Covered Entity Details

CHC25680-15 PORTLAND COMMUNITY HEALTH CENTER (Active) - information as of 4/29/2025 11:54:02 PM

Main Details

Name

PORTLAND COMMUNITY HEALTH CENTER

Subdivision Name

Greater Portland Health at 295 Park Avenue

Type

HRSA-Funded Health Center

Site ID

BPS-H80-035556

340B ID

CHC25680-15

Grant Number

H80CS25680

Additional Details

Current Program Status

Active

Registration Date

1/11/2023

Participating Start Date

4/1/2023

Participating Approval Date

1/23/2023

Last Recertification Date

3/3/2025

Contacts

Authorizing Official

Portland Community Health Center
Ann Tucker, Chief Executive Officer
(207) 874-2141 Ext: 3886

Primary Contact

Portland Community Health Center
Tara Leblanc, Director of HR & Financial Reporting
(207) 874-2141

Addresses

Street Address

295 Park Ave
Portland, ME 04102-2911

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
ME	1982338240-001	1609120856

Shipping Addresses

Same as Street Address

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Last Updated On
Contract Detail	ACCREDO HEALTH GROUP INC	3000 ERICSSON DRIVE, SUITE 100		WARRENDALE	PA	15086-7502	04/17/2023	07/01/2023	07/01/2023
Contract Detail	ACCREDO HEALTH GROUP INC	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	04/17/2023	07/01/2023	07/01/2023
Contract Detail	ACCREDO HEALTH GROUP INC	2040 W RIO SALADO PKWY STE 101B		TEMPE	AZ	85281-2010	04/17/2023	07/01/2023	07/01/2023
Contract Detail	ACCREDO HEALTH GROUP, INC.	6272 LEE VISTA BLVD STE 100		ORLANDO	FL	32822	04/17/2023	07/01/2023	07/01/2023
Contract Detail	ACCREDO HEALTH GROUP, INC.	2825 W PERIMETER RD STE 112		INDIANAPOLIS	IN	46241	04/17/2023	07/01/2023	07/01/2023
Contract Detail	ACCREDO HEALTH GROUP, INC.	2 BOULDEN CIR STE 1		NEW CASTLE	DE	19720-3492	04/17/2023	07/01/2023	07/01/2023
Contract Detail	ACCREDO HEALTH GROUP, INC.	4750 E 450 S	SUITE A	WHITESTOWN	IN	46075	04/17/2023	07/01/2023	07/01/2023
Contract Detail	ARCADIA MEDICAL PHARMACY,INC.	DBA ARCADIA MEDICAL PHARMACY	612 W. DUARTE RD #102	ARCADIA	CA	91007	04/17/2023	07/01/2023	07/01/2023
Contract Detail	CAREMARK FLORIDA SPECIALTY PHARMACY LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7930 WOODLAND CENTER BLVD STE 500	TAMPA	FL	33614	04/17/2023	07/01/2023	07/01/2023
Contract Detail	CAREMARK ILLINOIS SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	800 BIERMANN CT STE B	MOUNT PROSPECT	IL	60056	04/17/2023	07/01/2023	07/01/2023
Contract Detail	CAREMARK KANSAS SPECIALTY PHARMACY	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	11162 RENNER BLVD	LENEXA	KS	66219	04/17/2023	07/01/2023	07/01/2023
Contract Detail	CAREMARK MASSACHUSETTS SPECIALTY PHARMAC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	25 BIRCH STREET, BLDG B, SUITE 100	MILFORD	MA	01757	04/17/2023	07/01/2023	07/01/2023
Contract Detail	CAREMARK MICHIGAN SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1307 ALLEN DR STE H	TROY	MI	48083	04/17/2023	07/01/2023	07/01/2023
Contract Detail	CAREMARK NEW JERSEY SPECIALTY PHCY, LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	180 PASSAIC AVE UNIT B-5	FAIRFIELD	NJ	07004	04/17/2023	07/01/2023	07/01/2023
Contract Detail	CAREMARK NORTH CAROLINA SPECIALTY PHARMA	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	10700 WORLD TRADE BLVD STE 110	RALEIGH	NC	27617	04/17/2023	07/01/2023	07/01/2023
Contract Detail	CAREMARK TENNESSEE SPECIALTY PHARMACY, L	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	8370 WOLF LAKE DR STE 107	BARTLETT	TN	38133	04/17/2023	07/01/2023	07/01/2023
Contract Detail	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1127 BRYN MAWR AVE SUITE A	REDLANDS	CA	92374	10/13/2023	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	05/03/2023	07/01/2023	07/01/2023
Contract Detail	CVS CAREMARK	DBA CVS/CAREMARK OR CF# 11506	1 GREAT VALLEY BOULEVARD	WILKES BARRE	PA	18706	04/14/2023	07/01/2023	07/01/2023
Contract Detail	CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC	DBA CVS/CAREMARK 48067	1780 WALL ST	MT PROSPECT	IL	60056	04/14/2023	07/01/2023	07/01/2023
Contract Detail	CVS MANCHESTER NH, L.L.C.	DBA: CVS/PHARMACY # 00846	674 ISLINGTON STREET	PORTSMOUTH	NH	03801	10/13/2023	01/01/2024	01/01/2024
Contract Detail	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00143	384 ELM ST.	BIDDEFORD	ME	04005	05/03/2023	07/01/2023	07/01/2023
Contract Detail	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 08245	10 MIDDLE STREET	FREEPORT	ME	04032	05/03/2023	07/01/2023	07/01/2023
Contract Detail	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00803	870 MAIN STREET	WESTBROOK	ME	04092	05/03/2023	07/01/2023	07/01/2023
Contract Detail	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00374	449 FOREST AVENUE	PORTLAND	ME	04101	05/03/2023	07/01/2023	07/01/2023
Contract Detail	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00454	510 CONGRESS STREET	PORTLAND	ME	04101	05/03/2023	07/01/2023	07/01/2023
Contract Detail	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00804	1364 CONGRESS ST	PORTLAND	ME	04102-2103	05/03/2023	07/01/2023	07/01/2023
Contract Detail	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00329	111 AUBURN ST.	PORTLAND	ME	04103	05/03/2023	07/01/2023	07/01/2023
Contract Detail	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00806	51 MARKET STREET MILL CREEK S/C	SOUTH PORTLAND	ME	04106	05/03/2023	07/01/2023	07/01/2023
Contract Detail	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00805	335 OCEAN HOUSE ROAD	CAPE ELIZABETH	ME	04107	05/03/2023	07/01/2023	07/01/2023
Contract Detail	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	CAREMARK, LLC	1001 SPINKS ROAD, STE 280	FLOWER MOUND	TX	75028	05/03/2023	07/01/2023	07/01/2023
Contract Detail	ESI MAIL PHARMACY SERVICE	DBA EXPRESS SCRIPTS	7909 S HARDY DR STE 106	TEMPE	AZ	85284-1112	05/03/2023	07/01/2023	07/01/2023
Contract Detail	EXPRESS SCRIPTS	ESI MAIL PHARMACY SERVICE INC	4600 N HANLEY RD	SAINT LOUIS	MO	63134	05/03/2023	07/01/2023	07/01/2023
Contract Detail	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	2040 ROUTE 130 NORTH	BURLINGTON	NJ	08016	05/03/2023	07/01/2023	07/01/2023
Contract Detail	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	4750 E. 450 S.	WHITESTOWN	IN	46075	05/03/2023	07/01/2023	07/01/2023
Contract Detail	GENOA HEALTHCARE LLC	42 CEDAR STREET		BANGOR	ME	04401	05/04/2023	07/01/2023	07/01/2023
Contract Detail	GENOA HEALTHCARE LLC	2 SPRINGBROOK DR STE 101		BIDDEFORD	ME	04005	05/04/2023	07/01/2023	07/01/2023
Contract Detail	GENOA HEALTHCARE LLC	165 LANCASTER ST STE P		PORTLAND	ME	04101	05/04/2023	07/01/2023	07/01/2023
Contract Detail	GENOA HEALTHCARE LLC	62 ELM STREET, SUITE 23, ROOM P		PORTLAND	ME	04101	10/13/2023	01/01/2024	01/01/2024
Contract Detail	PROCARE PHARMACY DIRECT, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	105 MALL BOULEVARD	MONROEVILLE	PA	15146	05/03/2023	07/01/2023	07/01/2023
Contract Detail	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY #48611	141 PREBLE STREET	PORTLAND	ME	04101	04/17/2023	07/01/2023	07/01/2023
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	05/03/2023	07/01/2023	07/01/2023
Contract Detail	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY #2923	3250 HARDEN ST. EXT. SUITE #300	COLUMBIA	SC	29203	05/03/2023	07/01/2023	07/01/2023
Contract Detail	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY #2909	1521 4TH AVE., SOUTH	BIRMINGHAM	AL	35233	05/03/2023	07/01/2023	07/01/2023
Contract Detail	RITE AID OF MAINE, INC.	RITE AID #3277	290 CONGRESS STREET	PORTLAND	ME	04101	05/03/2023	07/01/2023	07/01/2023
Contract Detail	RITE AID OF MAINE, INC.	RITE AID #4132	279 MAIN STREET	SOUTH PORTLAND	ME	04106	05/03/2023	07/01/2023	07/01/2023
Contract Detail	WALGREEN EASTERN CO INC	WALGREENS SPECIALTY PHARMACY #15307	21 STANHOPE STREET #23	BOSTON	MA	02116	04/14/2023	07/01/2023	07/01/2023
Contract Detail	WALGREEN EASTERN CO., INC.	WALGREENS #19678	279 MAIN ST	SOUTH PORTLAND	ME	04106-2629	04/17/2023	07/01/2023	07/01/2023
Contract Detail	WALGREEN EASTERN CO., INC.	WALGREENS #19461	33 DEPOT RD	FALMOUTH	ME	04105	04/17/2023	07/01/2023	07/01/2023
Contract Detail	WALGREEN EASTERN CO., INC.	WALGREENS #19821	713 CONGRESS ST	PORTLAND	ME	04102	04/17/2023	07/01/2023	07/01/2023
Contract Detail	WALGREEN EASTERN CO., INC.	WALGREENS #19464	290 CONGRESS ST STE 4	PORTLAND	ME	04101	04/17/2023	07/01/2023	07/01/2023
Contract Detail	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #11886	127 MARGINAL WAY STE 3	PORTLAND	ME	04101	04/17/2023	07/01/2023	07/01/2023
Contract Detail	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #12325	616 FOREST AVE	PORTLAND	ME	04101-1510	04/17/2023	07/01/2023	07/01/2023
Contract Detail	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #19162	698 MINOT AVE	AUBURN	ME	04210	04/17/2023	07/01/2023	07/01/2023
Contract Detail	WALGREEN EASTERN CO., INC.	WALGREENS #19078	465 MAIN ST	WESTBROOK	ME	04092	04/17/2023	07/01/2023	07/01/2023
Contract Detail	Walgreens Central Fill #21400	44 Cabot Blvd.		Mansfield	MA	02048	04/17/2023	07/01/2023	07/01/2023

