Covered Entity Details

CHC33642-03 AIDS Action Coalition of Huntsville (Active) - information as of 5/6/2025 11:13:48 PM

Main Details

Name

AIDS Action Coalition of Huntsville

Subdivision Name

Thrive Pediatrics

Type

HRSA-Funded Health Center

Site ID

BPS-H80-037943

340B ID

CHC33642-03

Grant Number

H80CS33642

Additional Details

Current Program Status

Active

Registration Date

4/5/2022

Participating Start Date

7/1/2022

Participating Approval Date

4/6/2022

Last Recertification Date

2/11/2025

Contacts

Authorizing Official

AIDS Action Coalition of Huntsville, Inc
Stephanie Harville, CFO
(256) 715-4249

Primary Contact

Thrive Alabama
Vera-Marie Featherston, 340B Coordinator
(256) 536-4700 Ext: 1018

Addresses

Street Address

3007 Memorial Parkway South
Suite C Unit 2
Huntsville, AL 35801-7420

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	Termination Date	Last Updated On
Contract Detail	ACCREDO HEALTH GROUP INC	3000 ERICSSON DRIVE, SUITE 100		WARRENDALE	PA	15086-7502	07/20/2023	10/01/2023		10/01/2023
Contract Detail	ACCREDO HEALTH GROUP INC	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	07/20/2023	10/01/2023		10/01/2023
Contract Detail	ACCREDO HEALTH GROUP INC	2040 W RIO SALADO PKWY STE 101B		TEMPE	AZ	85281-2010	07/20/2023	10/01/2023		10/01/2023
Contract Detail	ACCREDO HEALTH GROUP, INC.	2 BOULDEN CIR STE 1		NEW CASTLE	DE	19720-3492	07/20/2023	10/01/2023		10/01/2023
Contract Detail	ACCREDO HEALTH GROUP, INC.	4750 E 450 S	SUITE A	WHITESTOWN	IN	46075	07/20/2023	10/01/2023		10/01/2023
Contract Detail	ACCREDO HEALTH GROUP, INC.	6272 LEE VISTA BLVD STE 100		ORLANDO	FL	32822	07/20/2023	10/01/2023		10/01/2023
Contract Detail	ALABAMA CVS PHARMACY, L.L.C	DBA CVS/PHARMACY # 10037	11030 SOUTH MEMORIAL PKWY.	HUNTSVILLE	AL	35803	04/20/2022	07/01/2022		07/01/2022
Contract Detail	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04882	1535 DECATUR HWY.	FULTONDALE	AL	35068	04/20/2022	07/01/2022	07/05/2023	07/18/2023
Contract Detail	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04899	2212 WHITESBURG DR	HUNTSVILLE	AL	35801	04/20/2022	07/01/2022		07/01/2022
Contract Detail	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04844	812 BELTLINE RD	DECATUR	AL	35601	04/20/2022	07/01/2022		07/01/2022
Contract Detail	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04901	1715 WOODWARD AVE.,	MUSCLE SHOALS	AL	35661	04/20/2022	07/01/2022		07/01/2022
Contract Detail	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04823	3403 RAINBOW DR.	RAINBOW CITY	AL	35906	04/20/2022	07/01/2022	07/05/2023	07/18/2023
Contract Detail	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 03004	8700 HWY 69 SOUTH	TUSCALOOSA	AL	35405	04/20/2022	07/01/2022	07/05/2023	07/18/2023
Contract Detail	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04884	8503 OLD MADISON PIKE	MADISON	AL	35758	04/20/2022	07/01/2022		07/01/2022
Contract Detail	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04908	2525 OAKWOOD AVE	HUNTSVILLE	AL	35810	04/20/2022	07/01/2022		07/01/2022
Contract Detail	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04881	2001 CECIL ASHBURN DRIVE SE	HUNTSVILLE	AL	35802	04/20/2022	07/01/2022	11/27/2023	01/08/2024
Contract Detail	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04910	6181 US HWY 431	ALBERTVILLE	AL	35950	04/20/2022	07/01/2022		07/01/2022
Contract Detail	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04815	215 HWY 31 SOUTH	ATHENS	AL	35611	04/20/2022	07/01/2022		07/01/2022
Contract Detail	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04912	2000 CENTER POINT PKWY	CENTER POINT	AL	35215	04/20/2022	07/01/2022	07/05/2023	07/18/2023
Contract Detail	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 02748	930 WINCHESTER RD.	HUNTSVILLE	AL	35811	04/20/2022	07/01/2022		07/01/2022
Contract Detail	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04817	1501 FLORENCE BLVD	FLORENCE	AL	35630	04/20/2022	07/01/2022		07/01/2022
Contract Detail	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01774	100 PROVIDENCE MAIN ST., #G	HUNTSVILLE	AL	35806	04/20/2022	07/01/2022		07/01/2022
Contract Detail	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 07155	8470 HWY 72 WEST	MADISON	AL	35758	04/20/2022	07/01/2022		07/01/2022
Contract Detail	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 05413	2210 WINCHESTER RD.	HUNTSVILLE	AL	35811	04/20/2022	07/01/2022		07/01/2022
Contract Detail	ALABAMA CVS PHARMACY, L.L.C.	CVS PHARMACY # 16685	6275 UNIVERSITY DR NW	HUNTSVILLE	AL	35806	04/20/2022	07/01/2022		07/01/2022
Contract Detail	ALABAMA CVS PHARMACY, L.L.C.	DBA CVS/PHARMACY # 10516	5859 HIGHWAY 53	HARVEST	AL	35749	04/20/2022	07/01/2022		07/01/2022
Contract Detail	ALABAMA CVS PHARMACY, L.L.C.	DBA CVS/PHARMACY #10416	1906 CHEROKEE AVE SW	CULLMAN	AL	35055	04/20/2022	07/01/2022		07/01/2022
Contract Detail	ALABAMA CVS PHARMACY, L.L.C.	CVS PHARMACY # 16706	2750 CARL T JONES DR SE STE 7	HUNTSVILLE	AL	35802	04/20/2022	07/01/2022		07/01/2022
Contract Detail	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04968	1445 GUNTER AVENUE	GUNTERSVILLE	AL	35976	04/20/2022	07/01/2022		07/01/2022
Contract Detail	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 05316	12275 HWY 231 431N	MERIDIANVILLE	AL	35759	04/20/2022	07/01/2022		07/01/2022
Contract Detail	AVITA PHARMACY 1040	AVITA DRUGS, LLC D/B/A AVITA PHARMACY 10	6100 CORPORATE BLVD STE 250	BATON ROUGE	LA	70808	04/20/2022	07/01/2022		07/01/2022
Contract Detail	AVITA PHARMACY 1044	AVITA DRUGS ALABAMA LLC D/B/A AVITA PHAR	3220 5TH AVE S STE 110	BIRMINGHAM	AL	35222-2309	04/20/2022	07/01/2022		07/01/2022
Contract Detail	CAREMARK FLORIDA SPECIALTY PHARMACY LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7930 WOODLAND CENTER BLVD STE 500	TAMPA	FL	33614	04/20/2022	07/01/2022	07/05/2023	07/18/2023
Contract Detail	CAREMARK FLORIDA SPECIALTY PHARMACY LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7930 WOODLAND CENTER BLVD STE 500	TAMPA	FL	33614	10/02/2023	01/01/2024		01/01/2024
Contract Detail	CAREMARK ILLINOIS SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	800 BIERMANN CT STE B	MOUNT PROSPECT	IL	60056	04/20/2022	07/01/2022		07/01/2022
Contract Detail	CAREMARK KANSAS SPECIALTY PHARMACY	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	11162 RENNER BLVD	LENEXA	KS	66219	04/20/2022	07/01/2022	07/05/2023	07/18/2023
Contract Detail	CAREMARK KANSAS SPECIALTY PHARMACY	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	11162 RENNER BLVD	LENEXA	KS	66219	10/02/2023	01/01/2024		01/01/2024
Contract Detail	CAREMARK MASSACHUSETTS SPECIALTY PHARMAC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	25 BIRCH STREET, BLDG B, SUITE 100	MILFORD	MA	01757	04/20/2022	07/01/2022	07/05/2023	07/18/2023
Contract Detail	CAREMARK MASSACHUSETTS SPECIALTY PHARMAC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	25 BIRCH STREET, BLDG B, SUITE 100	MILFORD	MA	01757	10/02/2023	01/01/2024		01/01/2024
Contract Detail	CAREMARK MICHIGAN SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1307 ALLEN DR STE H	TROY	MI	48083	04/20/2022	07/01/2022	07/05/2023	07/18/2023
Contract Detail	CAREMARK MICHIGAN SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1307 ALLEN DR STE H	TROY	MI	48083	10/02/2023	01/01/2024		01/01/2024
Contract Detail	CAREMARK NEW JERSEY SPECIALTY PHCY, LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	180 PASSAIC AVE UNIT B-5	FAIRFIELD	NJ	07004	04/20/2022	07/01/2022		07/01/2022
Contract Detail	CAREMARK NORTH CAROLINA SPECIALTY PHARMA	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	10700 WORLD TRADE BLVD STE 110	RALEIGH	NC	27617	04/20/2022	07/01/2022	07/05/2023	07/18/2023
Contract Detail	CAREMARK NORTH CAROLINA SPECIALTY PHARMA	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	10700 WORLD TRADE BLVD STE 110	RALEIGH	NC	27617	10/02/2023	01/01/2024		01/01/2024
Contract Detail	CAREMARK TENNESSEE SPECIALTY PHARMACY, L	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	8370 WOLF LAKE DR STE 107	BARTLETT	TN	38133	04/20/2022	07/01/2022		07/01/2022
Contract Detail	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1127 BRYN MAWR AVE SUITE A	REDLANDS	CA	92374	04/20/2022	07/01/2022	07/05/2023	07/18/2023
Contract Detail	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1127 BRYN MAWR AVE SUITE A	REDLANDS	CA	92374	10/02/2023	01/01/2024		01/01/2024
Contract Detail	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7251 S. EASTERN AVE.	LAS VEGAS	NV	89119	04/20/2022	07/01/2022	07/05/2023	07/18/2023
Contract Detail	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7251 S. EASTERN AVE.	LAS VEGAS	NV	89119	10/02/2023	01/01/2024		01/01/2024
Contract Detail	CURANT HEALTH FLORIDA, LLC	11001 ROOSEVELT BLVD STE 1400		ST PETERSBURG	FL	33716-2338	04/20/2022	07/01/2022		07/01/2022
Contract Detail	CURANT HEALTH GEORGIA LLC	CURANT HEALTH	200 TECHNOLOGY CT SE BLDG 200 SUITE B	SMYRNA	GA	30082-5250	04/20/2022	07/01/2022		07/01/2022
Contract Detail	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	CAREMARK, LLC	1001 SPINKS ROAD, STE 280	FLOWER MOUND	TX	75028	04/20/2022	07/01/2022		07/01/2022
