Covered Entity Details

CH04245Y WHATLEY HEALTH SERVICES, INC. (Terminated) - information as of 4/28/2025 1:50:33 AM

Main Details

Name

WHATLEY HEALTH SERVICES, INC.

Subdivision Name

Stillman Health Center

Type

HRSA-Funded Health Center

Site ID

BPS-H80-015076

340B ID

CH04245Y

Grant Number

H80CS00094

Additional Details

Current Program Status

Terminated

Registration Date

1/13/2017

Participating Start Date

4/1/2017

Participating Approval Date

1/18/2017

Last Recertification Date

2/19/2018

Termination Date
Termination Reason

10/1/2018
Site closure

Contacts

Authorizing Official

Whatley Health Services, Inc.
Deborah H. Tucker, CEO
(205) 349-3250 Ext: 6135

Primary Contact

Whatley Health Services, Inc.
Betty Turman, CFO
(205) 349-3250 Ext: 6061

Addresses

Street Address

3601 STILLMAN BLVD
TUSCALOOSA, AL 35401-2601

Billing Address
Same as Street Address

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?
No

Shipping Addresses

Same as Street Address

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
Contract Detail	WALGREEN CO.	DBA: WALGREENS #15451	2731 MARTIN LUTHER KING BLVD SUITE C	TUSCALOOSA	AL	35401	01/18/2017	04/01/2017		10/01/2018	10/01/2018

Grantee Sites

340B ID	340B Status	SiteId	Name	Sub Name	Address	City	State
CH042450	Active	BPS-H80-000345	WHATLEY HEALTH SERVICES, INC.	Maude L. Whatley Health Center	2731 MARTIN L KING JR. BLVD.	TUSCALOOSA	AL
CH04245AA	Terminated	BPS-H80-018684	WHATLEY HEALTH SERVICES, INC.	Oakman Student Health and Wellness Center	142 School Street	Oakman	AL
CH04245AB	Terminated	BPS-H80-024389	WHATLEY HEALTH SERVICES, INC.	Aliceville Health and Wellness Center	417 3rd St SE	Aliceville	AL
CH04245AC	Terminated	BPS-H80-031820	Whatley Health Services, Inc.	Stillman Health Center	3601 STILLMAN BLVD	TUSCALOOSA	AL
CH04245AD	Active	BPS-H80-036155	WHATLEY HEALTH SERVICES INC	Whatley Health Services at Aliceville	432 5th St NW	Aliceville	AL
CH04245C	Terminated	BPS-H80-002151	WHATLEY HEALTH SERVICES, INC.	JAMES O. ELLIS HEALTH CENTER	3532 GREENSBORO AVE.	TUSCALOOSA	AL
CH04245E	Active	BPS-H80-038818	WHATLEY HEALTH SERVICES, INC.	SUMTER COUNTY HEALTH CENTER	107 HOSPITAL DRIVE	LIVINGSTON	AL
CH04245F	Terminated	BPS-H80-003929	WHATLEY HEALTH SERVICES, INC.	WEST BLOCTON HEALTH CTR	345 MAGNOLIA STREET	WEST BLOCTON	AL
CH04245G	Terminated	BPS-H80-005587	WHATLEY HEALTH SERVICES, INC.	HALE COUNTY HEALTH CENTER	602 Centerville St	Greensboro	AL
CH04245H	Active	BPS-H80-001729	WHATLEY HEALTH SERVICES, INC.	WHATLEY HEALTH SERVICES @ EUTAW	200 MORROW AVE	EUTAW	AL
CH04245I	Active	BPS-H80-001334	WHATLEY HEALTH SERVICES, INC.	WHATLEY HEALTH SVS @ SIPSEY	3805 SIPSEY ROAD	SIPSEY	AL
CH04245J	Terminated	BPS-H80-005379	WHATLEY HEALTH SERVICES, INC.	WHATLEY HLTH SERV AT OAKMAN	10290 MAIN ST	OAKMAN	AL
CH04245Q	Active	BPS-H80-002800	WHATLEY HEALTH SERVICES, INC.	Vernon Health Center	230 Hospital Drive	Vernon	AL
CH04245R	Active	BPS-H80-013308	WHATLEY HEALTH SERVICES, INC.	Pickens County Family Practice Center	27340 Highway 86	Gordo	AL
CH04245S	Active	BPS-H80-008800	WHATLEY HEALTH SERVICES, INC.	LaBridgette R. Ellis Medical and Dental Center	800 Hall Street	Greensboro	AL
CH04245T	Terminated	BPS-H80-007267	WHATLEY HEALTH SERVICES, INC.	CRESCENT EAST HEALTH CENTER	120 51st Ave E APT B	Tuscaloosa	AL
CH04245U	Terminated	BPS-H80-003714	WHATLEY HEALTH SERVICES, INC.	TUSCALOOSA COUNTY JAIL	1616 26TH AVE	TUSCALOOSA	AL
CH04245V	Active	BPS-H80-000373	WHATLEY HEALTH SERVICES, INC.	Mobile Health Unit	2731 Martin L. King, Jr., Blvd.	Tuscaloosa	AL
CH04245W	Active	BPS-H80-000107	WHATLEY HEALTH SERVICES, INC.	Theodore Hendrix Dental Center	2731 Martin L. King, Jr., Blvd.	Tuscaloosa	AL
CH04245X	Active	BPS-H80-034121	WHATLEY HEALTH SERVICES, INC.	Whatley Health Services at Carrollton	376 Commerce Ave	Carrollton	AL
CH04245Y	Terminated	BPS-H80-015076	WHATLEY HEALTH SERVICES, INC.	Stillman Health Center	3601 STILLMAN BLVD	TUSCALOOSA	AL
CH04245Z	Terminated	BPS-H80-015181	WHATLEY HEALTH SERVICES, INC.	Crescent East Health Center	4952 1ST ST E	TUSCALOOSA	AL