Grantee Sites

340B ID	340B Status	SiteId	Name	Sub Name	Address	City	State
CHC25680-00	Active	BPS-H80-012280	PORTLAND COMMUNITY HEALTH CENTER	Greater Portland Health at 180 Park Avenue	180 Park Ave	Portland	ME
CHC25680-01	Active	BPS-H80-014488	PORTLAND COMMUNITY HEALTH CENTER	Greater Portland Health at 211 Cumberland Avenue	211 CUMBERLAND AVE	PORTLAND	ME
CHC25680-02	Active	BPS-H80-013757	PORTLAND COMMUNITY HEALTH CENTER	Greater Portland Health at 63 Preble Street	63 PREBLE ST	PORTLAND	ME
CHC25680-03	Active	BPS-H80-012733	PORTLAND COMMUNITY HEALTH CENTER	Greater Portland Health at 59 Riverton Drive	59 Riverton Dr	Portland	ME
CHC25680-04	Active	BPS-H80-017491	PORTLAND COMMUNITY HEALTH CENTER	Greater Portland Health at 100 Brickhill Avenue	100 BRICKHILL AVE	SOUTH PORTLAND	ME
CHC25680-05	Active	BPS-H80-018696	PORTLAND COMMUNITY HEALTH CENTER	Greater Portland Health at Casco Bay High School	196 ALLEN AVE	PORTLAND	ME
CHC25680-06	Active	BPS-H80-018697	PORTLAND COMMUNITY HEALTH CENTER	Greater Portland Health at Portland High School	284 Cumberland Ave	Portland	ME
CHC25680-07	Active	BPS-H80-018698	PORTLAND COMMUNITY HEALTH CENTER	Greater Portland Health at Deering High School	370 Stevens Ave	Portland	ME
CHC25680-08	Active	BPS-H80-018700	PORTLAND COMMUNITY HEALTH CENTER	Greater Portland Health at King Middle School	92 Deering Ave	Portland	ME
CHC25680-09	Active	BPS-H80-024870	PORTLAND COMMUNITY HEALTH CENTER	Greater Portland Health at Huston Commons	72 Bishop St	Portland	ME
CHC25680-10	Active	BPS-H80-024859	PORTLAND COMMUNITY HEALTH CENTER	Greater Portland Health at Florence House	190 Valley St	Portland	ME
CHC25680-11	Active	BPS-H80-024868	PORTLAND COMMUNITY HEALTH CENTER	Greater Portland Health at Logan Place	52 Frederic St	Portland	ME
CHC25680-12	Active	BPS-H80-030323	PORTLAND COMMUNITY HEALTH CENTER	Greater Portland Health at Westbrook High School	125 Stroudwater St	Westbrook	ME
CHC25680-13	Active	BPS-H80-019299	PORTLAND COMMUNITY HEALTH CENTER	Greater Portland Health at 234 Oxford Street	234 Oxford St	Portland	ME
CHC25680-14	Terminated	BPS-H80-032140	Portland Community Health Center	Greater Portland Health at Sagamore Village	68 Popham St	Portland	ME
CHC25680-15	Active	BPS-H80-035556	PORTLAND COMMUNITY HEALTH CENTER	Greater Portland Health at 295 Park Avenue	295 Park Ave	Portland	ME
CHC25680-16	Active	BPS-H80-033929	PORTLAND COMMUNITY HEALTH CENTER	Greater Portland Health at South Portland High School	637 Highland Ave	South Portland	ME
CHC25680-17	Active	BPS-H80-034325	PORTLAND COMMUNITY HEALTH CENTER	Greater Portland Health at 934 Congress Street	934 Congress St	Portland	ME
CHC25680-18	Active	BPS-H80-036606	PORTLAND COMMUNITY HEALTH CENTER	Greater Portland Health at 654 Riverside Street	654 Riverside St	Portland	ME
CHC25680-19	Active	BPS-H80-036897	PORTLAND COMMUNITY HEALTH CENTER	Greater Portland Health at South Portland Middle School	120 Wescott Rd	South Portland	ME
CHC25680-20	Active	BPS-H80-038612	PORTLAND COMMUNITY HEALTH CENTER	Mobile Van #1	295 Park Ave	Portland	ME
CHC25680-21	Active	BPS-H80-038710	PORTLAND COMMUNITY HEALTH CENTER	Greater Portland Health at 85 Taft Avenue	85 Taft Ave	Portland	ME