Contract Detail	ESI MAIL PHARMACY SERVICE	DBA EXPRESS SCRIPTS	7909 S HARDY DR STE 106	TEMPE	AZ	85284-1112	07/20/2023	10/01/2023		10/01/2023
Contract Detail	EXPRESS SCRIPTS	ESI MAIL PHARMACY SERVICE INC	4600 N HANLEY RD	SAINT LOUIS	MO	63134	07/20/2023	10/01/2023		10/01/2023
Contract Detail	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	4750 E. 450 S.	WHITESTOWN	IN	46075	07/20/2023	10/01/2023		10/01/2023
Contract Detail	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	2040 ROUTE 130 NORTH	BURLINGTON	NJ	08016	07/20/2023	10/01/2023		10/01/2023
Contract Detail	LONGS DRUGS OF LEXINGTON	D/B/A AVITA PHARMACY 1051	1216 W MAIN ST STE D	LEXINGTON	SC	29072-2453	04/20/2022	07/01/2022		07/01/2022
Contract Detail	PROCARE PHARMACY DIRECT, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	105 MALL BOULEVARD	MONROEVILLE	PA	15146	04/20/2022	07/01/2022		07/01/2022
Contract Detail	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY OR CARELONRX SPECIALTY	ONE WATERFRONT PLAZA 500 ALA MOANA BLVD., BLDG 1	HONOLULU	HI	96813	04/20/2022	07/01/2022	07/05/2023	07/18/2023
Contract Detail	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY #2909	1521 4TH AVE., SOUTH	BIRMINGHAM	AL	35233	04/20/2022	07/01/2022	07/05/2023	07/18/2023
Contract Detail	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY #2923	3250 HARDEN ST. EXT. SUITE #300	COLUMBIA	SC	29203	04/20/2022	07/01/2022	07/05/2023	07/18/2023
Contract Detail	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY #2923	3250 HARDEN ST. EXT. SUITE #300	COLUMBIA	SC	29203	10/02/2023	01/01/2024		01/01/2024
Contract Detail	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY #2909	1521 4TH AVE., SOUTH	BIRMINGHAM	AL	35233	10/03/2023	01/01/2024		01/01/2024
Contract Detail	PUBLIX ALABAMA, LLC	PUBLIX PHARMACY #1629	2286 ZIERDT RD	HUNTSVILLE	AL	35824	07/20/2023	10/01/2023		10/01/2023
Contract Detail	PUBLIX ALABAMA, LLC	PUBLIX PHARMACY #1451	310 PELHAM AVE. SW	HUNTSVILLE	AL	35801	07/20/2023	10/01/2023		10/01/2023
Contract Detail	PUBLIX ALABAMA, LLC	PUBLIX PHARMACY #1785	9040 MEMORIAL PARKWAY SW	HUNTSVILLE	AL	35802	07/20/2023	10/01/2023		10/01/2023
Contract Detail	PUBLIX SUPER MARKETS, INC.	PUBLIX CENTRAL PHARMACY #3201	2424 ORLANDO CENTRAL PARKWAY	ORLANDO	FL	32809	07/20/2023	10/01/2023		10/01/2023
Contract Detail	PUBLIX SUPER MARKETS, INC.	PUBLIX PHARMACY #3213	1950 SAND LAKE RD, BLDG #5	ORLANDO	FL	32809	07/20/2023	10/01/2023		10/01/2023
Contract Detail	TENNESSEE CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 06431	2788 MURFREESBORO PIKE	ANTIOCH	TN	37013	04/20/2022	07/01/2022	07/05/2023	07/18/2023
Contract Detail	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	04/20/2022	07/01/2022		07/01/2022
Contract Detail	WAL-MART PHARMACY #10-2488	1203 6TH AVE SE		DECATUR	AL	35601	04/20/2022	07/01/2022	07/05/2023	07/18/2023
Contract Detail	WAL-MART PHARMACY #10-2488	1203 6TH AVE SE		DECATUR	AL	35601	07/24/2023	07/31/2023	09/19/2023	09/26/2023
Contract Detail	WAL-MART PHARMACY 10-0329	5560 MC CLELLAN BLVD		ANNISTON	AL	36206	04/20/2022	07/01/2022	07/05/2023	07/18/2023
Contract Detail	WAL-MART PHARMACY 10-0329	5560 MC CLELLAN BLVD		ANNISTON	AL	36206	07/24/2023	07/31/2023	09/19/2023	09/26/2023
Contract Detail	WAL-MART PHARMACY 10-0332	6140-A UNIVERSITY DR		HUNTSVILLE	AL	35806	04/20/2022	07/01/2022	12/10/2024	03/13/2025
Contract Detail	WAL-MART PHARMACY 10-0375	3031 MEMORIAL PKWY SW		HUNTSVILLE	AL	35801	04/20/2022	07/01/2022		07/01/2022
Contract Detail	WAL-MART PHARMACY 10-0433	2200 SPARKMAN DR		HUNTSVILLE	AL	35810	05/06/2022	05/06/2022	07/05/2023	07/18/2023
Contract Detail	WAL-MART PHARMACY 10-0433	2200 SPARKMAN DR		HUNTSVILLE	AL	35810	07/24/2023	07/31/2023	12/10/2024	03/13/2025
Contract Detail	WAL-MART PHARMACY 10-0661	1011 U.S. HWY 72 EAST		ATHENS	AL	35611	10/02/2023	01/01/2024	12/10/2024	03/13/2025
Contract Detail	WAL-MART PHARMACY 10-0662	2800 SPRING AVENUE S.W.		DECATUR	AL	35603	04/20/2022	07/01/2022	12/10/2024	03/13/2025
Contract Detail	WAL-MART PHARMACY 10-0809	92 PLAZA LANE		OXFORD	AL	36203	05/06/2022	05/06/2022	07/05/2023	07/18/2023
Contract Detail	WAL-MART PHARMACY 10-0809	92 PLAZA LANE		OXFORD	AL	36203	07/24/2023	07/31/2023	09/19/2023	09/26/2023
Contract Detail	WAL-MART PHARMACY 10-1124	1201 HIGHWAY 31, N.W.		HARTSELLE	AL	35640	04/20/2022	07/01/2022	09/19/2023	09/26/2023
Contract Detail	WAL-MART PHARMACY 10-5113	165 VAUGHAN LN		PELL CITY	AL	35125	05/06/2022	05/06/2022	07/05/2023	07/18/2023
Contract Detail	WAL-MART PHARMACY 10-5113	165 VAUGHAN LN		PELL CITY	AL	35125	07/24/2023	07/31/2023	09/19/2023	09/26/2023
Contract Detail	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	04/20/2022	07/01/2022		07/01/2022
Contract Detail	WALGREEN CO	DBA: WALGREENS #11180	1700 2ND AVENUE SOUTHWEST	CULLMAN	AL	35055-5397	04/20/2022	07/01/2022		07/01/2022
Contract Detail	WALGREEN CO	DBA: WALGREENS #10981	101 US HWY 31 N	ATHENS	AL	35611	04/20/2022	07/01/2022		07/01/2022
Contract Detail	WALGREEN CO	DBA: WALGREENS #10965	920 US HWY 431	BOAZ	AL	35957-1732	04/20/2022	07/01/2022		07/01/2022
Contract Detail	WALGREEN CO	DBA: WALGREENS #11279	7155 US HIGHWAY 431	ALBERTVILLE	AL	35950-1872	04/20/2022	07/01/2022		07/01/2022
Contract Detail	WALGREEN CO	DBA: WALGREENS #10966	201 HIGHWAY 31 NW	HARTSELLE	AL	35640-4444	04/20/2022	07/01/2022		07/01/2022
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 10109	109 EAST DOCTOR HICKS BLVD	FLORENCE	AL	35630	04/20/2022	07/01/2022		07/01/2022
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 06431	3997 UNIVERSITY DR NW	HUNTSVILLE	AL	35816	04/20/2022	07/01/2022		07/01/2022
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 09314	1000 HUNTSVILLE HIGHWAY	FAYETTEVILLE	TN	37334-3442	04/20/2022	07/01/2022		07/01/2022
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 02589	1718 BELTLINE ROAD SW	DECATUR	AL	35601-5510	04/20/2022	07/01/2022		07/01/2022
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 06430	2100 BRANDON ST SW	HUNTSVILLE	AL	35801	04/20/2022	07/01/2022		07/01/2022
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 06979	2784 CARL T JONES DR SE	HUNTSVILLE	AL	35802-4909	04/20/2022	07/01/2022		07/01/2022
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 02557	1801 WOODWARD AVE	MUSCLE SHOALS	AL	35661-2843	04/20/2022	07/01/2022		07/01/2022
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 10628	2602 FLORENCE BLVD	FLORENCE	AL	35630-2864	04/20/2022	07/01/2022		07/01/2022
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 02363	7813 HIGHWAY 72 W	MADISON	AL	35758	04/20/2022	07/01/2022		07/01/2022
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 06956	3500 MASTIN LAKE RD NW	HUNTSVILLE	AL	35810	04/20/2022	07/01/2022		07/01/2022
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 10523	1613 GLENN BLVD SW	FORT PAYNE	AL	35968	04/20/2022	07/01/2022		07/01/2022
Contract Detail	WALGREEN CO.	DBA: WALGREENS #15205	444 2ND AVE. NW	CULLMAN	AL	35055	04/20/2022	07/01/2022		07/01/2022
Contract Detail	WALGREEN CO.	DBA: WALGREENS #10850	11399 MEMORIAL PKWY SE	HUNTSVILLE	AL	35803	04/20/2022	07/01/2022		07/01/2022
Contract Detail	WALGREEN CO.	DBA: WALGREENS #12911	1400 GUNTER AVE	GUNTERSVILLE	AL	35976	04/20/2022	07/01/2022		07/01/2022
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 06464	3120 BOB WALLACE AVE SW	HUNTSVILLE	AL	35805	04/20/2022	07/01/2022	03/18/2025	03/20/2025
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 09976	1127 6TH AVENUE SE	DECATUR	AL	35601-4009	04/20/2022	07/01/2022		07/01/2022
Contract Detail	WALGREEN CO.	DBA WALGREENS SPECIALTY PHARMACY #16371	3686 GRANDVIEW PKWY STE 120	BIRMINGHAM	AL	35243	04/20/2022	07/01/2022		07/01/2022
Contract Detail	WALGREEN CO.	WALGREENS #19190	4906 WHITESBURG DR SW	HUNTSVILLE	AL	35802-1690	10/04/2022	01/01/2023		01/01/2023
Contract Detail	WALGREEN CO.	DBA WALGREENS SPECIALTY PHARMACY #21392	1731 SPRING HILL AVE STE B	MOBILE	AL	36604	07/11/2024	10/01/2024		10/01/2024
Contract Detail	WALGREEN CO.	WALGREENS #17256	2139 WINCHESTER RD NE STE A	HUNTSVILLE	AL	35811	07/11/2024	10/01/2024		10/01/2024
Contract Detail	Walgreens #21389	Walgreens Central Fill #21389	3299 Tchulatech Dr Suite 101	Memphis	TN	38118	10/04/2022	01/01/2023		01/01/2023
Contract Detail	Walgreens #21395	Walgreens Central Fill #21395	5710 Young Pine Rd	Orlando	FL	32829	10/03/2022	01/01/2023	01/09/2025	01/09/2025
Contract Detail	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #16287	130 ENTERPRISE DR	PITTSBURGH	PA	15275	07/18/2023	10/01/2023		10/01/2023
Contract Detail	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15438	41460 HAGGERTY CIR S	CANTON	MI	48188	07/20/2023	10/01/2023		10/01/2023
Contract Detail	WALMART PHARMACY #10-5925	2305 JORDAN LN SW		HUNTSVILLE	AL	35805	05/06/2022	05/06/2022	12/10/2024	03/13/2025
Contract Detail	WALMART PHARMACY #10-6878	14595 HWY 231-431 N		HAZEL GREEN	AL	35750	05/06/2022	05/06/2022		05/06/2022
Contract Detail	WALMART PHARMACY 10-5169	2252 NORTH 8TH STREET	SUITE A	ROGERS	AR	72756	01/10/2023	04/01/2023		04/01/2023
Contract Detail	Walmart Pharmacy 10-7611	2501 Perry Rd		Plainfield	IN	46168	10/03/2023	01/01/2024		01/01/2024

