-04	Active	BPS-H80-034407	NEIGHBORHOOD OUTREACH ACCESS TO HEALTH	Cholla Health Center	8705 E. McDowell Rd.	SCOTTSDALE	AZ
CHC26604-05	Active	BPS-H80-033606	NEIGHBORHOOD OUTREACH ACCESS TO HEALTH	Desert Mission Health Center	9015 N 3rd St	PHOENIX	AZ
CHC26604-06	Terminated	BPS-H80-018506	NEIGHBORHOOD OUTREACH ACCESS TO HEALTH	Calavar Family Health Center	3525 W. Calavar Road	Phoenix	AZ
CHC26604-07	Terminated	BPS-H80-018628	NEIGHBORHOOD OUTREACH ACCESS TO HEALTH	Sierra Health Center	6206 W. Bell Rd.	Glendale	AZ
CHC26604-08	Active	BPS-H80-026011	NEIGHBORHOOD OUTREACH ACCESS TO HEALTH	Copperwood Health Center	11851 N. 51st Avenue, BLDG B110	Glendale	AZ
CHC26604-09	Active	BPS-H80-027544	NEIGHBORHOOD OUTREACH ACCESS TO HEALTH	Midtown Health Center	4131 N. 24th St.	Phoenix	AZ
CHC26604-10	Terminated	BPS-H80-020766	NEIGHBORHOOD OUTREACH ACCESS TO HEALTH	Heuser Pediatric Dental	7301 E. Second Street, Suite 300	Scottsdale	AZ
CHC26604-11	Active	BPS-H80-020776	NEIGHBORHOOD OUTREACH ACCESS TO HEALTH	Venado Valley Health Center	20440 N. 27th Avenue	Phoenix	AZ
CHC26604-12	Active	BPS-H80-037030	NEIGHBORHOOD OUTREACH ACCESS TO HEALTH	Copperwood II Health Center	11851 N. 51st Avenue STE F140	Glendale	AZ

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
CHC26604-00	ARIZONA CVS STORES, L.L.C.	DBA: CVS/PHARMACY # 09237	9856 W. PEORIA AVE.	PEORIA	AZ	85345	01/01/2022	04/01/2023
CHC26604-00	ARIZONA CVS STORES, L.L.C.	DBA: CVS/PHARMACY # 09256	3560 WEST PEORIA AVENUE	PHOENIX	AZ	85029	01/01/2022	04/01/2023
CHC26604-00	ARIZONA CVS STORES, L.L.C.	DBA: CVS/PHARMACY # 09312	4323 EAST BELL ROAD	PHOENIX	AZ	85032	01/01/2022	04/01/2023
CHC26604-00	ARIZONA CVS STORES, L.L.C.	DBA CVS/PHARMACY # 8983	5125 W. OLIVE AVE	GLENDALE	AZ	85302	01/01/2022	04/01/2023
CHC26604-00	ARIZONA CVS STORES, L.L.C.	DBA: CVS/PHARMACY # 09202	4742 E. INDIAN SCHOOL	PHOENIX	AZ	85018	01/01/2022	04/01/2023
CHC26604-00	ARIZONA CVS STORES, L.L.C.	DBA: CVS/PHARMACY # 09347	1525 NORTH CENTRAL AVENUE	PHOENIX	AZ	85004	01/01/2022	04/01/2023
CHC26604-00	ARIZONA CVS STORES, L.L.C.	DBA: CVS/PHARMACY # 09328	7901 E THOMAS ROAD	SCOTTSDALE	AZ	85251	01/01/2022	04/01/2023
CHC26604-00	ARIZONA CVS STORES, L.L.C.	DBA: CVS/PHARMACY # 09225	2406 EAST THOMAS RD.	PHOENIX	AZ	85016	01/01/2022	04/01/2023
CHC26604-00	ARIZONA CVS STORES, L.L.C.	DBA: CVS/PHARMACY # 09314	3440 WEST GLENDALE AVE	PHOENIX	AZ	85051	01/01/2022	04/01/2023
CHC26604-00	ARIZONA CVS STORES, L.L.C.	DBA: CVS/PHARMACY # 09340	3610 W ANTHEM WAY	ANTHEM	AZ	85086	01/01/2023	04/01/2023
CHC26604-00	ARIZONA CVS STORES, L.L.C.	DBA: CVS/PHARMACY # 03383	7550 SOUTH 19TH AVE.	PHOENIX	AZ	85041	01/01/2023	04/01/2023
CHC26604-00	ARIZONA CVS STORES, L.L.C.	DBA: CVS/PHARMACY # 08914	50 W. JEFFERSON ST., SUITE 140	PHOENIX	AZ	85003	01/01/2023	04/01/2023
CHC26604-05	ARIZONA CVS STORES, L.L.C.	DBA: CVS/PHARMACY # 09328	7901 E THOMAS ROAD	SCOTTSDALE	AZ	85251	04/01/2023
CHC26604-05	ARIZONA CVS STORES, L.L.C.	DBA: CVS/PHARMACY # 09314	3440 WEST GLENDALE AVE	PHOENIX	AZ	85051	04/01/2023
CHC26604-05	ARIZONA CVS STORES, L.L.C.	DBA: CVS/PHARMACY # 09225	2406 EAST THOMAS RD.	PHOENIX	AZ	85016	04/01/2023
CHC26604-05	ARIZONA CVS STORES, L.L.C.	DBA: CVS/PHARMACY # 09312	4323 EAST BELL ROAD	PHOENIX	AZ	85032	04/01/2023	10/30/2023
CHC26604-05	ARIZONA CVS STORES, L.L.C.	DBA: CVS/PHARMACY # 08914	50 W. JEFFERSON ST., SUITE 140	PHOENIX	AZ	85003	04/01/2023
CHC26604-05	ARIZONA CVS STORES, L.L.C.	DBA: CVS/PHARMACY # 09237	9856 W. PEORIA AVE.	PEORIA	AZ	85345	04/01/2023
CHC26604-05	ARIZONA CVS STORES, L.L.C.	DBA: CVS/PHARMACY # 09340	3610 W ANTHEM WAY	ANTHEM	AZ	85086	04/01/2023
CHC26604-05	ARIZONA CVS STORES, L.L.C.	DBA: CVS/PHARMACY # 09202	4742 E. INDIAN SCHOOL	PHOENIX	AZ	85018	04/01/2023
CHC26604-05	ARIZONA CVS STORES, L.L.C.	DBA: CVS/PHARMACY # 09347	1525 NORTH CENTRAL AVENUE	PHOENIX	AZ	85004	04/01/2023
CHC26604-05	ARIZONA CVS STORES, L.L.C.	DBA CVS/PHARMACY # 8983	5125 W. OLIVE AVE	GLENDALE	AZ	85302	04/01/2023
CHC26604-05	ARIZONA CVS STORES, L.L.C.	DBA: CVS/PHARMACY # 09256	3560 WEST PEORIA AVENUE	PHOENIX	AZ	85029	04/01/2023
CHC26604-05	ARIZONA CVS STORES, L.L.C.	DBA: CVS/PHARMACY # 03383	7550 SOUTH 19TH AVE.	PHOENIX	AZ	85041	04/01/2023
CHC26604-05	ARIZONA CVS STORES, L.L.C.	DBA: CVS/PHARMACY # 09297	6002 NORTH 7TH STREET	PHOENIX	AZ	85014	01/01/2024
CHC26604-08	ARIZONA CVS STORES, L.L.C.	DBA CVS/PHARMACY # 8983	5125 W. OLIVE AVE	GLENDALE	AZ	85302	01/01/2024
CHC26604-09	ARIZONA CVS STORES, L.L.C.	DBA: CVS/PHARMACY # 09256	3560 WEST PEORIA AVENUE	PHOENIX	AZ	85029	01/01/2024
CHC26604-05	ARIZONA CVS STORES, L.L.C.	DBA: CVS/PHARMACY # 09252	14672 N FRANK LLOYD WRIGHT	SCOTTSDALE	AZ	85260	04/01/2024
CHC26604-05	ARIZONA CVS STORES, L.L.C.	DBA: CVS/PHARMACY # 09264	23215 NO PIMA RD.	SCOTTSDALE	AZ	85255	04/01/2024
CHC26604-00	AVELLA OF DEER VALLEY	23620 N 20TH DR #12		PHOENIX	AZ	85085-0621	07/01/2016	04/17/2018
CHC26604-00	AVELLA OF DEER VALLEY, INC. #38	DBA AVELLA SPECIALTY PHARMACY	24416 N. 19TH AVE	PHOENIX	AZ	85085	04/01/2017	04/17/2018
CHC26604-05	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	4900 PROSPECTUS DR STE 300		DURHAM	NC	27713	04/01/2024
CHC26604-05	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	376 NORTHLAKE BLVD		ALTAMONTE SPRINGS	FL	32701-5261	04/01/2024
CHC26604-05	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	13925 YALE AVE STE 145		IRVINE	CA	92620-2670	04/01/2024
CHC26604-00	CAREMARK FLORIDA SPECIALTY PHARMACY LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7930 WOODLAND CENTER BLVD STE 500	TAMPA	FL	33614	01/01/2022	04/01/2023
CHC26604-05	CAREMARK FLORIDA SPECIALTY PHARMACY LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7930 WOODLAND CENTER BLVD STE 500	TAMPA	FL	33614	04/01/2023
CHC26604-00	CAREMARK ILLINOIS SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	800 BIERMANN CT STE B	MOUNT PROSPECT	IL	60056	01/01/2022	04/01/2023
CHC26604-05	CAREMARK ILLINOIS SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	800 BIERMANN CT STE B	MOUNT PROSPECT	IL	60056	04/01/2023
