Covered Entity Details

CH09311AZ AltaMed Health Services Corporation (Active) - information as of 4/25/2025 9:21:50 PM

Main Details

Name

AltaMed Health Services Corporation

Subdivision Name

AltaMed Medical and Dental Group: Commerce, Goodrich

Type

HRSA-Funded Health Center

Site ID

BPS-H80-021824

340B ID

CH09311AZ

Grant Number

H80CS00142

Additional Details

Current Program Status

Active

Registration Date

5/4/2018

Participating Start Date

7/1/2018

Participating Approval Date

5/10/2018

Last Recertification Date

2/11/2025

Contacts

Authorizing Official

AltaMed Health Services Corporation
Jose Esparza, Sr. VP, Finance & CFO
(323) 889-7320

Primary Contact

AltaMed Health Services Corporation
Israel Espinoza, Care Management Coordinator
(323) 889-7886

Addresses

Street Address

972 Goodrich Blvd
Commerce, CA 90022-4114

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?
Yes

State	Medicaid Number	NPI Number
CA	1770006728	1770006728

Shipping Addresses

Same as Street Address

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Termination Date	Last Updated On
Contract Detail	ALTAMED PHARMACY 3	PHARMEDQUEST PHARMACY SERVICES	5427 WHITTIER BLVD	LOS ANGELES	CA	90022-4101	05/10/2018	07/01/2018	07/01/2020	10/21/2021
Contract Detail	AP2 PHARMACY	PHARMEDQUEST PHARMACY SERVICES	972 GOODRICH BLVD	COMMERCE	CA	90022	07/11/2018	10/01/2018	07/01/2020	10/21/2021
Contract Detail	COUNTY OF LOS ANGELES - AUDITOR CONTROLL	313 N FIGUEROA ST STE 1225	HEALTH SERVICES CENTRAL PHARMACY	LOS ANGELES	CA	90012-2602	07/11/2018	10/01/2018		10/01/2018
Contract Detail	RX E-FILL SOLUTIONS	CARDINAL HEALTH PHARMACY SERVICES, LLC	27680 AVENUE MENTRY STE 100	VALENCIA	CA	91355	07/11/2018	10/01/2018		10/01/2018

Grantee Sites

340B ID	340B Status	SiteId	Name	Sub Name	Address	Address Cont.	City	State
CH093110	Active	BPS-H80-010965	ALTAMED Health Services Corporation	AltaMed Health Services Corporation Headquarters	2040 CAMFIELD AVENUE		Commerce	CA
CH09311A	Active	BPS-H80-007506	AltaMed Health Services Corporation	AltaMed Medical and Dental Group: El Monte	10418 VALLEY BLVD SUITE B		EL MONTE	CA
CH09311AA	Active	BPS-H80-004101	AltaMed Health Services Corporation	AltaMed PACE - Grand Plaza	701 CESAR E. CHAVEZ AVE	SUITE 201	LOS ANGELES	CA
CH09311AB	Terminated	BPS-H80-007528	AltaMed Health Services Corporation	AltaMed PACE - Downey	12130 Paramount Blvd		Downey	CA
CH09311AC	Active	BPS-H80-001025	AltaMed Health Services Corporation	AltaMed PACE - Lynwood	3820 Martin Luther King Jr. Blvd.		Lynwood	CA
CH09311AD	Active	BPS-H80-011010	AltaMed Health Services Corporation	AltaMed Medical and Dental Group:East Los Angeles, 1st Street	2219 E. 1st St.		Los Angeles	CA
CH09311AE	Terminated	BPS-H80-007527	ALTAMED HEALTH SERVICES CORPORATION	AltaMed Medical Group: Montebello	2321 W. Whittier Blvd.		Montebello	CA
CH09311AF	Active	BPS-H80-010839	ALTAMED HEALTH SERVICES CORPORATION	AltaMed Medical Group: West Covina	1300 S. Sunset Ave.		West Covina	CA
CH09311AG	Terminated	BPS-H80-012567	ALTAMED HEALTH SERVICES CORPORATION	AltaMed Medical Group at Hollywood Presbyterian Medical Center	1300 North Vermont Avenue, Patient Tower, First Floor		Los Angeles	CA
CH09311AH	Active	BPS-H80-000019	ALTAMED HEALTH SERVICES CORPORATION	AltaMed Medical Group - Pico Rivera, Passons	6336 Passons Blvd		Pico Rivera	CA
CH09311AJ	Active	BPS-H80-013437	ALTAMED HEALTH SERVICES CORPORATION	AltaMed Medical Group: Santa Ana Bristol Clinic	2720 S Bristol St STE 110		Santa Ana	CA
CH09311AK	Terminated	BPS-H80-008999	ALTAMED HEALTH SERVICES CORPORATION	AltaMed Medical Group: Anaheim, Lincoln - West	1820 W Lincoln Ave		Anaheim	CA
CH09311AL	Active	BPS-H80-006278	ALTAMED HEALTH SERVICES CORPORATION	AltaMed Medical Group: Ramona Gardens	1424 Crusado Ln #168		Los Angeles	CA
CH09311AM	Active	BPS-H80-006803	ALTAMED HEALTH SERVICES CORPORATION	AltaMed Medical Group: Estrada Courts	1305 S Concord St # 18		Los Angeles	CA
CH09311AN	Active	BPS-H80-000975	ALTAMED HEALTH SERVICES CORPORATION	AltaMed Medical Group: William Mead	268 Bloom ST. #322		Los Angeles	CA
CH09311AP	Active	BPS-H80-007507	ALTAMED HEALTH SERVICES CORPORATION	AltaMed PACE - El Monte	10420 Valley Blvd STE A		El Monte	CA
CH09311AQ	Active	BPS-H80-014352	ALTAMED HEALTH SERVICES CORPORATION	AltaMed PACE - Covina	535 S 2ND AVE		COVINA	CA
CH09311AR	Active	BPS-H80-013575	ALTAMED HEALTH SERVICES CORPORATION	AltaMed Medical Group: Medical and Dental, Mobile Unit	2219 E 1ST ST		LOS ANGELES	CA
CH09311AS	Active	BPS-H80-000080	ALTAMED HEALTH SERVICES CORPORATION	AltaMed Medical Group: Mobile Van	5427 Whittier Blvd		Los Angeles	CA
CH09311AT	Terminated	BPS-H80-013483	ALTAMED HEALTH SERVICES CORPORATION	AltaMed Medical Group: Westlake	2105 Beverly Blvd STE 117		Los Angeles	CA
CH09311AU	Active	BPS-H80-014547	ALTAMED HEALTH SERVICES CORPORATION	AltaMed PACE - South Los Angeles	1776 E CENTURY BLVD		LOS ANGELES	CA
CH09311AV	Active	BPS-H80-015760	ALTAMED HEALTH SERVICES CORPORATION	AltaMed Medical Group - Huntington Park	1900 E SLAUSON AVE		HUNTINGTON PARK	CA
CH09311AW	Terminated	BPS-H80-014589	ALTAMED HEALTH SERVICES CORPORATION	AltaMed Medical Group - Santa Ana, Broadway	1515 S Broadway Street		Santa Ana	CA
CH09311AX	Active	BPS-H80-019143	ALTAMED HEALTH SERVICES CORPORATION	AltaMed PACE - Huntington Park	1900 E. Slauson Ave., Suite B		Huntington Park	CA
CH09311AY	Active	BPS-H80-017069	AltaMed Health Services Corporation	AltaMed Medical & Dental Group: South Gate	8627 Atlantic Avenue		South Gate	CA
CH09311AZ	Active	BPS-H80-021824	AltaMed Health Services Corporation	AltaMed Medical and Dental Group: Commerce, Goodrich	972 Goodrich Blvd		Commerce	CA
CH09311B	Active	BPS-H80-005522	ALTAMED HEALTH SERVICES CORPORATION	AltaMed Medical Group Pico Rivera, Slauson	9436 Slauson Ave		Pico Rivera	CA
CH09311BA	Active	BPS-H80-021961	AltaMed Health Services Corporation	AltaMed General Pediatrics - Westlake, 3rd Street	2100 W. 3rd Street, Suite 200		Los Angeles	CA
CH09311BB	Active	BPS-H80-021924	AltaMed Health Services Corporation	AltaMed Dental Group - Westlake, 3rd Street	2100 W. 3rd Street, Suite #220		Los Angeles	CA
CH09311BC	Active	BPS-H80-029727	AltaMed Health Services Corporation	AltaMed Medical and Dental Group - Anaheim	1325 N Anaheim Blvd Ste 200		Anaheim	CA
CH09311BD	Active	BPS-H80-030045	AltaMed Health Services Corporation	AltaMed Medical Group - Westlake, 3rd Street	2100 W. 3rd St. STE 400		Los Angeles	CA
CH09311BE	Active	BPS-H80-030047	AltaMed Health Services Corporation	AltaMed Urgent Care - Anaheim	1325 N Anaheim Blvd Ste 101		Anaheim	CA
CH09311BF	Active	BPS-H80-030836	AltaMed Health Services Corporation	AltaMed Medical Group - Northgate Market, Olympic	2323 W Olympic Blvd Ste 102		Los Angeles	CA
CH09311BG	Active	BPS-H80-031609	AltaMed Health Services Corporation	AltaMed PACE - Anaheim	1325 N Anaheim Blvd Ste 100		Anaheim	CA
CH09311BH	Active	BPS-H80-031531	AltaMed Health Services Corporation	AltaMed PACE - Long Beach	1500 Hughes Way Bldg C-150		Long Beach	CA
CH09311BJ	Active	BPS-H80-032178	AltaMed Health Services Corporation	AltaMed Medical Group: Pasadena	2661 E Washington Blvd		Pasadena	CA
CH09311BK	Active	BPS-H80-032181	AltaMed Health Services Corporation	AltaMed Medical Group: El Monte, Santa Anita	3208 Santa Anita Ave Ste 200		El Monte	CA
CH09311BL	Active	BPS-H80-032180	AltaMed Health Services Corporation	AltaMed Medical Group: Florence-Firestone	1542 E Florence Ave		Los Angeles	CA
CH09311BM	Active	BPS-H80-032179	AltaMed Health Services Corporation	AltaMed Medical Group: Huntington Park, Rugby	6601 Rugby Ave Ste 300		Huntington Park	CA
CH09311BN	Active	BPS-H80-032106	AltaMed Health Services Corporation	AltaMed PACE - Santa Ana	3601 W Sunflower Ave Ste 100		Santa Ana	CA
CH09311BP	Active	BPS-H80-034208	AltaMed Health Services Corporation	AltaMed PACE - Norwalk	11541 Rosecrans Ave		Norwalk	CA
CH09311BQ	Active	BPS-H80-035741	ALTAMED HEALTH SERVICES CORP	AltaMed Medical Group: Paramount	14906 Paramount Blvd		Paramount	CA
CH09311BR	Active	BPS-H80-036060	ALTAMED HEALTH SERVICES CORP	AltaMed Dental Group - Westlake, 3rd Street	2100 W. 3rd Street STE 301		Los Angeles	CA
CH09311BS	Active	BPS-H80-035598	ALTAMED HEALTH SERVICES CORPORATION	AltaMed PACE - Compton	2616 E. Alondra Blvd.		Compton	CA
CH09311BT	Active	BPS-H80-038311	ALTAMED HEALTH SERVICES CORPORATION	AltaMed - Vacco	10408 Vacco St		South El Monte	CA
CH09311BU	Active	BPS-H80-038308	ALTAMED HEALTH SERVICES CORPORATION	AltaMed - PECK	3703 Peck Rd		El Monte	CA
CH09311BV	Active	BPS-H80-038392	ALTAMED HEALTH SERVICES CORPORATION	AltaMed - Lake/Elizabeth	1595 N Lake Ave		Pasadena	CA
CH09311BW	Active	BPS-H80-038302	ALTAMED HEALTH SERVICES CORPORATION	AltaMed - Lincoln	2055 Lincoln Ave		Pasadena	CA
CH09311BX	Active	BPS-H80-038310	ALTAMED HEALTH SERVICES CORPORATION	AltaMed - Lime	513 E Lime Ave STE 101-102		Monrovia	CA
CH09311BY	Active	BPS-H80-038307	ALTAMED HEALTH SERVICES CORPORATION	AltaMed - Garvey	10127 Garvey Ave		El Monte	CA
CH09311BZ	Active	BPS-H80-038305	ALTAMED HEALTH SERVICES CORPORATION	AltaMed - Fair Oaks	1855 N Fair Oaks Ave		Pasadena	CA
CH09311C	Active	BPS-H80-000051	ALTAMED Health Services Corporation	AltaMed Medical Group Huntington Beach	8041 NEWMAN AVENUE		HUNTINGTON BEACH	CA
CH09311CA	Active	BPS-H80-038303	ALTAMED HEALTH SERVICES CORPORATION	AltaMed - Del Mar	3160 E Del Mar Blvd STE 100		Pasadena	CA
CH09311CB	Active	BPS-H80-037132	ALTAMED HEALTH SERVICES CORPORATION	AltaMed - PACE Inglewood	3310 W Century Blvd		Inglewood	CA
CH09311CC	Active	BPS-H80-038758	ALTAMED HEALTH SERVICES CORPORATION	AltaMed Medical Group - Bellflower	20134 Rosecrans Ave		Bellflower	CA
CH09311CE	Active	BPS-H80-038759	ALTAMED HEALTH SERVICES CORPORATION	AltaMed Medical Group - Bell Gardens	6811 Eastern Ave		Bell Gardens	CA
CH09311CF	Approved	BPS-H80-039031	ALTAMED HEALTH SERVICES CORPORATION	AltaMed Dental Group – Santa Ana, Sunflower	3601 W. Sunflower Avenue, Rooms 200-242, 245-251, 253 & 255-261		Santa Ana	CA
CH09311D	Terminated	BPS-H80-003116	ALTAMED HEALTH SERVICES CORPORATION	AltaMed/BuenaCare Health Clinic:	1701 Zonal Ave		Los Angeles	CA
CH09311E	Active	BPS-H80-002265	ALTAMED HEALTH SERVICES CORPORATION	AltaMed PACE - East Los Angeles	5425 Pomona Blvd.		Los Angeles	CA
CH09311F	Active	BPS-H80-003035	ALTAMED HEALTH SERVICES CORPORATION	AltaMed Medical Group East LA/Whittier East (Commerce)	5427 Whittier Blvd		Los Angeles	CA
CH09311H	Terminated	BPS-H80-001429	ALTAMED HEALTH SERVICES CORPORATION	AltaMed Medical & Dental Group: BELL, Atlantic	6901 Atlantic Ave		Bell	CA
CH09311J	Terminated	BPS-H80-000876	AltaMed Health Services Corporation	AltaMed PACE - Huntington Park	6330 RUGBY AVENUE	SUITE 200	HUNTINGTON PARK	CA
CH09311L	Active	BPS-H80-000063	AltaMed Health Services Corporation	AltaMed Medical Group: Orange, Chapman	4010 EAST CHAPMAN AVENUE		ORANGE	CA
CH09311N	Active	BPS-H80-001878	ALTAMED MEDICAL GROUP	AltaMed General Pediatrics @ Children's Hospital	4650 W. SUNSET BLVD.	FIRST FLOOR, PAGE BUILDING	LOS ANGELES	CA
CH09311R	Active	BPS-H80-000947	ALTAMED HEALTH SERVICES CORPORATION	AltaMed Medical & Dental Group - East LA/Whittier West (Boyle Heights)	3945 Whittier Blvd		Los Angeles	CA
CH09311W	Terminated	BPS-H80-000721	AltaMed Health Services Corporation	AltaMed Medical Group: Santa Ana, Central	1155 W. CENTRAL AVENUE		SANTA ANA	CA
CH09311X	Terminated	BPS-H80-008473	ALTAMED HEALTH SERVICES CORPORATION	AltaMed Medical Group: Anaheim, Lincoln	1814 W Lincoln Ave		Anaheim	CA
CH09311Y	Active	BPS-H80-008443	ALTAMED HEALTH SERVICES CORPORATION	AltaMed Medical Group: Garden Grove, Harbor	12751 Harbor Blvd		Garden Grove	CA
CH09311Z	Active	BPS-H80-008477	ALTAMED HEALTH SERVICES CORPORATION	AltaMed Medical and Dental Group: Santa Ana, Main	1400 N Main St		Santa Ana	CA