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
CH042450	ACCREDO HEALTH GROUP INC	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	10/01/2024
CH042450	ACCREDO HEALTH GROUP INC	3000 ERICSSON DRIVE, SUITE 100		WARRENDALE	PA	15086-7502	10/01/2024
CH042450	ACCREDO HEALTH GROUP INC	2040 W RIO SALADO PKWY STE 101B		TEMPE	AZ	85281-2010	10/01/2024
CH042450	ACCREDO HEALTH GROUP, INC.	6272 LEE VISTA BLVD STE 100		ORLANDO	FL	32822	10/01/2024
CH042450	ACCREDO HEALTH GROUP, INC.	2 BOULDEN CIR STE 1		NEW CASTLE	DE	19720-3492	10/01/2024
CH042450	ACCREDO HEALTH GROUP, INC.	4750 E 450 S	SUITE A	WHITESTOWN	IN	46075	10/01/2024
CH042450	ADVANCED CARE SCRIPTS, INC	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	6251 CHANCELLOR DRIVE SUITE 101	ORLANDO	FL	32809	01/01/2025
CH042450	ADVANCED PHARMACY, LLC	ADVANCED PHARMACY	350 FEASTER ROAD SUITE D	GREENVILLE	SC	29615-6176	07/01/2016	08/16/2022
CH042450	AHSSHC	EXPEDIEN RX PHARMACY	5050 WESLEY RD STE 120	APOPKA	FL	32712	01/01/2016	11/27/2020
CH042450	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04917	675 TUSCALOOSA STREET	GREENSBORO	AL	36744	01/01/2017
CH042450	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04872	3302 15TH STREET	TUSCALOOSA	AL	35401	01/01/2017
CH042450	ALABAMA CVS PHARMACY, L.L.C.	CVS/PHARMACY #10811	1218 UNIVERSITY BLVD.	TUSCALOOSA	AL	35401	01/01/2020
CH042450	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04835	1910 MCFARLAND BOULEVARD	NORTHPORT	AL	35476	01/01/2020
CH042450	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 03004	8700 HWY 69 SOUTH	TUSCALOOSA	AL	35405	01/01/2020
CH042450	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04819	808 VETERANS MEMORIAL PKWY	TUSCALOOSA	AL	35404	01/01/2020
CH042450	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 07217	4715 RICE MINE RD. NE	TUSCALOOSA	AL	35406	01/01/2020
CH042450	ALABAMA CVS PHARMACY, L.L.C.	CVS PHARMACY # 16910	1901 13TH AVE E	TUSCALOOSA	AL	35404	01/01/2020
CH042450	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04969	536 HUDSON DR., PO BOX 653	GORDO	AL	35466	01/01/2020
CH042450	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04853	520 HIGHLAND AVENUE	SELMA	AL	36701	04/13/2022
CH042450	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04813	4260 UNIVERSITY BLVD EAST	TUSCALOOSA	AL	35404	04/13/2022
CH042450	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04834	101 N. AIRPORT RD.	JASPER	AL	35504	04/13/2022
CH042450	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04372	4280 MITT LARY RD.	NORTHPORT	AL	35475	04/13/2022
CH042450	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04957	312 HWY 80 EAST	DEMOPOLIS	AL	36732	04/13/2022	08/15/2024
CH042450	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04946	113 3RD ST SE	ALICEVILLE	AL	35442	01/01/2023
CH04245H	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04835	1910 MCFARLAND BOULEVARD	NORTHPORT	AL	35476	01/01/2024
CH04245H	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04969	536 HUDSON DR., PO BOX 653	GORDO	AL	35466	01/01/2024
CH04245H	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04834	101 N. AIRPORT RD.	JASPER	AL	35504	01/01/2024
CH04245H	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04957	312 HWY 80 EAST	DEMOPOLIS	AL	36732	01/01/2024	08/15/2024
CH04245H	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04946	113 3RD ST SE	ALICEVILLE	AL	35442	01/01/2024
CH04245I	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04834	101 N. AIRPORT RD.	JASPER	AL	35504	01/01/2024
CH04245H	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04917	675 TUSCALOOSA STREET	GREENSBORO	AL	36744	01/01/2024
CH04245H	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04872	3302 15TH STREET	TUSCALOOSA	AL	35401	01/01/2024
CH04245S	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04917	675 TUSCALOOSA STREET	GREENSBORO	AL	36744	01/01/2024
CH04245S	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 03004	8700 HWY 69 SOUTH	TUSCALOOSA	AL	35405	01/01/2024
CH04245S	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04957	312 HWY 80 EAST	DEMOPOLIS	AL	36732	01/01/2024	08/15/2024
CH04245S	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04834	101 N. AIRPORT RD.	JASPER	AL	35504	01/01/2024
CH04245S	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04835	1910 MCFARLAND BOULEVARD	NORTHPORT	AL	35476	01/01/2024
CH04245S	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04969	536 HUDSON DR., PO BOX 653	GORDO	AL	35466	01/01/2024
CH04245S	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04946	113 3RD ST SE	ALICEVILLE	AL	35442	01/01/2024
CH04245R	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04969	536 HUDSON DR., PO BOX 653	GORDO	AL	35466	01/01/2024
CH04245R	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04834	101 N. AIRPORT RD.	JASPER	AL	35504	01/01/2024
CH04245R	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04835	1910 MCFARLAND BOULEVARD	NORTHPORT	AL	35476	01/01/2024
CH04245R	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04946	113 3RD ST SE	ALICEVILLE	AL	35442	01/01/2024
CH04245X	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04969	536 HUDSON DR., PO BOX 653	GORDO	AL	35466	01/01/2024
CH04245X	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04946	113 3RD ST SE	ALICEVILLE	AL	35442	01/01/2024
CH04245AD	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04946	113 3RD ST SE	ALICEVILLE	AL	35442	01/01/2024
CH04245AD	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04969	536 HUDSON DR., PO BOX 653	GORDO	AL	35466	01/01/2024
CH04245AD	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04835	1910 MCFARLAND BOULEVARD	NORTHPORT	AL	35476	01/01/2024