CHC26604-00	CAREMARK KANSAS SPECIALTY PHARMACY	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	11162 RENNER BLVD	LENEXA	KS	66219	01/01/2022	04/01/2023
CHC26604-05	CAREMARK KANSAS SPECIALTY PHARMACY	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	11162 RENNER BLVD	LENEXA	KS	66219	04/01/2023
CHC26604-00	CAREMARK MASSACHUSETTS SPECIALTY PHARMAC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	25 BIRCH STREET, BLDG B, SUITE 100	MILFORD	MA	01757	01/01/2022	04/01/2023
CHC26604-05	CAREMARK MASSACHUSETTS SPECIALTY PHARMAC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	25 BIRCH STREET, BLDG B, SUITE 100	MILFORD	MA	01757	04/01/2023
CHC26604-00	CAREMARK MICHIGAN SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1307 ALLEN DR STE H	TROY	MI	48083	01/01/2022	04/01/2023
CHC26604-05	CAREMARK MICHIGAN SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1307 ALLEN DR STE H	TROY	MI	48083	04/01/2023
CHC26604-00	CAREMARK NEW JERSEY SPECIALTY PHCY, LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	180 PASSAIC AVE UNIT B-5	FAIRFIELD	NJ	07004	01/01/2022	04/01/2023
CHC26604-05	CAREMARK NEW JERSEY SPECIALTY PHCY, LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	180 PASSAIC AVE UNIT B-5	FAIRFIELD	NJ	07004	04/01/2023
CHC26604-00	CAREMARK NORTH CAROLINA SPECIALTY PHARMA	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	10700 WORLD TRADE BLVD STE 110	RALEIGH	NC	27617	01/01/2022	04/01/2023
CHC26604-05	CAREMARK NORTH CAROLINA SPECIALTY PHARMA	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	10700 WORLD TRADE BLVD STE 110	RALEIGH	NC	27617	04/01/2023
CHC26604-00	CAREMARK TENNESSEE SPECIALTY PHARMACY, L	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	8370 WOLF LAKE DR STE 107	BARTLETT	TN	38133	01/01/2022	04/01/2023
CHC26604-05	CAREMARK TENNESSEE SPECIALTY PHARMACY, L	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	8370 WOLF LAKE DR STE 107	BARTLETT	TN	38133	04/01/2023
CHC26604-00	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1127 BRYN MAWR AVE SUITE A	REDLANDS	CA	92374	01/01/2022	04/01/2023
CHC26604-05	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1127 BRYN MAWR AVE SUITE A	REDLANDS	CA	92374	04/01/2023
CHC26604-00	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7251 S. EASTERN AVE.	LAS VEGAS	NV	89119	01/01/2022	04/01/2023
CHC26604-05	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7251 S. EASTERN AVE.	LAS VEGAS	NV	89119	04/01/2023
CHC26604-00	CVS CAREMARK	DBA CVS/CAREMARK OR CF# 11506	1 GREAT VALLEY BOULEVARD	WILKES BARRE	PA	18706	07/01/2022	04/01/2023
CHC26604-05	CVS CAREMARK	DBA CVS/CAREMARK OR CF# 11506	1 GREAT VALLEY BOULEVARD	WILKES BARRE	PA	18706	04/01/2023
CHC26604-00	CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC	DBA CVS/CAREMARK 48067	1780 WALL ST	MT PROSPECT	IL	60056	07/01/2022	04/01/2023
CHC26604-05	CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC	DBA CVS/CAREMARK 48067	1780 WALL ST	MT PROSPECT	IL	60056	04/01/2023
CHC26604-00	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	CAREMARK, LLC	1001 SPINKS ROAD, STE 280	FLOWER MOUND	TX	75028	01/01/2022	04/01/2023
CHC26604-05	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	CAREMARK, LLC	1001 SPINKS ROAD, STE 280	FLOWER MOUND	TX	75028	04/01/2023
CHC26604-00	CYSTIC FIBROSIS SERVICES, LLC	DBA WALGREENS SPECIALTY PHARMACY #16280	10530 JOHN W ELLIOTT DR STE 200	FRISCO	TX	75033	04/01/2021	04/01/2023
CHC26604-05	CYSTIC FIBROSIS SERVICES, LLC	DBA WALGREENS SPECIALTY PHARMACY #16280	10530 JOHN W ELLIOTT DR STE 200	FRISCO	TX	75033	04/01/2023
CHC26604-05	DOGWOOD PHARMACY LLC	D/B/A MEDSCRIPTS MEDICAL PHARMACY	1325 MILLER RD STE K	GREENVILLE	SC	29607-6541	04/01/2024
CHC26604-05	GENOA HEALTHCARE LLC	625 N PLAZA DR		APACHE JUNCTION	AZ	85120	10/01/2024
CHC26604-05	GENOA HEALTHCARE LLC	1201 S 7TH AVE, SUITE 150-P		PHOENIX	AZ	85007	10/01/2024
CHC26604-05	GENOA HEALTHCARE LLC	3271 E QUEEN CREEK RD BLDG 2 STE 101-P		GILBERT	AZ	85297	10/01/2024
CHC26604-05	GENOA HEALTHCARE LLC	4451 E OAK ST STE P1		PHOENIX	AZ	85008	10/01/2024
CHC26604-05	GENOA HEALTHCARE LLC	824 N 99TH AVE STE 106		AVONDALE	AZ	85323	10/01/2024
CHC26604-00	GERMAN DOBSON CVS, L.L.C.	DBA: CVS/PHARMACY # 08366	1610 E CAMELBACK RD	PHOENIX	AZ	85016	01/01/2022	04/01/2023
CHC26604-00	GERMAN DOBSON CVS, L.L.C.	DBA: CVS/PHARMACY # 01759	10 E DUNLAP AVE	PHOENIX	AZ	85020	01/01/2022	04/01/2023
CHC26604-00	GERMAN DOBSON CVS, L.L.C.	DBA: CVS/PHARMACY # 07860	1615 E. BASELINE RD.	PHOENIX	AZ	85042	01/01/2022	04/01/2023
CHC26604-00	GERMAN DOBSON CVS, L.L.C.	DBA: CVS/PHARMACY # 07262	18460 N. 7TH ST.	PHOENIX	AZ	85022	01/01/2022	04/01/2023
CHC26604-00	GERMAN DOBSON CVS, L.L.C.	DBA: CVS/PHARMACY # 07116	1855 W. THUNDERBIRD RD.	PHOENIX	AZ	85023	01/01/2022	04/01/2023
CHC26604-00	GERMAN DOBSON CVS, L.L.C.	DBA: CVS/PHARMACY # 07845	7552 E. INDIAN SCHOOL RD.	SCOTTSDALE	AZ	85251	01/01/2022	04/01/2023
CHC26604-00	GERMAN DOBSON CVS, L.L.C.	CVS/PHARMACY # 17714	1625 E CAMELBACK RD.	PHOENIX	AZ	85016	01/01/2022	04/01/2023
CHC26604-00	GERMAN DOBSON CVS, L.L.C.	CVS/PHARMACY # 2963	711 E. INDIAN SCHOOL RD.	PHOENIX	AZ	85014	01/01/2022	04/01/2023
CHC26604-00	GERMAN DOBSON CVS, L.L.C.	DBA: CVS/PHARMACY # 05778	4040 N. 19TH AVE.	PHOENIX	AZ	85015	01/01/2022	04/01/2023
CHC26604-00	GERMAN DOBSON CVS, L.L.C.	DBA CVS/PHARMACY #10007	6045 N SCOTTSDALE ROAD	SCOTTSDALE	AZ	85250	01/01/2022	04/01/2023
CHC26604-00	GERMAN DOBSON CVS, L.L.C.	CVS/PHARMACY # 10928	909 EAST APACHE BLVD	TEMPE	AZ	85281	01/01/2022	04/01/2023
CHC26604-00	GERMAN DOBSON CVS, L.L.C.	DBA: CVS/PHARMACY # 03500	1625 N. 44TH ST.	PHOENIX	AZ	85008	01/01/2022	04/01/2023
CHC26604-00	GERMAN DOBSON CVS, L.L.C.	DBA: CVS/PHARMACY # 06862	1850 W. DUNLAP AVE.	PHOENIX	AZ	85021	01/01/2022	11/15/2022
CHC26604-00	GERMAN DOBSON CVS, L.L.C.	DBA: CVS/PHARMACY # 09222	4275 W. THOMAS RD.	PHOENIX	AZ	85019	01/01/2022	04/01/2023
CHC26604-00	GERMAN DOBSON CVS, L.L.C.	CVS PHARMACY # 17418	5715 N 19TH AVE	PHOENIX	AZ	85015	01/01/2023	04/01/2023