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
CH093110	ACCREDO HEALTH GROUP INC	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	07/01/2024
CH093110	ACCREDO HEALTH GROUP INC	2040 W RIO SALADO PKWY STE 101B		TEMPE	AZ	85281-2010	07/01/2024
CH093110	ACCREDO HEALTH GROUP INC	3000 ERICSSON DRIVE, SUITE 100		WARRENDALE	PA	15086-7502	07/01/2024
CH09311BW	ACCREDO HEALTH GROUP INC	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	10/01/2024
CH093110	ACCREDO HEALTH GROUP, INC.	2825 W PERIMETER RD STE 112		INDIANAPOLIS	IN	46241	07/01/2024
CH093110	ACCREDO HEALTH GROUP, INC.	4750 E 450 S	SUITE A	WHITESTOWN	IN	46075	07/01/2024
CH093110	ACCREDO HEALTH GROUP, INC.	6272 LEE VISTA BLVD STE 100		ORLANDO	FL	32822	07/01/2024
CH093110	ACCREDO HEALTH GROUP, INC.	2 BOULDEN CIR STE 1		NEW CASTLE	DE	19720-3492	07/01/2024
CH093110	ALBERTSONS LLC	SAV-ON PHARMACY #2543	2400 W COMMONWEALTH AVE	ALHAMBRA	CA	91803	01/01/2018
CH093110	ALTAMED PHARMACY 3	PHARMEDQUEST PHARMACY SERVICES	5427 WHITTIER BLVD	LOS ANGELES	CA	90022-4101	10/01/2014	07/01/2020
CH09311F	ALTAMED PHARMACY 3	PHARMEDQUEST PHARMACY SERVICES	5427 WHITTIER BLVD	LOS ANGELES	CA	90022-4101	02/01/2012	07/01/2020
CH09311AZ	ALTAMED PHARMACY 3	PHARMEDQUEST PHARMACY SERVICES	5427 WHITTIER BLVD	LOS ANGELES	CA	90022-4101	07/01/2018	07/01/2020
CH093110	ALTAMED PHARMACY 4	PHARMEDQUEST PHARMACY SERVICES	12751 HARBOR BLVD	GARDEN GROVE	CA	92840-5800	10/01/2014	07/01/2020
CH09311Y	ALTAMED PHARMACY 4	PHARMEDQUEST PHARMACY SERVICES	12751 HARBOR BLVD	GARDEN GROVE	CA	92840-5800	04/01/2013	07/01/2020
CH093110	ALTAMED PHARMACY 5	PHARMEDQUEST PHARMACY SERVICES	1820 W. LINCOLN AVENUE	ANAHEIM	CA	92801-6730	10/01/2014	07/01/2020
CH093110	AMAZON PHARMACY #001	4500 S PLEASANT VALLEY RD STE 201		AUSTIN	TX	78744-2911	07/01/2019
CH09311B	AP 6 PHARMACY	PHARMEDQUEST PHARMACY SERVICES	6336 PASSONS BLVD	PICO RIVERA	CA	90660-3355	07/01/2014	07/01/2020
CH093110	AP 6 PHARMACY	PHARMEDQUEST PHARMACY SERVICES	6336 PASSONS BLVD	PICO RIVERA	CA	90660-3355	10/01/2014	07/01/2020
CH09311AH	AP 6 PHARMACY	PHARMEDQUEST PHARMACY SERVICES	6336 PASSONS BLVD	PICO RIVERA	CA	90660-3355	07/01/2014	07/01/2020
CH093110	AP 7 PHARMACY	PHARMEDQUEST PHARMACY SERVICES	1300 S. SUNSET AVE	WEST COVINA	CA	91790-3342	04/01/2015	07/01/2020
CH09311AF	AP 7 PHARMACY	PHARMEDQUEST PHARMACY SERVICES	1300 S. SUNSET AVE	WEST COVINA	CA	91790-3342	01/01/2015	07/01/2020
CH09311AY	AP10 PHARMACY	PHARMEDQUEST PHARMACY SERVICES	8627 ATLANTIC AVE.	SOUTH GATE	CA	90280	07/01/2018	07/01/2020
CH093110	AP10 PHARMACY	PHARMEDQUEST PHARMACY SERVICES	8627 ATLANTIC AVE.	SOUTH GATE	CA	90280	07/01/2018	07/01/2020
CH09311AZ	AP2 PHARMACY	PHARMEDQUEST PHARMACY SERVICES	972 GOODRICH BLVD	COMMERCE	CA	90022	10/01/2018	07/01/2020
CH093110	AP2 PHARMACY	PHARMEDQUEST PHARMACY SERVICES	972 GOODRICH BLVD	COMMERCE	CA	90022	10/01/2018	07/01/2020
CH093110	AP8 PHARMACY	PHARMEDQUEST PHARMACY SERVICES	2720 S. BRISTOL ST. STE 102	SANTA ANA	CA	92704-6230	10/01/2017	07/01/2020
CH09311AJ	AP8 PHARMACY	PHARMEDQUEST PHARMACY SERVICES	2720 S. BRISTOL ST. STE 102	SANTA ANA	CA	92704-6230	01/01/2016	07/01/2020
CH093110	AP9 PHARMACY	PHARMEDQUEST PHARMACY SERVICES	1900 E. SLAUSON AVE.	HUNTINGTON PARK	CA	90255-2725	10/01/2017	07/01/2020
CH09311AV	AP9 PHARMACY	PHARMEDQUEST PHARMACY SERVICES	1900 E. SLAUSON AVE.	HUNTINGTON PARK	CA	90255-2725	04/01/2016	07/01/2020
CH09311AX	AP9 PHARMACY	PHARMEDQUEST PHARMACY SERVICES	1900 E. SLAUSON AVE.	HUNTINGTON PARK	CA	90255-2725	07/01/2017	07/01/2020
CH09311AY	AP9 PHARMACY	PHARMEDQUEST PHARMACY SERVICES	1900 E. SLAUSON AVE.	HUNTINGTON PARK	CA	90255-2725	10/01/2017	07/01/2020
CH093110	AZ PHARMACY, LLC	DBA AMAZON PHARMACY #002	3809 E WATKINS ST	PHOENIX	AZ	85034	07/01/2019
CH09311BX	AZ PHARMACY, LLC	DBA AMAZON PHARMACY #002	3809 E WATKINS ST	PHOENIX	AZ	85034	10/01/2024
CH093110	BELLWOOD MEDICAL CENTER PHARMACY	10230 E ARTESIA BLVD STE 101		BELLFLOWER	CA	90706	10/01/2014
CH09311AB	BELLWOOD MEDICAL CENTER PHARMACY	10230 E ARTESIA BLVD STE 101		BELLFLOWER	CA	90706	01/01/2012	04/01/2023
CH09311AC	BELLWOOD MEDICAL CENTER PHARMACY	10230 E ARTESIA BLVD STE 101		BELLFLOWER	CA	90706	01/01/2012
CH093110	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	4900 PROSPECTUS DR STE 300		DURHAM	NC	27713	07/01/2022
CH093110	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	13925 YALE AVE STE 145		IRVINE	CA	92620-2670	07/01/2022
CH093110	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	376 NORTHLAKE BLVD		ALTAMONTE SPRINGS	FL	32701-5261	07/01/2022
CH09311BY	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	376 NORTHLAKE BLVD		ALTAMONTE SPRINGS	FL	32701-5261	10/01/2024
CH093110	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	145 S 79TH ST STE 70	CHANDLER	AZ	85226	10/01/2024
CH093110	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	4740 VICTORY LN STE C	INDIANAPOLIS	IN	46203	10/01/2024
CH093110	BIOSCRIP PHARMACY		8490 SANTA MONICA BLVD SUITE 1	WEST HOLLYWOOD	CA	90069	01/01/2021
CH093110	BOTICA DEL SOL	HYGEIA APOTHECARY, INC. DBA	2331 CESAR CHAVEZ AVENUE	LOS ANGELES	CA	90033	10/01/2014	10/16/2017
CH09311D	BOTICA DEL SOL	HYGEIA APOTHECARY, INC. DBA	2331 CESAR CHAVEZ AVENUE	LOS ANGELES	CA	90033	03/01/2011	04/01/2016
CH093110	CALIFORNIA SPECIALTY PHARMACY	12110 HADLEY ST		WHITTIER	CA	90601	01/01/2023
CH093110	CAREMARK FLORIDA SPECIALTY PHARMACY LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7930 WOODLAND CENTER BLVD STE 500	TAMPA	FL	33614	04/01/2024	01/16/2024
CH093110	CAREMARK FLORIDA SPECIALTY PHARMACY LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7930 WOODLAND CENTER BLVD STE 500	TAMPA	FL	33614	04/01/2024
CH093110	CAREMARK ILLINOIS SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	800 BIERMANN CT STE B	MOUNT PROSPECT	IL	60056	04/01/2024	01/16/2024
CH093110	CAREMARK ILLINOIS SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	800 BIERMANN CT STE B	MOUNT PROSPECT	IL	60056	04/01/2024
CH093110	CAREMARK KANSAS SPECIALTY PHARMACY	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	11162 RENNER BLVD	LENEXA	KS	66219	04/01/2024	01/16/2024
CH093110	CAREMARK KANSAS SPECIALTY PHARMACY	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	11162 RENNER BLVD	LENEXA	KS	66219	04/01/2024
CH093110	CAREMARK MASSACHUSETTS SPECIALTY PHARMAC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	25 BIRCH STREET, BLDG B, SUITE 100	MILFORD	MA	01757	04/01/2024	01/16/2024
CH093110	CAREMARK MASSACHUSETTS SPECIALTY PHARMAC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	25 BIRCH STREET, BLDG B, SUITE 100	MILFORD	MA	01757	04/01/2024
CH093110	CAREMARK MICHIGAN SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1307 ALLEN DR STE H	TROY	MI	48083	04/01/2024	01/16/2024
CH093110	CAREMARK MICHIGAN SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1307 ALLEN DR STE H	TROY	MI	48083	04/01/2024
CH093110	CAREMARK NEW JERSEY SPECIALTY PHCY, LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	180 PASSAIC AVE UNIT B-5	FAIRFIELD	NJ	07004	04/01/2024	01/16/2024
CH093110	CAREMARK NEW JERSEY SPECIALTY PHCY, LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	180 PASSAIC AVE UNIT B-5	FAIRFIELD	NJ	07004	04/01/2024
CH093110	CAREMARK NORTH CAROLINA SPECIALTY PHARMA	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	10700 WORLD TRADE BLVD STE 110	RALEIGH	NC	27617	04/01/2024	01/16/2024
CH093110	CAREMARK NORTH CAROLINA SPECIALTY PHARMA	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	10700 WORLD TRADE BLVD STE 110	RALEIGH	NC	27617	04/01/2024
CH093110	CAREMARK TENNESSEE SPECIALTY PHARMACY, L	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	8370 WOLF LAKE DR STE 107	BARTLETT	TN	38133	04/01/2024	01/16/2024
CH093110	CAREMARK TENNESSEE SPECIALTY PHARMACY, L	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	8370 WOLF LAKE DR STE 107	BARTLETT	TN	38133	04/01/2024
CH093110	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1127 BRYN MAWR AVE SUITE A	REDLANDS	CA	92374	04/01/2024	01/16/2024
CH093110	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1127 BRYN MAWR AVE SUITE A	REDLANDS	CA	92374	04/01/2024
CH093110	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7251 S. EASTERN AVE.	LAS VEGAS	NV	89119	04/01/2024	01/16/2024
CH093110	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7251 S. EASTERN AVE.	LAS VEGAS	NV	89119	04/01/2024
CH093110	CHA HOLLYWOOD MEDICAL CENTER LP	DBA HOLLYWOOD PRESBYTERIAN MEDICAL CENTE	1300 N VERMONT AVE 1ST FLOOR DOCTORS TWR	LOS ANGELES	CA	90027-6005	10/01/2014	10/16/2017
CH09311N	CHA HOLLYWOOD MEDICAL CENTER LP	DBA HOLLYWOOD PRESBYTERIAN MEDICAL CENTE	1300 N VERMONT AVE 1ST FLOOR DOCTORS TWR	LOS ANGELES	CA	90027-6005	04/01/2013
CH093110	COLUMBUS PHARMACY	861 N BROADWAY		LOS ANGELES	CA	90012	10/01/2014
CH09311AA	COLUMBUS PHARMACY	861 N BROADWAY		LOS ANGELES	CA	90012	01/29/2010
CH09311B	COUNTY OF LOS ANGELES - AUDITOR CONTROLL	313 N FIGUEROA ST STE 1225	HEALTH SERVICES CENTRAL PHARMACY	LOS ANGELES	CA	90012-2602	04/01/2016
CH09311A	COUNTY OF LOS ANGELES - AUDITOR CONTROLL	313 N FIGUEROA ST STE 1225	HEALTH SERVICES CENTRAL PHARMACY	LOS ANGELES	CA	90012-2602	04/01/2016
CH093110	COUNTY OF LOS ANGELES - AUDITOR CONTROLL	313 N FIGUEROA ST STE 1225	HEALTH SERVICES CENTRAL PHARMACY	LOS ANGELES	CA	90012-2602	04/01/2016
CH09311D	COUNTY OF LOS ANGELES - AUDITOR CONTROLL	313 N FIGUEROA ST STE 1225	HEALTH SERVICES CENTRAL PHARMACY	LOS ANGELES	CA	90012-2602	04/01/2016	04/01/2016
CH09311F	COUNTY OF LOS ANGELES - AUDITOR CONTROLL	313 N FIGUEROA ST STE 1225	HEALTH SERVICES CENTRAL PHARMACY	LOS ANGELES	CA	90012-2602	04/01/2016
CH09311H	COUNTY OF LOS ANGELES - AUDITOR CONTROLL	313 N FIGUEROA ST STE 1225	HEALTH SERVICES CENTRAL PHARMACY	LOS ANGELES	CA	90012-2602	04/01/2016	04/01/2018
CH09311R	COUNTY OF LOS ANGELES - AUDITOR CONTROLL	313 N FIGUEROA ST STE 1225	HEALTH SERVICES CENTRAL PHARMACY	LOS ANGELES	CA	90012-2602	04/01/2016
CH09311AD	COUNTY OF LOS ANGELES - AUDITOR CONTROLL	313 N FIGUEROA ST STE 1225	HEALTH SERVICES CENTRAL PHARMACY	LOS ANGELES	CA	90012-2602	04/01/2016
CH09311AE	COUNTY OF LOS ANGELES - AUDITOR CONTROLL	313 N FIGUEROA ST STE 1225	HEALTH SERVICES CENTRAL PHARMACY	LOS ANGELES	CA	90012-2602	04/01/2016	07/01/2018