CH04245E	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04957	312 HWY 80 EAST	DEMOPOLIS	AL	36732	01/01/2024	08/15/2024
CH04245AA	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04835	1910 MCFARLAND BOULEVARD	NORTHPORT	AL	35476	01/01/2024	01/01/2025
CH04245AA	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04834	101 N. AIRPORT RD.	JASPER	AL	35504	01/01/2024	01/01/2025
CH04245E	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04969	536 HUDSON DR., PO BOX 653	GORDO	AL	35466	01/01/2024
CH04245E	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04946	113 3RD ST SE	ALICEVILLE	AL	35442	01/01/2024
CH04245H	ALABAMA CVS PHARMACY, L.L.C.	CVS/PHARMACY #10811	1218 UNIVERSITY BLVD.	TUSCALOOSA	AL	35401	01/01/2024
CH04245H	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 03004	8700 HWY 69 SOUTH	TUSCALOOSA	AL	35405	01/01/2024
CH04245H	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04819	808 VETERANS MEMORIAL PKWY	TUSCALOOSA	AL	35404	01/01/2024
CH04245H	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 07217	4715 RICE MINE RD. NE	TUSCALOOSA	AL	35406	01/01/2024
CH04245H	ALABAMA CVS PHARMACY, L.L.C.	CVS PHARMACY # 16910	1901 13TH AVE E	TUSCALOOSA	AL	35404	01/01/2024
CH04245H	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04813	4260 UNIVERSITY BLVD EAST	TUSCALOOSA	AL	35404	01/01/2024
CH04245H	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04853	520 HIGHLAND AVENUE	SELMA	AL	36701	01/01/2024
CH04245I	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04917	675 TUSCALOOSA STREET	GREENSBORO	AL	36744	01/01/2024
CH04245I	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04872	3302 15TH STREET	TUSCALOOSA	AL	35401	01/01/2024
CH04245I	ALABAMA CVS PHARMACY, L.L.C.	CVS/PHARMACY #10811	1218 UNIVERSITY BLVD.	TUSCALOOSA	AL	35401	01/01/2024
CH04245I	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04835	1910 MCFARLAND BOULEVARD	NORTHPORT	AL	35476	01/01/2024
CH04245I	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 03004	8700 HWY 69 SOUTH	TUSCALOOSA	AL	35405	01/01/2024
CH04245I	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04819	808 VETERANS MEMORIAL PKWY	TUSCALOOSA	AL	35404	01/01/2024
CH04245I	ALABAMA CVS PHARMACY, L.L.C.	CVS PHARMACY # 16910	1901 13TH AVE E	TUSCALOOSA	AL	35404	01/01/2024
CH04245I	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04969	536 HUDSON DR., PO BOX 653	GORDO	AL	35466	01/01/2024
CH04245I	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04853	520 HIGHLAND AVENUE	SELMA	AL	36701	01/01/2024
CH04245I	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04813	4260 UNIVERSITY BLVD EAST	TUSCALOOSA	AL	35404	01/01/2024
CH04245I	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04372	4280 MITT LARY RD.	NORTHPORT	AL	35475	01/01/2024
CH04245I	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04957	312 HWY 80 EAST	DEMOPOLIS	AL	36732	01/01/2024	08/15/2024
CH04245I	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04946	113 3RD ST SE	ALICEVILLE	AL	35442	01/01/2024
CH042450	AMAZON PHARMACY #001	4500 S PLEASANT VALLEY RD STE 201		AUSTIN	TX	78744-2911	10/01/2019
CH04245AA	AMAZON PHARMACY #001	4500 S PLEASANT VALLEY RD STE 201		AUSTIN	TX	78744-2911	01/01/2024	01/01/2025
CH04245H	AMAZON PHARMACY #001	4500 S PLEASANT VALLEY RD STE 201		AUSTIN	TX	78744-2911	01/01/2024
CH04245E	AMAZON PHARMACY #001	4500 S PLEASANT VALLEY RD STE 201		AUSTIN	TX	78744-2911	01/01/2024
CH042450	AMAZON PHARMACY #006	3620 PLAINFIELD RD		INDIANAPOLIS	IN	46231-7003	10/01/2024	12/31/2024
CH042450	AMAZON PHARMACY #008	408 TECHNOLOGY PARKWAY	BUILDING B, STE 101	COLLEGE STATION	TX	77845	10/01/2024	12/31/2024
CH042450	AMAZON PHARMACY #009	7469 KINGSPOINTE PKWY STE 400		ORLANDO	FL	32819	10/01/2024	12/31/2024
CH042450	AMAZON PHARMACY #010	1331 E 6TH ST		CORONA	CA	92879	10/01/2024	12/31/2024
CH042450	AVELLA OF DEER VALLEY	23620 N 20TH DR #12		PHOENIX	AZ	85085-0621	01/01/2016	08/07/2020
CH042450	AVELLA OF DEER VALLEY, INC. #38	DBA AVELLA SPECIALTY PHARMACY	24416 N. 19TH AVE	PHOENIX	AZ	85085	10/01/2016	08/07/2020
CH042450	AVELLA OF ORLANDO	100 TECHNOLOGY PARK STE 155		LAKE MARY	FL	32746-6205	01/01/2016	08/07/2020
CH042450	AZ PHARMACY, LLC	DBA AMAZON PHARMACY #002	3809 E WATKINS ST	PHOENIX	AZ	85034	10/01/2024	12/31/2024
CH042450	CAREMARK FLORIDA SPECIALTY PHARMACY LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7930 WOODLAND CENTER BLVD STE 500	TAMPA	FL	33614	04/13/2022
CH04245E	CAREMARK FLORIDA SPECIALTY PHARMACY LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7930 WOODLAND CENTER BLVD STE 500	TAMPA	FL	33614	01/01/2024
CH04245H	CAREMARK FLORIDA SPECIALTY PHARMACY LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7930 WOODLAND CENTER BLVD STE 500	TAMPA	FL	33614	01/01/2024
CH04245I	CAREMARK FLORIDA SPECIALTY PHARMACY LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7930 WOODLAND CENTER BLVD STE 500	TAMPA	FL	33614	01/01/2024
CH042450	CAREMARK ILLINOIS SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	800 BIERMANN CT STE B	MOUNT PROSPECT	IL	60056	04/13/2022
CH04245E	CAREMARK ILLINOIS SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	800 BIERMANN CT STE B	MOUNT PROSPECT	IL	60056	01/01/2024
CH04245H	CAREMARK ILLINOIS SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	800 BIERMANN CT STE B	MOUNT PROSPECT	IL	60056	01/01/2024
CH04245I	CAREMARK ILLINOIS SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	800 BIERMANN CT STE B	MOUNT PROSPECT	IL	60056	01/01/2024
CH042450	CAREMARK KANSAS SPECIALTY PHARMACY	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	11162 RENNER BLVD	LENEXA	KS	66219	04/13/2022