Grantee Sites

340B ID	340B Status	SiteId	Name	Sub Name	Address	City	State
CHC33642-00	Active	BPS-H80-038721	AIDS Action Coalition of Huntsville	Thrive Alabama	3500 Memorial Parkway S.W.	Huntsville	AL
CHC33642-01	Terminated	BPS-H80-029503	AIDS Action Coalition of Huntsville	Thrive Alabama	600 St. Clair Avenue, Building 7, Suite 18	Huntsville	AL
CHC33642-02	Active	BPS-H80-037159	AIDS Action Coalition of Huntsville	Thrive Behavioral Health - Church Street	415E Church St NW	Huntsville	AL
CHC33642-03	Active	BPS-H80-037943	AIDS Action Coalition of Huntsville	Thrive Pediatrics	3007 Memorial Parkway South	Huntsville	AL

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
CHC33642-02	ACCREDO HEALTH GROUP INC	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	10/01/2023
CHC33642-00	ACCREDO HEALTH GROUP INC	2040 W RIO SALADO PKWY STE 101B		TEMPE	AZ	85281-2010	10/01/2023
CHC33642-03	ACCREDO HEALTH GROUP INC	3000 ERICSSON DRIVE, SUITE 100		WARRENDALE	PA	15086-7502	10/01/2023
CHC33642-00	ACCREDO HEALTH GROUP INC	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	10/01/2023
CHC33642-03	ACCREDO HEALTH GROUP INC	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	10/01/2023
CHC33642-03	ACCREDO HEALTH GROUP INC	2040 W RIO SALADO PKWY STE 101B		TEMPE	AZ	85281-2010	10/01/2023
CHC33642-02	ACCREDO HEALTH GROUP INC	2040 W RIO SALADO PKWY STE 101B		TEMPE	AZ	85281-2010	10/01/2023
CHC33642-02	ACCREDO HEALTH GROUP INC	3000 ERICSSON DRIVE, SUITE 100		WARRENDALE	PA	15086-7502	10/01/2023
CHC33642-00	ACCREDO HEALTH GROUP INC	3000 ERICSSON DRIVE, SUITE 100		WARRENDALE	PA	15086-7502	10/01/2023
CHC33642-00	ACCREDO HEALTH GROUP, INC.	6272 LEE VISTA BLVD STE 100		ORLANDO	FL	32822	10/01/2023
CHC33642-02	ACCREDO HEALTH GROUP, INC.	4750 E 450 S	SUITE A	WHITESTOWN	IN	46075	10/01/2023
CHC33642-03	ACCREDO HEALTH GROUP, INC.	2 BOULDEN CIR STE 1		NEW CASTLE	DE	19720-3492	10/01/2023
CHC33642-03	ACCREDO HEALTH GROUP, INC.	4750 E 450 S	SUITE A	WHITESTOWN	IN	46075	10/01/2023
CHC33642-02	ACCREDO HEALTH GROUP, INC.	2 BOULDEN CIR STE 1		NEW CASTLE	DE	19720-3492	10/01/2023
CHC33642-03	ACCREDO HEALTH GROUP, INC.	6272 LEE VISTA BLVD STE 100		ORLANDO	FL	32822	10/01/2023
CHC33642-00	ACCREDO HEALTH GROUP, INC.	4750 E 450 S	SUITE A	WHITESTOWN	IN	46075	10/01/2023
CHC33642-02	ACCREDO HEALTH GROUP, INC.	6272 LEE VISTA BLVD STE 100		ORLANDO	FL	32822	10/01/2023
CHC33642-00	ACCREDO HEALTH GROUP, INC.	2 BOULDEN CIR STE 1		NEW CASTLE	DE	19720-3492	10/01/2023
CHC33642-00	ALABAMA CVS PHARMACY, L.L.C	DBA CVS/PHARMACY # 10037	11030 SOUTH MEMORIAL PKWY.	HUNTSVILLE	AL	35803	04/01/2020
CHC33642-01	ALABAMA CVS PHARMACY, L.L.C	DBA CVS/PHARMACY # 10037	11030 SOUTH MEMORIAL PKWY.	HUNTSVILLE	AL	35803	04/01/2020	01/01/2023
CHC33642-02	ALABAMA CVS PHARMACY, L.L.C	DBA CVS/PHARMACY # 10037	11030 SOUTH MEMORIAL PKWY.	HUNTSVILLE	AL	35803	04/01/2020
CHC33642-03	ALABAMA CVS PHARMACY, L.L.C	DBA CVS/PHARMACY # 10037	11030 SOUTH MEMORIAL PKWY.	HUNTSVILLE	AL	35803	07/01/2022
CHC33642-00	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01774	100 PROVIDENCE MAIN ST., #G	HUNTSVILLE	AL	35806	04/01/2020
CHC33642-00	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 02748	930 WINCHESTER RD.	HUNTSVILLE	AL	35811	04/01/2020
CHC33642-00	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 03004	8700 HWY 69 SOUTH	TUSCALOOSA	AL	35405	04/01/2020	07/11/2023
CHC33642-00	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04815	215 HWY 31 SOUTH	ATHENS	AL	35611	04/01/2020
CHC33642-00	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04817	1501 FLORENCE BLVD	FLORENCE	AL	35630	04/01/2020
CHC33642-00	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04823	3403 RAINBOW DR.	RAINBOW CITY	AL	35906	04/01/2020	07/11/2023
CHC33642-00	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04844	812 BELTLINE RD	DECATUR	AL	35601	04/01/2020
CHC33642-00	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04881	2001 CECIL ASHBURN DRIVE SE	HUNTSVILLE	AL	35802	04/01/2020	11/27/2023
CHC33642-00	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04882	1535 DECATUR HWY.	FULTONDALE	AL	35068	04/01/2020	07/11/2023
CHC33642-00	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04884	8503 OLD MADISON PIKE	MADISON	AL	35758	04/01/2020
CHC33642-00	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04899	2212 WHITESBURG DR	HUNTSVILLE	AL	35801	04/01/2020
CHC33642-00	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04901	1715 WOODWARD AVE.,	MUSCLE SHOALS	AL	35661	04/01/2020
CHC33642-00	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04908	2525 OAKWOOD AVE	HUNTSVILLE	AL	35810	04/01/2020
CHC33642-00	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04910	6181 US HWY 431	ALBERTVILLE	AL	35950	04/01/2020
CHC33642-00	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04912	2000 CENTER POINT PKWY	CENTER POINT	AL	35215	04/01/2020	07/11/2023
CHC33642-00	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04968	1445 GUNTER AVENUE	GUNTERSVILLE	AL	35976	04/01/2020
CHC33642-00	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 05316	12275 HWY 231 431N	MERIDIANVILLE	AL	35759	04/01/2020
CHC33642-00	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 05413	2210 WINCHESTER RD.	HUNTSVILLE	AL	35811	04/01/2020
CHC33642-00	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 07155	8470 HWY 72 WEST	MADISON	AL	35758	04/01/2020
CHC33642-00	ALABAMA CVS PHARMACY, L.L.C.	DBA CVS/PHARMACY #10416	1906 CHEROKEE AVE SW	CULLMAN	AL	35055	04/01/2020
CHC33642-00	ALABAMA CVS PHARMACY, L.L.C.	DBA CVS/PHARMACY # 10516	5859 HIGHWAY 53	HARVEST	AL	35749	04/01/2020
CHC33642-00	ALABAMA CVS PHARMACY, L.L.C.	CVS PHARMACY # 16685	6275 UNIVERSITY DR NW	HUNTSVILLE	AL	35806	04/01/2020
CHC33642-00	ALABAMA CVS PHARMACY, L.L.C.	CVS PHARMACY # 16706	2750 CARL T JONES DR SE STE 7	HUNTSVILLE	AL	35802	04/01/2020
CHC33642-01	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01774	100 PROVIDENCE MAIN ST., #G	HUNTSVILLE	AL	35806	04/01/2020	01/01/2023
CHC33642-01	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 02748	930 WINCHESTER RD.	HUNTSVILLE	AL	35811	04/01/2020	01/01/2023
CHC33642-01	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 03004	8700 HWY 69 SOUTH	TUSCALOOSA	AL	35405	04/01/2020	01/01/2023
CHC33642-01	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04815	215 HWY 31 SOUTH	ATHENS	AL	35611	04/01/2020	01/01/2023
CHC33642-01	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04817	1501 FLORENCE BLVD	FLORENCE	AL	35630	04/01/2020	01/01/2023
CHC33642-01	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04823	3403 RAINBOW DR.	RAINBOW CITY	AL	35906	04/01/2020	01/01/2023
CHC33642-01	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04844	812 BELTLINE RD	DECATUR	AL	35601	04/01/2020	01/01/2023
CHC33642-01	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04881	2001 CECIL ASHBURN DRIVE SE	HUNTSVILLE	AL	35802	04/01/2020	01/01/2023
CHC33642-01	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04882	1535 DECATUR HWY.	FULTONDALE	AL	35068	04/01/2020	01/01/2023
CHC33642-01	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04884	8503 OLD MADISON PIKE	MADISON	AL	35758	04/01/2020	01/01/2023
CHC33642-01	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04899	2212 WHITESBURG DR	HUNTSVILLE	AL	35801	04/01/2020	01/01/2023
CHC33642-01	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04901	1715 WOODWARD AVE.,	MUSCLE SHOALS	AL	35661	04/01/2020	01/01/2023
CHC33642-01	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04908	2525 OAKWOOD AVE	HUNTSVILLE	AL	35810	04/01/2020	01/01/2023
CHC33642-01	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04910	6181 US HWY 431	ALBERTVILLE	AL	35950	04/01/2020	01/01/2023
CHC33642-01	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04912	2000 CENTER POINT PKWY	CENTER POINT	AL	35215	04/01/2020	01/01/2023
CHC33642-01	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04968	1445 GUNTER AVENUE	GUNTERSVILLE	AL	35976	04/01/2020	01/01/2023
CHC33642-01	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 05316	12275 HWY 231 431N	MERIDIANVILLE	AL	35759	04/01/2020	01/01/2023
CHC33642-01	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 05413	2210 WINCHESTER RD.	HUNTSVILLE	AL	35811	04/01/2020	01/01/2023
CHC33642-01	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 07155	8470 HWY 72 WEST	MADISON	AL	35758	04/01/2020	01/01/2023
CHC33642-01	ALABAMA CVS PHARMACY, L.L.C.	DBA CVS/PHARMACY #10416	1906 CHEROKEE AVE SW	CULLMAN	AL	35055	04/01/2020	01/01/2023
CHC33642-01	ALABAMA CVS PHARMACY, L.L.C.	DBA CVS/PHARMACY # 10516	5859 HIGHWAY 53	HARVEST	AL	35749	04/01/2020	01/01/2023
CHC33642-01	ALABAMA CVS PHARMACY, L.L.C.	CVS PHARMACY # 16685	6275 UNIVERSITY DR NW	HUNTSVILLE	AL	35806	04/01/2020	01/01/2023
CHC33642-01	ALABAMA CVS PHARMACY, L.L.C.	CVS PHARMACY # 16706	2750 CARL T JONES DR SE STE 7	HUNTSVILLE	AL	35802	04/01/2020	01/01/2023
CHC33642-02	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01774	100 PROVIDENCE MAIN ST., #G	HUNTSVILLE	AL	35806	04/01/2020
CHC33642-02	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 02748	930 WINCHESTER RD.	HUNTSVILLE	AL	35811	04/01/2020
CHC33642-02	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 03004	8700 HWY 69 SOUTH	TUSCALOOSA	AL	35405	04/01/2020	07/05/2023
CHC33642-02	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04815	215 HWY 31 SOUTH	ATHENS	AL	35611	04/01/2020
CHC33642-02	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04817	1501 FLORENCE BLVD	FLORENCE	AL	35630	04/01/2020
CHC33642-02	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04823	3403 RAINBOW DR.	RAINBOW CITY	AL	35906	04/01/2020	07/05/2023
CHC33642-02	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04844	812 BELTLINE RD	DECATUR	AL	35601	04/01/2020
CHC33642-02	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04881	2001 CECIL ASHBURN DRIVE SE	HUNTSVILLE	AL	35802	04/01/2020	11/27/2023
CHC33642-02	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04882	1535 DECATUR HWY.	FULTONDALE	AL	35068	04/01/2020	07/05/2023
CHC33642-02	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04884	8503 OLD MADISON PIKE	MADISON	AL	35758	04/01/2020
CHC33642-02	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04899	2212 WHITESBURG DR	HUNTSVILLE	AL	35801	04/01/2020
CHC33642-02	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04901	1715 WOODWARD AVE.,	MUSCLE SHOALS	AL	35661	04/01/2020
CHC33642-02	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04908	2525 OAKWOOD AVE	HUNTSVILLE	AL	35810	04/01/2020
CHC33642-02	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04910	6181 US HWY 431	ALBERTVILLE	AL	35950	04/01/2020