CH09311AF	COUNTY OF LOS ANGELES - AUDITOR CONTROLL	313 N FIGUEROA ST STE 1225	HEALTH SERVICES CENTRAL PHARMACY	LOS ANGELES	CA	90012-2602	04/01/2016
CH09311AG	COUNTY OF LOS ANGELES - AUDITOR CONTROLL	313 N FIGUEROA ST STE 1225	HEALTH SERVICES CENTRAL PHARMACY	LOS ANGELES	CA	90012-2602	04/01/2016	04/01/2020
CH09311AH	COUNTY OF LOS ANGELES - AUDITOR CONTROLL	313 N FIGUEROA ST STE 1225	HEALTH SERVICES CENTRAL PHARMACY	LOS ANGELES	CA	90012-2602	04/01/2016
CH09311AY	COUNTY OF LOS ANGELES - AUDITOR CONTROLL	313 N FIGUEROA ST STE 1225	HEALTH SERVICES CENTRAL PHARMACY	LOS ANGELES	CA	90012-2602	10/01/2017
CH09311AV	COUNTY OF LOS ANGELES - AUDITOR CONTROLL	313 N FIGUEROA ST STE 1225	HEALTH SERVICES CENTRAL PHARMACY	LOS ANGELES	CA	90012-2602	04/01/2018
CH09311AM	COUNTY OF LOS ANGELES - AUDITOR CONTROLL	313 N FIGUEROA ST STE 1225	HEALTH SERVICES CENTRAL PHARMACY	LOS ANGELES	CA	90012-2602	04/01/2018
CH09311AN	COUNTY OF LOS ANGELES - AUDITOR CONTROLL	313 N FIGUEROA ST STE 1225	HEALTH SERVICES CENTRAL PHARMACY	LOS ANGELES	CA	90012-2602	04/01/2018
CH09311AL	COUNTY OF LOS ANGELES - AUDITOR CONTROLL	313 N FIGUEROA ST STE 1225	HEALTH SERVICES CENTRAL PHARMACY	LOS ANGELES	CA	90012-2602	04/01/2018
CH09311AZ	COUNTY OF LOS ANGELES - AUDITOR CONTROLL	313 N FIGUEROA ST STE 1225	HEALTH SERVICES CENTRAL PHARMACY	LOS ANGELES	CA	90012-2602	10/01/2018
CH09311BD	COUNTY OF LOS ANGELES - AUDITOR CONTROLL	313 N FIGUEROA ST STE 1225	HEALTH SERVICES CENTRAL PHARMACY	LOS ANGELES	CA	90012-2602	05/19/2020
CH09311BB	COUNTY OF LOS ANGELES - AUDITOR CONTROLL	313 N FIGUEROA ST STE 1225	HEALTH SERVICES CENTRAL PHARMACY	LOS ANGELES	CA	90012-2602	05/19/2020
CH09311BA	COUNTY OF LOS ANGELES - AUDITOR CONTROLL	313 N FIGUEROA ST STE 1225	HEALTH SERVICES CENTRAL PHARMACY	LOS ANGELES	CA	90012-2602	05/19/2020
CH093110	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	CAREMARK, LLC	1001 SPINKS ROAD, STE 280	FLOWER MOUND	TX	75028	04/01/2024	01/16/2024
CH093110	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	CAREMARK, LLC	1001 SPINKS ROAD, STE 280	FLOWER MOUND	TX	75028	04/01/2024
CH093110	CYSTIC FIBROSIS SERVICES, LLC	DBA WALGREENS SPECIALTY PHARMACY #16280	10530 JOHN W ELLIOTT DR STE 200	FRISCO	TX	75033	04/01/2020
CH093110	DOGWOOD PHARMACY, INC	D/B/A MEDSCRIPTS MEDICAL PHARMACY	1325 MILLER ROAD SUITE K	GREENVILLE	SC	29607-6540	07/01/2022
CH09311A	EL MONTE PHARMACY	3948 N PECK RD STE A1-A2		EL MONTE	CA	91732	07/02/2009
CH093110	EL MONTE PHARMACY	3948 N PECK RD STE A1-A2		EL MONTE	CA	91732	10/01/2014
CH093110	ESI MAIL PHARMACY SERVICE	DBA EXPRESS SCRIPTS	7909 S HARDY DR STE 106	TEMPE	AZ	85284-1112	07/01/2024
CH093110	EXACT CARE PHARMACY	DDCRX, LLC	2701 HIGHPOINT OAKS DR STE 100	LEWISVILLE	TX	75067-3896	07/01/2022	08/25/2023
CH093110	EXACT CARE PHARMACY, LLC	8333 ROCKSIDE RD		CLEVELAND	OH	44125	07/01/2022	08/25/2023
CH093110	EXPRESS SCRIPTS	ESI MAIL PHARMACY SERVICE INC	4600 N HANLEY RD	SAINT LOUIS	MO	63134	07/01/2024
CH093110	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	2040 ROUTE 130 NORTH	BURLINGTON	NJ	08016	07/01/2024
CH093110	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	4750 E. 450 S.	WHITESTOWN	IN	46075	07/01/2024
CH093110	FARMACIA BRISTOL	1155 W. CENTRAL AVE SUITE#112		SANTA ANA	CA	92707	07/01/2020	04/01/2021
CH093110	FARMACIA BRISTOL	1155 W. CENTRAL AVE.	STE. 112	SANTA ANA	CA	92707	10/01/2020
CH09311BN	FARMACIA BRISTOL	1155 W. CENTRAL AVE.	STE. 112	SANTA ANA	CA	92707	10/01/2024
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 04065	858 N. SUNSET AVE.	LA PUENTE	CA	91744	01/01/2018
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09583	102 NORTH MAIN STREET	SANTA ANA	CA	92701	01/01/2018
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09857	800 W. WHITTIER BLVD.	MONTEBELLO	CA	90640	01/01/2018
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09771	9256 SLAUSON AVENUE	PICO RIVERA	CA	90660	01/01/2018
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09852	11426 WASHINGTON BLVD.	WHITTIER	CA	90606	01/01/2018	12/02/2024
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 08867	7915 FLORENCE AVENUE	DOWNEY	CA	90240	01/01/2018
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09629	861 NORTH HACIENDA BOULEVARD	LA PUENTE	CA	91744	01/01/2018
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA CVS/PHARMACY # 4524	5176 E. WHITTIER BLVD.	LOS ANGELES	CA	90022	01/01/2018
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09769	8580 WHITTIER BLVD.	PICO RIVERA	CA	90660	01/01/2018	04/26/2023
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09852	11426 WASHINGTON BLVD.	WHITTIER	CA	90606	01/01/2018
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09119	4040 E. CHAPMAN AVE.	ORANGE	CA	92869	01/01/2018
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 08858	7101 ATLANTIC AVENUE	BELL	CA	90201	01/01/2018
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 08875	3644 EAST OLYMPIC BOULEVARD	LOS ANGELES	CA	90023	01/01/2018
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09617	2103 SOUTH ATLANTIC BOULEVARD	MONTEREY PARK	CA	91754	01/01/2018
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 08849	1545 WEST 17TH STREET	SANTA ANA	CA	92706	07/01/2018
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09725	480 SOUTH MAIN STREET	ORANGE	CA	92868	07/01/2018
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 08855	228 NORTH HARBOR BOULEVARD	SANTA ANA	CA	92703	07/01/2018
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 05841	2330 SOUTH MAIN STREET	SANTA ANA	CA	92707	07/01/2018
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 08883	3911 SOUTH BRISTOL STREET	SANTA ANA	CA	92704	07/01/2018
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA CVS/PHARMACY #10509	3627 EAST CESAR EAST CHAVEZ AVENUE	LOS ANGELES	CA	90063	07/01/2018
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 08862	12031 BROOKHURST STREET	GARDEN GROVE	CA	92840	07/01/2018
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 05834	11574 LOWER AZUSA RD	EL MONTE	CA	91732	07/01/2018
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09639	11940 GARVEY AVENUE	EL MONTE	CA	91732	07/01/2018
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 08854	1750 NORTH GRAND AVENUE	SANTA ANA	CA	92705	07/01/2018	12/01/2022
CH093110	GARFIELD BEACH CVS, L.L.C.	CVS PHARMACY # 16043	5600 WHITTIER BLVD	COMMERCE	CA	90022	07/01/2018
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09759	270 WEST LINCOLN AVENUE	ANAHEIM	CA	92805	01/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	CVS PHARMACY # 16756	200 W ORANGETHORPE AVE	FULLERTON	CA	92832	01/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 08874	1676 WEST KATELLA AVENUE	ANAHEIM	CA	92802	01/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 08889	12618 STUDEBAKER ROAD	NORWALK	CA	90650	01/01/2019	11/07/2022
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09716	5585 N ROSEMEAD BLVD	TEMPLE CITY	CA	91780	01/01/2019	03/08/2023
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09512	15466 WHITTIER BLVD.	WHITTIER	CA	90603	01/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09483	10011 ADAMS AVENUE	HUNTINGTON BEACH	CA	92646	01/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 08850	19121 BEACH BOULEVARD	HUNTINGTON BEACH	CA	92648	01/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09555	510 SOUTH BEACH BOULEVARD	ANAHEIM	CA	92804	01/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	CVS PHARMACY # 16072	3300 S BRISTOL ST	SANTA ANA	CA	92704	01/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	CVS PHARMACY # 16071	16400 BEACH BLVD	WESTMINSTER	CA	92683	01/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09696	10048 MILLS AVE.	WHITTIER	CA	90604	01/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09491	5822 EDINGER AVENUE	HUNTINGTON BEACH	CA	92649	01/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09762	2011 EAST LA PALMA	ANAHEIM	CA	92806	01/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09645	8225 GARVEY AVENUE	ROSEMEAD	CA	91770	01/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA CVS/PHARMACY # 7088	16961 BEACH BOULEVARD	HUNTINGTON BEACH	CA	92647	01/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09757	2525 VIA CAMPO ST.	MONTEBELLO	CA	90640	01/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09748	3670 S. NOGALES ST.	WEST COVINA	CA	91792	01/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	CVS PHARMACY # 16750	3600 ROSEMEAD BLVD	ROSEMEAD	CA	91770	01/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	CVS PHARMACY # 16061	10621 CARMENITA RD	SANTA FE SPRINGS	CA	90670	01/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	CVS PHARMACY # 16090	1330 E 17TH ST	SANTA ANA	CA	92705	01/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	CVS PHARMACY # 17478	101 S EUCLID ST	ANAHEIM	CA	92802	01/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA CVS/PHARMACY #4019	5837 S. CENTRAL AVE.	LOS ANGELES	CA	90001	01/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09495	220 EAST COMPTON BOULEVARD	COMPTON	CA	90220	01/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 05775	3151 BALDWIN PARK BLVD..	BALDWIN PARK	CA	91706	01/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09672	14503 RAMONA BLVD	BALDWIN PARK	CA	91706	01/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09666	2419 WORKMAN STREET	LOS ANGELES	CA	90031	01/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09749	2138 N. TUSTIN ST.	ORANGE	CA	92865	01/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA CVS/PHARMACY #10067	4621 FIRESTONE BLVD	SOUTH GATE	CA	90280	01/01/2019	03/26/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09673	1550 PUENTE AVENUE	BALDWIN PARK	CA	91706	01/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09687	702 NORTH AZUSA AVE	WEST COVINA	CA	91791	01/01/2019	09/20/2022