CHC26604-00	GERMAN DOBSON CVS, L.L.C.	DBA: CVS/PHARMACY # 09205	802 S. MILL AVE.	TEMPE	AZ	85281	01/01/2023	04/01/2023
CHC26604-00	GERMAN DOBSON CVS, L.L.C.	CVS/PHARMACY # 10920	3933 EAST CAMELBACK RD.	PHOENIX	AZ	85018	01/01/2023	04/01/2023
CHC26604-00	GERMAN DOBSON CVS, L.L.C.	DBA: CVS/PHARMACY # 00017	18591 N 59TH AVE	GLENDALE	AZ	85308	01/01/2023	04/01/2023
CHC26604-00	GERMAN DOBSON CVS, L.L.C.	CVS PHARMACY # 16366	4515 E THOMAS RD	PHOENIX	AZ	85018	01/01/2023	04/01/2023
CHC26604-00	GERMAN DOBSON CVS, L.L.C.	DBA: CVS/PHARMACY # 05315	2005 N. DOBSON RD.	CHANDLER	AZ	85224	01/01/2023	04/01/2023
CHC26604-00	GERMAN DOBSON CVS, L.L.C.	DBA: CVS/PHARMACY # 07078	3303 S. RURAL	TEMPE	AZ	85282	01/01/2023	04/01/2023
CHC26604-00	GERMAN DOBSON CVS, L.L.C.	CVS PHARMACY # 16505	2727 W AGUA FRIA FWY	PHOENIX	AZ	85027	01/01/2023	04/01/2023
CHC26604-00	GERMAN DOBSON CVS, L.L.C.	CVS PHARMACY # 17256	1800 E RIO SALADO PKWY STE 120	TEMPE	AZ	85281	01/01/2023	04/01/2023
CHC26604-00	GERMAN DOBSON CVS, L.L.C.	CVS PHARMACY # 17312	16806 N 7TH ST	PHOENIX	AZ	85022	01/01/2023	04/01/2023
CHC26604-00	GERMAN DOBSON CVS, L.L.C.	DBA: CVS/PHARMACY # 03264	3210 E. UNION HILLS DR.	PHOENIX	AZ	85050	01/01/2023	04/01/2023
CHC26604-00	GERMAN DOBSON CVS, L.L.C.	DBA: CVS/PHARMACY # 00033	1750 E BROADWAY RD	TEMPE	AZ	85282	01/01/2023	04/01/2023
CHC26604-05	GERMAN DOBSON CVS, L.L.C.	CVS/PHARMACY # 2963	711 E. INDIAN SCHOOL RD.	PHOENIX	AZ	85014	04/01/2023
CHC26604-05	GERMAN DOBSON CVS, L.L.C.	DBA: CVS/PHARMACY # 00033	1750 E BROADWAY RD	TEMPE	AZ	85282	04/01/2023
CHC26604-05	GERMAN DOBSON CVS, L.L.C.	CVS PHARMACY # 17418	5715 N 19TH AVE	PHOENIX	AZ	85015	04/01/2023
CHC26604-05	GERMAN DOBSON CVS, L.L.C.	DBA: CVS/PHARMACY # 00017	18591 N 59TH AVE	GLENDALE	AZ	85308	04/01/2023
CHC26604-05	GERMAN DOBSON CVS, L.L.C.	DBA: CVS/PHARMACY # 09205	802 S. MILL AVE.	TEMPE	AZ	85281	04/01/2023
CHC26604-05	GERMAN DOBSON CVS, L.L.C.	DBA: CVS/PHARMACY # 09222	4275 W. THOMAS RD.	PHOENIX	AZ	85019	04/01/2023
CHC26604-05	GERMAN DOBSON CVS, L.L.C.	CVS PHARMACY # 17256	1800 E RIO SALADO PKWY STE 120	TEMPE	AZ	85281	04/01/2023
CHC26604-05	GERMAN DOBSON CVS, L.L.C.	CVS PHARMACY # 17312	16806 N 7TH ST	PHOENIX	AZ	85022	04/01/2023
CHC26604-05	GERMAN DOBSON CVS, L.L.C.	DBA: CVS/PHARMACY # 05315	2005 N. DOBSON RD.	CHANDLER	AZ	85224	04/01/2023
CHC26604-05	GERMAN DOBSON CVS, L.L.C.	CVS PHARMACY # 16505	2727 W AGUA FRIA FWY	PHOENIX	AZ	85027	04/01/2023
CHC26604-05	GERMAN DOBSON CVS, L.L.C.	CVS/PHARMACY # 10920	3933 EAST CAMELBACK RD.	PHOENIX	AZ	85018	04/01/2023
CHC26604-05	GERMAN DOBSON CVS, L.L.C.	DBA: CVS/PHARMACY # 07078	3303 S. RURAL	TEMPE	AZ	85282	04/01/2023	07/20/2023
CHC26604-05	GERMAN DOBSON CVS, L.L.C.	CVS PHARMACY # 16366	4515 E THOMAS RD	PHOENIX	AZ	85018	04/01/2023
CHC26604-05	GERMAN DOBSON CVS, L.L.C.	DBA: CVS/PHARMACY # 03264	3210 E. UNION HILLS DR.	PHOENIX	AZ	85050	04/01/2023
CHC26604-05	GERMAN DOBSON CVS, L.L.C.	CVS/PHARMACY # 17714	1625 E CAMELBACK RD.	PHOENIX	AZ	85016	04/01/2023
CHC26604-05	GERMAN DOBSON CVS, L.L.C.	DBA: CVS/PHARMACY # 07262	18460 N. 7TH ST.	PHOENIX	AZ	85022	04/01/2023
CHC26604-05	GERMAN DOBSON CVS, L.L.C.	DBA CVS/PHARMACY #10007	6045 N SCOTTSDALE ROAD	SCOTTSDALE	AZ	85250	04/01/2023
CHC26604-05	GERMAN DOBSON CVS, L.L.C.	DBA: CVS/PHARMACY # 05778	4040 N. 19TH AVE.	PHOENIX	AZ	85015	04/01/2023
CHC26604-05	GERMAN DOBSON CVS, L.L.C.	DBA: CVS/PHARMACY # 07860	1615 E. BASELINE RD.	PHOENIX	AZ	85042	04/01/2023
CHC26604-05	GERMAN DOBSON CVS, L.L.C.	DBA: CVS/PHARMACY # 03500	1625 N. 44TH ST.	PHOENIX	AZ	85008	04/01/2023
CHC26604-05	GERMAN DOBSON CVS, L.L.C.	DBA: CVS/PHARMACY # 08366	1610 E CAMELBACK RD	PHOENIX	AZ	85016	04/01/2023
CHC26604-05	GERMAN DOBSON CVS, L.L.C.	DBA: CVS/PHARMACY # 07845	7552 E. INDIAN SCHOOL RD.	SCOTTSDALE	AZ	85251	04/01/2023
CHC26604-05	GERMAN DOBSON CVS, L.L.C.	DBA: CVS/PHARMACY # 07116	1855 W. THUNDERBIRD RD.	PHOENIX	AZ	85023	04/01/2023
CHC26604-05	GERMAN DOBSON CVS, L.L.C.	DBA: CVS/PHARMACY # 01759	10 E DUNLAP AVE	PHOENIX	AZ	85020	04/01/2023	10/26/2023
CHC26604-05	GERMAN DOBSON CVS, L.L.C.	CVS/PHARMACY # 10928	909 EAST APACHE BLVD	TEMPE	AZ	85281	04/01/2023
CHC26604-05	GERMAN DOBSON CVS, L.L.C.	CVS PHARMACY # 17406	10404 N 43RD AVE	GLENDALE	AZ	85302	07/01/2023
CHC26604-05	GERMAN DOBSON CVS, L.L.C.	DBA CVS/PHARMACY #2372	3975 E THUNDERBIRD ROAD	PHOENIX	AZ	85032	10/01/2023
CHC26604-05	GERMAN DOBSON CVS, L.L.C.	DBA CVS/PHARMACY #10150	28635 N. NORTH VALLEY PARKWAY	PHOENIX	AZ	85085	10/01/2023
CHC26604-05	GERMAN DOBSON CVS, L.L.C.	DBA: CVS/PHARMACY # 07115	7530 W. CACTUS RD.	PEORIA	AZ	85381	10/01/2023
CHC26604-05	GERMAN DOBSON CVS, L.L.C.	DBA: CVS/PHARMACY # 00069	8332 W THUNDERBIRD RD	PEORIA	AZ	85381	01/01/2024
CHC26604-02	GERMAN DOBSON CVS, L.L.C.	DBA: CVS/PHARMACY # 07262	18460 N. 7TH ST.	PHOENIX	AZ	85022	01/01/2024
CHC26604-11	GERMAN DOBSON CVS, L.L.C.	DBA: CVS/PHARMACY # 07860	1615 E. BASELINE RD.	PHOENIX	AZ	85042	01/01/2024
CHC26604-05	GERMAN DOBSON CVS, L.L.C.	DBA: CVS/PHARMACY # 07852	28138 N. TATUM BLVD.	CAVE CREEK	AZ	85331	04/01/2024
CHC26604-05	GERMAN DOBSON CVS, L.L.C.	CVS PHARMACY # 16768	16825 E SHEA BLVD	FOUNTAIN HILLS	AZ	85268	04/01/2024
CHC26604-00	JOHN C. LINCOLN MEDICAL CENTER SPECIALTY	2500 W UTOPIA RD STE 110		PHOENIX	AZ	85027	01/01/2017	04/17/2018
CHC26604-05	NORTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 00427	13440 NC 210 HIGHWAY	BENSON	NC	27504	04/01/2024	04/01/2024
CHC26604-05	OPTUM PHARMACY 701, LLC	8131 W BOSTIAN RD STE A350		WOODINVILLE	WA	98072-5029	10/01/2024
CHC26604-05	OPTUM PHARMACY 701, LLC	1830 S HORNE		MESA	AZ	85204	10/01/2024
CHC26604-05	OPTUM PHARMACY 702, LLC	1050 PATROL RD		JEFFERSONVILLE	IN	47130	10/01/2024
CHC26604-05	OPTUM PHARMACY 707, INC	4900 RIVERGRADE RD STE E110		IRWINDALE	CA	91706-1401	10/01/2024
CHC26604-05	OPTUMRX	OPTUMRX INC	6800 W 115TH ST STE 600	OVERLAND PARK	KS	66211-9838	10/01/2024