CH04245H	CAREMARK KANSAS SPECIALTY PHARMACY	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	11162 RENNER BLVD	LENEXA	KS	66219	01/01/2024
CH04245I	CAREMARK KANSAS SPECIALTY PHARMACY	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	11162 RENNER BLVD	LENEXA	KS	66219	01/01/2024
CH042450	CAREMARK MASSACHUSETTS SPECIALTY PHARMAC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	25 BIRCH STREET, BLDG B, SUITE 100	MILFORD	MA	01757	04/13/2022
CH04245H	CAREMARK MASSACHUSETTS SPECIALTY PHARMAC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	25 BIRCH STREET, BLDG B, SUITE 100	MILFORD	MA	01757	01/01/2024
CH04245I	CAREMARK MASSACHUSETTS SPECIALTY PHARMAC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	25 BIRCH STREET, BLDG B, SUITE 100	MILFORD	MA	01757	01/01/2024
CH042450	CAREMARK MICHIGAN SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1307 ALLEN DR STE H	TROY	MI	48083	04/13/2022
CH04245H	CAREMARK MICHIGAN SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1307 ALLEN DR STE H	TROY	MI	48083	01/01/2024
CH04245I	CAREMARK MICHIGAN SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1307 ALLEN DR STE H	TROY	MI	48083	01/01/2024
CH042450	CAREMARK NEW JERSEY SPECIALTY PHCY, LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	180 PASSAIC AVE UNIT B-5	FAIRFIELD	NJ	07004	04/13/2022
CH04245H	CAREMARK NEW JERSEY SPECIALTY PHCY, LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	180 PASSAIC AVE UNIT B-5	FAIRFIELD	NJ	07004	01/01/2024
CH04245I	CAREMARK NEW JERSEY SPECIALTY PHCY, LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	180 PASSAIC AVE UNIT B-5	FAIRFIELD	NJ	07004	01/01/2024
CH042450	CAREMARK NORTH CAROLINA SPECIALTY PHARMA	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	10700 WORLD TRADE BLVD STE 110	RALEIGH	NC	27617	04/13/2022
CH04245H	CAREMARK NORTH CAROLINA SPECIALTY PHARMA	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	10700 WORLD TRADE BLVD STE 110	RALEIGH	NC	27617	01/01/2024
CH04245I	CAREMARK NORTH CAROLINA SPECIALTY PHARMA	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	10700 WORLD TRADE BLVD STE 110	RALEIGH	NC	27617	01/01/2024
CH042450	CAREMARK TENNESSEE SPECIALTY PHARMACY, L	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	8370 WOLF LAKE DR STE 107	BARTLETT	TN	38133	04/13/2022
CH04245H	CAREMARK TENNESSEE SPECIALTY PHARMACY, L	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	8370 WOLF LAKE DR STE 107	BARTLETT	TN	38133	01/01/2024
CH04245I	CAREMARK TENNESSEE SPECIALTY PHARMACY, L	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	8370 WOLF LAKE DR STE 107	BARTLETT	TN	38133	01/01/2024
CH042450	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1127 BRYN MAWR AVE SUITE A	REDLANDS	CA	92374	04/13/2022
CH04245H	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1127 BRYN MAWR AVE SUITE A	REDLANDS	CA	92374	01/01/2024
CH04245I	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1127 BRYN MAWR AVE SUITE A	REDLANDS	CA	92374	01/01/2024
CH042450	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7251 S. EASTERN AVE.	LAS VEGAS	NV	89119	04/13/2022
CH04245H	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7251 S. EASTERN AVE.	LAS VEGAS	NV	89119	01/01/2024
CH04245I	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7251 S. EASTERN AVE.	LAS VEGAS	NV	89119	01/01/2024
CH042450	CARROLLTON DRUGS, INC	25700 HIGHWAY 17		CARROLLTON	AL	35447	01/01/2021	07/15/2021
CH042450	CURANT HEALTH FLORIDA, LLC	11001 ROOSEVELT BLVD STE 1400		ST PETERSBURG	FL	33716-2338	11/05/2012	07/15/2021
CH042450	CURANT HEALTH GEORGIA LLC	CURANT HEALTH	200 TECHNOLOGY CT SE BLDG 200 SUITE B	SMYRNA	GA	30082-5250	11/05/2012	07/15/2021
CH042450	CVS CAREMARK	DBA CVS/CAREMARK OR CF# 11506	1 GREAT VALLEY BOULEVARD	WILKES BARRE	PA	18706	04/21/2022
CH04245H	CVS CAREMARK	DBA CVS/CAREMARK OR CF# 11506	1 GREAT VALLEY BOULEVARD	WILKES BARRE	PA	18706	01/01/2024
CH04245I	CVS CAREMARK	DBA CVS/CAREMARK OR CF# 11506	1 GREAT VALLEY BOULEVARD	WILKES BARRE	PA	18706	01/01/2024
CH042450	CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC	DBA CVS/CAREMARK 48067	1780 WALL ST	MT PROSPECT	IL	60056	04/21/2022
CH04245E	CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC	DBA CVS/CAREMARK 48067	1780 WALL ST	MT PROSPECT	IL	60056	01/01/2024
CH04245R	CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC	DBA CVS/CAREMARK 48067	1780 WALL ST	MT PROSPECT	IL	60056	01/01/2024
CH04245X	CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC	DBA CVS/CAREMARK 48067	1780 WALL ST	MT PROSPECT	IL	60056	01/01/2024
CH04245H	CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC	DBA CVS/CAREMARK 48067	1780 WALL ST	MT PROSPECT	IL	60056	01/01/2024
CH04245I	CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC	DBA CVS/CAREMARK 48067	1780 WALL ST	MT PROSPECT	IL	60056	01/01/2024
CH042450	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 07154	5603 FM1960 W	HOUSTON	TX	77069	04/13/2022
CH04245E	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 07154	5603 FM1960 W	HOUSTON	TX	77069	01/01/2024
CH04245H	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 07154	5603 FM1960 W	HOUSTON	TX	77069	01/01/2024
CH042450	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	CAREMARK, LLC	1001 SPINKS ROAD, STE 280	FLOWER MOUND	TX	75028	04/13/2022
CH04245E	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	CAREMARK, LLC	1001 SPINKS ROAD, STE 280	FLOWER MOUND	TX	75028	01/01/2024
CH04245H	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	CAREMARK, LLC	1001 SPINKS ROAD, STE 280	FLOWER MOUND	TX	75028	01/01/2024
CH042450	DELIVERCARERX PHARMACY LLC	DELIVERCARERX PHARMACY LLC	1471 E BUSINESS CENTER DR STE 200	MT PROSPECT	IL	60056	01/01/2018	03/04/2020