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
CHC25680-00	ACCREDO HEALTH GROUP INC	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	04/01/2023
CHC25680-00	ACCREDO HEALTH GROUP INC	3000 ERICSSON DRIVE, SUITE 100		WARRENDALE	PA	15086-7502	04/01/2023
CHC25680-00	ACCREDO HEALTH GROUP INC	2040 W RIO SALADO PKWY STE 101B		TEMPE	AZ	85281-2010	04/01/2023
CHC25680-02	ACCREDO HEALTH GROUP INC	3000 ERICSSON DRIVE, SUITE 100		WARRENDALE	PA	15086-7502	04/01/2023
CHC25680-02	ACCREDO HEALTH GROUP INC	2040 W RIO SALADO PKWY STE 101B		TEMPE	AZ	85281-2010	04/01/2023
CHC25680-02	ACCREDO HEALTH GROUP INC	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	04/01/2023
CHC25680-04	ACCREDO HEALTH GROUP INC	3000 ERICSSON DRIVE, SUITE 100		WARRENDALE	PA	15086-7502	04/01/2023
CHC25680-04	ACCREDO HEALTH GROUP INC	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	04/01/2023
CHC25680-04	ACCREDO HEALTH GROUP INC	2040 W RIO SALADO PKWY STE 101B		TEMPE	AZ	85281-2010	04/01/2023
CHC25680-01	ACCREDO HEALTH GROUP INC	3000 ERICSSON DRIVE, SUITE 100		WARRENDALE	PA	15086-7502	04/01/2023
CHC25680-01	ACCREDO HEALTH GROUP INC	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	04/01/2023
CHC25680-01	ACCREDO HEALTH GROUP INC	2040 W RIO SALADO PKWY STE 101B		TEMPE	AZ	85281-2010	04/01/2023
CHC25680-03	ACCREDO HEALTH GROUP INC	3000 ERICSSON DRIVE, SUITE 100		WARRENDALE	PA	15086-7502	04/01/2023
CHC25680-03	ACCREDO HEALTH GROUP INC	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	04/01/2023
CHC25680-03	ACCREDO HEALTH GROUP INC	2040 W RIO SALADO PKWY STE 101B		TEMPE	AZ	85281-2010	04/01/2023
CHC25680-05	ACCREDO HEALTH GROUP INC	3000 ERICSSON DRIVE, SUITE 100		WARRENDALE	PA	15086-7502	04/01/2023
CHC25680-05	ACCREDO HEALTH GROUP INC	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	04/01/2023
CHC25680-05	ACCREDO HEALTH GROUP INC	2040 W RIO SALADO PKWY STE 101B		TEMPE	AZ	85281-2010	04/01/2023
CHC25680-06	ACCREDO HEALTH GROUP INC	3000 ERICSSON DRIVE, SUITE 100		WARRENDALE	PA	15086-7502	04/01/2023
CHC25680-06	ACCREDO HEALTH GROUP INC	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	04/01/2023
CHC25680-06	ACCREDO HEALTH GROUP INC	2040 W RIO SALADO PKWY STE 101B		TEMPE	AZ	85281-2010	04/01/2023
CHC25680-07	ACCREDO HEALTH GROUP INC	3000 ERICSSON DRIVE, SUITE 100		WARRENDALE	PA	15086-7502	04/01/2023
CHC25680-07	ACCREDO HEALTH GROUP INC	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	04/01/2023
CHC25680-07	ACCREDO HEALTH GROUP INC	2040 W RIO SALADO PKWY STE 101B		TEMPE	AZ	85281-2010	04/01/2023
CHC25680-08	ACCREDO HEALTH GROUP INC	3000 ERICSSON DRIVE, SUITE 100		WARRENDALE	PA	15086-7502	04/01/2023
CHC25680-08	ACCREDO HEALTH GROUP INC	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	04/01/2023
CHC25680-08	ACCREDO HEALTH GROUP INC	2040 W RIO SALADO PKWY STE 101B		TEMPE	AZ	85281-2010	04/01/2023
CHC25680-09	ACCREDO HEALTH GROUP INC	3000 ERICSSON DRIVE, SUITE 100		WARRENDALE	PA	15086-7502	04/01/2023
CHC25680-09	ACCREDO HEALTH GROUP INC	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	04/01/2023
CHC25680-09	ACCREDO HEALTH GROUP INC	2040 W RIO SALADO PKWY STE 101B		TEMPE	AZ	85281-2010	04/01/2023
CHC25680-10	ACCREDO HEALTH GROUP INC	3000 ERICSSON DRIVE, SUITE 100		WARRENDALE	PA	15086-7502	04/01/2023
CHC25680-10	ACCREDO HEALTH GROUP INC	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	04/01/2023
CHC25680-10	ACCREDO HEALTH GROUP INC	2040 W RIO SALADO PKWY STE 101B		TEMPE	AZ	85281-2010	04/01/2023
CHC25680-11	ACCREDO HEALTH GROUP INC	3000 ERICSSON DRIVE, SUITE 100		WARRENDALE	PA	15086-7502	04/01/2023
CHC25680-11	ACCREDO HEALTH GROUP INC	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	04/01/2023
CHC25680-11	ACCREDO HEALTH GROUP INC	2040 W RIO SALADO PKWY STE 101B		TEMPE	AZ	85281-2010	04/01/2023
CHC25680-12	ACCREDO HEALTH GROUP INC	3000 ERICSSON DRIVE, SUITE 100		WARRENDALE	PA	15086-7502	04/01/2023
CHC25680-12	ACCREDO HEALTH GROUP INC	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	04/01/2023
CHC25680-12	ACCREDO HEALTH GROUP INC	2040 W RIO SALADO PKWY STE 101B		TEMPE	AZ	85281-2010	04/01/2023
CHC25680-13	ACCREDO HEALTH GROUP INC	3000 ERICSSON DRIVE, SUITE 100		WARRENDALE	PA	15086-7502	04/01/2023
CHC25680-13	ACCREDO HEALTH GROUP INC	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	04/01/2023
CHC25680-13	ACCREDO HEALTH GROUP INC	2040 W RIO SALADO PKWY STE 101B		TEMPE	AZ	85281-2010	04/01/2023
CHC25680-14	ACCREDO HEALTH GROUP INC	3000 ERICSSON DRIVE, SUITE 100		WARRENDALE	PA	15086-7502	04/01/2023	10/01/2024
CHC25680-14	ACCREDO HEALTH GROUP INC	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	04/01/2023	10/01/2024
CHC25680-14	ACCREDO HEALTH GROUP INC	2040 W RIO SALADO PKWY STE 101B		TEMPE	AZ	85281-2010	04/01/2023	10/01/2024
CHC25680-17	ACCREDO HEALTH GROUP INC	3000 ERICSSON DRIVE, SUITE 100		WARRENDALE	PA	15086-7502	07/01/2023
CHC25680-17	ACCREDO HEALTH GROUP INC	2040 W RIO SALADO PKWY STE 101B		TEMPE	AZ	85281-2010	07/01/2023
CHC25680-17	ACCREDO HEALTH GROUP INC	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	07/01/2023
CHC25680-15	ACCREDO HEALTH GROUP INC	3000 ERICSSON DRIVE, SUITE 100		WARRENDALE	PA	15086-7502	07/01/2023
CHC25680-15	ACCREDO HEALTH GROUP INC	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	07/01/2023
CHC25680-15	ACCREDO HEALTH GROUP INC	2040 W RIO SALADO PKWY STE 101B		TEMPE	AZ	85281-2010	07/01/2023
CHC25680-18	ACCREDO HEALTH GROUP INC	3000 ERICSSON DRIVE, SUITE 100		WARRENDALE	PA	15086-7502	01/01/2024
CHC25680-18	ACCREDO HEALTH GROUP INC	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	01/01/2024
CHC25680-18	ACCREDO HEALTH GROUP INC	2040 W RIO SALADO PKWY STE 101B		TEMPE	AZ	85281-2010	01/01/2024
CHC25680-00	ACCREDO HEALTH GROUP, INC.	2825 W PERIMETER RD STE 112		INDIANAPOLIS	IN	46241	04/01/2023
CHC25680-00	ACCREDO HEALTH GROUP, INC.	6272 LEE VISTA BLVD STE 100		ORLANDO	FL	32822	04/01/2023
CHC25680-00	ACCREDO HEALTH GROUP, INC.	2 BOULDEN CIR STE 1		NEW CASTLE	DE	19720-3492	04/01/2023
CHC25680-00	ACCREDO HEALTH GROUP, INC.	4750 E 450 S	SUITE A	WHITESTOWN	IN	46075	04/01/2023
CHC25680-02	ACCREDO HEALTH GROUP, INC.	6272 LEE VISTA BLVD STE 100		ORLANDO	FL	32822	04/01/2023
CHC25680-02	ACCREDO HEALTH GROUP, INC.	2825 W PERIMETER RD STE 112		INDIANAPOLIS	IN	46241	04/01/2023
CHC25680-02	ACCREDO HEALTH GROUP, INC.	2 BOULDEN CIR STE 1		NEW CASTLE	DE	19720-3492	04/01/2023
CHC25680-02	ACCREDO HEALTH GROUP, INC.	4750 E 450 S	SUITE A	WHITESTOWN	IN	46075	04/01/2023
CHC25680-04	ACCREDO HEALTH GROUP, INC.	6272 LEE VISTA BLVD STE 100		ORLANDO	FL	32822	04/01/2023
CHC25680-04	ACCREDO HEALTH GROUP, INC.	2825 W PERIMETER RD STE 112		INDIANAPOLIS	IN	46241	04/01/2023
CHC25680-04	ACCREDO HEALTH GROUP, INC.	2 BOULDEN CIR STE 1		NEW CASTLE	DE	19720-3492	04/01/2023
CHC25680-04	ACCREDO HEALTH GROUP, INC.	4750 E 450 S	SUITE A	WHITESTOWN	IN	46075	04/01/2023
CHC25680-01	ACCREDO HEALTH GROUP, INC.	6272 LEE VISTA BLVD STE 100		ORLANDO	FL	32822	04/01/2023
CHC25680-01	ACCREDO HEALTH GROUP, INC.	2825 W PERIMETER RD STE 112		INDIANAPOLIS	IN	46241	04/01/2023
CHC25680-01	ACCREDO HEALTH GROUP, INC.	2 BOULDEN CIR STE 1		NEW CASTLE	DE	19720-3492	04/01/2023
CHC25680-01	ACCREDO HEALTH GROUP, INC.	4750 E 450 S	SUITE A	WHITESTOWN	IN	46075	04/01/2023
CHC25680-03	ACCREDO HEALTH GROUP, INC.	6272 LEE VISTA BLVD STE 100		ORLANDO	FL	32822	04/01/2023
CHC25680-03	ACCREDO HEALTH GROUP, INC.	2825 W PERIMETER RD STE 112		INDIANAPOLIS	IN	46241	04/01/2023
CHC25680-03	ACCREDO HEALTH GROUP, INC.	2 BOULDEN CIR STE 1		NEW CASTLE	DE	19720-3492	04/01/2023
CHC25680-03	ACCREDO HEALTH GROUP, INC.	4750 E 450 S	SUITE A	WHITESTOWN	IN	46075	04/01/2023
CHC25680-05	ACCREDO HEALTH GROUP, INC.	4750 E 450 S	SUITE A	WHITESTOWN	IN	46075	04/01/2023
CHC25680-05	ACCREDO HEALTH GROUP, INC.	6272 LEE VISTA BLVD STE 100		ORLANDO	FL	32822	04/01/2023
CHC25680-05	ACCREDO HEALTH GROUP, INC.	2825 W PERIMETER RD STE 112		INDIANAPOLIS	IN	46241	04/01/2023
CHC25680-05	ACCREDO HEALTH GROUP, INC.	2 BOULDEN CIR STE 1		NEW CASTLE	DE	19720-3492	04/01/2023
CHC25680-06	ACCREDO HEALTH GROUP, INC.	6272 LEE VISTA BLVD STE 100		ORLANDO	FL	32822	04/01/2023
CHC25680-06	ACCREDO HEALTH GROUP, INC.	2825 W PERIMETER RD STE 112		INDIANAPOLIS	IN	46241	04/01/2023
CHC25680-06	ACCREDO HEALTH GROUP, INC.	2 BOULDEN CIR STE 1		NEW CASTLE	DE	19720-3492	04/01/2023
CHC25680-06	ACCREDO HEALTH GROUP, INC.	4750 E 450 S	SUITE A	WHITESTOWN	IN	46075	04/01/2023
CHC25680-07	ACCREDO HEALTH GROUP, INC.	6272 LEE VISTA BLVD STE 100		ORLANDO	FL	32822	04/01/2023
CHC25680-07	ACCREDO HEALTH GROUP, INC.	2825 W PERIMETER RD STE 112		INDIANAPOLIS	IN	46241	04/01/2023
CHC25680-07	ACCREDO HEALTH GROUP, INC.	2 BOULDEN CIR STE 1		NEW CASTLE	DE	19720-3492	04/01/2023
CHC25680-07	ACCREDO HEALTH GROUP, INC.	4750 E 450 S	SUITE A	WHITESTOWN	IN	46075	04/01/2023
CHC25680-08	ACCREDO HEALTH GROUP, INC.	6272 LEE VISTA BLVD STE 100		ORLANDO	FL	32822	04/01/2023
CHC25680-08	ACCREDO HEALTH GROUP, INC.	2825 W PERIMETER RD STE 112		INDIANAPOLIS	IN	46241	04/01/2023
CHC25680-08	ACCREDO HEALTH GROUP, INC.	2 BOULDEN CIR STE 1		NEW CASTLE	DE	19720-3492	04/01/2023
CHC25680-08	ACCREDO HEALTH GROUP, INC.	4750 E 450 S	SUITE A	WHITESTOWN	IN	46075	04/01/2023
CHC25680-09	ACCREDO HEALTH GROUP, INC.	6272 LEE VISTA BLVD STE 100		ORLANDO	FL	32822	04/01/2023
CHC25680-09	ACCREDO HEALTH GROUP, INC.	2 BOULDEN CIR STE 1		NEW CASTLE	DE	19720-3492	04/01/2023
CHC25680-09	ACCREDO HEALTH GROUP, INC.	4750 E 450 S	SUITE A	WHITESTOWN	IN	46075	04/01/2023