CHC33642-02	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04968	1445 GUNTER AVENUE	GUNTERSVILLE	AL	35976	04/01/2020
CHC33642-02	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04912	2000 CENTER POINT PKWY	CENTER POINT	AL	35215	04/01/2020	07/05/2023
CHC33642-02	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 05316	12275 HWY 231 431N	MERIDIANVILLE	AL	35759	04/01/2020
CHC33642-02	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 05413	2210 WINCHESTER RD.	HUNTSVILLE	AL	35811	04/01/2020
CHC33642-02	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 07155	8470 HWY 72 WEST	MADISON	AL	35758	04/01/2020
CHC33642-02	ALABAMA CVS PHARMACY, L.L.C.	DBA CVS/PHARMACY #10416	1906 CHEROKEE AVE SW	CULLMAN	AL	35055	04/01/2020
CHC33642-02	ALABAMA CVS PHARMACY, L.L.C.	DBA CVS/PHARMACY # 10516	5859 HIGHWAY 53	HARVEST	AL	35749	04/01/2020
CHC33642-02	ALABAMA CVS PHARMACY, L.L.C.	CVS PHARMACY # 16685	6275 UNIVERSITY DR NW	HUNTSVILLE	AL	35806	04/01/2020
CHC33642-02	ALABAMA CVS PHARMACY, L.L.C.	CVS PHARMACY # 16706	2750 CARL T JONES DR SE STE 7	HUNTSVILLE	AL	35802	04/01/2020
CHC33642-03	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04882	1535 DECATUR HWY.	FULTONDALE	AL	35068	07/01/2022	07/05/2023
CHC33642-03	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04899	2212 WHITESBURG DR	HUNTSVILLE	AL	35801	07/01/2022
CHC33642-03	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04844	812 BELTLINE RD	DECATUR	AL	35601	07/01/2022
CHC33642-03	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04901	1715 WOODWARD AVE.,	MUSCLE SHOALS	AL	35661	07/01/2022
CHC33642-03	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04823	3403 RAINBOW DR.	RAINBOW CITY	AL	35906	07/01/2022	07/05/2023
CHC33642-03	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 03004	8700 HWY 69 SOUTH	TUSCALOOSA	AL	35405	07/01/2022	07/05/2023
CHC33642-03	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04884	8503 OLD MADISON PIKE	MADISON	AL	35758	07/01/2022
CHC33642-03	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04908	2525 OAKWOOD AVE	HUNTSVILLE	AL	35810	07/01/2022
CHC33642-03	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04881	2001 CECIL ASHBURN DRIVE SE	HUNTSVILLE	AL	35802	07/01/2022	11/27/2023
CHC33642-03	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04910	6181 US HWY 431	ALBERTVILLE	AL	35950	07/01/2022
CHC33642-03	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04815	215 HWY 31 SOUTH	ATHENS	AL	35611	07/01/2022
CHC33642-03	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04912	2000 CENTER POINT PKWY	CENTER POINT	AL	35215	07/01/2022	07/05/2023
CHC33642-03	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 02748	930 WINCHESTER RD.	HUNTSVILLE	AL	35811	07/01/2022
CHC33642-03	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04817	1501 FLORENCE BLVD	FLORENCE	AL	35630	07/01/2022
CHC33642-03	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 01774	100 PROVIDENCE MAIN ST., #G	HUNTSVILLE	AL	35806	07/01/2022
CHC33642-03	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 07155	8470 HWY 72 WEST	MADISON	AL	35758	07/01/2022
CHC33642-03	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 05413	2210 WINCHESTER RD.	HUNTSVILLE	AL	35811	07/01/2022
CHC33642-03	ALABAMA CVS PHARMACY, L.L.C.	CVS PHARMACY # 16685	6275 UNIVERSITY DR NW	HUNTSVILLE	AL	35806	07/01/2022
CHC33642-03	ALABAMA CVS PHARMACY, L.L.C.	DBA CVS/PHARMACY # 10516	5859 HIGHWAY 53	HARVEST	AL	35749	07/01/2022
CHC33642-03	ALABAMA CVS PHARMACY, L.L.C.	DBA CVS/PHARMACY #10416	1906 CHEROKEE AVE SW	CULLMAN	AL	35055	07/01/2022
CHC33642-03	ALABAMA CVS PHARMACY, L.L.C.	CVS PHARMACY # 16706	2750 CARL T JONES DR SE STE 7	HUNTSVILLE	AL	35802	07/01/2022
CHC33642-03	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04968	1445 GUNTER AVENUE	GUNTERSVILLE	AL	35976	07/01/2022
CHC33642-03	ALABAMA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 05316	12275 HWY 231 431N	MERIDIANVILLE	AL	35759	07/01/2022
CHC33642-00	AVITA PHARMACY 1040	AVITA DRUGS, LLC D/B/A AVITA PHARMACY 10	6100 CORPORATE BLVD STE 250	BATON ROUGE	LA	70808	01/01/2020	01/09/2025
CHC33642-01	AVITA PHARMACY 1040	AVITA DRUGS, LLC D/B/A AVITA PHARMACY 10	6100 CORPORATE BLVD STE 250	BATON ROUGE	LA	70808	01/01/2020	01/01/2023
CHC33642-02	AVITA PHARMACY 1040	AVITA DRUGS, LLC D/B/A AVITA PHARMACY 10	6100 CORPORATE BLVD STE 250	BATON ROUGE	LA	70808	01/01/2020	01/09/2025
CHC33642-03	AVITA PHARMACY 1040	AVITA DRUGS, LLC D/B/A AVITA PHARMACY 10	6100 CORPORATE BLVD STE 250	BATON ROUGE	LA	70808	07/01/2022
CHC33642-00	AVITA PHARMACY 1040	AVITA DRUGS, LLC D/B/A AVITA PHARMACY 10	6100 CORPORATE BLVD STE 250	BATON ROUGE	LA	70808	01/15/2025
CHC33642-02	AVITA PHARMACY 1040	AVITA DRUGS, LLC D/B/A AVITA PHARMACY 10	6100 CORPORATE BLVD STE 250	BATON ROUGE	LA	70808	01/15/2025
CHC33642-00	AVITA PHARMACY 1044	AVITA DRUGS ALABAMA LLC D/B/A AVITA PHAR	3220 5TH AVE S STE 110	BIRMINGHAM	AL	35222-2309	04/01/2020
CHC33642-01	AVITA PHARMACY 1044	AVITA DRUGS ALABAMA LLC D/B/A AVITA PHAR	3220 5TH AVE S STE 110	BIRMINGHAM	AL	35222-2309	04/01/2020	01/01/2023
CHC33642-02	AVITA PHARMACY 1044	AVITA DRUGS ALABAMA LLC D/B/A AVITA PHAR	3220 5TH AVE S STE 110	BIRMINGHAM	AL	35222-2309	04/01/2020
CHC33642-03	AVITA PHARMACY 1044	AVITA DRUGS ALABAMA LLC D/B/A AVITA PHAR	3220 5TH AVE S STE 110	BIRMINGHAM	AL	35222-2309	07/01/2022
CHC33642-00	BIOPLUS SPECIALTY PHARMACY CA	7373 LINCOLN WAY		GARDEN GROVE	CA	92841	04/01/2025
CHC33642-00	BIOPLUS SPECIALTY PHARMACY LA, LLC	2731 MANHATTAN BLVD STE B17		HARVEY	LA	70058	04/01/2025
CHC33642-00	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	4900 PROSPECTUS DR STE 300		DURHAM	NC	27713	04/01/2025
CHC33642-00	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	376 NORTHLAKE BLVD		ALTAMONTE SPRINGS	FL	32701-5261	04/01/2025
CHC33642-00	BIOPLUS SPECIALTY PHARMACY, INC	3200 LAKE EMMA RD UNIT 1000		LAKE MARY	FL	32746	04/01/2025
CHC33642-00	CAREMARK FLORIDA SPECIALTY PHARMACY LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7930 WOODLAND CENTER BLVD STE 500	TAMPA	FL	33614	04/01/2020	07/05/2023
CHC33642-01	CAREMARK FLORIDA SPECIALTY PHARMACY LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7930 WOODLAND CENTER BLVD STE 500	TAMPA	FL	33614	04/01/2020	01/01/2023
CHC33642-02	CAREMARK FLORIDA SPECIALTY PHARMACY LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7930 WOODLAND CENTER BLVD STE 500	TAMPA	FL	33614	04/01/2020	07/05/2023
CHC33642-03	CAREMARK FLORIDA SPECIALTY PHARMACY LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7930 WOODLAND CENTER BLVD STE 500	TAMPA	FL	33614	07/01/2022	07/05/2023
CHC33642-02	CAREMARK FLORIDA SPECIALTY PHARMACY LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7930 WOODLAND CENTER BLVD STE 500	TAMPA	FL	33614	01/01/2024
CHC33642-03	CAREMARK FLORIDA SPECIALTY PHARMACY LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7930 WOODLAND CENTER BLVD STE 500	TAMPA	FL	33614	01/01/2024
CHC33642-00	CAREMARK FLORIDA SPECIALTY PHARMACY LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7930 WOODLAND CENTER BLVD STE 500	TAMPA	FL	33614	01/01/2024
CHC33642-00	CAREMARK ILLINOIS SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	800 BIERMANN CT STE B	MOUNT PROSPECT	IL	60056	04/01/2020
CHC33642-01	CAREMARK ILLINOIS SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	800 BIERMANN CT STE B	MOUNT PROSPECT	IL	60056	04/01/2020	01/01/2023
CHC33642-02	CAREMARK ILLINOIS SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	800 BIERMANN CT STE B	MOUNT PROSPECT	IL	60056	04/01/2020
CHC33642-03	CAREMARK ILLINOIS SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	800 BIERMANN CT STE B	MOUNT PROSPECT	IL	60056	07/01/2022
CHC33642-00	CAREMARK KANSAS SPECIALTY PHARMACY	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	11162 RENNER BLVD	LENEXA	KS	66219	04/01/2020	07/05/2023
CHC33642-01	CAREMARK KANSAS SPECIALTY PHARMACY	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	11162 RENNER BLVD	LENEXA	KS	66219	04/01/2020	01/01/2023
CHC33642-02	CAREMARK KANSAS SPECIALTY PHARMACY	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	11162 RENNER BLVD	LENEXA	KS	66219	04/01/2020	07/05/2023
CHC33642-03	CAREMARK KANSAS SPECIALTY PHARMACY	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	11162 RENNER BLVD	LENEXA	KS	66219	07/01/2022	07/05/2023
CHC33642-02	CAREMARK KANSAS SPECIALTY PHARMACY	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	11162 RENNER BLVD	LENEXA	KS	66219	01/01/2024
CHC33642-03	CAREMARK KANSAS SPECIALTY PHARMACY	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	11162 RENNER BLVD	LENEXA	KS	66219	01/01/2024
CHC33642-00	CAREMARK KANSAS SPECIALTY PHARMACY	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	11162 RENNER BLVD	LENEXA	KS	66219	01/01/2024
CHC33642-03	CAREMARK MASSACHUSETTS SPECIALTY PHARMAC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	25 BIRCH STREET, BLDG B, SUITE 100	MILFORD	MA	01757	07/01/2022	07/05/2023
CHC33642-03	CAREMARK MASSACHUSETTS SPECIALTY PHARMAC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	25 BIRCH STREET, BLDG B, SUITE 100	MILFORD	MA	01757	01/01/2024
CHC33642-02	CAREMARK MASSACHUSETTS SPECIALTY PHARMAC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	25 BIRCH STREET, BLDG B, SUITE 100	MILFORD	MA	01757	04/01/2024
CHC33642-03	CAREMARK MICHIGAN SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1307 ALLEN DR STE H	TROY	MI	48083	07/01/2022	07/05/2023
CHC33642-03	CAREMARK MICHIGAN SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1307 ALLEN DR STE H	TROY	MI	48083	01/01/2024
CHC33642-02	CAREMARK MICHIGAN SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1307 ALLEN DR STE H	TROY	MI	48083	04/01/2024
CHC33642-01	CAREMARK NEW JERSEY SPECIALTY PHCY, LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	180 PASSAIC AVE UNIT B-5	FAIRFIELD	NJ	07004	04/01/2020	01/01/2023
CHC33642-02	CAREMARK NEW JERSEY SPECIALTY PHCY, LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	180 PASSAIC AVE UNIT B-5	FAIRFIELD	NJ	07004	04/01/2020
CHC33642-00	CAREMARK NEW JERSEY SPECIALTY PHCY, LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	180 PASSAIC AVE UNIT B-5	FAIRFIELD	NJ	07004	10/01/2021
CHC33642-03	CAREMARK NEW JERSEY SPECIALTY PHCY, LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	180 PASSAIC AVE UNIT B-5	FAIRFIELD	NJ	07004	07/01/2022
CHC33642-03	CAREMARK NORTH CAROLINA SPECIALTY PHARMA	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	10700 WORLD TRADE BLVD STE 110	RALEIGH	NC	27617	07/01/2022	07/05/2023
CHC33642-03	CAREMARK NORTH CAROLINA SPECIALTY PHARMA	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	10700 WORLD TRADE BLVD STE 110	RALEIGH	NC	27617	01/01/2024