CH04245E	DELIVERCARERX PHARMACY LLC	DELIVERCARERX PHARMACY LLC	1471 E BUSINESS CENTER DR STE 200	MT PROSPECT	IL	60056	01/01/2024	08/22/2024
CH042450	DIVVYMED, LLC	DIVVYMED LLC DBA DIVVYDOSE	4300 44TH AVE	MOLINE	IL	61265	10/01/2024
CH042450	ESI MAIL PHARMACY SERVICE	DBA EXPRESS SCRIPTS	7909 S HARDY DR STE 106	TEMPE	AZ	85284-1112	10/01/2024
CH042450	EXPRESS SCRIPTS	ESI MAIL PHARMACY SERVICE INC	4600 N HANLEY RD	SAINT LOUIS	MO	63134	10/01/2024
CH042450	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	2040 ROUTE 130 NORTH	BURLINGTON	NJ	08016	10/01/2024
CH042450	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	4750 E. 450 S.	WHITESTOWN	IN	46075	10/01/2024
CH042450	FRANK'S CARE PHARMACY		1207 STATE STREET	GREENSBORO	AL	36744	01/01/2014	05/15/2019
CH04245G	FRANK'S CARE PHARMACY		1207 STATE STREET	GREENSBORO	AL	36744	07/01/2003	04/01/2016
CH042450	GRIFFIN PHARMACY SIPSEY	3844 SIPSEY RD.	PO BOX 560	SIPSEY	AL	35584	01/01/2014	05/15/2019
CH042450	H & W APOTHECARY	211 1ST ST S		REFORM	AL	35481-8017	01/01/2021
CH04245R	H & W APOTHECARY	211 1ST ST S		REFORM	AL	35481-8017	01/01/2024
CH04245AD	H & W APOTHECARY	211 1ST ST S		REFORM	AL	35481-8017	01/01/2024
CH042450	I H S PHARMACY	584 MCCURDY AVE S STE 1		RAINSVILLE	AL	35986	09/01/2020	09/30/2022
CH042450	IC PHARMACY LLC	AMAZON PHARMACY #004	34 35TH STREET STE 4BSW, UNIT 28	BROOKLYN	NY	11232	10/01/2024	12/31/2024
CH042450	JACK'S DISCOUNT PHARMACY	JACK'S DISCOUNT PHARMACY	23010 HIGHWAY 5 PO BOX 680	WEST BLOCTON	AL	35184-3522	10/01/2013	05/15/2019
CH042450	KC DRUG, INC	40870 HIGHWAY 69	SUITE D	MOUNDVILLE	AL	35474	07/01/2016	07/01/2021
CH042450	M.N. PHARMACY LLC	DBA AMAZON PHARMACY #003	6701 NW 7TH ST., STE. #199	MIAMI	FL	33126	07/01/2018
CH04245AA	M.N. PHARMACY LLC	DBA AMAZON PHARMACY #003	6701 NW 7TH ST., STE. #199	MIAMI	FL	33126	01/01/2024	01/01/2025
CH04245E	M.N. PHARMACY LLC	DBA AMAZON PHARMACY #003	6701 NW 7TH ST., STE. #199	MIAMI	FL	33126	01/01/2024
CH04245H	M.N. PHARMACY LLC	DBA AMAZON PHARMACY #003	6701 NW 7TH ST., STE. #199	MIAMI	FL	33126	01/01/2024
CH042450	OPTUM PHARMACY 700, LLC	5700 DOT COM CT, STE 1000		OVIEDO	FL	32765	10/01/2024
CH042450	OPTUM PHARMACY 701, LLC	4015 SHOPTON RD STE 600		CHARLOTTE	NC	28217-3025	10/01/2024
CH042450	OPTUM PHARMACY 704, INC.	5627 UNIVERSITY HTS STE 108		SAN ANTONIO	TX	78249	10/01/2024
CH042450	OPTUMRX	OPTUMRX INC	6800 W 115TH ST STE 600	OVERLAND PARK	KS	66211-9838	10/01/2024
CH042450	PILLPACK LLC	DBA PILLPACK BY AMAZON PHARMACY	250 COMMERCIAL ST STE 2012	MANCHESTER	NH	03101	07/01/2018
CH04245AA	PILLPACK LLC	DBA PILLPACK BY AMAZON PHARMACY	250 COMMERCIAL ST STE 2012	MANCHESTER	NH	03101	01/01/2024	01/01/2025
CH04245E	PILLPACK LLC	DBA PILLPACK BY AMAZON PHARMACY	250 COMMERCIAL ST STE 2012	MANCHESTER	NH	03101	01/01/2024
CH04245H	PILLPACK LLC	DBA PILLPACK BY AMAZON PHARMACY	250 COMMERCIAL ST STE 2012	MANCHESTER	NH	03101	01/01/2024
CH042450	PILLPACK LLC	AMAZON PHARMACY #005	20416 72ND AVE S	KENT	WA	98032-2319	10/01/2024	12/31/2024
CH042450	PROCARE PHARMACY DIRECT, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	105 MALL BOULEVARD	MONROEVILLE	PA	15146	04/13/2022
CH04245E	PROCARE PHARMACY DIRECT, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	105 MALL BOULEVARD	MONROEVILLE	PA	15146	01/01/2024
CH04245H	PROCARE PHARMACY DIRECT, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	105 MALL BOULEVARD	MONROEVILLE	PA	15146	01/01/2024
CH042450	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY #2909	1521 4TH AVE., SOUTH	BIRMINGHAM	AL	35233	04/13/2022
CH042450	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY #2923	3250 HARDEN ST. EXT. SUITE #300	COLUMBIA	SC	29203	04/13/2022
CH042450	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY OR CARELONRX SPECIALTY	ONE WATERFRONT PLAZA 500 ALA MOANA BLVD., BLDG 1	HONOLULU	HI	96813	04/13/2022
CH04245E	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY #2909	1521 4TH AVE., SOUTH	BIRMINGHAM	AL	35233	01/01/2024
CH04245E	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY #2923	3250 HARDEN ST. EXT. SUITE #300	COLUMBIA	SC	29203	01/01/2024
CH04245E	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY OR CARELONRX SPECIALTY	ONE WATERFRONT PLAZA 500 ALA MOANA BLVD., BLDG 1	HONOLULU	HI	96813	01/01/2024
CH04245H	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY #2909	1521 4TH AVE., SOUTH	BIRMINGHAM	AL	35233	01/01/2024
CH04245H	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY #2923	3250 HARDEN ST. EXT. SUITE #300	COLUMBIA	SC	29203	01/01/2024
CH04245H	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY OR CARELONRX SPECIALTY	ONE WATERFRONT PLAZA 500 ALA MOANA BLVD., BLDG 1	HONOLULU	HI	96813	01/01/2024
CH04245Q	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY OR CARELONRX SPECIALTY	ONE WATERFRONT PLAZA 500 ALA MOANA BLVD., BLDG 1	HONOLULU	HI	96813	01/01/2024
CH042450	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	01/01/2018	07/01/2021
CH042450	WAL-MART PHARMACY 10-0287	1801 HIGHWAY 78 EAST		JASPER	AL	35501	07/01/2014	07/01/2021
CH042450	WAL-MART PHARMACY 10-0715	1501 SKYLAND BLVD EAST		TUSCALOOSA	AL	35405	10/12/2012	07/01/2021
CH042450	WAL-MART PHARMACY 10-2306	5710 MCFARLAND BLVD		NORTHPORT	AL	35476	07/01/2014	07/01/2021
CH042450	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	01/01/2018	07/01/2021
CH042450	WALGREEN CO	DBA: WALGREENS #11404	4400 UNIVERSITY BLVD E	TUSCALOOSA	AL	35404-5104	09/20/2012
CH042450	WALGREEN CO	DBA: WALGREENS #11450	879 HIGHWAY 78	SUMITON	AL	35148	04/01/2015
CH04245Z	WALGREEN CO	DBA: WALGREENS #11404	4400 UNIVERSITY BLVD E	TUSCALOOSA	AL	35404-5104	04/01/2017	04/01/2019
CH04245H	WALGREEN CO	DBA: WALGREENS #11404	4400 UNIVERSITY BLVD E	TUSCALOOSA	AL	35404-5104	01/01/2024