CHC25680-09	ACCREDO HEALTH GROUP, INC.	2825 W PERIMETER RD STE 112		INDIANAPOLIS	IN	46241	04/01/2023
CHC25680-10	ACCREDO HEALTH GROUP, INC.	6272 LEE VISTA BLVD STE 100		ORLANDO	FL	32822	04/01/2023
CHC25680-10	ACCREDO HEALTH GROUP, INC.	4750 E 450 S	SUITE A	WHITESTOWN	IN	46075	04/01/2023
CHC25680-10	ACCREDO HEALTH GROUP, INC.	2 BOULDEN CIR STE 1		NEW CASTLE	DE	19720-3492	04/01/2023
CHC25680-10	ACCREDO HEALTH GROUP, INC.	2825 W PERIMETER RD STE 112		INDIANAPOLIS	IN	46241	04/01/2023
CHC25680-11	ACCREDO HEALTH GROUP, INC.	6272 LEE VISTA BLVD STE 100		ORLANDO	FL	32822	04/01/2023
CHC25680-11	ACCREDO HEALTH GROUP, INC.	2825 W PERIMETER RD STE 112		INDIANAPOLIS	IN	46241	04/01/2023
CHC25680-11	ACCREDO HEALTH GROUP, INC.	2 BOULDEN CIR STE 1		NEW CASTLE	DE	19720-3492	04/01/2023
CHC25680-11	ACCREDO HEALTH GROUP, INC.	4750 E 450 S	SUITE A	WHITESTOWN	IN	46075	04/01/2023
CHC25680-12	ACCREDO HEALTH GROUP, INC.	2 BOULDEN CIR STE 1		NEW CASTLE	DE	19720-3492	04/01/2023
CHC25680-12	ACCREDO HEALTH GROUP, INC.	4750 E 450 S	SUITE A	WHITESTOWN	IN	46075	04/01/2023
CHC25680-12	ACCREDO HEALTH GROUP, INC.	6272 LEE VISTA BLVD STE 100		ORLANDO	FL	32822	04/01/2023
CHC25680-12	ACCREDO HEALTH GROUP, INC.	2825 W PERIMETER RD STE 112		INDIANAPOLIS	IN	46241	04/01/2023
CHC25680-13	ACCREDO HEALTH GROUP, INC.	2825 W PERIMETER RD STE 112		INDIANAPOLIS	IN	46241	04/01/2023
CHC25680-13	ACCREDO HEALTH GROUP, INC.	6272 LEE VISTA BLVD STE 100		ORLANDO	FL	32822	04/01/2023
CHC25680-13	ACCREDO HEALTH GROUP, INC.	2 BOULDEN CIR STE 1		NEW CASTLE	DE	19720-3492	04/01/2023
CHC25680-13	ACCREDO HEALTH GROUP, INC.	4750 E 450 S	SUITE A	WHITESTOWN	IN	46075	04/01/2023
CHC25680-14	ACCREDO HEALTH GROUP, INC.	6272 LEE VISTA BLVD STE 100		ORLANDO	FL	32822	04/01/2023	10/01/2024
CHC25680-14	ACCREDO HEALTH GROUP, INC.	4750 E 450 S	SUITE A	WHITESTOWN	IN	46075	04/01/2023	10/01/2024
CHC25680-14	ACCREDO HEALTH GROUP, INC.	2825 W PERIMETER RD STE 112		INDIANAPOLIS	IN	46241	04/01/2023	10/01/2024
CHC25680-14	ACCREDO HEALTH GROUP, INC.	2 BOULDEN CIR STE 1		NEW CASTLE	DE	19720-3492	04/01/2023	10/01/2024
CHC25680-17	ACCREDO HEALTH GROUP, INC.	6272 LEE VISTA BLVD STE 100		ORLANDO	FL	32822	07/01/2023
CHC25680-17	ACCREDO HEALTH GROUP, INC.	2825 W PERIMETER RD STE 112		INDIANAPOLIS	IN	46241	07/01/2023
CHC25680-17	ACCREDO HEALTH GROUP, INC.	2 BOULDEN CIR STE 1		NEW CASTLE	DE	19720-3492	07/01/2023
CHC25680-17	ACCREDO HEALTH GROUP, INC.	4750 E 450 S	SUITE A	WHITESTOWN	IN	46075	07/01/2023
CHC25680-15	ACCREDO HEALTH GROUP, INC.	6272 LEE VISTA BLVD STE 100		ORLANDO	FL	32822	07/01/2023
CHC25680-15	ACCREDO HEALTH GROUP, INC.	2825 W PERIMETER RD STE 112		INDIANAPOLIS	IN	46241	07/01/2023
CHC25680-15	ACCREDO HEALTH GROUP, INC.	2 BOULDEN CIR STE 1		NEW CASTLE	DE	19720-3492	07/01/2023
CHC25680-15	ACCREDO HEALTH GROUP, INC.	4750 E 450 S	SUITE A	WHITESTOWN	IN	46075	07/01/2023
CHC25680-18	ACCREDO HEALTH GROUP, INC.	6272 LEE VISTA BLVD STE 100		ORLANDO	FL	32822	01/01/2024
CHC25680-18	ACCREDO HEALTH GROUP, INC.	2825 W PERIMETER RD STE 112		INDIANAPOLIS	IN	46241	01/01/2024
CHC25680-18	ACCREDO HEALTH GROUP, INC.	2 BOULDEN CIR STE 1		NEW CASTLE	DE	19720-3492	01/01/2024
CHC25680-18	ACCREDO HEALTH GROUP, INC.	4750 E 450 S	SUITE A	WHITESTOWN	IN	46075	01/01/2024
CHC25680-00	ADVANCED CARE SCRIPTS, INC	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	6251 CHANCELLOR DRIVE SUITE 101	ORLANDO	FL	32809	01/01/2025
CHC25680-00	APOTHECARY BY DESIGN ACQUISITION CO LLC	DBA:APOTHECARY BY DESIGN	141 PREBLE STREET	PORTLAND	ME	04101	04/01/2017	01/09/2018
CHC25680-03	APOTHECARY BY DESIGN ACQUISITION CO LLC	DBA:APOTHECARY BY DESIGN	141 PREBLE STREET	PORTLAND	ME	04101	04/01/2017	01/09/2018
CHC25680-02	APOTHECARY BY DESIGN ACQUISITION CO LLC	DBA:APOTHECARY BY DESIGN	141 PREBLE STREET	PORTLAND	ME	04101	04/01/2017	01/09/2018
CHC25680-01	APOTHECARY BY DESIGN ACQUISITION CO LLC	DBA:APOTHECARY BY DESIGN	141 PREBLE STREET	PORTLAND	ME	04101	04/01/2017	01/09/2018
CHC25680-04	APOTHECARY BY DESIGN ACQUISITION CO LLC	DBA:APOTHECARY BY DESIGN	141 PREBLE STREET	PORTLAND	ME	04101	04/01/2017	01/09/2018
CHC25680-08	APOTHECARY BY DESIGN ACQUISITION CO LLC	DBA:APOTHECARY BY DESIGN	141 PREBLE STREET	PORTLAND	ME	04101	04/01/2017	01/09/2018
CHC25680-07	APOTHECARY BY DESIGN ACQUISITION CO LLC	DBA:APOTHECARY BY DESIGN	141 PREBLE STREET	PORTLAND	ME	04101	04/01/2017	01/09/2018
CHC25680-05	APOTHECARY BY DESIGN ACQUISITION CO LLC	DBA:APOTHECARY BY DESIGN	141 PREBLE STREET	PORTLAND	ME	04101	04/01/2017	01/09/2018
CHC25680-06	APOTHECARY BY DESIGN SPECIALTY AND RETAI		141 PREBLE STREET	PORTLAND	ME	04101	04/01/2017	01/09/2018
CHC25680-00	ARCADIA MEDICAL PHARMACY,INC.	DBA ARCADIA MEDICAL PHARMACY	612 W. DUARTE RD #102	ARCADIA	CA	91007	10/01/2022	02/14/2024
CHC25680-15	ARCADIA MEDICAL PHARMACY,INC.	DBA ARCADIA MEDICAL PHARMACY	612 W. DUARTE RD #102	ARCADIA	CA	91007	07/01/2023
CHC25680-17	ARCADIA MEDICAL PHARMACY,INC.	DBA ARCADIA MEDICAL PHARMACY	612 W. DUARTE RD #102	ARCADIA	CA	91007	07/01/2023	02/21/2024
CHC25680-16	ARCADIA MEDICAL PHARMACY,INC.	DBA ARCADIA MEDICAL PHARMACY	612 W. DUARTE RD #102	ARCADIA	CA	91007	07/01/2023	02/21/2024
CHC25680-18	ARCADIA MEDICAL PHARMACY,INC.	DBA ARCADIA MEDICAL PHARMACY	612 W. DUARTE RD #102	ARCADIA	CA	91007	01/01/2024	02/21/2024
CHC25680-02	ARCADIA MEDICAL PHARMACY,INC.	DBA ARCADIA MEDICAL PHARMACY	612 W. DUARTE RD #102	ARCADIA	CA	91007	01/01/2024	02/21/2024
CHC25680-03	ARCADIA MEDICAL PHARMACY,INC.	DBA ARCADIA MEDICAL PHARMACY	612 W. DUARTE RD #102	ARCADIA	CA	91007	01/01/2024	02/21/2024
CHC25680-04	ARCADIA MEDICAL PHARMACY,INC.	DBA ARCADIA MEDICAL PHARMACY	612 W. DUARTE RD #102	ARCADIA	CA	91007	01/01/2024	02/21/2024
CHC25680-06	ARCADIA MEDICAL PHARMACY,INC.	DBA ARCADIA MEDICAL PHARMACY	612 W. DUARTE RD #102	ARCADIA	CA	91007	01/01/2024	02/21/2024
CHC25680-07	ARCADIA MEDICAL PHARMACY,INC.	DBA ARCADIA MEDICAL PHARMACY	612 W. DUARTE RD #102	ARCADIA	CA	91007	01/01/2024	02/21/2024
CHC25680-08	ARCADIA MEDICAL PHARMACY,INC.	DBA ARCADIA MEDICAL PHARMACY	612 W. DUARTE RD #102	ARCADIA	CA	91007	01/01/2024	02/21/2024
CHC25680-09	ARCADIA MEDICAL PHARMACY,INC.	DBA ARCADIA MEDICAL PHARMACY	612 W. DUARTE RD #102	ARCADIA	CA	91007	01/01/2024	02/21/2024
CHC25680-10	ARCADIA MEDICAL PHARMACY,INC.	DBA ARCADIA MEDICAL PHARMACY	612 W. DUARTE RD #102	ARCADIA	CA	91007	01/01/2024	02/21/2024
CHC25680-11	ARCADIA MEDICAL PHARMACY,INC.	DBA ARCADIA MEDICAL PHARMACY	612 W. DUARTE RD #102	ARCADIA	CA	91007	01/01/2024	02/14/2024
CHC25680-14	ARCADIA MEDICAL PHARMACY,INC.	DBA ARCADIA MEDICAL PHARMACY	612 W. DUARTE RD #102	ARCADIA	CA	91007	01/01/2024	02/21/2024
CHC25680-19	ARCADIA MEDICAL PHARMACY,INC.	DBA ARCADIA MEDICAL PHARMACY	612 W. DUARTE RD #102	ARCADIA	CA	91007	01/01/2024	02/21/2024
CHC25680-00	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	376 NORTHLAKE BLVD		ALTAMONTE SPRINGS	FL	32701-5261	07/01/2024
CHC25680-00	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	4900 PROSPECTUS DR STE 300		DURHAM	NC	27713	07/01/2024
CHC25680-00	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	13925 YALE AVE STE 145		IRVINE	CA	92620-2670	07/01/2024
CHC25680-00	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	145 S 79TH ST STE 70	CHANDLER	AZ	85226	07/01/2024
CHC25680-00	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	4740 VICTORY LN STE C	INDIANAPOLIS	IN	46203	07/01/2024
CHC25680-00	CAREMARK FLORIDA SPECIALTY PHARMACY LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7930 WOODLAND CENTER BLVD STE 500	TAMPA	FL	33614	10/01/2022
CHC25680-15	CAREMARK FLORIDA SPECIALTY PHARMACY LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7930 WOODLAND CENTER BLVD STE 500	TAMPA	FL	33614	07/01/2023
CHC25680-17	CAREMARK FLORIDA SPECIALTY PHARMACY LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7930 WOODLAND CENTER BLVD STE 500	TAMPA	FL	33614	07/01/2023
CHC25680-16	CAREMARK FLORIDA SPECIALTY PHARMACY LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7930 WOODLAND CENTER BLVD STE 500	TAMPA	FL	33614	07/01/2023
CHC25680-14	CAREMARK FLORIDA SPECIALTY PHARMACY LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7930 WOODLAND CENTER BLVD STE 500	TAMPA	FL	33614	01/01/2024	10/01/2024
CHC25680-13	CAREMARK FLORIDA SPECIALTY PHARMACY LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7930 WOODLAND CENTER BLVD STE 500	TAMPA	FL	33614	01/01/2024
CHC25680-18	CAREMARK FLORIDA SPECIALTY PHARMACY LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7930 WOODLAND CENTER BLVD STE 500	TAMPA	FL	33614	01/01/2024
CHC25680-02	CAREMARK FLORIDA SPECIALTY PHARMACY LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7930 WOODLAND CENTER BLVD STE 500	TAMPA	FL	33614	01/01/2024
CHC25680-04	CAREMARK FLORIDA SPECIALTY PHARMACY LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7930 WOODLAND CENTER BLVD STE 500	TAMPA	FL	33614	01/01/2024
CHC25680-03	CAREMARK FLORIDA SPECIALTY PHARMACY LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7930 WOODLAND CENTER BLVD STE 500	TAMPA	FL	33614	01/01/2024
CHC25680-00	CAREMARK ILLINOIS SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	800 BIERMANN CT STE B	MOUNT PROSPECT	IL	60056	10/01/2022
CHC25680-15	CAREMARK ILLINOIS SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	800 BIERMANN CT STE B	MOUNT PROSPECT	IL	60056	07/01/2023
CHC25680-17	CAREMARK ILLINOIS SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	800 BIERMANN CT STE B	MOUNT PROSPECT	IL	60056	07/01/2023
CHC25680-16	CAREMARK ILLINOIS SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	800 BIERMANN CT STE B	MOUNT PROSPECT	IL	60056	07/01/2023