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09738	11735 WHITTIER BOULEVARD	WHITTIER	CA	90601	01/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09791	2532 W. VALLEY BLVD.	ALHAMBRA	CA	91803	01/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 08830	2701 HARBOR BLVD., BLDG B	COSTA MESA	CA	92626	01/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	CVS PHARMACY # 16762	8800 WHITTIER BLVD	PICO RIVERA	CA	90660	01/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09501	2655 SANTA ANA STREET	SOUTH GATE	CA	90280	01/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 08835	3710 TWEEDY BOULEVARD	SOUTH GATE	CA	90280	01/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09609	9920 EAST GARVEY AVENUE	EL MONTE	CA	91733	01/01/2019	05/17/2023
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 03986	8400 FIRESTONE BLVD.	DOWNEY	CA	90241	01/01/2019	05/23/2023
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09674	1050 W. SUNSET BOULEVARD	LOS ANGELES	CA	90012	01/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09123	3800 MARTIN LUTHER KING JR. BOULEVARD	LYNWOOD	CA	90262	01/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09510	15421 BROOKHURST STREET	WESTMINSTER	CA	92683	01/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 08841	11623 ROSECRANS AVE.	NORWALK	CA	90650	01/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09560	611 S. BROOKHURST ST.	ANAHEIM	CA	92804	01/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 08885	15520 GOLDENWEST ST.	HUNTINGTON BEACH	CA	92647	01/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09744	1535 EAST KATELLA AVENUE	ORANGE	CA	92867	01/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09637	367 N CITRUS AVE	AZUSA	CA	91702	01/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	CVS PHARMACY # 16761	12051 IMPERIAL HWY	NORWALK	CA	90650	01/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 08853	1645 EAST 103RD STREET	LOS ANGELES	CA	90002	01/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09596	5960 PACIFIC BOULEVARD	HUNTINGTON PARK	CA	90255	01/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09641	206 N. AZUSA AVENUE	COVINA	CA	91722	01/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 05499	1954 DURFEE AVE.	SOUTH EL MONTE	CA	91733	01/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY 24 HOUR # 06782	18872 BEACH BLVD.	HUNTINGTON BEACH	CA	92648	01/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	CVS PHARMACY # 16045	12100 HARBOR BLVD	GARDEN GROVE	CA	92840	01/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09730	2141 SOUTH HACIENDA BOULEVARD	HACIENDA HEIGHTS	CA	91745	01/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 08861	8850 VALLEY VIEW STREET	BUENA PARK	CA	90620	10/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 08859	16 3RD AVENUE EXT.	CHULA VISTA	CA	91910	10/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA CVS/PHARMACY #10005	6401 MACK RD.	SACRAMENTO	CA	95823	10/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 08837	222 N. MARKET ST.	INGLEWOOD	CA	90301	10/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 07079	2200 N. HARBOR BLVD. (NEC)	FULLERTON	CA	92835	10/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09686	4707 VENICE BLVD	LOS ANGELES	CA	90019	10/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	CVS PHARMACY # 17415	38019 47TH ST E	PALMDALE	CA	93552	10/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09707	14735 VENTURA BLVD.	SHERMAN OAKS	CA	91403	10/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09753	5735 E LA PALMA AVENUE	ANAHEIM	CA	92807	10/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09580	5101 OBAMA BLVD	LOS ANGELES	CA	90016	10/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09848	20 E ORANGE GROVE BLVD.	PASADENA	CA	91103	10/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA CVS/PHARMACY #10146	12746 W. JEFFERSON BLVD., SUITE 3160	PLAYA VISTA	CA	90094	10/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 05837	7065 LA PALMA AVE.	BUENA PARK	CA	90620	10/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09484	1150 BAKER ST.	COSTA MESA	CA	92626	10/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09486	5385 ALTON PARKWAY	IRVINE	CA	92604	10/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 08886	8601 SOUTH SEPULVEDA BOULEVARD	LOS ANGELES	CA	90045	10/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09747	150 EAST YORBA LINDA BOULEVARD	PLACENTIA	CA	92870	10/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09660	3751 WILSHIRE BOULEVARD	LOS ANGELES	CA	90010	10/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09562	3981 IRVINE BOULEVARD	IRVINE	CA	92602	10/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	CVS PHARMACY # 16591	13200 JAMBOREE RD	IRVINE	CA	92602	10/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 04792	15232 SHERMAN WAY	VAN NUYS	CA	91405	10/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09493	12315 VENICE BOULEVARD	MAR VISTA	CA	90066	10/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 08895	775 E. FOOTHILL BOULEVARD	POMONA	CA	91767	10/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09774	731 SOUTH WEIR CANYON ROAD	ANAHEIM HILLS	CA	92808	10/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09591	30842 S PACIFIC COAST	LAGUNA BEACH	CA	92651	10/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA CVS/PHARMACY # 3055	38012 47TH STREET EAST	PALMDALE	CA	93552	10/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09682	22968 VICTORY BLVD	WOODLAND HILLS	CA	91367	10/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 08843	921 PACIFIC COAST HWY.	SEAL BEACH	CA	90740	10/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	CVS PHARMACY # 16637	3030 HARBOR BLVD STE A	COSTA MESA	CA	92626	10/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 08877	671 EAST 1ST STREET	TUSTIN	CA	92780	10/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA CVS/PHARMACY #10433	6201 HOLLYWOOD BLVD, STE 126	LOS ANGELES	CA	90028	10/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09765	312 NORTH EUCLID STREET	FULLERTON	CA	92832	10/01/2019	07/28/2020
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09721	1401 S. BALDWIN AVE.	ARCADIA	CA	91007	10/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09624	1747 NORTH CAHUENGA BOULEVARD	HOLLYWOOD	CA	90028	10/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09668	727 S. ARROYO PARKWAY	PASADENA	CA	91105	10/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09575	5501 BALL ROAD	CYPRESS	CA	90630	10/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09626	1701 SOUTH WESTERN AVENUE	LOS ANGELES	CA	90006	10/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09492	18080 IMPERIAL HWY.	YORBA LINDA	CA	92886	10/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09754	1823 WEST ORANGETHORPE AVENUE	FULLERTON	CA	92833	10/01/2019	04/18/2022
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09708	150 W. WILLOW ST.	POMONA	CA	91768	10/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 08881	1020 IRVINE AVENUE	NEWPORT BEACH	CA	92660	10/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 01778	3883 E. FOOTHILL BLVD (NWC)	PASADENA	CA	91107	10/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09740	15210 ROSECRANS AVENUE	LA MIRADA	CA	90638	10/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09477	5399 WEST CENTINELA AVENUE	LOS ANGELES	CA	90045	10/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09569	17136 MAGNOLIA ST.	FOUNTAIN VALLEY	CA	92708	10/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09758	2101 W IMPERIAL HWY UNIT C	LA HABRA	CA	90631-6383	10/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 08847	3010 SOUTH SEPULVEDA BOULEVARD	LOS ANGELES	CA	90034	10/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 08879	8985 VENICE BOULEVARD	LOS ANGELES	CA	90034	10/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	CVS PHARMACY # 16201	8148 E SANTA ANA CANYON RD	ANAHEIM	CA	92808	10/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	CVS PHARMACY # 16100	1050 HUNTINGTON DR	DUARTE	CA	91010	10/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09657	44430 CHALLENGER WAY	LANCASTER	CA	93535	10/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09508	1835 NEWPORT BOULEVARD #C	COSTA MESA	CA	92627	10/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09652	8491 SANTA MONICA BLVD	WEST HOLLYWOOD	CA	90069	10/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09613	23357 MULHOLLAND DRIVE	WOODLAND HILLS	CA	91364	10/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09689	950 WEST FOOTHILL BLVD	MONROVIA	CA	91016	10/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09669	2530 GLENDALE BOULEVARD	LOS ANGELES	CA	90039	10/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09618	4105 W AVENUE L	LANCASTER	CA	93536	10/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	CVS PHARMACY # 17530	855 E BIRCH ST	BREA	CA	92821	10/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	CVS PHARMACY # 17004	7100 SANTA MONICA BLVD	WEST HOLLYWOOD	CA	90046	10/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09573	6299 SOUTH BRISTOL PARKWAY	CULVER CITY	CA	90230	10/01/2019	03/29/2022
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09775	864 SWARTHMORE AVENUE	PACIFIC PALISADES	CA	90272	10/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09582	3741 CRENSHAW BOULEVARD	LOS ANGELES	CA	90016	10/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 08860	11831 HAWTHORNE BOULEVARD	HAWTHORNE	CA	90250	10/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09561	17625 HARVARD AVENUE	IRVINE	CA	92614	10/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	CVS PHARMACY # 16077	26932 LA PAZ RD	ALISO VIEJO	CA	92656	10/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09481	12444 BEACH BOULEVARD	STANTON	CA	90680	10/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 06768	15333 CULVER BLVD., SUITE #300	IRVINE	CA	92604	10/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09598	455 NORTH STATE COLLEGE BOULEVARD	FULLERTON	CA	92831	10/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 08781	1485 S. GAREY AVE.	POMONA	CA	91766	10/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09608	2505 SANTA MONICA BOULEVARD	SANTA MONICA	CA	90404	10/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09115	645 SATURN BLVD	SAN DIEGO	CA	92154	10/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09732	861 NORTH VINE STREET	HOLLYWOOD	CA	90038	10/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09141	3151 UNIVERSITY AVE.	SAN DIEGO	CA	92104	10/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09785	2006 WEST AVENUE J	LANCASTER	CA	93536	10/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09661	6360 WEST THIRD STREET	LOS ANGELES	CA	90036	10/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09694	900 N. LAKE AVE.	PASADENA	CA	91104	10/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 06710	25622 CROWN VALLEY PKWY.	LADERA RANCH	CA	92694	10/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 08890	17642 EAST 17TH ST.	TUSTIN	CA	92780	10/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	CVS PHARMACY # 16673	3121 E COLORADO BLVD	PASADENA	CA	91107	10/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09665	5944 N FIGUEROA ST	LOS ANGELES	CA	90042	10/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09795	511 N. HOLLYWOOD WAY	BURBANK	CA	91505	10/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09634	2521 EAST AVENUE S	PALMDALE	CA	93550	10/01/2019