CH04245I	WALGREEN CO	DBA: WALGREENS #11450	879 HIGHWAY 78	SUMITON	AL	35148	01/01/2024
CH04245AA	WALGREEN CO	DBA: WALGREENS #11450	879 HIGHWAY 78	SUMITON	AL	35148	01/01/2024	01/01/2025
CH04245E	WALGREEN CO	DBA: WALGREENS #11404	4400 UNIVERSITY BLVD E	TUSCALOOSA	AL	35404-5104	01/01/2024
CH04245E	WALGREEN CO	DBA: WALGREENS #11450	879 HIGHWAY 78	SUMITON	AL	35148	01/01/2024
CH04245H	WALGREEN CO	DBA: WALGREENS #11450	879 HIGHWAY 78	SUMITON	AL	35148	01/01/2024
CH04245I	WALGREEN CO	DBA: WALGREENS #11404	4400 UNIVERSITY BLVD E	TUSCALOOSA	AL	35404-5104	01/01/2024
CH04245Q	WALGREEN CO	DBA: WALGREENS #11404	4400 UNIVERSITY BLVD E	TUSCALOOSA	AL	35404-5104	01/01/2024
CH04245Q	WALGREEN CO	DBA: WALGREENS #11450	879 HIGHWAY 78	SUMITON	AL	35148	01/01/2024
CH04245S	WALGREEN CO	DBA: WALGREENS #11404	4400 UNIVERSITY BLVD E	TUSCALOOSA	AL	35404-5104	01/01/2024
CH04245R	WALGREEN CO	DBA: WALGREENS #11404	4400 UNIVERSITY BLVD E	TUSCALOOSA	AL	35404-5104	01/01/2024
CH04245R	WALGREEN CO	DBA: WALGREENS #11450	879 HIGHWAY 78	SUMITON	AL	35148	01/01/2024
CH04245AD	WALGREEN CO	DBA: WALGREENS #11404	4400 UNIVERSITY BLVD E	TUSCALOOSA	AL	35404-5104	01/01/2024
CH04245AD	WALGREEN CO	DBA: WALGREENS #11450	879 HIGHWAY 78	SUMITON	AL	35148	01/01/2024
CH04245W	WALGREEN CO	DBA: WALGREENS #11404	4400 UNIVERSITY BLVD E	TUSCALOOSA	AL	35404-5104	01/01/2024
CH042450	WALGREEN CO.	DBA: WALGREENS # 05861	3107 LURLEEN B WALLACE BLVD	NORTHPORT	AL	35476	09/20/2012
CH042450	WALGREEN CO.	DBA: WALGREENS # 09683	100 N AIRPORT RD	JASPER	AL	35504-7520	09/20/2012
CH042450	WALGREEN CO.	DBA: WALGREENS # 10525	8701 HIGHWAY 69 S	TUSCALOOSA	AL	35405-8465	09/20/2012
CH042450	WALGREEN CO.	DBA: WALGREENS #15451	2731 MARTIN LUTHER KING BLVD SUITE C	TUSCALOOSA	AL	35401	09/20/2012	06/08/2022
CH042450	WALGREEN CO.	JIM MYERS A WALGREENS PHARMACY #15448	3325 UNIVERSITY BLVD EAST	TUSCALOOSA	AL	35404	04/01/2015	06/20/2019
CH04245AA	WALGREEN CO.	DBA: WALGREENS # 09683	100 N AIRPORT RD	JASPER	AL	35504-7520	04/01/2017	03/13/2020
CH04245Y	WALGREEN CO.	DBA: WALGREENS #15451	2731 MARTIN LUTHER KING BLVD SUITE C	TUSCALOOSA	AL	35401	04/01/2017	10/01/2018
CH04245W	WALGREEN CO.	DBA: WALGREENS #15451	2731 MARTIN LUTHER KING BLVD SUITE C	TUSCALOOSA	AL	35401	04/01/2017	03/25/2020
CH04245V	WALGREEN CO.	DBA: WALGREENS #15451	2731 MARTIN LUTHER KING BLVD SUITE C	TUSCALOOSA	AL	35401	04/01/2017	03/25/2020
CH04245U	WALGREEN CO.	DBA: WALGREENS #15451	2731 MARTIN LUTHER KING BLVD SUITE C	TUSCALOOSA	AL	35401	04/01/2017	03/25/2020
CH042450	WALGREEN CO.	DBA: WALGREENS #15450	701 UNIVERSITY BLVD E M-04	TUSCALOOSA	AL	35401	04/01/2018	09/27/2019
CH042450	WALGREEN CO.	WALGREENS #17955	3206 15TH ST	TUSCALOOSA	AL	35401-4002	10/01/2019	01/29/2025
CH042450	WALGREEN CO.	WALGREENS #18125	4200 MCFARLAND BLVD E STE 6	TUSCALOOSA	AL	35405	01/01/2020	03/25/2025
CH042450	WALGREEN CO.	WALGREENS #19553	2916 UNIVERSITY BLVD E	TUSCALOOSA	AL	35404-4246	01/01/2020	11/10/2022
CH042450	WALGREEN CO.	DBA: WALGREENS # 02676	1728 HIGHWAY 45 NORTH	COLUMBUS	MS	39705	04/01/2020
CH042450	WALGREEN CO.	JIM MYERS A WALGREENS PHARMACY #15449	1520 MCFARLAND BLVD N SUITE B	TUSCALOOSA	AL	35406	04/01/2020
CH042450	WALGREEN CO.	WALGREENS #18116	521 UNIVERSITY BLVD E	TUSCALOOSA	AL	35401-2023	04/01/2020
CH042450	WALGREEN CO.	DBA WALGREENS SPECIALTY PHARMACY #16371	3686 GRANDVIEW PKWY STE 120	BIRMINGHAM	AL	35243	07/01/2022
CH04245H	WALGREEN CO.	DBA: WALGREENS # 02676	1728 HIGHWAY 45 NORTH	COLUMBUS	MS	39705	01/01/2024
CH04245H	WALGREEN CO.	DBA WALGREENS SPECIALTY PHARMACY #16371	3686 GRANDVIEW PKWY STE 120	BIRMINGHAM	AL	35243	01/01/2024
CH04245H	WALGREEN CO.	WALGREENS #18116	521 UNIVERSITY BLVD E	TUSCALOOSA	AL	35401-2023	01/01/2024
CH04245H	WALGREEN CO.	JIM MYERS A WALGREENS PHARMACY #15449	1520 MCFARLAND BLVD N SUITE B	TUSCALOOSA	AL	35406	01/01/2024
CH04245H	WALGREEN CO.	WALGREENS #18125	4200 MCFARLAND BLVD E STE 6	TUSCALOOSA	AL	35405	01/01/2024
CH04245H	WALGREEN CO.	WALGREENS #17955	3206 15TH ST	TUSCALOOSA	AL	35401-4002	01/01/2024
CH04245H	WALGREEN CO.	DBA: WALGREENS # 10525	8701 HIGHWAY 69 S	TUSCALOOSA	AL	35405-8465	01/01/2024
CH04245H	WALGREEN CO.	DBA: WALGREENS # 05861	3107 LURLEEN B WALLACE BLVD	NORTHPORT	AL	35476	01/01/2024
CH04245I	WALGREEN CO.	JIM MYERS A WALGREENS PHARMACY #15449	1520 MCFARLAND BLVD N SUITE B	TUSCALOOSA	AL	35406	01/01/2024
CH04245I	WALGREEN CO.	WALGREENS #17955	3206 15TH ST	TUSCALOOSA	AL	35401-4002	01/01/2024
CH04245I	WALGREEN CO.	DBA: WALGREENS # 09683	100 N AIRPORT RD	JASPER	AL	35504-7520	01/01/2024
CH04245S	WALGREEN CO.	DBA: WALGREENS # 10525	8701 HIGHWAY 69 S	TUSCALOOSA	AL	35405-8465	01/01/2024
CH04245R	WALGREEN CO.	JIM MYERS A WALGREENS PHARMACY #15449	1520 MCFARLAND BLVD N SUITE B	TUSCALOOSA	AL	35406	01/01/2024
CH04245X	WALGREEN CO.	JIM MYERS A WALGREENS PHARMACY #15449	1520 MCFARLAND BLVD N SUITE B	TUSCALOOSA	AL	35406	01/01/2024
CH04245R	WALGREEN CO.	DBA: WALGREENS # 05861	3107 LURLEEN B WALLACE BLVD	NORTHPORT	AL	35476	01/01/2024
CH04245E	WALGREEN CO.	DBA: WALGREENS # 05861	3107 LURLEEN B WALLACE BLVD	NORTHPORT	AL	35476	01/01/2024
CH04245E	WALGREEN CO.	DBA: WALGREENS # 09683	100 N AIRPORT RD	JASPER	AL	35504-7520	01/01/2024
CH04245E	WALGREEN CO.	DBA: WALGREENS # 10525	8701 HIGHWAY 69 S	TUSCALOOSA	AL	35405-8465	01/01/2024
CH04245E	WALGREEN CO.	WALGREENS #17955	3206 15TH ST	TUSCALOOSA	AL	35401-4002	01/01/2024
CH04245E	WALGREEN CO.	DBA: WALGREENS # 02676	1728 HIGHWAY 45 NORTH	COLUMBUS	MS	39705	01/01/2024
CH04245E	WALGREEN CO.	JIM MYERS A WALGREENS PHARMACY #15449	1520 MCFARLAND BLVD N SUITE B	TUSCALOOSA	AL	35406	01/01/2024
CH04245E	WALGREEN CO.	WALGREENS #18116	521 UNIVERSITY BLVD E	TUSCALOOSA	AL	35401-2023	01/01/2024