CHC25680-13	CAREMARK ILLINOIS SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	800 BIERMANN CT STE B	MOUNT PROSPECT	IL	60056	01/01/2024
CHC25680-02	CAREMARK ILLINOIS SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	800 BIERMANN CT STE B	MOUNT PROSPECT	IL	60056	01/01/2024
CHC25680-18	CAREMARK ILLINOIS SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	800 BIERMANN CT STE B	MOUNT PROSPECT	IL	60056	01/01/2024
CHC25680-04	CAREMARK ILLINOIS SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	800 BIERMANN CT STE B	MOUNT PROSPECT	IL	60056	01/01/2024
CHC25680-03	CAREMARK ILLINOIS SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	800 BIERMANN CT STE B	MOUNT PROSPECT	IL	60056	01/01/2024
CHC25680-14	CAREMARK ILLINOIS SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	800 BIERMANN CT STE B	MOUNT PROSPECT	IL	60056	01/01/2024	10/01/2024
CHC25680-00	CAREMARK KANSAS SPECIALTY PHARMACY	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	11162 RENNER BLVD	LENEXA	KS	66219	10/01/2022
CHC25680-15	CAREMARK KANSAS SPECIALTY PHARMACY	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	11162 RENNER BLVD	LENEXA	KS	66219	07/01/2023
CHC25680-17	CAREMARK KANSAS SPECIALTY PHARMACY	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	11162 RENNER BLVD	LENEXA	KS	66219	07/01/2023
CHC25680-16	CAREMARK KANSAS SPECIALTY PHARMACY	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	11162 RENNER BLVD	LENEXA	KS	66219	07/01/2023
CHC25680-13	CAREMARK KANSAS SPECIALTY PHARMACY	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	11162 RENNER BLVD	LENEXA	KS	66219	01/01/2024
CHC25680-02	CAREMARK KANSAS SPECIALTY PHARMACY	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	11162 RENNER BLVD	LENEXA	KS	66219	01/01/2024
CHC25680-18	CAREMARK KANSAS SPECIALTY PHARMACY	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	11162 RENNER BLVD	LENEXA	KS	66219	01/01/2024
CHC25680-04	CAREMARK KANSAS SPECIALTY PHARMACY	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	11162 RENNER BLVD	LENEXA	KS	66219	01/01/2024
CHC25680-00	CAREMARK MASSACHUSETTS SPECIALTY PHARMAC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	25 BIRCH STREET, BLDG B, SUITE 100	MILFORD	MA	01757	10/01/2022
CHC25680-15	CAREMARK MASSACHUSETTS SPECIALTY PHARMAC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	25 BIRCH STREET, BLDG B, SUITE 100	MILFORD	MA	01757	07/01/2023
CHC25680-17	CAREMARK MASSACHUSETTS SPECIALTY PHARMAC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	25 BIRCH STREET, BLDG B, SUITE 100	MILFORD	MA	01757	07/01/2023
CHC25680-16	CAREMARK MASSACHUSETTS SPECIALTY PHARMAC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	25 BIRCH STREET, BLDG B, SUITE 100	MILFORD	MA	01757	07/01/2023
CHC25680-13	CAREMARK MASSACHUSETTS SPECIALTY PHARMAC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	25 BIRCH STREET, BLDG B, SUITE 100	MILFORD	MA	01757	01/01/2024
CHC25680-02	CAREMARK MASSACHUSETTS SPECIALTY PHARMAC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	25 BIRCH STREET, BLDG B, SUITE 100	MILFORD	MA	01757	01/01/2024
CHC25680-18	CAREMARK MASSACHUSETTS SPECIALTY PHARMAC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	25 BIRCH STREET, BLDG B, SUITE 100	MILFORD	MA	01757	01/01/2024
CHC25680-04	CAREMARK MASSACHUSETTS SPECIALTY PHARMAC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	25 BIRCH STREET, BLDG B, SUITE 100	MILFORD	MA	01757	01/01/2024
CHC25680-00	CAREMARK MICHIGAN SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1307 ALLEN DR STE H	TROY	MI	48083	10/01/2022
CHC25680-15	CAREMARK MICHIGAN SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1307 ALLEN DR STE H	TROY	MI	48083	07/01/2023
CHC25680-17	CAREMARK MICHIGAN SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1307 ALLEN DR STE H	TROY	MI	48083	07/01/2023
CHC25680-16	CAREMARK MICHIGAN SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1307 ALLEN DR STE H	TROY	MI	48083	07/01/2023
CHC25680-02	CAREMARK MICHIGAN SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1307 ALLEN DR STE H	TROY	MI	48083	01/01/2024
CHC25680-18	CAREMARK MICHIGAN SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1307 ALLEN DR STE H	TROY	MI	48083	01/01/2024
CHC25680-04	CAREMARK MICHIGAN SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1307 ALLEN DR STE H	TROY	MI	48083	01/01/2024
CHC25680-12	CAREMARK MICHIGAN SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1307 ALLEN DR STE H	TROY	MI	48083	01/01/2024
CHC25680-00	CAREMARK NEW JERSEY SPECIALTY PHCY, LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	180 PASSAIC AVE UNIT B-5	FAIRFIELD	NJ	07004	10/01/2022
CHC25680-15	CAREMARK NEW JERSEY SPECIALTY PHCY, LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	180 PASSAIC AVE UNIT B-5	FAIRFIELD	NJ	07004	07/01/2023
CHC25680-17	CAREMARK NEW JERSEY SPECIALTY PHCY, LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	180 PASSAIC AVE UNIT B-5	FAIRFIELD	NJ	07004	07/01/2023
CHC25680-16	CAREMARK NEW JERSEY SPECIALTY PHCY, LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	180 PASSAIC AVE UNIT B-5	FAIRFIELD	NJ	07004	07/01/2023
CHC25680-02	CAREMARK NEW JERSEY SPECIALTY PHCY, LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	180 PASSAIC AVE UNIT B-5	FAIRFIELD	NJ	07004	01/01/2024
CHC25680-18	CAREMARK NEW JERSEY SPECIALTY PHCY, LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	180 PASSAIC AVE UNIT B-5	FAIRFIELD	NJ	07004	01/01/2024
CHC25680-04	CAREMARK NEW JERSEY SPECIALTY PHCY, LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	180 PASSAIC AVE UNIT B-5	FAIRFIELD	NJ	07004	01/01/2024
CHC25680-00	CAREMARK NORTH CAROLINA SPECIALTY PHARMA	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	10700 WORLD TRADE BLVD STE 110	RALEIGH	NC	27617	10/01/2022
CHC25680-15	CAREMARK NORTH CAROLINA SPECIALTY PHARMA	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	10700 WORLD TRADE BLVD STE 110	RALEIGH	NC	27617	07/01/2023
CHC25680-17	CAREMARK NORTH CAROLINA SPECIALTY PHARMA	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	10700 WORLD TRADE BLVD STE 110	RALEIGH	NC	27617	07/01/2023
CHC25680-16	CAREMARK NORTH CAROLINA SPECIALTY PHARMA	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	10700 WORLD TRADE BLVD STE 110	RALEIGH	NC	27617	07/01/2023
CHC25680-02	CAREMARK NORTH CAROLINA SPECIALTY PHARMA	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	10700 WORLD TRADE BLVD STE 110	RALEIGH	NC	27617	01/01/2024
CHC25680-18	CAREMARK NORTH CAROLINA SPECIALTY PHARMA	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	10700 WORLD TRADE BLVD STE 110	RALEIGH	NC	27617	01/01/2024
CHC25680-04	CAREMARK NORTH CAROLINA SPECIALTY PHARMA	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	10700 WORLD TRADE BLVD STE 110	RALEIGH	NC	27617	01/01/2024
CHC25680-00	CAREMARK TENNESSEE SPECIALTY PHARMACY, L	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	8370 WOLF LAKE DR STE 107	BARTLETT	TN	38133	10/01/2022
CHC25680-15	CAREMARK TENNESSEE SPECIALTY PHARMACY, L	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	8370 WOLF LAKE DR STE 107	BARTLETT	TN	38133	07/01/2023
CHC25680-17	CAREMARK TENNESSEE SPECIALTY PHARMACY, L	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	8370 WOLF LAKE DR STE 107	BARTLETT	TN	38133	07/01/2023
CHC25680-16	CAREMARK TENNESSEE SPECIALTY PHARMACY, L	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	8370 WOLF LAKE DR STE 107	BARTLETT	TN	38133	07/01/2023
CHC25680-02	CAREMARK TENNESSEE SPECIALTY PHARMACY, L	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	8370 WOLF LAKE DR STE 107	BARTLETT	TN	38133	01/01/2024
CHC25680-18	CAREMARK TENNESSEE SPECIALTY PHARMACY, L	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	8370 WOLF LAKE DR STE 107	BARTLETT	TN	38133	01/01/2024
CHC25680-04	CAREMARK TENNESSEE SPECIALTY PHARMACY, L	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	8370 WOLF LAKE DR STE 107	BARTLETT	TN	38133	01/01/2024
CHC25680-01	CAREMARK TENNESSEE SPECIALTY PHARMACY, L	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	8370 WOLF LAKE DR STE 107	BARTLETT	TN	38133	01/01/2024
CHC25680-00	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1127 BRYN MAWR AVE SUITE A	REDLANDS	CA	92374	01/01/2024
CHC25680-01	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1127 BRYN MAWR AVE SUITE A	REDLANDS	CA	92374	01/01/2024
CHC25680-02	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1127 BRYN MAWR AVE SUITE A	REDLANDS	CA	92374	01/01/2024
CHC25680-03	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1127 BRYN MAWR AVE SUITE A	REDLANDS	CA	92374	01/01/2024
CHC25680-04	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1127 BRYN MAWR AVE SUITE A	REDLANDS	CA	92374	01/01/2024
CHC25680-05	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1127 BRYN MAWR AVE SUITE A	REDLANDS	CA	92374	01/01/2024
CHC25680-06	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1127 BRYN MAWR AVE SUITE A	REDLANDS	CA	92374	01/01/2024
CHC25680-07	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1127 BRYN MAWR AVE SUITE A	REDLANDS	CA	92374	01/01/2024
CHC25680-08	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1127 BRYN MAWR AVE SUITE A	REDLANDS	CA	92374	01/01/2024
CHC25680-09	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1127 BRYN MAWR AVE SUITE A	REDLANDS	CA	92374	01/01/2024
CHC25680-10	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1127 BRYN MAWR AVE SUITE A	REDLANDS	CA	92374	01/01/2024
CHC25680-18	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1127 BRYN MAWR AVE SUITE A	REDLANDS	CA	92374	01/01/2024