CH093110	GARFIELD BEACH CVS, L.L.C.	CVS PHARMACY # 16319	777 E COLORADO BLVD	PASADENA	CA	91101	07/01/2024
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA CVS/PHARMACY #11073	3208 EAST FLORENCE AVENUE	HUNTINGTON PARK	CA	90255	07/01/2024
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09788	2315 HUNTINGTON DR	DUARTE	CA	91010	07/01/2024
CH093110	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 03968	816 E. MAIN STREET	ALHAMBRA	CA	91801	07/01/2024
CH09311AX	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09596	5960 PACIFIC BOULEVARD	HUNTINGTON PARK	CA	90255	10/01/2024
CH09311AN	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 04065	858 N. SUNSET AVE.	LA PUENTE	CA	91744	10/01/2024
CH09311A	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 05834	11574 LOWER AZUSA RD	EL MONTE	CA	91732	10/01/2024
CH09311BJ	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09848	20 E ORANGE GROVE BLVD.	PASADENA	CA	91103	10/01/2024
CH09311AC	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09857	800 W. WHITTIER BLVD.	MONTEBELLO	CA	90640	10/01/2024
CH09311BQ	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 08855	228 NORTH HARBOR BOULEVARD	SANTA ANA	CA	92703	10/01/2024
CH09311BM	GARFIELD BEACH CVS, L.L.C.	CVS PHARMACY # 16045	12100 HARBOR BLVD	GARDEN GROVE	CA	92840	10/01/2024
CH09311L	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 08883	3911 SOUTH BRISTOL STREET	SANTA ANA	CA	92704	10/01/2024
CH09311AR	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09629	861 NORTH HACIENDA BOULEVARD	LA PUENTE	CA	91744	10/01/2024
CH09311C	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 05841	2330 SOUTH MAIN STREET	SANTA ANA	CA	92707	10/01/2024
CH09311AS	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 08858	7101 ATLANTIC AVENUE	BELL	CA	90201	10/01/2024
CH09311AQ	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09852	11426 WASHINGTON BLVD.	WHITTIER	CA	90606	10/01/2024
CH09311BB	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09673	1550 PUENTE AVENUE	BALDWIN PARK	CA	91706	10/01/2024
CH09311AM	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09666	2419 WORKMAN STREET	LOS ANGELES	CA	90031	10/01/2024
CH09311AP	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09639	11940 GARVEY AVENUE	EL MONTE	CA	91732	10/01/2024
CH09311BG	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09560	611 S. BROOKHURST ST.	ANAHEIM	CA	92804	10/01/2024
CH09311AD	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 08875	3644 EAST OLYMPIC BOULEVARD	LOS ANGELES	CA	90023	10/01/2024
CH09311B	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09771	9256 SLAUSON AVENUE	PICO RIVERA	CA	90660	10/01/2024
CH09311AL	GARFIELD BEACH CVS, L.L.C.	DBA CVS/PHARMACY #10509	3627 EAST CESAR EAST CHAVEZ AVENUE	LOS ANGELES	CA	90063	10/01/2024
CH09311BT	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 05499	1954 DURFEE AVE.	SOUTH EL MONTE	CA	91733	10/01/2024
CH09311AU	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09617	2103 SOUTH ATLANTIC BOULEVARD	MONTEREY PARK	CA	91754	10/01/2024
CH09311BF	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 08835	3710 TWEEDY BOULEVARD	SOUTH GATE	CA	90280	10/01/2024
CH09311BD	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09738	11735 WHITTIER BOULEVARD	WHITTIER	CA	90601	10/01/2024
CH09311BH	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 08862	12031 BROOKHURST STREET	GARDEN GROVE	CA	92840	10/01/2024
CH09311AA	GARFIELD BEACH CVS, L.L.C.	DBA CVS/PHARMACY # 4524	5176 E. WHITTIER BLVD.	LOS ANGELES	CA	90022	10/01/2024
CH09311BE	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09759	270 WEST LINCOLN AVENUE	ANAHEIM	CA	92805	10/01/2024
CH09311BP	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 08849	1545 WEST 17TH STREET	SANTA ANA	CA	92706	10/01/2024
CH09311Z	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09583	102 NORTH MAIN STREET	SANTA ANA	CA	92701	10/01/2024
CH093110	GENOA HEALTHCARE LLC	1850 W FLORIDA AVE		HEMET	CA	92545	10/01/2021
CH093110	GENOA HEALTHCARE LLC	11721 E TELEGRAPH RD UNIT I		SANTA FE SPRINGS	CA	90670	10/01/2021
CH093110	GENOA HEALTHCARE LLC	17782 COWAN ST STE G		IRVINE	CA	92614	10/01/2021
CH093110	GENOA HEALTHCARE LLC	1701 MISSION AVE STE 230 RM P1		OCEANSIDE	CA	92058	10/01/2021
CH093110	GENOA HEALTHCARE LLC	245 11TH ST STE P1		SAN FRANCISCO	CA	94103	10/01/2021
CH093110	GENOA HEALTHCARE LLC	26991 CROWN VALLEY PKWY		MISSION VIEJO	CA	92691	07/01/2024
CH093110	LA PHARMACY LLC	1048 S GARFIELD AVE	STE 101	ALHAMBRA	CA	91801	03/20/2020
CH093110	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09208	13763 MONO WAY	SONORA	CA	95370	10/01/2019
CH093110	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09986	1400 HOWARD RD	MADERA	CA	93637	10/01/2019
CH093110	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09322	2085 FAIR OAKS BLVD	SACRAMENTO	CA	95825	10/01/2019
CH093110	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09142	1550 E COVELL BLVD	DAVIS	CA	95616	10/01/2019
CH093110	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09873	1300 MADONNA RD	SAN LUIS OBISPO	CA	93405	10/01/2019
CH093110	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09735	727 S GLENDORA AVE	WEST COVINA	CA	91790	07/01/2024
CH09311B	LOS ANGELES COUNTY HEALTH SERVICES CENTRAL PHARMACY	313 N FIGUEROA STREET	SUITE 1225	LOS ANGELES	CA	90012	07/01/2015
CH09311A	LOS ANGELES COUNTY HEALTH SERVICES CENTRAL PHARMACY	313 N FIGUEROA STREET	SUITE 1225	LOS ANGELES	CA	90012	07/01/2015
CH093110	LOS ANGELES COUNTY HEALTH SERVICES CENTRAL PHARMACY	313 N FIGUEROA STREET	SUITE 1225	LOS ANGELES	CA	90012	07/01/2015
CH09311D	LOS ANGELES COUNTY HEALTH SERVICES CENTRAL PHARMACY	313 N FIGUEROA STREET	SUITE 1225	LOS ANGELES	CA	90012	07/01/2015	04/01/2016
CH09311F	LOS ANGELES COUNTY HEALTH SERVICES CENTRAL PHARMACY	313 N FIGUEROA STREET	SUITE 1225	LOS ANGELES	CA	90012	07/01/2015
CH09311H	LOS ANGELES COUNTY HEALTH SERVICES CENTRAL PHARMACY	313 N FIGUEROA STREET	SUITE 1225	LOS ANGELES	CA	90012	07/01/2015	04/01/2018
CH09311R	LOS ANGELES COUNTY HEALTH SERVICES CENTRAL PHARMACY	313 N FIGUEROA STREET	SUITE 1225	LOS ANGELES	CA	90012	07/01/2015
CH09311AD	LOS ANGELES COUNTY HEALTH SERVICES CENTRAL PHARMACY	313 N FIGUEROA STREET	SUITE 1225	LOS ANGELES	CA	90012	07/01/2015
CH09311AE	LOS ANGELES COUNTY HEALTH SERVICES CENTRAL PHARMACY	313 N FIGUEROA STREET	SUITE 1225	LOS ANGELES	CA	90012	07/01/2015	07/01/2018
CH09311AF	LOS ANGELES COUNTY HEALTH SERVICES CENTRAL PHARMACY	313 N FIGUEROA STREET	SUITE 1225	LOS ANGELES	CA	90012	07/01/2015
CH09311AG	LOS ANGELES COUNTY HEALTH SERVICES CENTRAL PHARMACY	313 N FIGUEROA STREET	SUITE 1225	LOS ANGELES	CA	90012	07/01/2015	04/01/2020
CH09311AH	LOS ANGELES COUNTY HEALTH SERVICES CENTRAL PHARMACY	313 N FIGUEROA STREET	SUITE 1225	LOS ANGELES	CA	90012	07/01/2015
CH093110	M.N. PHARMACY LLC	DBA AMAZON PHARMACY #003	6701 NW 7TH ST., STE. #199	MIAMI	FL	33126	07/01/2019
CH093110	NEVADA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 08821	8320 W CHEYENNE AVE	LAS VEGAS	NV	89129	10/01/2019
CH093110	OPTUM FRONTIER THERAPIES II, LLC	6425 SANTA MARGARITA ST UNIT 110		LAS VEGAS	NV	89118-1913	04/16/2020	07/01/2021
CH093110	OPTUM INFUSION SERVICES 305, LLC	15529 COLLEGE BLVD.		LENEXA	KS	66219-1351	07/01/2024
CH093110	OPTUM INFUSION SERVICES 401, LLC	455 RESERVATION RD STE G		MARINA	CA	93933-3328	04/01/2020
CH093110	OPTUM INFUSION SERVICES 401, LLC	4610 NORTHGATE BLVD.	STE. 130	SACRAMENTO	CA	95834-1154	07/01/2024
CH093110	OPTUM INFUSION SERVICES 402, LLC	2300 MAIN ST STE 150		IRVINE	CA	92614-6223	04/01/2020
CH093110	OPTUM INFUSION SERVICES 550, LLC	7167 E. KEMPER RD.		CINCINNATI	OH	45249	07/01/2024
CH093110	OPTUM INFUSION SERVICES 550, LLC	1819 ASTON AVE STE 104		CARLSBAD	CA	92008	07/01/2024
CH093110	OPTUM PHARMACY 701, LLC	4100 S SAGINAW ST STE D		FLINT	MI	48507	07/01/2024
CH093110	OPTUM PHARMACY 701, LLC	8131 W BOSTIAN RD STE A350		WOODINVILLE	WA	98072-5029	07/01/2024
CH09311CA	OPTUM PHARMACY 701, LLC	8131 W BOSTIAN RD STE A350		WOODINVILLE	WA	98072-5029	10/01/2024
CH093110	OPTUM PHARMACY 701, LLC	1830 S HORNE		MESA	AZ	85204	10/01/2024
CH093110	OPTUM PHARMACY 702, LLC	1050 PATROL RD		JEFFERSONVILLE	IN	47130	04/16/2020
CH09311E	OPTUM PHARMACY 702, LLC	1050 PATROL RD		JEFFERSONVILLE	IN	47130	10/01/2024
CH093110	OPTUM PHARMACY 704, INC.	5627 UNIVERSITY HTS STE 108		SAN ANTONIO	TX	78249	07/01/2024
CH093110	OPTUM PHARMACY 705, LLC	1893 GENERAL GEORGE PATTON DR	STE 106	FRANKLIN	TN	37067-2655	07/01/2024
CH093110	OPTUM PHARMACY 705, LLC	1100 LEE BRANCH LN		BIRMINGHAM	AL	35242-7298	07/01/2024
CH09311N	OPTUM PHARMACY 705, LLC	1100 LEE BRANCH LN		BIRMINGHAM	AL	35242-7298	10/01/2024
CH093110	OPTUM PHARMACY 706, INC.	30-30 47TH AVENUE	SUITE 410	LONG ISLAND CITY	NY	11101	07/01/2024
CH093110	OPTUM PHARMACY 707, INC	4900 RIVERGRADE RD STE E110		IRWINDALE	CA	91706-1401	04/16/2020
CH09311BV	OPTUM PHARMACY 707, INC	4900 RIVERGRADE RD STE E110		IRWINDALE	CA	91706-1401	10/01/2024
CH093110	OPTUM PHARMACY 801, INC.	24416 N 19TH AVE	STE. 100	PHOENIX	AZ	85085	07/01/2024
CH093110	OPTUM PHARMACY 806, INC.	2288 AUBURN BLVD	STE. 102	SACRAMENTO	CA	95821-1618	04/17/2020	07/01/2021