CHC33642-02	CAREMARK NORTH CAROLINA SPECIALTY PHARMA	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	10700 WORLD TRADE BLVD STE 110	RALEIGH	NC	27617	04/01/2024
CHC33642-00	CAREMARK TENNESSEE SPECIALTY PHARMACY, L	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	8370 WOLF LAKE DR STE 107	BARTLETT	TN	38133	04/01/2020
CHC33642-01	CAREMARK TENNESSEE SPECIALTY PHARMACY, L	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	8370 WOLF LAKE DR STE 107	BARTLETT	TN	38133	04/01/2020	01/01/2023
CHC33642-02	CAREMARK TENNESSEE SPECIALTY PHARMACY, L	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	8370 WOLF LAKE DR STE 107	BARTLETT	TN	38133	04/01/2020
CHC33642-03	CAREMARK TENNESSEE SPECIALTY PHARMACY, L	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	8370 WOLF LAKE DR STE 107	BARTLETT	TN	38133	07/01/2022
CHC33642-00	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1127 BRYN MAWR AVE SUITE A	REDLANDS	CA	92374	04/01/2020	07/05/2023
CHC33642-01	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1127 BRYN MAWR AVE SUITE A	REDLANDS	CA	92374	04/01/2020	01/01/2023
CHC33642-02	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1127 BRYN MAWR AVE SUITE A	REDLANDS	CA	92374	04/01/2020	07/05/2023
CHC33642-03	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1127 BRYN MAWR AVE SUITE A	REDLANDS	CA	92374	07/01/2022	07/05/2023
CHC33642-03	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1127 BRYN MAWR AVE SUITE A	REDLANDS	CA	92374	01/01/2024
CHC33642-02	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1127 BRYN MAWR AVE SUITE A	REDLANDS	CA	92374	01/01/2024
CHC33642-00	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1127 BRYN MAWR AVE SUITE A	REDLANDS	CA	92374	01/01/2024
CHC33642-03	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7251 S. EASTERN AVE.	LAS VEGAS	NV	89119	07/01/2022	07/05/2023
CHC33642-03	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7251 S. EASTERN AVE.	LAS VEGAS	NV	89119	01/01/2024
CHC33642-02	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7251 S. EASTERN AVE.	LAS VEGAS	NV	89119	04/01/2024
CHC33642-00	CURANT HEALTH FLORIDA, LLC	11001 ROOSEVELT BLVD STE 1400		ST PETERSBURG	FL	33716-2338	01/01/2020	01/09/2025
CHC33642-01	CURANT HEALTH FLORIDA, LLC	11001 ROOSEVELT BLVD STE 1400		ST PETERSBURG	FL	33716-2338	01/01/2020	01/01/2023
CHC33642-02	CURANT HEALTH FLORIDA, LLC	11001 ROOSEVELT BLVD STE 1400		ST PETERSBURG	FL	33716-2338	01/01/2020	01/09/2025
CHC33642-03	CURANT HEALTH FLORIDA, LLC	11001 ROOSEVELT BLVD STE 1400		ST PETERSBURG	FL	33716-2338	07/01/2022
CHC33642-02	CURANT HEALTH FLORIDA, LLC	11001 ROOSEVELT BLVD STE 1400		ST PETERSBURG	FL	33716-2338	01/15/2025
CHC33642-00	CURANT HEALTH FLORIDA, LLC	11001 ROOSEVELT BLVD STE 1400		ST PETERSBURG	FL	33716-2338	01/15/2025
CHC33642-00	CURANT HEALTH GEORGIA LLC	CURANT HEALTH	200 TECHNOLOGY CT SE BLDG 200 SUITE B	SMYRNA	GA	30082-5250	01/01/2020	01/09/2025
CHC33642-01	CURANT HEALTH GEORGIA LLC	CURANT HEALTH	200 TECHNOLOGY CT SE BLDG 200 SUITE B	SMYRNA	GA	30082-5250	01/01/2020	01/01/2023
CHC33642-02	CURANT HEALTH GEORGIA LLC	CURANT HEALTH	200 TECHNOLOGY CT SE BLDG 200 SUITE B	SMYRNA	GA	30082-5250	01/01/2020	01/09/2025
CHC33642-03	CURANT HEALTH GEORGIA LLC	CURANT HEALTH	200 TECHNOLOGY CT SE BLDG 200 SUITE B	SMYRNA	GA	30082-5250	07/01/2022
CHC33642-00	CURANT HEALTH GEORGIA LLC	CURANT HEALTH	200 TECHNOLOGY CT SE BLDG 200 SUITE B	SMYRNA	GA	30082-5250	01/15/2025
CHC33642-02	CURANT HEALTH GEORGIA LLC	CURANT HEALTH	200 TECHNOLOGY CT SE BLDG 200 SUITE B	SMYRNA	GA	30082-5250	01/15/2025
CHC33642-00	CVS CAREMARK	DBA CVS/CAREMARK OR CF# 11506	1 GREAT VALLEY BOULEVARD	WILKES BARRE	PA	18706	04/01/2022	07/05/2023
CHC33642-00	CVS CAREMARK	DBA CVS/CAREMARK OR CF# 11506	1 GREAT VALLEY BOULEVARD	WILKES BARRE	PA	18706	01/01/2024
CHC33642-00	CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC	DBA CVS/CAREMARK 48067	1780 WALL ST	MT PROSPECT	IL	60056	04/01/2022
CHC33642-00	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	CAREMARK, LLC	1001 SPINKS ROAD, STE 280	FLOWER MOUND	TX	75028	04/01/2020
CHC33642-01	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	CAREMARK, LLC	1001 SPINKS ROAD, STE 280	FLOWER MOUND	TX	75028	04/01/2020	01/01/2023
CHC33642-02	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	CAREMARK, LLC	1001 SPINKS ROAD, STE 280	FLOWER MOUND	TX	75028	04/01/2020
CHC33642-03	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	CAREMARK, LLC	1001 SPINKS ROAD, STE 280	FLOWER MOUND	TX	75028	07/01/2022
CHC33642-02	ESI MAIL PHARMACY SERVICE	DBA EXPRESS SCRIPTS	7909 S HARDY DR STE 106	TEMPE	AZ	85284-1112	10/01/2023
CHC33642-00	ESI MAIL PHARMACY SERVICE	DBA EXPRESS SCRIPTS	7909 S HARDY DR STE 106	TEMPE	AZ	85284-1112	10/01/2023
CHC33642-03	ESI MAIL PHARMACY SERVICE	DBA EXPRESS SCRIPTS	7909 S HARDY DR STE 106	TEMPE	AZ	85284-1112	10/01/2023
CHC33642-00	EXPRESS SCRIPTS	ESI MAIL PHARMACY SERVICE INC	4600 N HANLEY RD	SAINT LOUIS	MO	63134	10/01/2023
CHC33642-03	EXPRESS SCRIPTS	ESI MAIL PHARMACY SERVICE INC	4600 N HANLEY RD	SAINT LOUIS	MO	63134	10/01/2023
CHC33642-02	EXPRESS SCRIPTS	ESI MAIL PHARMACY SERVICE INC	4600 N HANLEY RD	SAINT LOUIS	MO	63134	10/01/2023
CHC33642-00	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	2040 ROUTE 130 NORTH	BURLINGTON	NJ	08016	10/01/2023
CHC33642-02	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	4750 E. 450 S.	WHITESTOWN	IN	46075	10/01/2023
CHC33642-00	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	4750 E. 450 S.	WHITESTOWN	IN	46075	10/01/2023
CHC33642-03	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	4750 E. 450 S.	WHITESTOWN	IN	46075	10/01/2023
CHC33642-03	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	2040 ROUTE 130 NORTH	BURLINGTON	NJ	08016	10/01/2023
CHC33642-02	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	2040 ROUTE 130 NORTH	BURLINGTON	NJ	08016	10/01/2023
CHC33642-00	GARFIELD BEACH CVS, L.L.C.	DBA: CVS/PHARMACY # 09109	6265 EL CAJON BLVD	SAN DIEGO	CA	92115	01/01/2025
CHC33642-00	HOLIDAY CVS, L.L.C.	CVS PHARMACY # 17173	853 HARBOR BLVD	DESTIN	FL	32541	04/01/2020	07/05/2023
CHC33642-01	HOLIDAY CVS, L.L.C.	CVS PHARMACY # 17173	853 HARBOR BLVD	DESTIN	FL	32541	04/01/2020	01/01/2023
CHC33642-02	HOLIDAY CVS, L.L.C.	CVS PHARMACY # 17173	853 HARBOR BLVD	DESTIN	FL	32541	04/01/2020	07/05/2023
CHC33642-00	LONGS DRUGS OF LEXINGTON	D/B/A AVITA PHARMACY 1051	1216 W MAIN ST STE D	LEXINGTON	SC	29072-2453	01/01/2020	01/09/2025
CHC33642-01	LONGS DRUGS OF LEXINGTON	D/B/A AVITA PHARMACY 1051	1216 W MAIN ST STE D	LEXINGTON	SC	29072-2453	01/01/2020	01/01/2023
CHC33642-02	LONGS DRUGS OF LEXINGTON	D/B/A AVITA PHARMACY 1051	1216 W MAIN ST STE D	LEXINGTON	SC	29072-2453	01/01/2020	01/09/2025
CHC33642-03	LONGS DRUGS OF LEXINGTON	D/B/A AVITA PHARMACY 1051	1216 W MAIN ST STE D	LEXINGTON	SC	29072-2453	07/01/2022
CHC33642-02	LONGS DRUGS OF LEXINGTON	D/B/A AVITA PHARMACY 1051	1216 W MAIN ST STE D	LEXINGTON	SC	29072-2453	01/15/2025
CHC33642-00	LONGS DRUGS OF LEXINGTON	D/B/A AVITA PHARMACY 1051	1216 W MAIN ST STE D	LEXINGTON	SC	29072-2453	01/15/2025
CHC33642-00	LONGS DRUGS OF LEXINGTON SC INC		1216 WEST MAIN ST	LEXINGTON	SC	29072	01/01/2020	01/09/2025
CHC33642-01	LONGS DRUGS OF LEXINGTON SC INC		1216 WEST MAIN ST	LEXINGTON	SC	29072	01/01/2020	01/01/2023
CHC33642-02	LONGS DRUGS OF LEXINGTON SC INC		1216 WEST MAIN ST	LEXINGTON	SC	29072	01/01/2020	01/09/2025
CHC33642-00	LONGS DRUGS OF LEXINGTON SC INC		1216 WEST MAIN ST	LEXINGTON	SC	29072	01/15/2025
CHC33642-02	LONGS DRUGS OF LEXINGTON SC INC		1216 WEST MAIN ST	LEXINGTON	SC	29072	01/15/2025
CHC33642-00	PROCARE PHARMACY DIRECT, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	105 MALL BOULEVARD	MONROEVILLE	PA	15146	01/01/2020	01/09/2025
CHC33642-02	PROCARE PHARMACY DIRECT, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	105 MALL BOULEVARD	MONROEVILLE	PA	15146	01/01/2020	01/09/2025
CHC33642-01	PROCARE PHARMACY DIRECT, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	105 MALL BOULEVARD	MONROEVILLE	PA	15146	01/01/2020	01/01/2023
CHC33642-03	PROCARE PHARMACY DIRECT, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	105 MALL BOULEVARD	MONROEVILLE	PA	15146	07/01/2022
CHC33642-02	PROCARE PHARMACY DIRECT, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	105 MALL BOULEVARD	MONROEVILLE	PA	15146	01/15/2025
CHC33642-00	PROCARE PHARMACY DIRECT, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	105 MALL BOULEVARD	MONROEVILLE	PA	15146	01/15/2025
CHC33642-03	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY OR CARELONRX SPECIALTY	ONE WATERFRONT PLAZA 500 ALA MOANA BLVD., BLDG 1	HONOLULU	HI	96813	07/01/2022	07/05/2023
CHC33642-03	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY #2909	1521 4TH AVE., SOUTH	BIRMINGHAM	AL	35233	07/01/2022	07/05/2023
CHC33642-03	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY #2923	3250 HARDEN ST. EXT. SUITE #300	COLUMBIA	SC	29203	07/01/2022	07/05/2023
CHC33642-03	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY #2923	3250 HARDEN ST. EXT. SUITE #300	COLUMBIA	SC	29203	01/01/2024
CHC33642-03	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY #2909	1521 4TH AVE., SOUTH	BIRMINGHAM	AL	35233	01/01/2024
CHC33642-02	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY OR CARELONRX SPECIALTY	ONE WATERFRONT PLAZA 500 ALA MOANA BLVD., BLDG 1	HONOLULU	HI	96813	04/01/2024
CHC33642-02	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY #2909	1521 4TH AVE., SOUTH	BIRMINGHAM	AL	35233	04/01/2024
CHC33642-02	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY #2923	3250 HARDEN ST. EXT. SUITE #300	COLUMBIA	SC	29203	04/01/2024
CHC33642-00	PUBLIX ALABAMA, LLC	PUBLIX PHARMACY #1785	9040 MEMORIAL PARKWAY SW	HUNTSVILLE	AL	35802	10/01/2023
CHC33642-02	PUBLIX ALABAMA, LLC	PUBLIX PHARMACY #1451	310 PELHAM AVE. SW	HUNTSVILLE	AL	35801	10/01/2023
CHC33642-03	PUBLIX ALABAMA, LLC	PUBLIX PHARMACY #1629	2286 ZIERDT RD	HUNTSVILLE	AL	35824	10/01/2023
CHC33642-02	PUBLIX ALABAMA, LLC	PUBLIX PHARMACY #1629	2286 ZIERDT RD	HUNTSVILLE	AL	35824	10/01/2023
CHC33642-02	PUBLIX ALABAMA, LLC	PUBLIX PHARMACY #1785	9040 MEMORIAL PARKWAY SW	HUNTSVILLE	AL	35802	10/01/2023
CHC33642-00	PUBLIX ALABAMA, LLC	PUBLIX PHARMACY #1629	2286 ZIERDT RD	HUNTSVILLE	AL	35824	10/01/2023
CHC33642-03	PUBLIX ALABAMA, LLC	PUBLIX PHARMACY #1451	310 PELHAM AVE. SW	HUNTSVILLE	AL	35801	10/01/2023
CHC33642-03	PUBLIX ALABAMA, LLC	PUBLIX PHARMACY #1785	9040 MEMORIAL PARKWAY SW	HUNTSVILLE	AL	35802	10/01/2023
CHC33642-00	PUBLIX ALABAMA, LLC	PUBLIX PHARMACY #1451	310 PELHAM AVE. SW	HUNTSVILLE	AL	35801	10/01/2023
CHC33642-02	PUBLIX SUPER MARKETS, INC.	PUBLIX CENTRAL PHARMACY #3201	2424 ORLANDO CENTRAL PARKWAY	ORLANDO	FL	32809	10/01/2023
CHC33642-00	PUBLIX SUPER MARKETS, INC.	PUBLIX PHARMACY #3213	1950 SAND LAKE RD, BLDG #5	ORLANDO	FL	32809	10/01/2023