CHC25680-17	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1127 BRYN MAWR AVE SUITE A	REDLANDS	CA	92374	01/01/2024
CHC25680-16	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1127 BRYN MAWR AVE SUITE A	REDLANDS	CA	92374	01/01/2024
CHC25680-15	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1127 BRYN MAWR AVE SUITE A	REDLANDS	CA	92374	01/01/2024
CHC25680-14	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1127 BRYN MAWR AVE SUITE A	REDLANDS	CA	92374	01/01/2024	10/01/2024
CHC25680-13	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1127 BRYN MAWR AVE SUITE A	REDLANDS	CA	92374	01/01/2024
CHC25680-12	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1127 BRYN MAWR AVE SUITE A	REDLANDS	CA	92374	01/01/2024
CHC25680-11	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1127 BRYN MAWR AVE SUITE A	REDLANDS	CA	92374	01/01/2024
CHC25680-19	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1127 BRYN MAWR AVE SUITE A	REDLANDS	CA	92374	01/01/2024
CHC25680-00	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7251 S. EASTERN AVE.	LAS VEGAS	NV	89119	10/01/2022
CHC25680-17	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7251 S. EASTERN AVE.	LAS VEGAS	NV	89119	07/01/2023
CHC25680-15	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7251 S. EASTERN AVE.	LAS VEGAS	NV	89119	07/01/2023
CHC25680-02	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7251 S. EASTERN AVE.	LAS VEGAS	NV	89119	01/01/2024
CHC25680-18	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7251 S. EASTERN AVE.	LAS VEGAS	NV	89119	01/01/2024
CHC25680-04	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7251 S. EASTERN AVE.	LAS VEGAS	NV	89119	01/01/2024
CHC25680-06	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7251 S. EASTERN AVE.	LAS VEGAS	NV	89119	01/01/2024
CHC25680-00	CVS CAREMARK	DBA CVS/CAREMARK OR CF# 11506	1 GREAT VALLEY BOULEVARD	WILKES BARRE	PA	18706	07/01/2023
CHC25680-01	CVS CAREMARK	DBA CVS/CAREMARK OR CF# 11506	1 GREAT VALLEY BOULEVARD	WILKES BARRE	PA	18706	07/01/2023
CHC25680-02	CVS CAREMARK	DBA CVS/CAREMARK OR CF# 11506	1 GREAT VALLEY BOULEVARD	WILKES BARRE	PA	18706	07/01/2023
CHC25680-03	CVS CAREMARK	DBA CVS/CAREMARK OR CF# 11506	1 GREAT VALLEY BOULEVARD	WILKES BARRE	PA	18706	07/01/2023
CHC25680-04	CVS CAREMARK	DBA CVS/CAREMARK OR CF# 11506	1 GREAT VALLEY BOULEVARD	WILKES BARRE	PA	18706	07/01/2023
CHC25680-05	CVS CAREMARK	DBA CVS/CAREMARK OR CF# 11506	1 GREAT VALLEY BOULEVARD	WILKES BARRE	PA	18706	07/01/2023
CHC25680-06	CVS CAREMARK	DBA CVS/CAREMARK OR CF# 11506	1 GREAT VALLEY BOULEVARD	WILKES BARRE	PA	18706	07/01/2023
CHC25680-08	CVS CAREMARK	DBA CVS/CAREMARK OR CF# 11506	1 GREAT VALLEY BOULEVARD	WILKES BARRE	PA	18706	07/01/2023
CHC25680-09	CVS CAREMARK	DBA CVS/CAREMARK OR CF# 11506	1 GREAT VALLEY BOULEVARD	WILKES BARRE	PA	18706	07/01/2023
CHC25680-10	CVS CAREMARK	DBA CVS/CAREMARK OR CF# 11506	1 GREAT VALLEY BOULEVARD	WILKES BARRE	PA	18706	07/01/2023
CHC25680-11	CVS CAREMARK	DBA CVS/CAREMARK OR CF# 11506	1 GREAT VALLEY BOULEVARD	WILKES BARRE	PA	18706	07/01/2023
CHC25680-12	CVS CAREMARK	DBA CVS/CAREMARK OR CF# 11506	1 GREAT VALLEY BOULEVARD	WILKES BARRE	PA	18706	07/01/2023
CHC25680-13	CVS CAREMARK	DBA CVS/CAREMARK OR CF# 11506	1 GREAT VALLEY BOULEVARD	WILKES BARRE	PA	18706	07/01/2023
CHC25680-14	CVS CAREMARK	DBA CVS/CAREMARK OR CF# 11506	1 GREAT VALLEY BOULEVARD	WILKES BARRE	PA	18706	07/01/2023	10/01/2024
CHC25680-15	CVS CAREMARK	DBA CVS/CAREMARK OR CF# 11506	1 GREAT VALLEY BOULEVARD	WILKES BARRE	PA	18706	07/01/2023
CHC25680-16	CVS CAREMARK	DBA CVS/CAREMARK OR CF# 11506	1 GREAT VALLEY BOULEVARD	WILKES BARRE	PA	18706	07/01/2023
CHC25680-17	CVS CAREMARK	DBA CVS/CAREMARK OR CF# 11506	1 GREAT VALLEY BOULEVARD	WILKES BARRE	PA	18706	07/01/2023
CHC25680-18	CVS CAREMARK	DBA CVS/CAREMARK OR CF# 11506	1 GREAT VALLEY BOULEVARD	WILKES BARRE	PA	18706	01/01/2024
CHC25680-00	CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC	DBA CVS/CAREMARK 48067	1780 WALL ST	MT PROSPECT	IL	60056	07/01/2023
CHC25680-01	CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC	DBA CVS/CAREMARK 48067	1780 WALL ST	MT PROSPECT	IL	60056	07/01/2023
CHC25680-02	CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC	DBA CVS/CAREMARK 48067	1780 WALL ST	MT PROSPECT	IL	60056	07/01/2023
CHC25680-03	CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC	DBA CVS/CAREMARK 48067	1780 WALL ST	MT PROSPECT	IL	60056	07/01/2023
CHC25680-04	CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC	DBA CVS/CAREMARK 48067	1780 WALL ST	MT PROSPECT	IL	60056	07/01/2023
CHC25680-05	CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC	DBA CVS/CAREMARK 48067	1780 WALL ST	MT PROSPECT	IL	60056	07/01/2023
CHC25680-06	CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC	DBA CVS/CAREMARK 48067	1780 WALL ST	MT PROSPECT	IL	60056	07/01/2023
CHC25680-08	CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC	DBA CVS/CAREMARK 48067	1780 WALL ST	MT PROSPECT	IL	60056	07/01/2023
CHC25680-09	CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC	DBA CVS/CAREMARK 48067	1780 WALL ST	MT PROSPECT	IL	60056	07/01/2023
CHC25680-10	CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC	DBA CVS/CAREMARK 48067	1780 WALL ST	MT PROSPECT	IL	60056	07/01/2023
CHC25680-11	CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC	DBA CVS/CAREMARK 48067	1780 WALL ST	MT PROSPECT	IL	60056	07/01/2023
CHC25680-12	CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC	DBA CVS/CAREMARK 48067	1780 WALL ST	MT PROSPECT	IL	60056	07/01/2023
CHC25680-13	CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC	DBA CVS/CAREMARK 48067	1780 WALL ST	MT PROSPECT	IL	60056	07/01/2023
CHC25680-14	CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC	DBA CVS/CAREMARK 48067	1780 WALL ST	MT PROSPECT	IL	60056	07/01/2023	10/01/2024
CHC25680-15	CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC	DBA CVS/CAREMARK 48067	1780 WALL ST	MT PROSPECT	IL	60056	07/01/2023
CHC25680-17	CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC	DBA CVS/CAREMARK 48067	1780 WALL ST	MT PROSPECT	IL	60056	07/01/2023
CHC25680-16	CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC	DBA CVS/CAREMARK 48067	1780 WALL ST	MT PROSPECT	IL	60056	07/01/2023
CHC25680-18	CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC	DBA CVS/CAREMARK 48067	1780 WALL ST	MT PROSPECT	IL	60056	01/01/2024
CHC25680-00	CVS MANCHESTER NH, L.L.C.	DBA: CVS/PHARMACY # 00846	674 ISLINGTON STREET	PORTSMOUTH	NH	03801	01/01/2024
CHC25680-01	CVS MANCHESTER NH, L.L.C.	DBA: CVS/PHARMACY # 00846	674 ISLINGTON STREET	PORTSMOUTH	NH	03801	01/01/2024
CHC25680-02	CVS MANCHESTER NH, L.L.C.	DBA: CVS/PHARMACY # 00846	674 ISLINGTON STREET	PORTSMOUTH	NH	03801	01/01/2024
CHC25680-03	CVS MANCHESTER NH, L.L.C.	DBA: CVS/PHARMACY # 00846	674 ISLINGTON STREET	PORTSMOUTH	NH	03801	01/01/2024
CHC25680-04	CVS MANCHESTER NH, L.L.C.	DBA: CVS/PHARMACY # 00846	674 ISLINGTON STREET	PORTSMOUTH	NH	03801	01/01/2024
CHC25680-05	CVS MANCHESTER NH, L.L.C.	DBA: CVS/PHARMACY # 00846	674 ISLINGTON STREET	PORTSMOUTH	NH	03801	01/01/2024
CHC25680-06	CVS MANCHESTER NH, L.L.C.	DBA: CVS/PHARMACY # 00846	674 ISLINGTON STREET	PORTSMOUTH	NH	03801	01/01/2024
CHC25680-07	CVS MANCHESTER NH, L.L.C.	DBA: CVS/PHARMACY # 00846	674 ISLINGTON STREET	PORTSMOUTH	NH	03801	01/01/2024
CHC25680-08	CVS MANCHESTER NH, L.L.C.	DBA: CVS/PHARMACY # 00846	674 ISLINGTON STREET	PORTSMOUTH	NH	03801	01/01/2024
CHC25680-09	CVS MANCHESTER NH, L.L.C.	DBA: CVS/PHARMACY # 00846	674 ISLINGTON STREET	PORTSMOUTH	NH	03801	01/01/2024
CHC25680-10	CVS MANCHESTER NH, L.L.C.	DBA: CVS/PHARMACY # 00846	674 ISLINGTON STREET	PORTSMOUTH	NH	03801	01/01/2024
CHC25680-18	CVS MANCHESTER NH, L.L.C.	DBA: CVS/PHARMACY # 00846	674 ISLINGTON STREET	PORTSMOUTH	NH	03801	01/01/2024
CHC25680-17	CVS MANCHESTER NH, L.L.C.	DBA: CVS/PHARMACY # 00846	674 ISLINGTON STREET	PORTSMOUTH	NH	03801	01/01/2024
CHC25680-16	CVS MANCHESTER NH, L.L.C.	DBA: CVS/PHARMACY # 00846	674 ISLINGTON STREET	PORTSMOUTH	NH	03801	01/01/2024
CHC25680-15	CVS MANCHESTER NH, L.L.C.	DBA: CVS/PHARMACY # 00846	674 ISLINGTON STREET	PORTSMOUTH	NH	03801	01/01/2024
CHC25680-14	CVS MANCHESTER NH, L.L.C.	DBA: CVS/PHARMACY # 00846	674 ISLINGTON STREET	PORTSMOUTH	NH	03801	01/01/2024	10/01/2024
CHC25680-13	CVS MANCHESTER NH, L.L.C.	DBA: CVS/PHARMACY # 00846	674 ISLINGTON STREET	PORTSMOUTH	NH	03801	01/01/2024
CHC25680-12	CVS MANCHESTER NH, L.L.C.	DBA: CVS/PHARMACY # 00846	674 ISLINGTON STREET	PORTSMOUTH	NH	03801	01/01/2024
CHC25680-11	CVS MANCHESTER NH, L.L.C.	DBA: CVS/PHARMACY # 00846	674 ISLINGTON STREET	PORTSMOUTH	NH	03801	01/01/2024
CHC25680-19	CVS MANCHESTER NH, L.L.C.	DBA: CVS/PHARMACY # 00846	674 ISLINGTON STREET	PORTSMOUTH	NH	03801	01/01/2024
CHC25680-00	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00454	510 CONGRESS STREET	PORTLAND	ME	04101	07/01/2018
CHC25680-01	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00454	510 CONGRESS STREET	PORTLAND	ME	04101	07/01/2018
CHC25680-02	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00454	510 CONGRESS STREET	PORTLAND	ME	04101	07/01/2018
CHC25680-03	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00454	510 CONGRESS STREET	PORTLAND	ME	04101	07/01/2018
CHC25680-04	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00454	510 CONGRESS STREET	PORTLAND	ME	04101	07/01/2018
CHC25680-05	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00454	510 CONGRESS STREET	PORTLAND	ME	04101	07/01/2018