CH04245E	WALGREEN CO.	DBA WALGREENS SPECIALTY PHARMACY #16371	3686 GRANDVIEW PKWY STE 120	BIRMINGHAM	AL	35243	01/01/2024
CH04245H	WALGREEN CO.	DBA: WALGREENS # 09683	100 N AIRPORT RD	JASPER	AL	35504-7520	01/01/2024
CH04245I	WALGREEN CO.	DBA: WALGREENS # 05861	3107 LURLEEN B WALLACE BLVD	NORTHPORT	AL	35476	01/01/2024
CH04245I	WALGREEN CO.	DBA: WALGREENS # 10525	8701 HIGHWAY 69 S	TUSCALOOSA	AL	35405-8465	01/01/2024
CH04245I	WALGREEN CO.	WALGREENS #18125	4200 MCFARLAND BLVD E STE 6	TUSCALOOSA	AL	35405	01/01/2024
CH04245I	WALGREEN CO.	DBA: WALGREENS # 02676	1728 HIGHWAY 45 NORTH	COLUMBUS	MS	39705	01/01/2024
CH04245I	WALGREEN CO.	WALGREENS #18116	521 UNIVERSITY BLVD E	TUSCALOOSA	AL	35401-2023	01/01/2024
CH04245I	WALGREEN CO.	DBA WALGREENS SPECIALTY PHARMACY #16371	3686 GRANDVIEW PKWY STE 120	BIRMINGHAM	AL	35243	01/01/2024
CH04245Q	WALGREEN CO.	DBA: WALGREENS # 05861	3107 LURLEEN B WALLACE BLVD	NORTHPORT	AL	35476	01/01/2024
CH04245Q	WALGREEN CO.	DBA: WALGREENS # 09683	100 N AIRPORT RD	JASPER	AL	35504-7520	01/01/2024
CH04245Q	WALGREEN CO.	DBA: WALGREENS # 10525	8701 HIGHWAY 69 S	TUSCALOOSA	AL	35405-8465	01/01/2024
CH04245Q	WALGREEN CO.	WALGREENS #17955	3206 15TH ST	TUSCALOOSA	AL	35401-4002	01/01/2024
CH04245Q	WALGREEN CO.	WALGREENS #18125	4200 MCFARLAND BLVD E STE 6	TUSCALOOSA	AL	35405	01/01/2024
CH04245Q	WALGREEN CO.	DBA: WALGREENS # 02676	1728 HIGHWAY 45 NORTH	COLUMBUS	MS	39705	01/01/2024
CH04245Q	WALGREEN CO.	JIM MYERS A WALGREENS PHARMACY #15449	1520 MCFARLAND BLVD N SUITE B	TUSCALOOSA	AL	35406	01/01/2024
CH04245Q	WALGREEN CO.	WALGREENS #18116	521 UNIVERSITY BLVD E	TUSCALOOSA	AL	35401-2023	01/01/2024
CH04245Q	WALGREEN CO.	DBA WALGREENS SPECIALTY PHARMACY #16371	3686 GRANDVIEW PKWY STE 120	BIRMINGHAM	AL	35243	01/01/2024
CH04245R	WALGREEN CO.	DBA: WALGREENS # 09683	100 N AIRPORT RD	JASPER	AL	35504-7520	01/01/2024
CH04245R	WALGREEN CO.	DBA: WALGREENS # 10525	8701 HIGHWAY 69 S	TUSCALOOSA	AL	35405-8465	01/01/2024
CH04245R	WALGREEN CO.	WALGREENS #17955	3206 15TH ST	TUSCALOOSA	AL	35401-4002	01/01/2024
CH04245R	WALGREEN CO.	WALGREENS #18125	4200 MCFARLAND BLVD E STE 6	TUSCALOOSA	AL	35405	01/01/2024
CH04245R	WALGREEN CO.	DBA: WALGREENS # 02676	1728 HIGHWAY 45 NORTH	COLUMBUS	MS	39705	01/01/2024
CH04245R	WALGREEN CO.	WALGREENS #18116	521 UNIVERSITY BLVD E	TUSCALOOSA	AL	35401-2023	01/01/2024
CH04245R	WALGREEN CO.	DBA WALGREENS SPECIALTY PHARMACY #16371	3686 GRANDVIEW PKWY STE 120	BIRMINGHAM	AL	35243	01/01/2024
CH04245AD	WALGREEN CO.	DBA: WALGREENS # 05861	3107 LURLEEN B WALLACE BLVD	NORTHPORT	AL	35476	01/01/2024
CH04245AD	WALGREEN CO.	DBA: WALGREENS # 09683	100 N AIRPORT RD	JASPER	AL	35504-7520	01/01/2024
CH04245AD	WALGREEN CO.	DBA: WALGREENS # 10525	8701 HIGHWAY 69 S	TUSCALOOSA	AL	35405-8465	01/01/2024
CH04245AD	WALGREEN CO.	WALGREENS #17955	3206 15TH ST	TUSCALOOSA	AL	35401-4002	01/01/2024
CH04245AD	WALGREEN CO.	WALGREENS #18125	4200 MCFARLAND BLVD E STE 6	TUSCALOOSA	AL	35405	01/01/2024
CH04245AD	WALGREEN CO.	DBA: WALGREENS # 02676	1728 HIGHWAY 45 NORTH	COLUMBUS	MS	39705	01/01/2024
CH04245AD	WALGREEN CO.	WALGREENS #18116	521 UNIVERSITY BLVD E	TUSCALOOSA	AL	35401-2023	01/01/2024
CH04245AD	WALGREEN CO.	DBA WALGREENS SPECIALTY PHARMACY #16371	3686 GRANDVIEW PKWY STE 120	BIRMINGHAM	AL	35243	01/01/2024
CH04245W	WALGREEN CO.	DBA: WALGREENS # 05861	3107 LURLEEN B WALLACE BLVD	NORTHPORT	AL	35476	01/01/2024
CH04245W	WALGREEN CO.	WALGREENS #17955	3206 15TH ST	TUSCALOOSA	AL	35401-4002	01/01/2024
CH04245W	WALGREEN CO.	WALGREENS #18125	4200 MCFARLAND BLVD E STE 6	TUSCALOOSA	AL	35405	01/01/2024
CH04245W	WALGREEN CO.	DBA: WALGREENS # 02676	1728 HIGHWAY 45 NORTH	COLUMBUS	MS	39705	01/01/2024
CH042450	Walgreens #21389	Walgreens Central Fill #21389	3299 Tchulatech Dr Suite 101	Memphis	TN	38118	01/01/2023
CH04245H	Walgreens #21389	Walgreens Central Fill #21389	3299 Tchulatech Dr Suite 101	Memphis	TN	38118	01/01/2024
CH04245E	Walgreens #21389	Walgreens Central Fill #21389	3299 Tchulatech Dr Suite 101	Memphis	TN	38118	01/01/2024
CH04245I	Walgreens #21389	Walgreens Central Fill #21389	3299 Tchulatech Dr Suite 101	Memphis	TN	38118	01/01/2024
CH04245Q	Walgreens #21389	Walgreens Central Fill #21389	3299 Tchulatech Dr Suite 101	Memphis	TN	38118	01/01/2024
CH04245R	Walgreens #21389	Walgreens Central Fill #21389	3299 Tchulatech Dr Suite 101	Memphis	TN	38118	01/01/2024
CH04245AD	Walgreens #21389	Walgreens Central Fill #21389	3299 Tchulatech Dr Suite 101	Memphis	TN	38118	01/01/2024
CH04245X	WALMART PHARMACY #10-5248	1660 MCFARLAND BOULEVARD		NORTHPORT	AL	35476	04/01/2017	05/15/2019
CH042450	WINN DIXIE #407	4205 UNIVERSITY BLVD EAST		TUSCALOOSA	AL	35404	04/01/2016	07/01/2021
CH042450	WINN-DIXIE	DBA WINN-DIXIE PHARMACY #528	10 MCFARLAND BLVD	NORTHPORT	AL	35476	04/01/2016	01/15/2020
CH042450	WINN-DIXIE PHARMACY #479	9750 HIGHWAY 69 SOUTH		TUSCALOOSA	AL	35405	01/01/2013	01/15/2020
CH04245E	WINN-DIXIE PHARMACY #479	9750 HIGHWAY 69 SOUTH		TUSCALOOSA	AL	35405	01/01/2013	01/15/2020
CH04245J	WINN-DIXIE PHARMACY #479	9750 HIGHWAY 69 SOUTH		TUSCALOOSA	AL	35405	01/01/2013	01/01/2019
CH04245H	WINN-DIXIE PHARMACY #479	9750 HIGHWAY 69 SOUTH		TUSCALOOSA	AL	35405	01/01/2013	03/25/2020
CH04245F	WINN-DIXIE PHARMACY #479	9750 HIGHWAY 69 SOUTH		TUSCALOOSA	AL	35405	01/01/2013	01/01/2019
CH04245I	WINN-DIXIE PHARMACY #479	9750 HIGHWAY 69 SOUTH		TUSCALOOSA	AL	35405	01/01/2013	03/25/2020
CH04245G	WINN-DIXIE PHARMACY #479	9750 HIGHWAY 69 SOUTH		TUSCALOOSA	AL	35405	01/01/2013	04/01/2016
CH04245C	WINN-DIXIE PHARMACY #479	9750 HIGHWAY 69 SOUTH		TUSCALOOSA	AL	35405	01/01/2013	03/25/2020
CH04245Q	WINN-DIXIE PHARMACY #479	9750 HIGHWAY 69 SOUTH		TUSCALOOSA	AL	35405	01/01/2013	03/25/2020