CHC26604-00	PRIME THERAPEUTICS SPECIALTY PHARMACY LL	ALLIANCERX WALGREENS PRIME #16568	2354 COMMERCE PARK DRIVE SUITE 100	ORLANDO	FL	32819-9992	04/01/2021	10/01/2022
CHC26604-00	PROCARE PHARMACY DIRECT, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	105 MALL BOULEVARD	MONROEVILLE	PA	15146	01/01/2022	04/01/2023
CHC26604-05	PROCARE PHARMACY DIRECT, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	105 MALL BOULEVARD	MONROEVILLE	PA	15146	04/01/2023
CHC26604-00	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY #2923	3250 HARDEN ST. EXT. SUITE #300	COLUMBIA	SC	29203	01/01/2022	04/01/2023
CHC26604-00	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY OR CARELONRX SPECIALTY	ONE WATERFRONT PLAZA 500 ALA MOANA BLVD., BLDG 1	HONOLULU	HI	96813	01/01/2022	04/01/2023
CHC26604-00	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY #2909	1521 4TH AVE., SOUTH	BIRMINGHAM	AL	35233	01/01/2022	04/01/2023
CHC26604-05	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY OR CARELONRX SPECIALTY	ONE WATERFRONT PLAZA 500 ALA MOANA BLVD., BLDG 1	HONOLULU	HI	96813	04/01/2023
CHC26604-05	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY #2923	3250 HARDEN ST. EXT. SUITE #300	COLUMBIA	SC	29203	04/01/2023
CHC26604-05	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY #2909	1521 4TH AVE., SOUTH	BIRMINGHAM	AL	35233	04/01/2023
CHC26604-05	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY #3129	1002 EAST MCDOWELL ROAD	PHOENIX	AZ	85006	04/01/2024
CHC26604-05	RAINA RX LLC	DBA ROUTE 300 PHARMACY	1208 ROUTE 300 SUITE 103	NEWBURGH	NY	12550	04/01/2024
CHC26604-05	RIVER MEDICAL PHARMACY LLC	4752 RESEARCH DR		SAN ANTONIO	TX	78240-5002	04/01/2024
CHC26604-00	SAFEWAY INC	SAFEWAY PHARMACY #2651	340 E. MCDOWELL ROAD	PHOENIX	AZ	85004	07/01/2017	04/17/2018
CHC26604-00	SAFEWAY INC	SAFEWAY PHARMACY #1291	13733 NORTH FOUNTAIN HILLS BLVD	FOUNTAIN HILLS	AZ	85268	07/01/2017	04/17/2018
CHC26604-00	SAFEWAY INC	SAFEWAY PHARMACY #0240	3450 W BELL RD	PHOENIX	AZ	85053-2926	07/01/2017	04/17/2018
CHC26604-00	SAFEWAY INC	SAFEWAY PHARMACY #1491	7920 E CHAPARRAL	SCOTTSDALE	AZ	85250	07/01/2017	04/17/2018
CHC26604-00	SAFEWAY INC	SAFEWAY PHARMACY #1636	5860 W. THUNDERBIRD ROAD	GLENDALE	AZ	85306	07/01/2017	04/17/2018
CHC26604-05	SANTA BARBARA SPECIALTY PHARMACY LLC	4690 CARPINTERIA AVE STE B		CARPINTERIA	CA	93013	04/01/2024
CHC26604-00	SMITHS FOOD & DRUG CENTERS	DBA FRY'S FOOD & DRUG 609	850 E. HATCHER ROAD	PHOENIX	AZ	85020	07/01/2016	04/17/2018
CHC26604-00	SMITHS FOOD & DRUG CENTERS	DBA FRYS FOOD & DRUG #5	7770 E MCDOWELL	SCOTTSDALE	AZ	85257	07/01/2016	04/17/2018
CHC26604-00	SMITHS FOOD & DRUG CENTERS	DBA FRY'S FOOD & DRUG 134	6080 E. THOMAS ROAD	SCOTTSDALE	AZ	85251	07/01/2016	04/17/2018
CHC26604-00	WAL-MART PHARMACY 10-2112	4915 NORTH PIMA ROAD		SCOTTSDALE	AZ	85251	07/01/2016	04/17/2018
CHC26604-00	WALGREEN ARIZONA DRUG CO	DBA: WALGREENS #10111	3434 W. SOUTHERN AVE	PHOENIX	AZ	85041	04/01/2021	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO	DBA: WALGREENS #09472	2707 W CAREFREE HWY	PHOENIX	AZ	85085-8843	04/01/2021	04/01/2023
CHC26604-05	WALGREEN ARIZONA DRUG CO	DBA: WALGREENS #10111	3434 W. SOUTHERN AVE	PHOENIX	AZ	85041	04/01/2023
CHC26604-05	WALGREEN ARIZONA DRUG CO	DBA: WALGREENS #09472	2707 W CAREFREE HWY	PHOENIX	AZ	85085-8843	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 03163	3420 N. SCOTTSDALE RD	SCOTTSDALE	AZ	85251	07/01/2016	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 04138	7939 E MCDOWELL RD.	SCOTTSDALE	AZ	85257	07/01/2016	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 04762	2435 E GREENWAY PKWY	PHOENIX	AZ	85032	07/01/2016	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 05890	11250 E VIA LINDA	SCOTTSDALE	AZ	85259	07/01/2016	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 03593	2610 WEST THUNDERBIRD RD.	PHOENIX	AZ	85023	01/01/2017	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 04508	3431 W. UNION HILLS DR.	PHOENIX	AZ	85027	01/01/2017	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 03049	4965 W BELL ROAD	GLENDALE	AZ	85308	01/01/2017	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 00809	8911 N 7TH ST	PHOENIX	AZ	85020	10/01/2017	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 01950	10135 E VIA LINDA	SCOTTSDALE	AZ	85258	10/01/2017	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 02079	3131 E THUNDERBIRD	PHOENIX	AZ	85032	10/01/2017	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 02851	7000 N 16TH ST	PHOENIX	AZ	85020	10/01/2017	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 03087	5625 E THOMAS RD	PHOENIX	AZ	85018	10/01/2017	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 03132	2415 E. UNION HILLS DRIVE	PHOENIX	AZ	85050-3146	10/01/2017	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 03385	5421 W THUNDERBIRD RD	GLENDALE	AZ	85306	10/01/2017	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 03427	7448 W THUNDERBIRD RD	PEORIA	AZ	85381	10/01/2017	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 03464	3402 N CENTRAL AVE	PHOENIX	AZ	85012	10/01/2017	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 03789	3605 E THOMAS RD	PHOENIX	AZ	85018	10/01/2017	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 04506	8015 E INDIAN SCHOOL RD	SCOTTSDALE	AZ	85251	10/01/2017	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 04951	4006 E BELL RD.	PHOENIX	AZ	85032	10/01/2017	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 05938	4134 N 44TH ST	PHOENIX	AZ	85018	10/01/2017	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 06400	8030 N 19TH AVE	PHOENIX	AZ	85021-5101	10/01/2017	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 07018	6838 N 7TH STREET	PHOENIX	AZ	85014-1014	10/01/2017	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS #12739	15450 N TATUM BLVD	PHOENIX	AZ	85032	10/01/2017	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO.	WALGREENS SPECIALTY PHARMACY #16431	2302 N. CENTRAL AVE. SUITE 7	PHOENIX	AZ	85004	10/01/2017	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 06535	2420 E BASELINE ROAD	PHOENIX	AZ	85042	10/01/2017	01/10/2019