CHC25680-06	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00454	510 CONGRESS STREET	PORTLAND	ME	04101	07/01/2018
CHC25680-07	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00454	510 CONGRESS STREET	PORTLAND	ME	04101	07/01/2018
CHC25680-08	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00454	510 CONGRESS STREET	PORTLAND	ME	04101	07/01/2018
CHC25680-00	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00329	111 AUBURN ST.	PORTLAND	ME	04103	01/01/2019
CHC25680-00	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00374	449 FOREST AVENUE	PORTLAND	ME	04101	01/01/2019
CHC25680-00	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00608	1096 BRIGHTON AVE PINE TREE S/C	PORTLAND	ME	04102	01/01/2019	01/03/2020
CHC25680-00	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00804	1364 CONGRESS ST	PORTLAND	ME	04102-2103	01/01/2019
CHC25680-00	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00805	335 OCEAN HOUSE ROAD	CAPE ELIZABETH	ME	04107	01/01/2019
CHC25680-00	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00806	51 MARKET STREET MILL CREEK S/C	SOUTH PORTLAND	ME	04106	01/01/2019
CHC25680-01	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00329	111 AUBURN ST.	PORTLAND	ME	04103	01/01/2019
CHC25680-01	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00374	449 FOREST AVENUE	PORTLAND	ME	04101	01/01/2019
CHC25680-01	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00608	1096 BRIGHTON AVE PINE TREE S/C	PORTLAND	ME	04102	01/01/2019
CHC25680-01	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00804	1364 CONGRESS ST	PORTLAND	ME	04102-2103	01/01/2019
CHC25680-01	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00806	51 MARKET STREET MILL CREEK S/C	SOUTH PORTLAND	ME	04106	01/01/2019
CHC25680-01	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00805	335 OCEAN HOUSE ROAD	CAPE ELIZABETH	ME	04107	01/01/2019
CHC25680-00	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00803	870 MAIN STREET	WESTBROOK	ME	04092	01/01/2019
CHC25680-01	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00803	870 MAIN STREET	WESTBROOK	ME	04092	01/01/2019
CHC25680-02	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00374	449 FOREST AVENUE	PORTLAND	ME	04101	01/01/2019
CHC25680-02	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00608	1096 BRIGHTON AVE PINE TREE S/C	PORTLAND	ME	04102	01/01/2019	01/03/2020
CHC25680-02	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00804	1364 CONGRESS ST	PORTLAND	ME	04102-2103	01/01/2019
CHC25680-02	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00329	111 AUBURN ST.	PORTLAND	ME	04103	01/01/2019
CHC25680-02	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00806	51 MARKET STREET MILL CREEK S/C	SOUTH PORTLAND	ME	04106	01/01/2019
CHC25680-02	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00803	870 MAIN STREET	WESTBROOK	ME	04092	01/01/2019
CHC25680-02	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00805	335 OCEAN HOUSE ROAD	CAPE ELIZABETH	ME	04107	01/01/2019
CHC25680-03	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00329	111 AUBURN ST.	PORTLAND	ME	04103	01/01/2019
CHC25680-03	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00374	449 FOREST AVENUE	PORTLAND	ME	04101	01/01/2019
CHC25680-03	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00608	1096 BRIGHTON AVE PINE TREE S/C	PORTLAND	ME	04102	01/01/2019
CHC25680-03	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00803	870 MAIN STREET	WESTBROOK	ME	04092	01/01/2019
CHC25680-03	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00804	1364 CONGRESS ST	PORTLAND	ME	04102-2103	01/01/2019
CHC25680-03	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00806	51 MARKET STREET MILL CREEK S/C	SOUTH PORTLAND	ME	04106	01/01/2019
CHC25680-03	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00805	335 OCEAN HOUSE ROAD	CAPE ELIZABETH	ME	04107	01/01/2019
CHC25680-04	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00329	111 AUBURN ST.	PORTLAND	ME	04103	01/01/2019
CHC25680-04	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00374	449 FOREST AVENUE	PORTLAND	ME	04101	01/01/2019
CHC25680-04	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00608	1096 BRIGHTON AVE PINE TREE S/C	PORTLAND	ME	04102	01/01/2019
CHC25680-04	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00803	870 MAIN STREET	WESTBROOK	ME	04092	01/01/2019
CHC25680-04	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00804	1364 CONGRESS ST	PORTLAND	ME	04102-2103	01/01/2019
CHC25680-04	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00806	51 MARKET STREET MILL CREEK S/C	SOUTH PORTLAND	ME	04106	01/01/2019
CHC25680-04	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00805	335 OCEAN HOUSE ROAD	CAPE ELIZABETH	ME	04107	01/01/2019
CHC25680-05	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00374	449 FOREST AVENUE	PORTLAND	ME	04101	01/01/2019
CHC25680-05	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00803	870 MAIN STREET	WESTBROOK	ME	04092	01/01/2019
CHC25680-05	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00608	1096 BRIGHTON AVE PINE TREE S/C	PORTLAND	ME	04102	01/01/2019
CHC25680-05	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00804	1364 CONGRESS ST	PORTLAND	ME	04102-2103	01/01/2019
CHC25680-05	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00329	111 AUBURN ST.	PORTLAND	ME	04103	01/01/2019
CHC25680-05	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00806	51 MARKET STREET MILL CREEK S/C	SOUTH PORTLAND	ME	04106	01/01/2019
CHC25680-05	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00805	335 OCEAN HOUSE ROAD	CAPE ELIZABETH	ME	04107	01/01/2019
CHC25680-06	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00374	449 FOREST AVENUE	PORTLAND	ME	04101	01/01/2019
CHC25680-06	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00803	870 MAIN STREET	WESTBROOK	ME	04092	01/01/2019
CHC25680-06	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00608	1096 BRIGHTON AVE PINE TREE S/C	PORTLAND	ME	04102	01/01/2019
CHC25680-06	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00804	1364 CONGRESS ST	PORTLAND	ME	04102-2103	01/01/2019
CHC25680-06	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00329	111 AUBURN ST.	PORTLAND	ME	04103	01/01/2019
CHC25680-06	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00806	51 MARKET STREET MILL CREEK S/C	SOUTH PORTLAND	ME	04106	01/01/2019
CHC25680-06	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00805	335 OCEAN HOUSE ROAD	CAPE ELIZABETH	ME	04107	01/01/2019
CHC25680-07	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00374	449 FOREST AVENUE	PORTLAND	ME	04101	01/01/2019
CHC25680-07	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00803	870 MAIN STREET	WESTBROOK	ME	04092	01/01/2019
CHC25680-07	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00805	335 OCEAN HOUSE ROAD	CAPE ELIZABETH	ME	04107	01/01/2019
CHC25680-07	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00608	1096 BRIGHTON AVE PINE TREE S/C	PORTLAND	ME	04102	01/01/2019
CHC25680-07	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00804	1364 CONGRESS ST	PORTLAND	ME	04102-2103	01/01/2019
CHC25680-07	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00329	111 AUBURN ST.	PORTLAND	ME	04103	01/01/2019
CHC25680-07	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00806	51 MARKET STREET MILL CREEK S/C	SOUTH PORTLAND	ME	04106	01/01/2019
CHC25680-08	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00374	449 FOREST AVENUE	PORTLAND	ME	04101	01/01/2019
CHC25680-08	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00803	870 MAIN STREET	WESTBROOK	ME	04092	01/01/2019
CHC25680-08	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00608	1096 BRIGHTON AVE PINE TREE S/C	PORTLAND	ME	04102	01/01/2019
CHC25680-08	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00804	1364 CONGRESS ST	PORTLAND	ME	04102-2103	01/01/2019
CHC25680-08	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00329	111 AUBURN ST.	PORTLAND	ME	04103	01/01/2019
CHC25680-08	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00806	51 MARKET STREET MILL CREEK S/C	SOUTH PORTLAND	ME	04106	01/01/2019
CHC25680-08	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00805	335 OCEAN HOUSE ROAD	CAPE ELIZABETH	ME	04107	01/01/2019
CHC25680-00	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 08245	10 MIDDLE STREET	FREEPORT	ME	04032	07/01/2020
CHC25680-01	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 08245	10 MIDDLE STREET	FREEPORT	ME	04032	07/01/2020
CHC25680-02	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 08245	10 MIDDLE STREET	FREEPORT	ME	04032	07/01/2020
CHC25680-03	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 08245	10 MIDDLE STREET	FREEPORT	ME	04032	07/01/2020
CHC25680-04	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 08245	10 MIDDLE STREET	FREEPORT	ME	04032	07/01/2020
CHC25680-05	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 08245	10 MIDDLE STREET	FREEPORT	ME	04032	07/01/2020
CHC25680-06	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 08245	10 MIDDLE STREET	FREEPORT	ME	04032	07/01/2020
CHC25680-07	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 08245	10 MIDDLE STREET	FREEPORT	ME	04032	07/01/2020
CHC25680-08	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 08245	10 MIDDLE STREET	FREEPORT	ME	04032	07/01/2020
CHC25680-09	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 08245	10 MIDDLE STREET	FREEPORT	ME	04032	07/01/2020