CHC33642-03	PUBLIX SUPER MARKETS, INC.	PUBLIX CENTRAL PHARMACY #3201	2424 ORLANDO CENTRAL PARKWAY	ORLANDO	FL	32809	10/01/2023
CHC33642-03	PUBLIX SUPER MARKETS, INC.	PUBLIX PHARMACY #3213	1950 SAND LAKE RD, BLDG #5	ORLANDO	FL	32809	10/01/2023
CHC33642-00	PUBLIX SUPER MARKETS, INC.	PUBLIX CENTRAL PHARMACY #3201	2424 ORLANDO CENTRAL PARKWAY	ORLANDO	FL	32809	10/01/2023
CHC33642-02	PUBLIX SUPER MARKETS, INC.	PUBLIX PHARMACY #3213	1950 SAND LAKE RD, BLDG #5	ORLANDO	FL	32809	10/01/2023
CHC33642-00	TENNESSEE CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 06431	2788 MURFREESBORO PIKE	ANTIOCH	TN	37013	04/01/2020	07/11/2023
CHC33642-01	TENNESSEE CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 06431	2788 MURFREESBORO PIKE	ANTIOCH	TN	37013	04/01/2020	01/01/2023
CHC33642-02	TENNESSEE CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 06431	2788 MURFREESBORO PIKE	ANTIOCH	TN	37013	04/01/2020	07/05/2023
CHC33642-03	TENNESSEE CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 06431	2788 MURFREESBORO PIKE	ANTIOCH	TN	37013	07/01/2022	07/05/2023
CHC33642-02	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	01/01/2020	01/09/2025
CHC33642-01	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	01/01/2020	01/01/2023
CHC33642-00	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	01/01/2020	01/09/2025
CHC33642-03	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	07/01/2022
CHC33642-00	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	01/15/2025
CHC33642-02	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	01/15/2025
CHC33642-00	WAL-MART PHARMACY #10-2488	1203 6TH AVE SE		DECATUR	AL	35601	01/01/2020	07/11/2023
CHC33642-01	WAL-MART PHARMACY #10-2488	1203 6TH AVE SE		DECATUR	AL	35601	01/01/2020	01/01/2023
CHC33642-02	WAL-MART PHARMACY #10-2488	1203 6TH AVE SE		DECATUR	AL	35601	01/01/2020	07/05/2023
CHC33642-03	WAL-MART PHARMACY #10-2488	1203 6TH AVE SE		DECATUR	AL	35601	07/01/2022	07/05/2023
CHC33642-00	WAL-MART PHARMACY #10-2488	1203 6TH AVE SE		DECATUR	AL	35601	10/01/2023	09/19/2023
CHC33642-03	WAL-MART PHARMACY #10-2488	1203 6TH AVE SE		DECATUR	AL	35601	07/31/2023	09/19/2023
CHC33642-02	WAL-MART PHARMACY #10-2488	1203 6TH AVE SE		DECATUR	AL	35601	07/31/2023	09/19/2023
CHC33642-02	WAL-MART PHARMACY 10-0329	5560 MC CLELLAN BLVD		ANNISTON	AL	36206	01/01/2020	07/05/2023
CHC33642-00	WAL-MART PHARMACY 10-0329	5560 MC CLELLAN BLVD		ANNISTON	AL	36206	01/01/2020	07/11/2023
CHC33642-01	WAL-MART PHARMACY 10-0329	5560 MC CLELLAN BLVD		ANNISTON	AL	36206	01/01/2020	01/01/2023
CHC33642-03	WAL-MART PHARMACY 10-0329	5560 MC CLELLAN BLVD		ANNISTON	AL	36206	07/01/2022	07/05/2023
CHC33642-00	WAL-MART PHARMACY 10-0329	5560 MC CLELLAN BLVD		ANNISTON	AL	36206	10/01/2023	09/19/2023
CHC33642-02	WAL-MART PHARMACY 10-0329	5560 MC CLELLAN BLVD		ANNISTON	AL	36206	07/31/2023	09/19/2023
CHC33642-03	WAL-MART PHARMACY 10-0329	5560 MC CLELLAN BLVD		ANNISTON	AL	36206	07/31/2023	09/19/2023
CHC33642-00	WAL-MART PHARMACY 10-0332	6140-A UNIVERSITY DR		HUNTSVILLE	AL	35806	01/01/2020	01/09/2025
CHC33642-01	WAL-MART PHARMACY 10-0332	6140-A UNIVERSITY DR		HUNTSVILLE	AL	35806	01/01/2020	01/01/2023
CHC33642-02	WAL-MART PHARMACY 10-0332	6140-A UNIVERSITY DR		HUNTSVILLE	AL	35806	01/01/2020	01/09/2025
CHC33642-03	WAL-MART PHARMACY 10-0332	6140-A UNIVERSITY DR		HUNTSVILLE	AL	35806	07/01/2022	12/10/2024
CHC33642-02	WAL-MART PHARMACY 10-0332	6140-A UNIVERSITY DR		HUNTSVILLE	AL	35806	01/15/2025	12/10/2024
CHC33642-00	WAL-MART PHARMACY 10-0332	6140-A UNIVERSITY DR		HUNTSVILLE	AL	35806	01/15/2025	12/10/2024
CHC33642-02	WAL-MART PHARMACY 10-0375	3031 MEMORIAL PKWY SW		HUNTSVILLE	AL	35801	01/01/2020	01/09/2025
CHC33642-01	WAL-MART PHARMACY 10-0375	3031 MEMORIAL PKWY SW		HUNTSVILLE	AL	35801	01/01/2020	01/01/2023
CHC33642-00	WAL-MART PHARMACY 10-0375	3031 MEMORIAL PKWY SW		HUNTSVILLE	AL	35801	01/01/2020	01/09/2025
CHC33642-03	WAL-MART PHARMACY 10-0375	3031 MEMORIAL PKWY SW		HUNTSVILLE	AL	35801	07/01/2022
CHC33642-02	WAL-MART PHARMACY 10-0375	3031 MEMORIAL PKWY SW		HUNTSVILLE	AL	35801	01/15/2025
CHC33642-00	WAL-MART PHARMACY 10-0375	3031 MEMORIAL PKWY SW		HUNTSVILLE	AL	35801	01/15/2025
CHC33642-00	WAL-MART PHARMACY 10-0433	2200 SPARKMAN DR		HUNTSVILLE	AL	35810	01/01/2020	07/11/2023
CHC33642-01	WAL-MART PHARMACY 10-0433	2200 SPARKMAN DR		HUNTSVILLE	AL	35810	01/01/2020	01/01/2023
CHC33642-02	WAL-MART PHARMACY 10-0433	2200 SPARKMAN DR		HUNTSVILLE	AL	35810	01/01/2020	07/05/2023
CHC33642-03	WAL-MART PHARMACY 10-0433	2200 SPARKMAN DR		HUNTSVILLE	AL	35810	05/06/2022	07/05/2023
CHC33642-00	WAL-MART PHARMACY 10-0433	2200 SPARKMAN DR		HUNTSVILLE	AL	35810	10/01/2023	12/10/2024
CHC33642-03	WAL-MART PHARMACY 10-0433	2200 SPARKMAN DR		HUNTSVILLE	AL	35810	07/31/2023	12/10/2024
CHC33642-02	WAL-MART PHARMACY 10-0433	2200 SPARKMAN DR		HUNTSVILLE	AL	35810	07/31/2023	12/10/2024
CHC33642-03	WAL-MART PHARMACY 10-0661	1011 U.S. HWY 72 EAST		ATHENS	AL	35611	01/01/2024	12/10/2024
CHC33642-02	WAL-MART PHARMACY 10-0661	1011 U.S. HWY 72 EAST		ATHENS	AL	35611	01/01/2024	12/10/2024
CHC33642-00	WAL-MART PHARMACY 10-0661	1011 U.S. HWY 72 EAST		ATHENS	AL	35611	01/01/2024	12/10/2024
CHC33642-00	WAL-MART PHARMACY 10-0662	2800 SPRING AVENUE S.W.		DECATUR	AL	35603	01/01/2020	12/10/2024
CHC33642-01	WAL-MART PHARMACY 10-0662	2800 SPRING AVENUE S.W.		DECATUR	AL	35603	01/01/2020	01/01/2023
CHC33642-02	WAL-MART PHARMACY 10-0662	2800 SPRING AVENUE S.W.		DECATUR	AL	35603	01/01/2020	12/10/2024
CHC33642-03	WAL-MART PHARMACY 10-0662	2800 SPRING AVENUE S.W.		DECATUR	AL	35603	07/01/2022	12/10/2024
CHC33642-00	WAL-MART PHARMACY 10-0809	92 PLAZA LANE		OXFORD	AL	36203	01/01/2020	07/11/2023
CHC33642-01	WAL-MART PHARMACY 10-0809	92 PLAZA LANE		OXFORD	AL	36203	01/01/2020	01/01/2023
CHC33642-02	WAL-MART PHARMACY 10-0809	92 PLAZA LANE		OXFORD	AL	36203	01/01/2020	07/05/2023
CHC33642-03	WAL-MART PHARMACY 10-0809	92 PLAZA LANE		OXFORD	AL	36203	05/06/2022	07/05/2023
CHC33642-00	WAL-MART PHARMACY 10-0809	92 PLAZA LANE		OXFORD	AL	36203	10/01/2023	09/19/2023
CHC33642-03	WAL-MART PHARMACY 10-0809	92 PLAZA LANE		OXFORD	AL	36203	07/31/2023	09/19/2023
CHC33642-02	WAL-MART PHARMACY 10-0809	92 PLAZA LANE		OXFORD	AL	36203	07/31/2023	09/19/2023
CHC33642-00	WAL-MART PHARMACY 10-1124	1201 HIGHWAY 31, N.W.		HARTSELLE	AL	35640	01/01/2020	09/19/2023
CHC33642-01	WAL-MART PHARMACY 10-1124	1201 HIGHWAY 31, N.W.		HARTSELLE	AL	35640	01/01/2020	01/01/2023
CHC33642-02	WAL-MART PHARMACY 10-1124	1201 HIGHWAY 31, N.W.		HARTSELLE	AL	35640	01/01/2020	09/19/2023
CHC33642-03	WAL-MART PHARMACY 10-1124	1201 HIGHWAY 31, N.W.		HARTSELLE	AL	35640	07/01/2022	09/19/2023
CHC33642-00	WAL-MART PHARMACY 10-5113	165 VAUGHAN LN		PELL CITY	AL	35125	01/01/2020	07/11/2023
CHC33642-01	WAL-MART PHARMACY 10-5113	165 VAUGHAN LN		PELL CITY	AL	35125	01/01/2020	01/01/2023
CHC33642-02	WAL-MART PHARMACY 10-5113	165 VAUGHAN LN		PELL CITY	AL	35125	01/01/2020	07/05/2023
CHC33642-03	WAL-MART PHARMACY 10-5113	165 VAUGHAN LN		PELL CITY	AL	35125	05/06/2022	07/05/2023
CHC33642-00	WAL-MART PHARMACY 10-5113	165 VAUGHAN LN		PELL CITY	AL	35125	10/01/2023	09/19/2023
CHC33642-03	WAL-MART PHARMACY 10-5113	165 VAUGHAN LN		PELL CITY	AL	35125	07/31/2023	09/19/2023
CHC33642-02	WAL-MART PHARMACY 10-5113	165 VAUGHAN LN		PELL CITY	AL	35125	07/31/2023	09/19/2023
CHC33642-00	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	01/01/2020
CHC33642-01	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	01/01/2020	01/01/2023
CHC33642-02	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	01/01/2020
CHC33642-03	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	07/01/2022
CHC33642-00	WALGREEN CO	DBA: WALGREENS #10981	101 US HWY 31 N	ATHENS	AL	35611	01/01/2020
CHC33642-01	WALGREEN CO	DBA: WALGREENS #10981	101 US HWY 31 N	ATHENS	AL	35611	01/01/2020	01/01/2023
CHC33642-02	WALGREEN CO	DBA: WALGREENS #10981	101 US HWY 31 N	ATHENS	AL	35611	01/01/2020
CHC33642-00	WALGREEN CO	DBA: WALGREENS #11180	1700 2ND AVENUE SOUTHWEST	CULLMAN	AL	35055-5397	01/01/2020	12/13/2019
CHC33642-01	WALGREEN CO	DBA: WALGREENS #11180	1700 2ND AVENUE SOUTHWEST	CULLMAN	AL	35055-5397	01/01/2020	12/13/2019
CHC33642-02	WALGREEN CO	DBA: WALGREENS #11180	1700 2ND AVENUE SOUTHWEST	CULLMAN	AL	35055-5397	01/01/2020	12/13/2019
CHC33642-00	WALGREEN CO	DBA: WALGREENS #11279	7155 US HIGHWAY 431	ALBERTVILLE	AL	35950-1872	01/01/2020
CHC33642-01	WALGREEN CO	DBA: WALGREENS #11279	7155 US HIGHWAY 431	ALBERTVILLE	AL	35950-1872	01/01/2020	01/01/2023
CHC33642-02	WALGREEN CO	DBA: WALGREENS #11279	7155 US HIGHWAY 431	ALBERTVILLE	AL	35950-1872	01/01/2020
CHC33642-00	WALGREEN CO	DBA: WALGREENS #10965	920 US HWY 431	BOAZ	AL	35957-1732	01/01/2020
CHC33642-02	WALGREEN CO	DBA: WALGREENS #10966	201 HIGHWAY 31 NW	HARTSELLE	AL	35640-4444	01/01/2020	12/13/2019
CHC33642-01	WALGREEN CO	DBA: WALGREENS #10966	201 HIGHWAY 31 NW	HARTSELLE	AL	35640-4444	01/01/2020	12/13/2019
CHC33642-01	WALGREEN CO	DBA: WALGREENS #10965	920 US HWY 431	BOAZ	AL	35957-1732	01/01/2020	01/01/2023
CHC33642-02	WALGREEN CO	DBA: WALGREENS #10965	920 US HWY 431	BOAZ	AL	35957-1732	01/01/2020
CHC33642-00	WALGREEN CO	DBA: WALGREENS #10966	201 HIGHWAY 31 NW	HARTSELLE	AL	35640-4444	01/01/2020	12/13/2019
CHC33642-00	WALGREEN CO	DBA: WALGREENS #11180	1700 2ND AVENUE SOUTHWEST	CULLMAN	AL	35055-5397	04/01/2020
CHC33642-00	WALGREEN CO	DBA: WALGREENS #10966	201 HIGHWAY 31 NW	HARTSELLE	AL	35640-4444	04/01/2020
CHC33642-03	WALGREEN CO	DBA: WALGREENS #11180	1700 2ND AVENUE SOUTHWEST	CULLMAN	AL	35055-5397	07/01/2022
CHC33642-03	WALGREEN CO	DBA: WALGREENS #10981	101 US HWY 31 N	ATHENS	AL	35611	07/01/2022
CHC33642-03	WALGREEN CO	DBA: WALGREENS #10965	920 US HWY 431	BOAZ	AL	35957-1732	07/01/2022
CHC33642-03	WALGREEN CO	DBA: WALGREENS #11279	7155 US HIGHWAY 431	ALBERTVILLE	AL	35950-1872	07/01/2022
CHC33642-03	WALGREEN CO	DBA: WALGREENS #10966	201 HIGHWAY 31 NW	HARTSELLE	AL	35640-4444	07/01/2022
CHC33642-00	WALGREEN CO.	DBA: WALGREENS # 06431	3997 UNIVERSITY DR NW	HUNTSVILLE	AL	35816	01/01/2020
CHC33642-01	WALGREEN CO.	DBA: WALGREENS # 10523	1613 GLENN BLVD SW	FORT PAYNE	AL	35968	01/01/2020	12/13/2019
CHC33642-01	WALGREEN CO.	DBA: WALGREENS # 02557	1801 WOODWARD AVE	MUSCLE SHOALS	AL	35661-2843	01/01/2020	01/01/2023
CHC33642-02	WALGREEN CO.	DBA: WALGREENS # 10523	1613 GLENN BLVD SW	FORT PAYNE	AL	35968	01/01/2020	12/13/2019
CHC33642-02	WALGREEN CO.	DBA: WALGREENS #10850	11399 MEMORIAL PKWY SE	HUNTSVILLE	AL	35803	01/01/2020
CHC33642-02	WALGREEN CO.	DBA: WALGREENS #12911	1400 GUNTER AVE	GUNTERSVILLE	AL	35976	01/01/2020
CHC33642-00	WALGREEN CO.	DBA: WALGREENS # 09314	1000 HUNTSVILLE HIGHWAY	FAYETTEVILLE	TN	37334-3442	01/01/2020	12/13/2019