CHC26604-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 04722	4111 N 24TH STREET	PHOENIX	AZ	85016	04/01/2019	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 06736	4410 W CACTUS ROAD	GLENDALE	AZ	85304-2332	01/01/2020	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 03477	204 E BELL RD	PHOENIX	AZ	85022	01/01/2020	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 09057	18433 N 19TH AVENUE	PHOENIX	AZ	85023-1359	01/01/2020	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 05266	21632 N 35TH AVE	GLENDALE	AZ	85308	01/01/2020	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS DRUG # 04020	5895 W. PEORIA AVENUE	GLENDALE	AZ	85302	01/01/2020	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 04228	5125 W. NORTHERN AVE.	GLENDALE	AZ	85301	01/01/2020	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 09262	8469 E MCDONALD DR	SCOTTSDALE	AZ	85250	01/01/2020	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 06065	9009 N 67TH AVE	GLENDALE	AZ	85302	04/01/2020	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 05222	9040 W. PEORIA AVE.	PEORIA	AZ	85345	04/01/2020	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 06063	1825 W BETHANY HOME RD	PHOENIX	AZ	85015-2512	04/01/2020	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 04507	15025 N THOMPSON PEAK PKWY	SCOTTSDALE	AZ	85260	04/01/2020	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 01969	6006 N 67TH AVE	GLENDALE	AZ	85301	04/01/2020	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 06697	7606 S 7TH ST	PHOENIX	AZ	85042	04/01/2020	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 05893	705 EAST MCDOWELL RD	PHOENIX	AZ	85006	04/01/2020	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 01272	5101 WEST INDIAN SCHOOL	PHOENIX	AZ	85031	04/01/2020	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 05504	4249 W GLENDALE AVE	PHOENIX	AZ	85051	04/01/2020	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 07375	1840 W SOUTHERN AVE	PHOENIX	AZ	85041-4631	04/01/2020	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 05937	4315 W MCDOWELL RD	PHOENIX	AZ	85035	04/01/2020	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 06060	16415 PALISADES BLVD E	FOUNTAIN HILLS	AZ	85268	04/01/2020	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 06527	710 E CAMELBACK ROAD	PHOENIX	AZ	85014	04/01/2020	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 11610	2000 S. MILL AVE.	TEMPE	AZ	85282	04/01/2020	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 06599	13227 N 7TH STREET	PHOENIX	AZ	85022-5303	04/01/2020	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 03769	1616 E. THOMAS	PHOENIX	AZ	85016	04/01/2020	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 04139	3450 W. DUNLAP AVE	PHOENIX	AZ	85051	04/01/2020	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 05775	8309 W GLENDALE AVE	GLENDALE	AZ	85305	04/01/2020	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 06021	1620 N 59TH AVE	PHOENIX	AZ	85035	04/01/2021	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 06784	2024 W MAIN STREET	MESA	AZ	85201-6802	04/01/2021	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 09175	23477 W YUMA RD	BUCKEYE	AZ	85326	04/01/2021	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 05453	6501 E GREENWAY PKWY BLDG 1	SCOTTSDALE	AZ	85254	04/01/2021	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 03912	29660 N TATUM BLVD	CAVE CREEK	AZ	85331	04/01/2021	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 05039	746 W UNIVERSITY DR	MESA	AZ	85201	04/01/2021	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 02771	1305 S GREENFIELD RD	MESA	AZ	85206	04/01/2021	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 03191	10865 NORTH TATUM BLVD.	PHOENIX	AZ	85028	04/01/2021	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 07387	10710 WEST MCDOWELL ROAD	AVONDALE	AZ	85392	04/01/2021	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 09264	21274 N JOHN WAYNE PKWY	MARICOPA	AZ	85139	04/01/2021	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 06535	2420 E BASELINE ROAD	PHOENIX	AZ	85042	04/01/2021	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 09202	1142 W GUADALUPE RD	MESA	AZ	85210-7602	04/01/2021	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO.	DBA WALGREENS #13758	6200 N. SCOTTSDALE RD.	SCOTTSDALE	AZ	85253	04/01/2021	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 06534	20631 NORTH SCOTTSDALE RD	SCOTTSDALE	AZ	85255	04/01/2021	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 05851	5011 W UNION HILLS DR	GLENDALE	AZ	85308	04/01/2021	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO.	DBA WALGREENS #12087	13723 N. LITCHFIELD RD.	SURPRISE	AZ	85379	04/01/2021	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 09179	5115 W BASELINE ROAD	LAVEEN	AZ	85339	04/01/2021	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 05668	8301 W CAMELBACK	PHOENIX	AZ	85037	04/01/2021	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 04422	3945 E SOUTHERN AVE	PHOENIX	AZ	85040	04/01/2021	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 06177	1135 N MESA DRIVE	MESA	AZ	85201	04/01/2021	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 03768	6404 SOUTH MCCLINTOCK DR.	TEMPE	AZ	85283	04/01/2021	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 04434	22280 N. 67TH AVE.	GLENDALE	AZ	85310	04/01/2021	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 03003	6690 W. UNION HILLS	GLENDALE	AZ	85308	04/01/2021	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 03177	7011 E. SHEA BLVD.	SCOTTSDALE	AZ	85254	04/01/2021	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 05568	10707 W PEORIA AVE	SUN CITY	AZ	85351	04/01/2021	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 16082	10602 N. 32ND STREET	PHOENIX	AZ	85028	04/01/2021	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 07110	6640 W HAPPY VALLEY ROAD	GLENDALE	AZ	85310	04/01/2021	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 01197	1745 E SOUTHERN AVE	TEMPE	AZ	85282-7625	04/01/2021	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 06095	9045 W INDIAN SCHOOL RD	PHOENIX	AZ	85037	04/01/2021	07/14/2021