CH093110	OPTUMRX	OPTUMRX INC	6800 W 115TH ST STE 600	OVERLAND PARK	KS	66211-9838	07/01/2024
CH093110	OVERLAKE PHARMACY, LLC	4124 148TH AVE NE STE JA		REDMOND	WA	98052	03/20/2020
CH093110	PARAMOUNT FAMILY PHARMACY	8010 2ND ST		PARAMOUNT	CA	90723-3404	02/08/2023
CH093110	PHARMEDQUEST PHARMACY	PHARMEDQUEST PHARMACY SERVICES	451 W. LAMBERT RD STE 209	BREA	CA	92821-9282	10/01/2014	07/01/2020
CH093110	PHARMEDQUEST PHARMACY SERVICES	451 W LAMBERT RD STE 208		BREA	CA	92821-3920	04/01/2015	07/01/2020
CH09311X	PHARMEDQUEST PHARMACY SERVICES	451 W LAMBERT RD STE 208		BREA	CA	92821-3920	01/01/2011	01/01/2021
CH093110	PHARMEDQUEST PHARMACY SVCS	DBA ALTAMED PHARMACY	3945 WHITTIER BLVD	LOS ANGELES	CA	90023-2440	06/03/2005	07/01/2020
CH09311E	PHARMEDQUEST PHARMACY SVCS	DBA ALTAMED PHARMACY	3945 WHITTIER BLVD	LOS ANGELES	CA	90023-2440	09/21/2010
CH09311F	PHARMEDQUEST PHARMACY SVCS	DBA ALTAMED PHARMACY	3945 WHITTIER BLVD	LOS ANGELES	CA	90023-2440	05/04/2011	07/01/2020
CH09311R	PHARMEDQUEST PHARMACY SVCS	DBA ALTAMED PHARMACY	3945 WHITTIER BLVD	LOS ANGELES	CA	90023-2440	07/14/2005
CH093110	PILLPACK LLC	DBA PILLPACK BY AMAZON PHARMACY	250 COMMERCIAL ST STE 2012	MANCHESTER	NH	03101	07/01/2019
CH093110	PRIME THERAPEUTICS SPECIALTY PHARMACY LL	ALLIANCERX WALGREENS PRIME #16568	2354 COMMERCE PARK DRIVE SUITE 100	ORLANDO	FL	32819-9992	04/01/2020	10/01/2022
CH093110	PROCARE PHARMACY DIRECT, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	105 MALL BOULEVARD	MONROEVILLE	PA	15146	04/01/2024	01/16/2024
CH093110	PROCARE PHARMACY DIRECT, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	105 MALL BOULEVARD	MONROEVILLE	PA	15146	04/01/2024
CH093110	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY	8607 SANTA MONICA BOULEVARD	WEST HOLLYWOOD	CA	90069	07/01/2018
CH093110	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY #2923	3250 HARDEN ST. EXT. SUITE #300	COLUMBIA	SC	29203	04/01/2024	01/16/2024
CH093110	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY #2909	1521 4TH AVE., SOUTH	BIRMINGHAM	AL	35233	04/01/2024	01/16/2024
CH093110	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY #2923	3250 HARDEN ST. EXT. SUITE #300	COLUMBIA	SC	29203	04/01/2024
CH093110	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY #2909	1521 4TH AVE., SOUTH	BIRMINGHAM	AL	35233	04/01/2024
CH093110	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY	1010 UNIVERSITY AVENUE	SAN DIEGO	CA	92103	07/01/2024
CH093110	RAINA RX LLC	DBA ROUTE 300 PHARMACY	1208 ROUTE 300 SUITE 103	NEWBURGH	NY	12550	07/01/2022
CH093110	RIVER MEDICAL PHARMACY LLC	4752 RESEARCH DR		SAN ANTONIO	TX	78240-5002	07/01/2022
CH09311B	RX E-FILL SOLUTIONS	CARDINAL HEALTH PHARMACY SERVICES, LLC	27680 AVENUE MENTRY STE 100	VALENCIA	CA	91355	04/01/2016
CH09311A	RX E-FILL SOLUTIONS	CARDINAL HEALTH PHARMACY SERVICES, LLC	27680 AVENUE MENTRY STE 100	VALENCIA	CA	91355	04/01/2016
CH093110	RX E-FILL SOLUTIONS	CARDINAL HEALTH PHARMACY SERVICES, LLC	27680 AVENUE MENTRY STE 100	VALENCIA	CA	91355	04/01/2016
CH09311D	RX E-FILL SOLUTIONS	CARDINAL HEALTH PHARMACY SERVICES, LLC	27680 AVENUE MENTRY STE 100	VALENCIA	CA	91355	04/01/2016	04/01/2016
CH09311F	RX E-FILL SOLUTIONS	CARDINAL HEALTH PHARMACY SERVICES, LLC	27680 AVENUE MENTRY STE 100	VALENCIA	CA	91355	04/01/2016
CH09311H	RX E-FILL SOLUTIONS	CARDINAL HEALTH PHARMACY SERVICES, LLC	27680 AVENUE MENTRY STE 100	VALENCIA	CA	91355	04/01/2016	04/01/2018
CH09311R	RX E-FILL SOLUTIONS	CARDINAL HEALTH PHARMACY SERVICES, LLC	27680 AVENUE MENTRY STE 100	VALENCIA	CA	91355	04/01/2016
CH09311AD	RX E-FILL SOLUTIONS	CARDINAL HEALTH PHARMACY SERVICES, LLC	27680 AVENUE MENTRY STE 100	VALENCIA	CA	91355	04/01/2016
CH09311AE	RX E-FILL SOLUTIONS	CARDINAL HEALTH PHARMACY SERVICES, LLC	27680 AVENUE MENTRY STE 100	VALENCIA	CA	91355	04/01/2016	07/01/2018
CH09311AF	RX E-FILL SOLUTIONS	CARDINAL HEALTH PHARMACY SERVICES, LLC	27680 AVENUE MENTRY STE 100	VALENCIA	CA	91355	04/01/2016
CH09311AG	RX E-FILL SOLUTIONS	CARDINAL HEALTH PHARMACY SERVICES, LLC	27680 AVENUE MENTRY STE 100	VALENCIA	CA	91355	04/01/2016	04/01/2020
CH09311AH	RX E-FILL SOLUTIONS	CARDINAL HEALTH PHARMACY SERVICES, LLC	27680 AVENUE MENTRY STE 100	VALENCIA	CA	91355	04/01/2016
CH09311AY	RX E-FILL SOLUTIONS	CARDINAL HEALTH PHARMACY SERVICES, LLC	27680 AVENUE MENTRY STE 100	VALENCIA	CA	91355	10/01/2017
CH09311AV	RX E-FILL SOLUTIONS	CARDINAL HEALTH PHARMACY SERVICES, LLC	27680 AVENUE MENTRY STE 100	VALENCIA	CA	91355	04/01/2018
CH09311AM	RX E-FILL SOLUTIONS	CARDINAL HEALTH PHARMACY SERVICES, LLC	27680 AVENUE MENTRY STE 100	VALENCIA	CA	91355	04/01/2018
CH09311AN	RX E-FILL SOLUTIONS	CARDINAL HEALTH PHARMACY SERVICES, LLC	27680 AVENUE MENTRY STE 100	VALENCIA	CA	91355	04/01/2018
CH09311AL	RX E-FILL SOLUTIONS	CARDINAL HEALTH PHARMACY SERVICES, LLC	27680 AVENUE MENTRY STE 100	VALENCIA	CA	91355	04/01/2018
CH09311AZ	RX E-FILL SOLUTIONS	CARDINAL HEALTH PHARMACY SERVICES, LLC	27680 AVENUE MENTRY STE 100	VALENCIA	CA	91355	10/01/2018
CH09311BD	RX E-FILL SOLUTIONS	CARDINAL HEALTH PHARMACY SERVICES, LLC	27680 AVENUE MENTRY STE 100	VALENCIA	CA	91355	05/19/2020
CH09311BB	RX E-FILL SOLUTIONS	CARDINAL HEALTH PHARMACY SERVICES, LLC	27680 AVENUE MENTRY STE 100	VALENCIA	CA	91355	05/19/2020
CH09311BA	RX E-FILL SOLUTIONS	CARDINAL HEALTH PHARMACY SERVICES, LLC	27680 AVENUE MENTRY STE 100	VALENCIA	CA	91355	05/19/2020
CH093110	RX E-FILL SOLUTIONS	28341 CONSTELLATION RD		SANTA CLARITA	CA	91355	05/19/2020
CH093110	THE VONS COMPANIES INC	VONS PHARMACY #2665	4520 SUNSET BLVD	LOS ANGELES	CA	90027	01/01/2018
CH093110	THRIFTY PAYLESS INC.	RITE AID #5588	3570 SANTA ANITA AVENUE	EL MONTE	CA	91731	01/01/2018	01/02/2018
CH093110	THRIFTY PAYLESS INC.	RITE AID #5495	7860 NORWALK BOULEVARD	WHITTIER	CA	90606	01/01/2018	02/05/2019
CH093110	THRIFTY PAYLESS, INC.	RITE AID #6267	6512 COMSTOCK AVENUE	WHITTIER	CA	90601	01/01/2018
CH093110	THRIFTY PAYLESS, INC.	RITE AID #5423	1534 EAST FLORENCE AVENUE	LOS ANGELES	CA	90001	01/01/2018
CH093110	THRIFTY PAYLESS, INC.	RITE AID #5756	6767 WESTMINSTER BOULEVARD	WESTMINSTER	CA	92683	01/01/2018	01/31/2024
CH093110	THRIFTY PAYLESS, INC.	RITE AID #5748	1825 EAST CHAPMAN AVENUE	ORANGE	CA	92867	01/01/2018	05/15/2024
CH093110	THRIFTY PAYLESS, INC.	RITE AID #5424	226 NORTH LARCHMONT BLVD.	LOS ANGELES	CA	90004	01/01/2018
CH093110	THRIFTY PAYLESS, INC.	RITE AID #5439	4633 SANTA MONICA BLVD.	LOS ANGELES	CA	90029	01/01/2018	09/24/2024
CH093110	THRIFTY PAYLESS, INC.	RITE AID #5425	334 SOUTH VERMONT AVENUE	LOS ANGELES	CA	90020	01/01/2018	04/18/2024
CH093110	THRIFTY PAYLESS, INC.	RITE AID #5466	7859 FIRESTONE BOULEVARD	DOWNEY	CA	90241	01/01/2018	10/26/2023
CH093110	THRIFTY PAYLESS, INC.	RITE AID #5459	6959 EASTERN AVENUE	BELL GARDENS	CA	90201	01/01/2018
CH093110	THRIFTY PAYLESS, INC.	RITE AID #5754	13151 JAMBOREE ROAD	TUSTIN	CA	92782	01/01/2018
CH093110	THRIFTY PAYLESS, INC.	RITE AID #5741	13822 BROOKHURST STREET	GARDEN GROVE	CA	92843	01/01/2018	06/29/2023
CH093110	THRIFTY PAYLESS, INC.	RITE AID #5430	446 EAST WASHINGTON BLVD.	LOS ANGELES	CA	90015	01/01/2018
CH093110	THRIFTY PAYLESS, INC.	RITE AID #5606	8914 VALLEY BOULEVARD	ROSEMEAD	CA	91770	01/01/2018
CH093110	THRIFTY PAYLESS, INC.	RITE AID #5476	11325 LONG BEACH BOULEVARD	LYNWOOD	CA	90262	01/01/2018
CH093110	THRIFTY PAYLESS, INC.	RITE AID #5439	4633 SANTA MONICA BLVD.	LOS ANGELES	CA	90029	01/01/2018	09/24/2024
CH093110	THRIFTY PAYLESS, INC.	RITE AID #5597	2150 SOUTH ATLANTIC BOULEVARD	MONTEREY PARK	CA	91754	01/01/2018
CH093110	THRIFTY PAYLESS, INC.	RITE AID #5435	1637 NORTH VERMONT AVENUE	LOS ANGELES	CA	90027	01/01/2018
CH093110	THRIFTY PAYLESS, INC.	RITE AID #5505	12319 SOUTH NORWALK BOULEVARD	NORWALK	CA	90650	01/01/2018
CH093110	THRIFTY PAYLESS, INC.	RITE AID #5480	23 PENINSULA CENTER	ROLLING HILL ESTATES	CA	90274	01/01/2018
CH093110	THRIFTY PAYLESS, INC.	RITE AID #5440	111 EAST AVENUE 26	LOS ANGELES	CA	90031	01/01/2018	05/15/2024
CH093110	THRIFTY PAYLESS, INC.	RITE AID #5504	802 BEVERLY BOULEVARD	MONTEBELLO	CA	90640	01/01/2018
CH093110	THRIFTY PAYLESS, INC.	RITE AID #5445	4322 SOUTH FIGUEROA STREET	LOS ANGELES	CA	90037	01/01/2018
CH093110	THRIFTY PAYLESS, INC.	RITE AID #5432	5490 WHITTIER BOULEVARD	COMMERCE	CA	90022	01/01/2018	08/11/2020
CH093110	THRIFTY PAYLESS, INC.	RITE AID #5451	3230 WEST SLAUSON AVENUE	LOS ANGELES	CA	90043	01/01/2018	01/18/2024
CH093110	THRIFTY PAYLESS, INC.	RITE AID #5759	111 NORTH MAIN STREET	SANTA ANA	CA	92701	01/01/2018
CH093110	THRIFTY PAYLESS, INC.	RITE AID #6346	211 CHERRY AVENUE	LONG BEACH	CA	90802	01/01/2018
CH093110	THRIFTY PAYLESS, INC.	RITE AID #5479	4410 EAST SLAUSON AVENUE	MAYWOOD	CA	90270	01/01/2018	12/02/2024
CH093110	THRIFTY PAYLESS, INC.	RITE AID #5434	1433 GLENDALE BOULEVARD	LOS ANGELES	CA	90026	01/01/2018
CH093110	THRIFTY PAYLESS, INC.	RITE AID #5494	8508 PAINTER AVENUE	WHITTIER	CA	90602	01/01/2018
CH093110	THRIFTY PAYLESS, INC.	RITE AID #6495	9333 WHITTIER BLVD	PICO RIVERA	CA	90660	01/01/2018
CH093110	THRIFTY PAYLESS, INC.	RITE AID #5479	4410 EAST SLAUSON AVENUE	MAYWOOD	CA	90270	01/01/2018
CH093110	THRIFTY PAYLESS, INC.	RITE AID #5432	5490 WHITTIER BOULEVARD	COMMERCE	CA	90022	01/01/2018	08/11/2020
CH093110	THRIFTY PAYLESS, INC.	RITE AID #5484	9715 OTIS STREET	SOUTH GATE	CA	90280	01/01/2018	04/08/2024
CH093110	THRIFTY PAYLESS, INC.	RITE AID #5569	13333 RIVERSIDE DRIVE	SHERMAN OAKS	CA	91423	01/01/2018
CH093110	THRIFTY PAYLESS, INC.	RITE AID #5591	18993 COLIMA ROAD	ROWLAND HEIGHTS	CA	91748	01/01/2018
CH093110	THRIFTY PAYLESS, INC.	RITE AID #5739	12897 HARBOR BOULEVARD	GARDEN GROVE	CA	92840	01/01/2018
CH093110	THRIFTY PAYLESS, INC.	RITE AID #5760	1406 WEST EDINGER AVENUE	SANTA ANA	CA	92704	01/01/2018	10/01/2023
CH093110	THRIFTY PAYLESS, INC.	RITE AID #5593	13905 AMAR ROAD	LA PUENTE	CA	91746	01/01/2018	11/07/2023
CH09311BR	THRIFTY PAYLESS, INC.	RITE AID #6495	9333 WHITTIER BLVD	PICO RIVERA	CA	90660	10/01/2024
CH09311BL	THRIFTY PAYLESS, INC.	RITE AID #5459	6959 EASTERN AVENUE	BELL GARDENS	CA	90201	10/01/2024
CH093110	THRIFTY PAYLESS, INC.	RITE AID #5532	10465 SUNLAND BOULEVARD	SUNLAND	CA	91040	07/01/2025
CH093110	TRUEPILL	3121 DIABLO AVE		HAYWARD	CA	94545	03/20/2020
CH093110	US SPECIALTY CARE PHARMACY		7472 S TUCSON WAY SUITE 100-B	CENTENNIAL	CO	80112-4452	01/01/2015	07/02/2018