CHC33642-01	WALGREEN CO.	DBA: WALGREENS # 06464	3120 BOB WALLACE AVE SW	HUNTSVILLE	AL	35805	01/01/2020	01/01/2023
CHC33642-00	WALGREEN CO.	DBA: WALGREENS # 06956	3500 MASTIN LAKE RD NW	HUNTSVILLE	AL	35810	01/01/2020
CHC33642-02	WALGREEN CO.	DBA: WALGREENS # 06430	2100 BRANDON ST SW	HUNTSVILLE	AL	35801	01/01/2020
CHC33642-00	WALGREEN CO.	DBA: WALGREENS # 10109	109 EAST DOCTOR HICKS BLVD	FLORENCE	AL	35630	01/01/2020
CHC33642-01	WALGREEN CO.	DBA: WALGREENS #10850	11399 MEMORIAL PKWY SE	HUNTSVILLE	AL	35803	01/01/2020	01/01/2023
CHC33642-01	WALGREEN CO.	DBA: WALGREENS #15205	444 2ND AVE. NW	CULLMAN	AL	35055	01/01/2020	12/13/2019
CHC33642-01	WALGREEN CO.	DBA: WALGREENS # 09976	1127 6TH AVENUE SE	DECATUR	AL	35601-4009	01/01/2020	01/01/2023
CHC33642-01	WALGREEN CO.	DBA: WALGREENS # 10109	109 EAST DOCTOR HICKS BLVD	FLORENCE	AL	35630	01/01/2020	01/01/2023
CHC33642-00	WALGREEN CO.	DBA: WALGREENS #10850	11399 MEMORIAL PKWY SE	HUNTSVILLE	AL	35803	01/01/2020
CHC33642-02	WALGREEN CO.	DBA: WALGREENS # 06431	3997 UNIVERSITY DR NW	HUNTSVILLE	AL	35816	01/01/2020
CHC33642-02	WALGREEN CO.	DBA: WALGREENS # 10628	2602 FLORENCE BLVD	FLORENCE	AL	35630-2864	01/01/2020
CHC33642-02	WALGREEN CO.	DBA: WALGREENS # 09314	1000 HUNTSVILLE HIGHWAY	FAYETTEVILLE	TN	37334-3442	01/01/2020	12/13/2019
CHC33642-00	WALGREEN CO.	DBA: WALGREENS # 06430	2100 BRANDON ST SW	HUNTSVILLE	AL	35801	01/01/2020
CHC33642-00	WALGREEN CO.	DBA: WALGREENS # 02557	1801 WOODWARD AVE	MUSCLE SHOALS	AL	35661-2843	01/01/2020
CHC33642-01	WALGREEN CO.	DBA: WALGREENS # 02363	7813 HIGHWAY 72 W	MADISON	AL	35758	01/01/2020	01/01/2023
CHC33642-01	WALGREEN CO.	DBA: WALGREENS # 06431	3997 UNIVERSITY DR NW	HUNTSVILLE	AL	35816	01/01/2020	01/01/2023
CHC33642-02	WALGREEN CO.	DBA: WALGREENS # 02363	7813 HIGHWAY 72 W	MADISON	AL	35758	01/01/2020
CHC33642-00	WALGREEN CO.	DBA: WALGREENS # 09976	1127 6TH AVENUE SE	DECATUR	AL	35601-4009	01/01/2020
CHC33642-01	WALGREEN CO.	DBA: WALGREENS # 06956	3500 MASTIN LAKE RD NW	HUNTSVILLE	AL	35810	01/01/2020	01/01/2023
CHC33642-02	WALGREEN CO.	DBA: WALGREENS # 02589	1718 BELTLINE ROAD SW	DECATUR	AL	35601-5510	01/01/2020
CHC33642-00	WALGREEN CO.	DBA: WALGREENS # 10523	1613 GLENN BLVD SW	FORT PAYNE	AL	35968	01/01/2020	12/13/2019
CHC33642-00	WALGREEN CO.	DBA: WALGREENS # 02363	7813 HIGHWAY 72 W	MADISON	AL	35758	01/01/2020
CHC33642-00	WALGREEN CO.	DBA: WALGREENS # 06979	2784 CARL T JONES DR SE	HUNTSVILLE	AL	35802-4909	01/01/2020
CHC33642-00	WALGREEN CO.	DBA: WALGREENS # 02589	1718 BELTLINE ROAD SW	DECATUR	AL	35601-5510	01/01/2020
CHC33642-02	WALGREEN CO.	DBA: WALGREENS # 10109	109 EAST DOCTOR HICKS BLVD	FLORENCE	AL	35630	01/01/2020
CHC33642-00	WALGREEN CO.	DBA: WALGREENS # 06464	3120 BOB WALLACE AVE SW	HUNTSVILLE	AL	35805	01/01/2020	03/18/2025
CHC33642-01	WALGREEN CO.	DBA: WALGREENS # 06979	2784 CARL T JONES DR SE	HUNTSVILLE	AL	35802-4909	01/01/2020	01/01/2023
CHC33642-02	WALGREEN CO.	DBA: WALGREENS # 06464	3120 BOB WALLACE AVE SW	HUNTSVILLE	AL	35805	01/01/2020	03/18/2025
CHC33642-02	WALGREEN CO.	DBA: WALGREENS # 06956	3500 MASTIN LAKE RD NW	HUNTSVILLE	AL	35810	01/01/2020
CHC33642-00	WALGREEN CO.	DBA: WALGREENS #12911	1400 GUNTER AVE	GUNTERSVILLE	AL	35976	01/01/2020
CHC33642-01	WALGREEN CO.	DBA: WALGREENS # 09314	1000 HUNTSVILLE HIGHWAY	FAYETTEVILLE	TN	37334-3442	01/01/2020	12/13/2019
CHC33642-02	WALGREEN CO.	DBA: WALGREENS # 09976	1127 6TH AVENUE SE	DECATUR	AL	35601-4009	01/01/2020
CHC33642-02	WALGREEN CO.	DBA: WALGREENS # 06979	2784 CARL T JONES DR SE	HUNTSVILLE	AL	35802-4909	01/01/2020
CHC33642-00	WALGREEN CO.	DBA: WALGREENS # 10628	2602 FLORENCE BLVD	FLORENCE	AL	35630-2864	01/01/2020
CHC33642-01	WALGREEN CO.	DBA: WALGREENS # 10628	2602 FLORENCE BLVD	FLORENCE	AL	35630-2864	01/01/2020	01/01/2023
CHC33642-01	WALGREEN CO.	DBA: WALGREENS # 06430	2100 BRANDON ST SW	HUNTSVILLE	AL	35801	01/01/2020	01/01/2023
CHC33642-02	WALGREEN CO.	DBA: WALGREENS # 02557	1801 WOODWARD AVE	MUSCLE SHOALS	AL	35661-2843	01/01/2020
CHC33642-00	WALGREEN CO.	DBA: WALGREENS #15205	444 2ND AVE. NW	CULLMAN	AL	35055	01/01/2020	12/13/2019
CHC33642-01	WALGREEN CO.	DBA: WALGREENS # 02589	1718 BELTLINE ROAD SW	DECATUR	AL	35601-5510	01/01/2020	01/01/2023
CHC33642-01	WALGREEN CO.	DBA: WALGREENS #12911	1400 GUNTER AVE	GUNTERSVILLE	AL	35976	01/01/2020	01/01/2023
CHC33642-02	WALGREEN CO.	DBA: WALGREENS #15205	444 2ND AVE. NW	CULLMAN	AL	35055	01/01/2020	12/13/2019
CHC33642-00	WALGREEN CO.	DBA: WALGREENS # 09314	1000 HUNTSVILLE HIGHWAY	FAYETTEVILLE	TN	37334-3442	04/01/2020
CHC33642-00	WALGREEN CO.	DBA: WALGREENS # 10523	1613 GLENN BLVD SW	FORT PAYNE	AL	35968	04/01/2020
CHC33642-00	WALGREEN CO.	DBA: WALGREENS #15205	444 2ND AVE. NW	CULLMAN	AL	35055	04/01/2020
CHC33642-00	WALGREEN CO.	DBA WALGREENS SPECIALTY PHARMACY #16371	3686 GRANDVIEW PKWY STE 120	BIRMINGHAM	AL	35243	04/01/2022
CHC33642-01	WALGREEN CO.	DBA WALGREENS SPECIALTY PHARMACY #16371	3686 GRANDVIEW PKWY STE 120	BIRMINGHAM	AL	35243	04/01/2022	01/01/2023
CHC33642-02	WALGREEN CO.	DBA WALGREENS SPECIALTY PHARMACY #16371	3686 GRANDVIEW PKWY STE 120	BIRMINGHAM	AL	35243	04/01/2022
CHC33642-03	WALGREEN CO.	DBA: WALGREENS # 10109	109 EAST DOCTOR HICKS BLVD	FLORENCE	AL	35630	07/01/2022
CHC33642-03	WALGREEN CO.	DBA: WALGREENS # 06431	3997 UNIVERSITY DR NW	HUNTSVILLE	AL	35816	07/01/2022
CHC33642-03	WALGREEN CO.	DBA: WALGREENS # 09314	1000 HUNTSVILLE HIGHWAY	FAYETTEVILLE	TN	37334-3442	07/01/2022
CHC33642-03	WALGREEN CO.	DBA: WALGREENS # 02589	1718 BELTLINE ROAD SW	DECATUR	AL	35601-5510	07/01/2022
CHC33642-03	WALGREEN CO.	DBA: WALGREENS # 06430	2100 BRANDON ST SW	HUNTSVILLE	AL	35801	07/01/2022
CHC33642-03	WALGREEN CO.	DBA: WALGREENS # 06979	2784 CARL T JONES DR SE	HUNTSVILLE	AL	35802-4909	07/01/2022
CHC33642-03	WALGREEN CO.	DBA: WALGREENS # 02557	1801 WOODWARD AVE	MUSCLE SHOALS	AL	35661-2843	07/01/2022
CHC33642-03	WALGREEN CO.	DBA: WALGREENS # 10628	2602 FLORENCE BLVD	FLORENCE	AL	35630-2864	07/01/2022
CHC33642-03	WALGREEN CO.	DBA: WALGREENS # 02363	7813 HIGHWAY 72 W	MADISON	AL	35758	07/01/2022
CHC33642-03	WALGREEN CO.	DBA: WALGREENS # 06956	3500 MASTIN LAKE RD NW	HUNTSVILLE	AL	35810	07/01/2022
CHC33642-03	WALGREEN CO.	DBA: WALGREENS # 10523	1613 GLENN BLVD SW	FORT PAYNE	AL	35968	07/01/2022
CHC33642-03	WALGREEN CO.	DBA: WALGREENS #15205	444 2ND AVE. NW	CULLMAN	AL	35055	07/01/2022
CHC33642-03	WALGREEN CO.	DBA: WALGREENS #10850	11399 MEMORIAL PKWY SE	HUNTSVILLE	AL	35803	07/01/2022
CHC33642-03	WALGREEN CO.	DBA: WALGREENS #12911	1400 GUNTER AVE	GUNTERSVILLE	AL	35976	07/01/2022
CHC33642-03	WALGREEN CO.	DBA: WALGREENS # 06464	3120 BOB WALLACE AVE SW	HUNTSVILLE	AL	35805	07/01/2022	03/18/2025
CHC33642-03	WALGREEN CO.	DBA: WALGREENS # 09976	1127 6TH AVENUE SE	DECATUR	AL	35601-4009	07/01/2022
CHC33642-03	WALGREEN CO.	DBA WALGREENS SPECIALTY PHARMACY #16371	3686 GRANDVIEW PKWY STE 120	BIRMINGHAM	AL	35243	07/01/2022
CHC33642-02	WALGREEN CO.	WALGREENS #19190	4906 WHITESBURG DR SW	HUNTSVILLE	AL	35802-1690	01/01/2023
CHC33642-03	WALGREEN CO.	WALGREENS #19190	4906 WHITESBURG DR SW	HUNTSVILLE	AL	35802-1690	01/01/2023
CHC33642-00	WALGREEN CO.	WALGREENS #19190	4906 WHITESBURG DR SW	HUNTSVILLE	AL	35802-1690	01/01/2023
CHC33642-00	WALGREEN CO.	WALGREENS #17256	2139 WINCHESTER RD NE STE A	HUNTSVILLE	AL	35811	10/01/2024
CHC33642-00	WALGREEN CO.	DBA WALGREENS SPECIALTY PHARMACY #21392	1731 SPRING HILL AVE STE B	MOBILE	AL	36604	10/01/2024
CHC33642-03	WALGREEN CO.	DBA WALGREENS SPECIALTY PHARMACY #21392	1731 SPRING HILL AVE STE B	MOBILE	AL	36604	10/01/2024
CHC33642-02	WALGREEN CO.	DBA WALGREENS SPECIALTY PHARMACY #21392	1731 SPRING HILL AVE STE B	MOBILE	AL	36604	10/01/2024
CHC33642-03	WALGREEN CO.	WALGREENS #17256	2139 WINCHESTER RD NE STE A	HUNTSVILLE	AL	35811	10/01/2024
CHC33642-02	WALGREEN CO.	WALGREENS #17256	2139 WINCHESTER RD NE STE A	HUNTSVILLE	AL	35811	10/01/2024
CHC33642-03	Walgreens #21389	Walgreens Central Fill #21389	3299 Tchulatech Dr Suite 101	Memphis	TN	38118	01/01/2023
CHC33642-02	Walgreens #21389	Walgreens Central Fill #21389	3299 Tchulatech Dr Suite 101	Memphis	TN	38118	01/01/2023
CHC33642-00	Walgreens #21389	Walgreens Central Fill #21389	3299 Tchulatech Dr Suite 101	Memphis	TN	38118	01/01/2023
CHC33642-01	Walgreens #21395	Walgreens Central Fill #21395	5710 Young Pine Rd	Orlando	FL	32829	01/01/2023	01/01/2023
CHC33642-03	Walgreens #21395	Walgreens Central Fill #21395	5710 Young Pine Rd	Orlando	FL	32829	01/01/2023	01/09/2025
CHC33642-00	Walgreens #21395	Walgreens Central Fill #21395	5710 Young Pine Rd	Orlando	FL	32829	01/01/2023	01/09/2025
CHC33642-02	Walgreens #21395	Walgreens Central Fill #21395	5710 Young Pine Rd	Orlando	FL	32829	01/01/2023	01/09/2025
CHC33642-03	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #16287	130 ENTERPRISE DR	PITTSBURGH	PA	15275	10/01/2023
CHC33642-00	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15438	41460 HAGGERTY CIR S	CANTON	MI	48188	10/01/2023
CHC33642-02	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #16287	130 ENTERPRISE DR	PITTSBURGH	PA	15275	10/01/2023
CHC33642-03	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15438	41460 HAGGERTY CIR S	CANTON	MI	48188	10/01/2023
CHC33642-02	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15438	41460 HAGGERTY CIR S	CANTON	MI	48188	10/01/2023
CHC33642-00	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #16287	130 ENTERPRISE DR	PITTSBURGH	PA	15275	10/01/2023
CHC33642-00	WALMART PHARMACY #10-5925	2305 JORDAN LN SW		HUNTSVILLE	AL	35805	01/01/2020	12/10/2024
CHC33642-01	WALMART PHARMACY #10-5925	2305 JORDAN LN SW		HUNTSVILLE	AL	35805	01/01/2020	01/01/2023
CHC33642-02	WALMART PHARMACY #10-5925	2305 JORDAN LN SW		HUNTSVILLE	AL	35805	01/01/2020	12/10/2024
CHC33642-03	WALMART PHARMACY #10-5925	2305 JORDAN LN SW		HUNTSVILLE	AL	35805	05/06/2022	12/10/2024
CHC33642-00	WALMART PHARMACY #10-6878	14595 HWY 231-431 N		HAZEL GREEN	AL	35750	01/01/2020
CHC33642-01	WALMART PHARMACY #10-6878	14595 HWY 231-431 N		HAZEL GREEN	AL	35750	01/01/2020	01/01/2023
CHC33642-02	WALMART PHARMACY #10-6878	14595 HWY 231-431 N		HAZEL GREEN	AL	35750	01/01/2020
CHC33642-03	WALMART PHARMACY #10-6878	14595 HWY 231-431 N		HAZEL GREEN	AL	35750	05/06/2022
CHC33642-00	WALMART PHARMACY 10-5169	2252 NORTH 8TH STREET	SUITE A	ROGERS	AR	72756	04/01/2023
CHC33642-03	WALMART PHARMACY 10-5169	2252 NORTH 8TH STREET	SUITE A	ROGERS	AR	72756	04/01/2023
CHC33642-02	WALMART PHARMACY 10-5169	2252 NORTH 8TH STREET	SUITE A	ROGERS	AR	72756	01/01/2024
CHC33642-00	Walmart Pharmacy 10-7611	2501 Perry Rd		Plainfield	IN	46168	01/01/2024
CHC33642-02	Walmart Pharmacy 10-7611	2501 Perry Rd		Plainfield	IN	46168	01/01/2024
CHC33642-03	Walmart Pharmacy 10-7611	2501 Perry Rd		Plainfield	IN	46168	01/01/2024