CHC26604-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 07663	8280 W LOWER BUCKEYE ROAD	PHOENIX	AZ	85043	04/01/2021	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 02599	7337 N VIA PASEO DEL SUR	SCOTTSDALE	AZ	85258	04/01/2021	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO.	WALGREENS CENTRAL FILL #21372	120 N 83RD AVE STE 200	TOLLESON	AZ	85353	10/01/2021	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 02398	925 WEST BASELINE SUITE 108	TEMPE	AZ	85283	10/01/2022	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 03591	2811 EAST BROADWAY ROAD	MESA	AZ	85204	10/01/2022	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 03670	1159 E. SOUTHERN AVE.	MESA	AZ	85204	10/01/2022	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 03767	2737 E. MCKELLIPS RD.	MESA	AZ	85213	10/01/2022	04/01/2023
CHC26604-00	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 11182	1130 W. SOUTHERN AVE	MESA	AZ	85210	10/01/2022	04/01/2023
CHC26604-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 02599	7337 N VIA PASEO DEL SUR	SCOTTSDALE	AZ	85258	04/01/2023
CHC26604-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 01197	1745 E SOUTHERN AVE	TEMPE	AZ	85282-7625	04/01/2023
CHC26604-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 00809	8911 N 7TH ST	PHOENIX	AZ	85020	04/01/2023	02/26/2024
CHC26604-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 01272	5101 WEST INDIAN SCHOOL	PHOENIX	AZ	85031	04/01/2023
CHC26604-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 01969	6006 N 67TH AVE	GLENDALE	AZ	85301	04/01/2023
CHC26604-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 02771	1305 S GREENFIELD RD	MESA	AZ	85206	04/01/2023
CHC26604-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 02398	925 WEST BASELINE SUITE 108	TEMPE	AZ	85283	04/01/2023
CHC26604-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 01950	10135 E VIA LINDA	SCOTTSDALE	AZ	85258	04/01/2023
CHC26604-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 02079	3131 E THUNDERBIRD	PHOENIX	AZ	85032	04/01/2023	04/03/2023
CHC26604-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 05937	4315 W MCDOWELL RD	PHOENIX	AZ	85035	04/01/2023
CHC26604-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 03477	204 E BELL RD	PHOENIX	AZ	85022	04/01/2023
CHC26604-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 03003	6690 W. UNION HILLS	GLENDALE	AZ	85308	04/01/2023
CHC26604-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 05222	9040 W. PEORIA AVE.	PEORIA	AZ	85345	04/01/2023
CHC26604-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 09262	8469 E MCDONALD DR	SCOTTSDALE	AZ	85250	04/01/2023
CHC26604-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 09264	21274 N JOHN WAYNE PKWY	MARICOPA	AZ	85139	04/01/2023
CHC26604-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 04138	7939 E MCDOWELL RD.	SCOTTSDALE	AZ	85257	04/01/2023
CHC26604-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 09175	23477 W YUMA RD	BUCKEYE	AZ	85326	04/01/2023
CHC26604-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 04228	5125 W. NORTHERN AVE.	GLENDALE	AZ	85301	04/01/2023
CHC26604-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 07663	8280 W LOWER BUCKEYE ROAD	PHOENIX	AZ	85043	04/01/2023
CHC26604-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 06177	1135 N MESA DRIVE	MESA	AZ	85201	04/01/2023
CHC26604-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS DRUG # 04020	5895 W. PEORIA AVENUE	GLENDALE	AZ	85302	04/01/2023
CHC26604-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 03191	10865 NORTH TATUM BLVD.	PHOENIX	AZ	85028	04/01/2023
CHC26604-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 06527	710 E CAMELBACK ROAD	PHOENIX	AZ	85014	04/01/2023
CHC26604-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 03768	6404 SOUTH MCCLINTOCK DR.	TEMPE	AZ	85283	04/01/2023
CHC26604-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 06535	2420 E BASELINE ROAD	PHOENIX	AZ	85042	04/01/2023
CHC26604-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 02851	7000 N 16TH ST	PHOENIX	AZ	85020	04/01/2023
CHC26604-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 05893	705 EAST MCDOWELL RD	PHOENIX	AZ	85006	04/01/2023
CHC26604-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 05890	11250 E VIA LINDA	SCOTTSDALE	AZ	85259	04/01/2023
CHC26604-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 05039	746 W UNIVERSITY DR	MESA	AZ	85201	04/01/2023
CHC26604-05	WALGREEN ARIZONA DRUG CO.	DBA WALGREENS #12087	13723 N. LITCHFIELD RD.	SURPRISE	AZ	85379	04/01/2023
CHC26604-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 05668	8301 W CAMELBACK	PHOENIX	AZ	85037	04/01/2023
CHC26604-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 06021	1620 N 59TH AVE	PHOENIX	AZ	85035	04/01/2023
CHC26604-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 09202	1142 W GUADALUPE RD	MESA	AZ	85210-7602	04/01/2023
CHC26604-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 06599	13227 N 7TH STREET	PHOENIX	AZ	85022-5303	04/01/2023
CHC26604-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 07018	6838 N 7TH STREET	PHOENIX	AZ	85014-1014	04/01/2023
CHC26604-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 04506	8015 E INDIAN SCHOOL RD	SCOTTSDALE	AZ	85251	04/01/2023
CHC26604-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 03087	5625 E THOMAS RD	PHOENIX	AZ	85018	04/01/2023
CHC26604-05	WALGREEN ARIZONA DRUG CO.	WALGREENS CENTRAL FILL #21372	120 N 83RD AVE STE 200	TOLLESON	AZ	85353	04/01/2023
CHC26604-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 05266	21632 N 35TH AVE	GLENDALE	AZ	85308	04/01/2023
CHC26604-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 03767	2737 E. MCKELLIPS RD.	MESA	AZ	85213	04/01/2023