CH093110	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	01/01/2018
CH093110	WAL-MART PHARMACY 10-0424	1415 7TH ST. SOUTH		CLANTON	AL	35045	07/01/2024	05/01/2024
CH093110	WAL-MART PHARMACY 10-2001	5125 EAST KINGS CANYON		FRESNO	CA	93727	07/01/2024	05/01/2024
CH093110	WAL-MART PHARMACY 10-2082	12701 TOWNE CENTER DR		CERRITOS	CA	90703	01/01/2018
CH093110	WAL-MART PHARMACY 10-2242	440 NORTH EUCLID ST		ANAHEIM (WEST)	CA	92801	01/01/2018
CH093110	WAL-MART PHARMACY 10-2292	1275 NORTH AZUSA AVENUE		COVINA	CA	91722	01/01/2018
CH093110	WAL-MART PHARMACY 10-2401	1600 SOUTH MOUNTAIN AVE		DUARTE	CA	91010	07/01/2024
CH093110	WAL-MART PHARMACY 10-2495	13331 BEACH BLVD		WESTMINSTER	CA	92683	01/01/2018
CH093110	WAL-MART PHARMACY 10-2517	3600 WEST MCFADDEN AVENUE		SANTA ANA	CA	92704	01/01/2018
CH093110	WAL-MART PHARMACY 10-2636	8230 TALBERT AVENUE		HUNTINGTON BEACH	CA	92646	01/01/2018
CH093110	WAL-MART PHARMACY 10-2886		8500 WASHINGTON BLVD.	PICO RIVERA	CA	90660	01/01/2018
CH09311BU	WAL-MART PHARMACY 10-2886		8500 WASHINGTON BLVD.	PICO RIVERA	CA	90660	10/01/2024
CH093110	WAL-MART PHARMACY 10-2948	13310 TELEGRAPH ROAD		SANTA FE SPRING	CA	90670	01/01/2018
CH093110	WAL-MART PHARMACY 10-3133	1425 N HACIENDA BLVD		LA PUENTE	CA	91744	01/01/2018
CH093110	WAL-MART PHARMACY 10-3522	3250 BIG DALTON AVE		BALDWIN PARK	CA	91706	01/01/2018
CH093110	WAL-MART PHARMACY 10-4134	12840 BEACH BLVD		STANTON	CA	90680	01/01/2018
CH093110	WAL-MART PHARMACY 10-5032	8450 LA PALMA AVE		BUENA PARK	CA	90620	01/01/2018
CH093110	WAL-MART PHARMACY 10-5154	1827 WALNUT GROVE AVE		ROSEMEAD	CA	91770	01/01/2018
CH093110	WAL-MART PHARMACY 10-5315	2354 COMMERCE PARK DR.		ORLANDO	FL	32819	01/01/2018
CH093110	WAL-MART PHARMACY 10-5603	12270 PARAMOUNT BLVD		DOWNEY	CA	90242	01/01/2018
CH093110	WAL-MART PHARMACY 10-5639	10912 KATELLA AVENUE		GARDEN GROVE	CA	92804	01/01/2018
CH093110	WAL-MART PHARMACY 10-5640	1120 S ANAHEIM BLVD		ANAHEIM	CA	92805	01/01/2018
CH093110	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	01/01/2018
CH093110	WALGREEN CO	DBA: WALGREENS #9656	1131 S GLENDORA AVE	WEST COVINA	CA	91790	04/01/2020	03/09/2020
CH093110	WALGREEN CO	DBA: WALGREENS #11785	6100 PACIFIC BLVD	HUNTINGTON PARK	CA	90255	04/01/2020
CH093110	WALGREEN CO	DBA: WALGREENS #07654	14102 RAMONA BLVD	BALDWIN PARK	CA	91706	04/01/2020
CH093110	WALGREEN CO	DBA: WALGREENS #10629	2560 W BALL RD	ANAHEIM	CA	92804	04/01/2020	06/02/2020
CH093110	WALGREEN CO	DBA: WALGREENS #7575	3643 PECK RD	EL MONTE	CA	91731-3530	04/01/2020
CH093110	WALGREEN CO	DBA: WALGREENS #11449	4616 DE LONGPRE AVE	LOS ANGELES	CA	90027	04/01/2020
CH093110	WALGREEN CO	DBA: WALGREENS #9534	15990 BROOKHURST ST	FOUNTAIN VALLEY	CA	92708	04/01/2020
CH093110	WALGREEN CO	DBA: WALGREENS #11243	11930 STUDEBAKER RD	NORWALK	CA	90650	01/01/2022
CH093110	WALGREEN CO	DBA: WALGREENS # 09136	1625 W SUNSET BLVD	LOS ANGELES	CA	90026	04/01/2022
CH093110	WALGREEN CO	DBA: WALGREENS #11442	310 S LAKE AVE 1ST FL	PASADENA	CA	91101	04/01/2024
CH093110	WALGREEN CO.	DBA: WALGREENS # 07036	5451 W SUNSET BLVD	LOS ANGELES	CA	90027-5613	04/01/2020
CH093110	WALGREEN CO.	DBA: WALGREENS #09533	7001 WESTMINSTER BLVD	WESTMINSTER	CA	92683	04/01/2020	02/11/2020
CH093110	WALGREEN CO.	DBA: WALGREENS # 03674	12002 HARBOR BLVD.	GARDEN GROVE	CA	92840	04/01/2020	02/11/2020
CH093110	WALGREEN CO.	DBA: WALGREENS # 05649	8201 GREENLEAF AVE	WHITTIER	CA	90602	04/01/2020
CH093110	WALGREEN CO.	DBA: WALGREENS # 09089	19001 BROOKHURST STREET	HUNTINGTON BEACH	CA	92646	04/01/2020
CH093110	WALGREEN CO.	DBA: WALGREENS # 05702	934 N HACIENDA BLVD	LA PUENTE	CA	91744	04/01/2020
CH093110	WALGREEN CO.	DBA WALGREENS SPECIALTY PHARMACY #16482	1902 MARENGO ST UNITS 105 AND 106	LOS ANGELES	CA	90033	04/01/2020
CH093110	WALGREEN CO.	DBA: WALGREENS #12881	460 S BROADWAY	LOS ANGELES	CA	90013	04/01/2020	06/02/2020
CH093110	WALGREEN CO.	DBA: WALGREENS # 06726	1720 W LAPALMA AVE	ANAHEIM	CA	92801-3528	04/01/2020	03/02/2020
CH093110	WALGREEN CO.	DBA: WALGREENS #12529	305 N. BREED ST.	LOS ANGELES	CA	90033	04/01/2020
CH093110	WALGREEN CO.	DBA: WALGREENS # 06157	946 S BROOKHURST ST	ANAHEIM	CA	92804	04/01/2020
CH093110	WALGREEN CO.	DBA: WALGREENS # 05744	128 S STATE COLLEGE BLVD.	ANAHEIM	CA	92806	04/01/2020
CH093110	WALGREEN CO.	DBA: WALGREENS # 09560	2453 SOUTH AZUSA AVENUE	WEST COVINA	CA	91792	04/01/2020
CH093110	WALGREEN CO.	DBA: WALGREENS #12573	16201 HARBOR BLVD STE B	FOUNTAIN VALLEY	CA	92708	04/01/2020
CH093110	WALGREEN CO.	DBA: WALGREENS #12913	1500 E GAGE AVE	LOS ANGELES	CA	90001	04/01/2020
CH093110	WALGREEN CO.	DBA: WALGREENS # 06215	1826 W ORANGETHORPE AVE	FULLERTON	CA	92833	04/01/2020
CH093110	WALGREEN CO.	DBA: WALGREENS #10397	1715 N BRISTOL ST	SANTA ANA	CA	92706	04/01/2020	02/11/2020
CH093110	WALGREEN CO.	DBA: WALGREENS #11440	2331 S ATLANTIC BLVD	MONTEREY PARK	CA	91754-6805	04/01/2020
CH093110	WALGREEN CO.	DBA WALGREENS SPECIALTY PHARMACY #12694	10990 WARNER AVE STE A	FOUNTAIN VALLEY	CA	92708	04/01/2020
CH093110	WALGREEN CO.	DBA: WALGREENS #12140	4935 WARNER AVE.	HUNTINGTON BEACH	CA	92649	04/01/2020
CH093110	WALGREEN CO.	DBA: WALGREENS # 05881	19501 BEACH BLVD	HUNTINGTON BEACH	CA	92648	04/01/2020
CH093110	WALGREEN CO.	DBA: WALGREENS #10336	1538 E CHAPMAN AVE	ORANGE	CA	92866	04/01/2020
CH093110	WALGREEN CO.	DBA: WALGREENS # 06249	4351 E IMPERIAL HWY	LYNWOOD	CA	90262	04/01/2020
CH093110	WALGREEN CO.	DBA: WALGREENS #09842	8030 IMPERIAL HWY	DOWNEY	CA	90242	04/01/2020
CH093110	WALGREEN CO.	DBA: WALGREENS # 07263	8900 WASHINGTON BLVD	PICO RIVERA	CA	90660-3765	04/01/2020
CH093110	WALGREEN CO.	DBA: WALGREENS # 07286	13052 NEWPORT AVE	TUSTIN	CA	92780	04/01/2020
CH093110	WALGREEN CO.	DBA: WALGREENS # 07679	7878 CRESCENT AVE	BUENA PARK	CA	90620	04/01/2020
CH093110	WALGREEN CO.	DBA: WALGREENS # 03636	3237 E. CHAPMAN AVE.	ORANGE	CA	92869	04/01/2020	03/25/2025
CH093110	WALGREEN CO.	DBA: WALGREENS # 05972	12001 EUCLID ST	GARDEN GROVE	CA	92840	04/01/2020
CH093110	WALGREEN CO.	DBA: WALGREENS # 06446	11900 BEACH BLVD	STANTON	CA	90680	04/01/2020	03/26/2025
CH093110	WALGREEN CO.	DBA: WALGREENS # 04354	6012 WARNER AVE.	HUNTINGTON BEACH	CA	92647	04/01/2020
CH093110	WALGREEN CO.	DBA: WALGREENS # 02162	8052 WESTMINSTER BLVD	WESTMINSTER	CA	92683	04/01/2020
CH093110	WALGREEN CO.	DBA: WALGREENS # 03588	3000 SOUTH BRISTOL ST.	SANTA ANA	CA	92704	04/01/2020	05/02/2023
CH093110	WALGREEN CO.	DBA: WALGREENS # 02155	1501 W WHITTIER BLVD	MONTEBELLO	CA	90640	04/01/2020
CH093110	WALGREEN CO.	DBA: WALGREENS # 06388	1301 E 17TH STREET	SANTA ANA	CA	92705	04/01/2020
CH093110	WALGREEN CO.	DBA: WALGREENS # 07598	11907 VALLEY BLVD	EL MONTE	CA	91732-3113	04/01/2020	02/11/2020
CH093110	WALGREEN CO.	DBA: WALGREENS # 06954	3446 W BALL ROAD	ANAHEIM	CA	92804-3709	04/01/2020
CH093110	WALGREEN CO.	DBA: WALGREENS # 05771	17522 BEACH BLVD	HUNTINGTON BEACH	CA	92647-6802	04/01/2020
CH093110	WALGREEN CO.	DBA WALGREENS SPECIALTY PHARMACY #15294	8490 SANTA MONICA BLVD STE 1	WEST HOLLYWOOD	CA	90069	10/01/2020
CH093110	WALGREEN CO.	DBA WALGREENS SPECIALTY PHARMACY #15190	1399 ROXBURY DR	LOS ANGELES	CA	90035	04/01/2021
CH093110	WALGREEN CO.	DBA: WALGREENS # 10262	9830 LONG BEACH BLVD	SOUTH GATE	CA	90280	04/01/2021
CH093110	WALGREEN CO.	DBA WALGREENS SPECIALTY PHARMACY #03815	111 S MAIN ST	ORANGE	CA	92868	04/01/2021
CH093110	WALGREEN CO.	DBA: WALGREENS # 05879	3201 WEST 6TH ST	LOS ANGELES	CA	90020	04/01/2021
CH093110	WALGREEN CO.	DBA WALGREENS SPECIALTY PHARMACY #15293	4940 VAN NUYS BLVD STE 104	SHERMAN OAKS	CA	91403	04/01/2021
CH093110	WALGREEN CO.	DBA: WALGREENS # 09977	1802 S HARBOR BLVD	ANAHEIM	CA	92802	07/01/2021
CH093110	WALGREEN CO.	DBA: WALGREENS # 07211	11604 WHITTIER BLVD	WHITTIER	CA	90601-3936	01/01/2022	03/20/2025
CH093110	WALGREEN CO.	DBA: WALGREENS # 05798	401 N AZUSA AVENUE	COVINA	CA	91722-3609	01/01/2022
CH093110	WALGREEN CO.	DBA: WALGREENS # 06187	11950 VALLEY VIEW STREET	GARDEN GROVE	CA	92845	01/01/2022
CH093110	WALGREEN CO.	DBA: WALGREENS #10112	9018 FIRESTONE BLVD	DOWNEY	CA	90241	01/01/2022	01/01/2025
CH093110	WALGREEN CO.	DBA: WALGREENS # 07016	3724 CRENSHAW BLVD	LOS ANGELES	CA	90016	01/01/2022
CH093110	WALGREEN CO.	DBA: WALGREENS # 02156	2551 WEST MAIN STREET	ALHAMBRA	CA	91801	01/01/2022
CH093110	WALGREEN CO.	DBA: WALGREENS # 07482	1800 W SLAUSON	LOS ANGELES	CA	90047-1126	04/01/2022
CH093110	WALGREEN CO.	DBA WALGREENS SPECIALTY PHARMACY #16368	3745 S LA BREA AVE STE C & D	LOS ANGELES	CA	90016	10/01/2022
CH093110	WALGREEN CO.	DBA: WALGREENS # 07826	13231 VICTORY BLVD	VAN NUYS	CA	91401-2025	04/01/2024
CH093110	WALGREEN CO.	DBA: WALGREENS #10764	2376 E COLORADO BLVD	PASADENA	CA	91107	04/01/2024
CH093110	WALGREEN CO.	DBA: WALGREENS # 06854	2222 COLORADO BLVD	LOS ANGELES	CA	90041	04/01/2024
CH093110	WALGREEN CO.	DBA: WALGREENS # 06250	1028 S SAN FERNANDO BLVD	BURBANK	CA	91502	04/01/2024
CH093110	WALGREEN CO.	DBA: WALGREENS #15469	105 E GLENOAKS BLVD	GLENDALE	CA	91207	04/01/2024
CH093110	WALGREEN CO.	DBA: WALGREENS # 09139	670 NORTH LAKE AVENUE	PASADENA	CA	91101-1220	04/01/2024
CH093110	WALGREEN CO.	DBA: WALGREENS # 06680	9031 ROSECRANS AVE	BELLFLOWER	CA	90706-2046	01/01/2025
CH093110	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15443	10530 JOHN W ELLIOTT DR STE 100	FRISCO	TX	75033	04/01/2020
CH093110	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15438	41460 HAGGERTY CIR S	CANTON	MI	48188	04/01/2020
CH093110	WALGREENS SPECIALTY PHARMACY, LLC	ALLIANCERX WALGREENS PRIME #12314	9775 SW GEMINI DR, STE 1	BEAVERTON	OR	97008	04/01/2020	10/01/2021
CH093110	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #16287	130 ENTERPRISE DR	PITTSBURGH	PA	15275	04/01/2020
CH09311BU	WALMART PHARMACY 10-2886	8500 WASHINGTON BLVD		PICO RIVERA	CA	90660	10/01/2024	12/02/2024
CH093110	WALMART PHARMACY 10-5169	2252 NORTH 8TH STREET	SUITE A	ROGERS	AR	72756	07/01/2024	05/01/2024
CH093110	Walmart Pharmacy 10-7611	2501 Perry Rd		Plainfield	IN	46168	07/01/2024
CH093110	WELLPARTNER, INC	20800 SW 115TH AVE	SUITE 100	TUALATIN	OR	97062	01/01/2018	06/30/2018
CH093110	WESTERN PHARMACY GROUP LLC	DBA COMMUNITY MEDICAL CENTER PHARMACY	610 GATEWAY CENTER WAY SUITES A--E	SAN DIEGO	CA	92102	07/01/2019