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	State	Update		To Be Terminated	Terminated	10/1/2018 12:05 AM
Dates	Last Date That 340B Drugs Purchased	Update	Termination Request		9/28/2018 12:00:00 AM	9/7/2018 6:43 AM
Details	State	Update	Termination Request	Active	To Be Terminated	9/7/2018 6:43 AM
Terminations	Termination Date	Update	Termination Request		10/1/2018 12:00:00 AM	9/7/2018 6:43 AM
Terminations	Termination Effective Date	Update	Termination Request		5/1/2018 12:00:00 AM	9/7/2018 6:43 AM
Terminations	Termination Reason	Update	Termination Request		Site closure	9/7/2018 6:43 AM
Contacts	Primary Contact	Update	Recertification	Tucker, Deborah H. CEO Whatley Health Services, Inc. 2053493250-6135	Turman, Betty CFO Whatley Health Services, Inc. 2053493250-6061	2/19/2018 1:49 PM
Details	Last Recertification Date	Update	Recertification		2/19/2018 1:49:17 PM	2/19/2018 1:49 PM
Details	Is Authorizing Official EHB Data	Update	Recertification	False		2/19/2018 1:49 PM
Contacts	Authorizing Official	Update		Tucker, Deborah H. CEO 2053493250-6135	Tucker, Deborah H. CEO Whatley Health Services, Inc. 2053493250-6135	10/16/2017 10:10 AM
Contacts	Primary Contact	Update		Tucker, Deborah H. CEO 2053493250-6135	Tucker, Deborah H. CEO Whatley Health Services, Inc. 2053493250-6135	10/16/2017 10:10 AM
Contacts	Signed By	Update		Tucker, Deborah H. CEO 2053493250-6135	Tucker, Deborah H. CEO Whatley Health Services, Inc. 2053493250-6135	10/16/2017 10:10 AM
Addresses	Main Address	Insert			3601 STILLMAN BLVD TUSCALOOSA, AL 35401-2601	3/16/2017 10:36 AM
Contacts	Authorizing Official	Insert			Tucker, Deborah H. CEO 2053493250-6135	3/16/2017 10:36 AM
Contacts	Primary Contact	Insert			Tucker, Deborah H. CEO 2053493250-6135	3/16/2017 10:36 AM
Contacts	Signed By	Insert			Tucker, Deborah H. CEO 2053493250-6135	3/16/2017 10:36 AM
Dates	Participating Approval Date	Update			1/18/2017 12:00:00 AM	1/18/2017 5:27 PM
Details	State	Update		Pending	Active	1/18/2017 5:27 PM
Dates	Start Date	Update			4/1/2017 12:00:00 AM	1/18/2017 5:27 PM
Details	340B ID	Update		ONLINE_REG_74969	CH04245Y	1/18/2017 8:28 AM
Details	340B ID	Update		ONLINE_REG	ONLINE_REG_74969	1/13/2017 5:22 PM
Details	Last Recertification Date	Insert				1/13/2017 5:22 PM
Details	Grant Number	Insert			H80CS00094	1/13/2017 5:22 PM
Details	340B ID	Insert			ONLINE_REG	1/13/2017 5:22 PM
Details	Is Authorizing Official EHB Data	Insert			False	1/13/2017 5:22 PM
Dates	Last Date That 340B Drugs Purchased	Insert				1/13/2017 5:22 PM
Details	Medicare Provider Number	Insert				1/13/2017 5:22 PM
Details	Entity Name	Insert			WHATLEY HEALTH SERVICES, INC.	1/13/2017 5:22 PM
Details	Program Code	Insert			CH	1/13/2017 5:22 PM
Details	Entity Subname	Insert			Stillman Health Center	1/13/2017 5:22 PM
Dates	Participating Approval Date	Insert				1/13/2017 5:22 PM
Details	State	Insert			Pending	1/13/2017 5:22 PM
Dates	Registration Date	Insert			1/13/2017 12:00:00 AM	1/13/2017 5:22 PM
Dates	Signed By Date	Insert			1/13/2017 12:00:00 AM	1/13/2017 5:22 PM
Dates	Start Date	Insert				1/13/2017 5:22 PM
Terminations	Termination Comments	Insert				1/13/2017 5:22 PM
Terminations	Termination Date	Insert				1/13/2017 5:22 PM
Terminations	Termination Effective Date	Insert				1/13/2017 5:22 PM
Terminations	Termination Reason	Insert				1/13/2017 5:22 PM

340B Drug Pricing Program Database