CHC26604-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 03163	3420 N. SCOTTSDALE RD	SCOTTSDALE	AZ	85251	04/01/2023
CHC26604-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS #12739	15450 N TATUM BLVD	PHOENIX	AZ	85032	04/01/2023
CHC26604-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 06534	20631 NORTH SCOTTSDALE RD	SCOTTSDALE	AZ	85255	04/01/2023
CHC26604-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 03789	3605 E THOMAS RD	PHOENIX	AZ	85018	04/01/2023
CHC26604-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 09057	18433 N 19TH AVENUE	PHOENIX	AZ	85023-1359	04/01/2023
CHC26604-05	WALGREEN ARIZONA DRUG CO.	WALGREENS SPECIALTY PHARMACY #16431	2302 N. CENTRAL AVE. SUITE 7	PHOENIX	AZ	85004	04/01/2023
CHC26604-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 07387	10710 WEST MCDOWELL ROAD	AVONDALE	AZ	85392	04/01/2023
CHC26604-05	WALGREEN ARIZONA DRUG CO.	DBA WALGREENS #13758	6200 N. SCOTTSDALE RD.	SCOTTSDALE	AZ	85253	04/01/2023
CHC26604-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 06063	1825 W BETHANY HOME RD	PHOENIX	AZ	85015-2512	04/01/2023
CHC26604-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 03593	2610 WEST THUNDERBIRD RD.	PHOENIX	AZ	85023	04/01/2023
CHC26604-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 04762	2435 E GREENWAY PKWY	PHOENIX	AZ	85032	04/01/2023	02/20/2024
CHC26604-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 04139	3450 W. DUNLAP AVE	PHOENIX	AZ	85051	04/01/2023
CHC26604-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 04422	3945 E SOUTHERN AVE	PHOENIX	AZ	85040	04/01/2023
CHC26604-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 04508	3431 W. UNION HILLS DR.	PHOENIX	AZ	85027	04/01/2023
CHC26604-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 04722	4111 N 24TH STREET	PHOENIX	AZ	85016	04/01/2023
CHC26604-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 11182	1130 W. SOUTHERN AVE	MESA	AZ	85210	04/01/2023
CHC26604-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 06065	9009 N 67TH AVE	GLENDALE	AZ	85302	04/01/2023
CHC26604-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 05504	4249 W GLENDALE AVE	PHOENIX	AZ	85051	04/01/2023
CHC26604-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 05851	5011 W UNION HILLS DR	GLENDALE	AZ	85308	04/01/2023
CHC26604-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 03464	3402 N CENTRAL AVE	PHOENIX	AZ	85012	04/01/2023
CHC26604-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 05938	4134 N 44TH ST	PHOENIX	AZ	85018	04/01/2023
CHC26604-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 04434	22280 N. 67TH AVE.	GLENDALE	AZ	85310	04/01/2023
CHC26604-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 03769	1616 E. THOMAS	PHOENIX	AZ	85016	04/01/2023
CHC26604-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 03670	1159 E. SOUTHERN AVE.	MESA	AZ	85204	04/01/2023
CHC26604-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 05568	10707 W PEORIA AVE	SUN CITY	AZ	85351	04/01/2023
CHC26604-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 03912	29660 N TATUM BLVD	CAVE CREEK	AZ	85331	04/01/2023
CHC26604-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 07375	1840 W SOUTHERN AVE	PHOENIX	AZ	85041-4631	04/01/2023	02/20/2024
CHC26604-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 03177	7011 E. SHEA BLVD.	SCOTTSDALE	AZ	85254	04/01/2023
CHC26604-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 06784	2024 W MAIN STREET	MESA	AZ	85201-6802	04/01/2023
CHC26604-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 06060	16415 PALISADES BLVD E	FOUNTAIN HILLS	AZ	85268	04/01/2023
CHC26604-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 06697	7606 S 7TH ST	PHOENIX	AZ	85042	04/01/2023
CHC26604-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 07110	6640 W HAPPY VALLEY ROAD	GLENDALE	AZ	85310	04/01/2023
CHC26604-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 04507	15025 N THOMPSON PEAK PKWY	SCOTTSDALE	AZ	85260	04/01/2023
CHC26604-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 03132	2415 E. UNION HILLS DRIVE	PHOENIX	AZ	85050-3146	04/01/2023
CHC26604-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 03385	5421 W THUNDERBIRD RD	GLENDALE	AZ	85306	04/01/2023
CHC26604-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 11610	2000 S. MILL AVE.	TEMPE	AZ	85282	04/01/2023
CHC26604-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 05775	8309 W GLENDALE AVE	GLENDALE	AZ	85305	04/01/2023
CHC26604-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 09179	5115 W BASELINE ROAD	LAVEEN	AZ	85339	04/01/2023
CHC26604-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 06736	4410 W CACTUS ROAD	GLENDALE	AZ	85304-2332	04/01/2023
CHC26604-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 03427	7448 W THUNDERBIRD RD	PEORIA	AZ	85381	04/01/2023
CHC26604-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 03591	2811 EAST BROADWAY ROAD	MESA	AZ	85204	04/01/2023
CHC26604-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 05453	6501 E GREENWAY PKWY BLDG 1	SCOTTSDALE	AZ	85254	04/01/2023
CHC26604-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 06400	8030 N 19TH AVE	PHOENIX	AZ	85021-5101	04/01/2023
CHC26604-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 04951	4006 E BELL RD.	PHOENIX	AZ	85032	04/01/2023
CHC26604-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 03049	4965 W BELL ROAD	GLENDALE	AZ	85308	04/01/2023
CHC26604-05	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 16082	10602 N. 32ND STREET	PHOENIX	AZ	85028	04/01/2023
CHC26604-12	WALGREEN ARIZONA DRUG CO.	DBA: WALGREENS # 03789	3605 E THOMAS RD	PHOENIX	AZ	85018	07/01/2024
CHC26604-00	WALGREENS MAIL SERVICE, LLC	WALGREENS MAIL SERVICE #03397	8350 S RIVER PARKWAY	TEMPE	AZ	85284	04/01/2021	04/01/2023
CHC26604-05	WALGREENS MAIL SERVICE, LLC	WALGREENS MAIL SERVICE #03397	8350 S RIVER PARKWAY	TEMPE	AZ	85284	04/01/2023
CHC26604-00	WALGREENS SPECIALTY PHARMACY, LLC	ALLIANCERX WALGREENS PRIME #12314	9775 SW GEMINI DR, STE 1	BEAVERTON	OR	97008	04/01/2021	10/01/2021