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Last Recertification Date	Update	Recertification	2/5/2024 11:39:22 AM	2/11/2025 3:10:20 PM	2/11/2025 3:10 PM
Details	Last Recertification Date	Update	Recertification	1/31/2023 10:56:33 AM	2/5/2024 11:39:22 AM	2/5/2024 11:39 AM
Details	Last Recertification Date	Update	Recertification	2/2/2022 2:13:37 PM	1/31/2023 10:56:33 AM	1/31/2023 10:56 AM
Details	Last Recertification Date	Update	Recertification	2/2/2021 5:16:17 PM	2/2/2022 2:13:37 PM	2/2/2022 2:13 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/2/2021 5:16 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		1770006728	2/2/2021 5:16 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		CA	2/2/2021 5:16 PM
Medicaid Billing	NPI: State	Update	Recertification		CA	2/2/2021 5:16 PM
Details	Last Recertification Date	Update	Recertification	2/10/2020 7:03:18 AM	2/2/2021 5:16:17 PM	2/2/2021 5:16 PM
Contacts	Primary Contact	Update	Recertification	Godinez Felix, Nereyda Project Coordinator AltaMed Health Services Corporation 3232019794	Espinoza, Israel Care Management Coordinator AltaMed Health Services Corporation 3238897886	2/10/2020 7:03 AM
Details	Last Recertification Date	Update	Recertification	2/21/2019 7:58:35 PM	2/10/2020 7:03:18 AM	2/10/2020 7:03 AM
Contacts	Primary Contact	Update	Recertification	Nunez, Andrea Pharmacy Project Coordinator AltaMed Health Services Corporation 3232019787	Godinez Felix, Nereyda Project Coordinator AltaMed Health Services Corporation 3232019794	2/21/2019 7:58 PM
Details	Last Recertification Date	Update	Recertification		2/21/2019 7:58:35 PM	2/21/2019 7:58 PM
Details	State	Update		Approved	Active	7/1/2018 12:00 AM
Contacts	Signed By	Insert	New Registration		Esparza, Jose Sr. VP, Finance & CFO AltaMed Health Services Corporation 3238897320	5/10/2018 8:19 AM
Details	340B ID	Update	New Registration		CH09311AZ	5/10/2018 8:19 AM
Dates	Participating Approval Date	Update	New Registration		5/10/2018 8:19:01 AM	5/10/2018 8:19 AM
Details	State	Update	New Registration	Pending	Approved	5/10/2018 8:19 AM
Dates	Signed By Date	Update	New Registration		5/4/2018 5:14:00 PM	5/10/2018 8:19 AM
Dates	Start Date	Update	New Registration		7/1/2018 12:00:00 AM	5/10/2018 8:19 AM
Addresses	Main Address	Insert	New Registration		972 Goodrich Blvd Commerce, CA 90022-4114	5/4/2018 3:38 PM
Medicaid Billing	NPI: Number	Insert	New Registration		1770006728	5/4/2018 3:38 PM
Contacts	Authorizing Official	Insert	New Registration		Esparza, Jose Sr. VP, Finance & CFO AltaMed Health Services Corporation 3238897320	5/4/2018 3:38 PM
Contacts	Primary Contact	Insert	New Registration		Nunez, Andrea Pharmacy Project Coordinator AltaMed Health Services Corporation 3232019787	5/4/2018 3:38 PM
Details	Last Recertification Date	Insert	New Registration			5/4/2018 3:38 PM
Details	Grant Number	Insert	New Registration		H80CS00142	5/4/2018 3:38 PM
Details	340B ID	Insert	New Registration			5/4/2018 3:38 PM
Details	Is Authorizing Official EHB Data	Insert	New Registration			5/4/2018 3:38 PM
Dates	Last Date That 340B Drugs Purchased	Insert	New Registration			5/4/2018 3:38 PM
Details	Medicare Provider Number	Insert	New Registration			5/4/2018 3:38 PM
Details	Entity Name	Insert	New Registration		AltaMed Health Services Corporation	5/4/2018 3:38 PM
Details	Program Code	Insert	New Registration		CH	5/4/2018 3:38 PM
Details	Entity Subname	Insert	New Registration		AltaMed Medical and Dental Group: Commerce, Goodrich	5/4/2018 3:38 PM
Dates	Participating Approval Date	Insert	New Registration			5/4/2018 3:38 PM
Details	State	Insert	New Registration		Pending	5/4/2018 3:38 PM
Dates	Registration Date	Insert	New Registration		5/4/2018 3:38:18 PM	5/4/2018 3:38 PM
Dates	Signed By Date	Insert	New Registration			5/4/2018 3:38 PM
Dates	Start Date	Insert	New Registration			5/4/2018 3:38 PM
Terminations	Termination Comments	Insert	New Registration			5/4/2018 3:38 PM
Terminations	Termination Date	Insert	New Registration			5/4/2018 3:38 PM
Terminations	Termination Effective Date	Insert	New Registration			5/4/2018 3:38 PM
Terminations	Termination Reason	Insert	New Registration			5/4/2018 3:38 PM

340B Drug Pricing Program Database