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Last Recertification Date	Update	Recertification	1/30/2024 1:43:14 PM	2/11/2025 2:44:02 PM	2/11/2025 2:44 PM
Contacts	Authorizing Official	Update	Profile Change Request	Harville, Stephanie CFO AIDS Action Coalition of Huntsville, Inc 2565364700-122	Harville, Stephanie CFO AIDS Action Coalition of Huntsville, Inc 2567154249	2/11/2025 2:37 PM
Contacts	Authorizing Official	Update	AO Change Request	Marr, Mary Elizabeth CEO Thrive Alabama 2563378283	Harville, Stephanie CFO AIDS Action Coalition of Huntsville, Inc 2565364700-122	1/30/2025 8:04 AM
Contacts	Primary Contact	Update	Change Request	Johnson, Kriket R AR AIDS Action Coalition of Huntsville 2567154236	Featherston, Vera-Marie 340B Coordinator Thrive Alabama 2565364700-1018	9/16/2024 5:16 PM
Addresses	Main Address	Update	Change Request	4810 Whitesport Cir SW STE 100 Huntsville, AL 35801-7420	3007 Memorial Parkway South Suite C Unit 2 Huntsville, AL 35801-7420	2/22/2024 2:26 PM
Details	Entity Subname	Update	Change Request	Thrive Alabama	Thrive Pediatrics	2/22/2024 2:26 PM
Details	Last Recertification Date	Update	Recertification	2/7/2023 11:08:19 AM	1/30/2024 1:43:14 PM	1/30/2024 1:43 PM
Contacts	Primary Contact	Update	Group Change Request	Massey, Andrea 340B Compliance Specialist Thrive 2564455837-258	Johnson, Kriket R AR AIDS Action Coalition of Huntsville 2567154236	9/27/2023 6:02 PM
Contacts	Authorizing Official	Update	Profile Change Request	Marr, Mary Elizabeth CEO AIDS Action Coalition of Huntsville 2564455507	Marr, Mary Elizabeth CEO Thrive Alabama 2563378283	9/27/2023 3:50 PM
Contacts	Signed By	Update	Profile Change Request	Marr, Mary Elizabeth CEO AIDS Action Coalition of Huntsville 2564455507	Marr, Mary Elizabeth CEO Thrive Alabama 2563378283	9/27/2023 3:50 PM
Contacts	Primary Contact	Update	Group Change Request	Savage, Octavia Compliance AIDS ACTION COALITION OF HUNTSVILLE 2565364700-1018	Massey, Andrea 340B Compliance Specialist Thrive 2564455837-258	2/8/2023 10:56 PM
Details	Last Recertification Date	Update	Recertification		2/7/2023 11:08:19 AM	2/7/2023 11:08 AM
Contacts	Primary Contact	Update	Group Change Request	Massey, Andrea 340B Compliance Specialist Thrive 2564455837-258	Savage, Octavia Compliance AIDS ACTION COALITION OF HUNTSVILLE 2565364700-1018	12/7/2022 8:51 AM
Details	State	Update		Approved	Active	7/1/2022 12:01 AM
Contacts	Signed By	Insert	New Registration		Marr, Mary Elizabeth CEO AIDS Action Coalition of Huntsville 2564455507	4/6/2022 3:46 PM
Details	340B ID	Update	New Registration		CHC33642-03	4/6/2022 3:46 PM
Dates	Participating Approval Date	Update	New Registration		4/6/2022 3:46:28 PM	4/6/2022 3:46 PM
Details	State	Update	New Registration	Pending	Approved	4/6/2022 3:46 PM
Dates	Signed By Date	Update	New Registration		4/6/2022 11:28:25 AM	4/6/2022 3:46 PM
Dates	Start Date	Update	New Registration		7/1/2022 12:00:00 AM	4/6/2022 3:46 PM
Addresses	Main Address	Insert	New Registration		4810 Whitesport Cir SW STE 100 Huntsville, AL 35801-7420	4/5/2022 9:40 AM
Contacts	Authorizing Official	Insert	New Registration		Marr, Mary Elizabeth CEO AIDS Action Coalition of Huntsville 2564455507	4/5/2022 9:40 AM
Contacts	Primary Contact	Insert	New Registration		Massey, Andrea 340B Compliance Specialist Thrive 2564455837-258	4/5/2022 9:40 AM
Details	Assistance Received From Date	Insert	New Registration			4/5/2022 9:40 AM
Details	Assistance Received To Date	Insert	New Registration			4/5/2022 9:40 AM
Details	Last Recertification Date	Insert	New Registration			4/5/2022 9:40 AM
Details	Grant Number	Insert	New Registration		H80CS33642	4/5/2022 9:40 AM
Details	340B ID	Insert	New Registration			4/5/2022 9:40 AM
Details	Is Authorizing Official EHB Data	Insert	New Registration			4/5/2022 9:40 AM
Dates	Last Date That 340B Drugs Purchased	Insert	New Registration			4/5/2022 9:40 AM
Details	Medicare Provider Number	Insert	New Registration			4/5/2022 9:40 AM
Details	Entity Name	Insert	New Registration		AIDS Action Coalition of Huntsville	4/5/2022 9:40 AM
Details	NOFO Number	Insert	New Registration			4/5/2022 9:40 AM
Details	Program Code	Insert	New Registration		CH	4/5/2022 9:40 AM
Details	Entity Subname	Insert	New Registration		Thrive Alabama	4/5/2022 9:40 AM
Dates	Participating Approval Date	Insert	New Registration			4/5/2022 9:40 AM
Details	State	Insert	New Registration		Pending	4/5/2022 9:40 AM
Dates	Registration Date	Insert	New Registration		4/5/2022 9:40:56 AM	4/5/2022 9:40 AM
Dates	Signed By Date	Insert	New Registration			4/5/2022 9:40 AM
Dates	Start Date	Insert	New Registration			4/5/2022 9:40 AM
Terminations	Termination Comments	Insert	New Registration			4/5/2022 9:40 AM
Terminations	Termination Date	Insert	New Registration			4/5/2022 9:40 AM
Terminations	Termination Effective Date	Insert	New Registration			4/5/2022 9:40 AM
Terminations	Termination Reason	Insert	New Registration			4/5/2022 9:40 AM

340B Drug Pricing Program Database