CHC26604-00	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15438	41460 HAGGERTY CIR S	CANTON	MI	48188	04/01/2021	04/01/2023
CHC26604-00	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15443	10530 JOHN W ELLIOTT DR STE 100	FRISCO	TX	75033	04/01/2021	04/01/2023
CHC26604-00	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #16287	130 ENTERPRISE DR	PITTSBURGH	PA	15275	04/01/2021	04/01/2023
CHC26604-05	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15438	41460 HAGGERTY CIR S	CANTON	MI	48188	04/01/2023
CHC26604-05	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15443	10530 JOHN W ELLIOTT DR STE 100	FRISCO	TX	75033	04/01/2023
CHC26604-05	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #16287	130 ENTERPRISE DR	PITTSBURGH	PA	15275	04/01/2023
CHC26604-00	WALGREENS.COM, INC.	DBA: WALGREENS	2225 S. PRICE ROAD	CHANDLER	AZ	85286	04/01/2021	04/01/2023
CHC26604-05	WALGREENS.COM, INC.	DBA: WALGREENS	2225 S. PRICE ROAD	CHANDLER	AZ	85286	04/01/2023

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Contacts	Authorizing Official	Update	Profile Change Request	Armendariz, Wendy Chief Executive Officer Neighborhood Outreach Access to Health 4808826073	Armendariz, Wendy Chief Executive Officer Neighborhood Outreach Access to Health 6027860003	2/5/2020 7:30 PM
Contacts	Primary Contact	Update	Profile Change Request	Nierad, Julia Chief Financial Officer Neighborhood Outreach Access to Health 4808825917	Nierad, Julia Chief Financial Officer Neighborhood Outreach Access to Health 6027860004	1/8/2020 6:20 PM
Details	State	Update		To Be Terminated	Terminated	1/1/2020 12:05 AM
Dates	Last Date That 340B Drugs Purchased	Update	Termination Request		12/6/2019 12:00:00 AM	12/30/2019 7:52 AM
Details	State	Update	Termination Request	Active	To Be Terminated	12/30/2019 7:52 AM
Terminations	Termination Date	Update	Termination Request		1/1/2020 12:00:00 AM	12/30/2019 7:52 AM
Terminations	Termination Effective Date	Update	Termination Request		12/6/2019 12:00:00 AM	12/30/2019 7:52 AM
Terminations	Termination Reason	Update	Termination Request		Business decision by the Covered Entity	12/30/2019 7:52 AM
Details	Last Recertification Date	Update	Recertification	2/19/2018 1:02:24 PM	1/31/2019 3:03:31 PM	1/31/2019 3:03 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/19/2018 1:02 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		949792	2/19/2018 1:02 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AZ	2/19/2018 1:02 PM
Details	Last Recertification Date	Update	Recertification	2/6/2017 12:00:00 AM	2/19/2018 1:02:24 PM	2/19/2018 1:02 PM
Details	Is Authorizing Official EHB Data	Update	Recertification	False		2/19/2018 1:02 PM
Contacts	Authorizing Official	Update		Armendariz, Wendy Chief Executive Officer 4808826073	Armendariz, Wendy Chief Executive Officer Neighborhood Outreach Access to Health 4808826073	10/3/2017 12:19 PM
Contacts	Primary Contact	Update		Nierad, Julia Chief Financial Officer 4808825917	Nierad, Julia Chief Financial Officer Neighborhood Outreach Access to Health 4808825917	9/29/2017 1:56 PM
Contacts	Authorizing Official	Insert			Armendariz, Wendy Chief Executive Officer 4808826073	7/13/2017 4:37 PM
Contacts	Primary Contact	Insert			Nierad, Julia Chief Financial Officer 4808825917	7/13/2017 4:12 PM
Addresses	Main Address	Insert			1300 N 48th Street Phoenix, AZ 85008	2/6/2017 2:27 PM
Contacts	Signed By	Insert			Armendariz, Wendy Executive Director 4808826073	2/6/2017 2:27 PM
Details	Last Recertification Date	Update		3/7/2016 12:00:00 AM	2/6/2017 12:00:00 AM	2/6/2017 2:27 PM
Addresses	Billing Address	Insert			Neighborhood Outreach Access to Health 3634 N. Drinkwater Blvd Scottsdale, AZ 85251	4/5/2016 9:50 AM
Addresses	Shipping Address	Insert			Neighborhood Outreach Access to Health 7301 E. Second St. Suite 210 Scottsdale, AZ 85251	4/5/2016 9:50 AM
Medicaid Billing	NPI: Number	Insert			1790189991	4/5/2016 9:50 AM
Medicaid Billing	NPI: Number	Insert			1942518550	4/5/2016 9:50 AM
Details	Last Recertification Date	Update		3/2/2015 12:00:00 AM	3/7/2016 12:00:00 AM	3/7/2016 8:55 AM
Details	Last Recertification Date	Update			3/2/2015 12:00:00 AM	3/2/2015 10:31 AM
Details	Is Authorizing Official EHB Data	Update			False	3/2/2015 10:31 AM
Details	340B ID	Update		ONLINE_REG	CHC26604-03	4/30/2014 10:42 AM
Dates	Participating Approval Date	Update			4/30/2014 12:00:00 AM	4/30/2014 10:42 AM
Details	State	Update		Pending	Active	4/30/2014 10:42 AM
Dates	Start Date	Update			7/1/2014 12:00:00 AM	4/30/2014 10:42 AM
Medicaid Billing	Medicaid: Is Primary	Insert			False	4/15/2014 7:27 PM
Medicaid Billing	Medicaid: Number	Insert			552822	4/15/2014 7:27 PM
Medicaid Billing	Medicaid: State	Insert			AZ	4/15/2014 7:27 PM
Details	Last Recertification Date	Insert				4/15/2014 7:27 PM
Details	Grant Number	Insert			H80CS26604	4/15/2014 7:27 PM
Details	340B ID	Insert			ONLINE_REG	4/15/2014 7:27 PM
Details	Is Authorizing Official EHB Data	Insert				4/15/2014 7:27 PM
Dates	Last Date That 340B Drugs Purchased	Insert				4/15/2014 7:27 PM
Details	Medicare Provider Number	Insert				4/15/2014 7:27 PM
Details	Entity Name	Insert			NEIGHBORHOOD OUTREACH ACCESS TO HEALTH	4/15/2014 7:27 PM
Details	Program Code	Insert			CH	4/15/2014 7:27 PM
Details	Entity Subname	Insert			NOAH Balsz Health Center	4/15/2014 7:27 PM
Dates	Participating Approval Date	Insert				4/15/2014 7:27 PM
Details	State	Insert			Pending	4/15/2014 7:27 PM
Dates	Registration Date	Insert			4/15/2014 12:00:00 AM	4/15/2014 7:27 PM
Dates	Signed By Date	Insert			4/15/2014 12:00:00 AM	4/15/2014 7:27 PM
Dates	Start Date	Insert				4/15/2014 7:27 PM
Terminations	Termination Comments	Insert				4/15/2014 7:27 PM
Terminations	Termination Date	Insert				4/15/2014 7:27 PM
Terminations	Termination Effective Date	Insert				4/15/2014 7:27 PM
Terminations	Termination Reason	Insert				4/15/2014 7:27 PM

340B Drug Pricing Program Database