CHC25680-10	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 08245	10 MIDDLE STREET	FREEPORT	ME	04032	07/01/2020
CHC25680-11	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 08245	10 MIDDLE STREET	FREEPORT	ME	04032	07/01/2020
CHC25680-09	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00374	449 FOREST AVENUE	PORTLAND	ME	04101	07/01/2020
CHC25680-09	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00803	870 MAIN STREET	WESTBROOK	ME	04092	07/01/2020
CHC25680-09	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00804	1364 CONGRESS ST	PORTLAND	ME	04102-2103	07/01/2020
CHC25680-09	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00329	111 AUBURN ST.	PORTLAND	ME	04103	07/01/2020
CHC25680-09	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00806	51 MARKET STREET MILL CREEK S/C	SOUTH PORTLAND	ME	04106	07/01/2020
CHC25680-09	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00805	335 OCEAN HOUSE ROAD	CAPE ELIZABETH	ME	04107	07/01/2020
CHC25680-10	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00374	449 FOREST AVENUE	PORTLAND	ME	04101	07/01/2020
CHC25680-10	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00803	870 MAIN STREET	WESTBROOK	ME	04092	07/01/2020
CHC25680-10	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00804	1364 CONGRESS ST	PORTLAND	ME	04102-2103	07/01/2020
CHC25680-10	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00329	111 AUBURN ST.	PORTLAND	ME	04103	07/01/2020
CHC25680-10	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00806	51 MARKET STREET MILL CREEK S/C	SOUTH PORTLAND	ME	04106	07/01/2020
CHC25680-10	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00805	335 OCEAN HOUSE ROAD	CAPE ELIZABETH	ME	04107	07/01/2020
CHC25680-11	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00374	449 FOREST AVENUE	PORTLAND	ME	04101	07/01/2020
CHC25680-11	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00803	870 MAIN STREET	WESTBROOK	ME	04092	07/01/2020
CHC25680-11	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00804	1364 CONGRESS ST	PORTLAND	ME	04102-2103	07/01/2020
CHC25680-11	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00329	111 AUBURN ST.	PORTLAND	ME	04103	07/01/2020
CHC25680-11	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00806	51 MARKET STREET MILL CREEK S/C	SOUTH PORTLAND	ME	04106	07/01/2020
CHC25680-11	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00805	335 OCEAN HOUSE ROAD	CAPE ELIZABETH	ME	04107	07/01/2020
CHC25680-11	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00454	510 CONGRESS STREET	PORTLAND	ME	04101	07/01/2020
CHC25680-10	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00454	510 CONGRESS STREET	PORTLAND	ME	04101	07/01/2020
CHC25680-09	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00454	510 CONGRESS STREET	PORTLAND	ME	04101	07/01/2020
CHC25680-00	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00143	384 ELM ST.	BIDDEFORD	ME	04005	01/01/2022
CHC25680-01	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00143	384 ELM ST.	BIDDEFORD	ME	04005	01/01/2022
CHC25680-02	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00143	384 ELM ST.	BIDDEFORD	ME	04005	01/01/2022
CHC25680-03	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00143	384 ELM ST.	BIDDEFORD	ME	04005	01/01/2022
CHC25680-04	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00143	384 ELM ST.	BIDDEFORD	ME	04005	01/01/2022
CHC25680-05	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00143	384 ELM ST.	BIDDEFORD	ME	04005	01/01/2022
CHC25680-06	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00143	384 ELM ST.	BIDDEFORD	ME	04005	01/01/2022
CHC25680-07	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00143	384 ELM ST.	BIDDEFORD	ME	04005	01/01/2022
CHC25680-08	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00143	384 ELM ST.	BIDDEFORD	ME	04005	01/01/2022
CHC25680-09	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00143	384 ELM ST.	BIDDEFORD	ME	04005	01/01/2022
CHC25680-10	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00143	384 ELM ST.	BIDDEFORD	ME	04005	01/01/2022
CHC25680-11	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00143	384 ELM ST.	BIDDEFORD	ME	04005	01/01/2022
CHC25680-12	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00143	384 ELM ST.	BIDDEFORD	ME	04005	01/01/2022
CHC25680-13	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00143	384 ELM ST.	BIDDEFORD	ME	04005	01/01/2022
CHC25680-14	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00143	384 ELM ST.	BIDDEFORD	ME	04005	01/01/2022	10/01/2024
CHC25680-13	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00374	449 FOREST AVENUE	PORTLAND	ME	04101	01/01/2022
CHC25680-13	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00454	510 CONGRESS STREET	PORTLAND	ME	04101	01/01/2022
CHC25680-13	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00806	51 MARKET STREET MILL CREEK S/C	SOUTH PORTLAND	ME	04106	01/01/2022
CHC25680-13	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00805	335 OCEAN HOUSE ROAD	CAPE ELIZABETH	ME	04107	01/01/2022
CHC25680-13	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 08245	10 MIDDLE STREET	FREEPORT	ME	04032	01/01/2022
CHC25680-13	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00804	1364 CONGRESS ST	PORTLAND	ME	04102-2103	01/01/2022
CHC25680-13	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00329	111 AUBURN ST.	PORTLAND	ME	04103	01/01/2022
CHC25680-13	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00803	870 MAIN STREET	WESTBROOK	ME	04092	01/01/2022
CHC25680-14	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00374	449 FOREST AVENUE	PORTLAND	ME	04101	01/01/2022	10/01/2024
CHC25680-14	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00454	510 CONGRESS STREET	PORTLAND	ME	04101	01/01/2022	10/01/2024
CHC25680-14	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00806	51 MARKET STREET MILL CREEK S/C	SOUTH PORTLAND	ME	04106	01/01/2022	10/01/2024
CHC25680-14	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00329	111 AUBURN ST.	PORTLAND	ME	04103	01/01/2022	10/01/2024
CHC25680-14	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00803	870 MAIN STREET	WESTBROOK	ME	04092	01/01/2022	10/01/2024
CHC25680-14	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00804	1364 CONGRESS ST	PORTLAND	ME	04102-2103	01/01/2022	10/01/2024
CHC25680-14	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00805	335 OCEAN HOUSE ROAD	CAPE ELIZABETH	ME	04107	01/01/2022	10/01/2024
CHC25680-12	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00803	870 MAIN STREET	WESTBROOK	ME	04092	01/01/2022
CHC25680-12	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00374	449 FOREST AVENUE	PORTLAND	ME	04101	01/01/2022
CHC25680-12	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00806	51 MARKET STREET MILL CREEK S/C	SOUTH PORTLAND	ME	04106	01/01/2022
CHC25680-12	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00454	510 CONGRESS STREET	PORTLAND	ME	04101	01/01/2022
CHC25680-12	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00805	335 OCEAN HOUSE ROAD	CAPE ELIZABETH	ME	04107	01/01/2022
CHC25680-12	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00804	1364 CONGRESS ST	PORTLAND	ME	04102-2103	01/01/2022
CHC25680-12	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 08245	10 MIDDLE STREET	FREEPORT	ME	04032	01/01/2022
CHC25680-17	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00143	384 ELM ST.	BIDDEFORD	ME	04005	07/01/2023
CHC25680-17	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 08245	10 MIDDLE STREET	FREEPORT	ME	04032	07/01/2023
CHC25680-17	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00803	870 MAIN STREET	WESTBROOK	ME	04092	07/01/2023
CHC25680-17	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00374	449 FOREST AVENUE	PORTLAND	ME	04101	07/01/2023
CHC25680-17	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00454	510 CONGRESS STREET	PORTLAND	ME	04101	07/01/2023
CHC25680-17	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00804	1364 CONGRESS ST	PORTLAND	ME	04102-2103	07/01/2023
CHC25680-17	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00329	111 AUBURN ST.	PORTLAND	ME	04103	07/01/2023
CHC25680-17	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00806	51 MARKET STREET MILL CREEK S/C	SOUTH PORTLAND	ME	04106	07/01/2023
CHC25680-17	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00805	335 OCEAN HOUSE ROAD	CAPE ELIZABETH	ME	04107	07/01/2023
CHC25680-15	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00143	384 ELM ST.	BIDDEFORD	ME	04005	07/01/2023
CHC25680-15	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 08245	10 MIDDLE STREET	FREEPORT	ME	04032	07/01/2023
CHC25680-15	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00803	870 MAIN STREET	WESTBROOK	ME	04092	07/01/2023
CHC25680-15	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00374	449 FOREST AVENUE	PORTLAND	ME	04101	07/01/2023
CHC25680-15	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00454	510 CONGRESS STREET	PORTLAND	ME	04101	07/01/2023
CHC25680-15	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00804	1364 CONGRESS ST	PORTLAND	ME	04102-2103	07/01/2023
CHC25680-15	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00329	111 AUBURN ST.	PORTLAND	ME	04103	07/01/2023
CHC25680-15	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00806	51 MARKET STREET MILL CREEK S/C	SOUTH PORTLAND	ME	04106	07/01/2023
CHC25680-15	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00805	335 OCEAN HOUSE ROAD	CAPE ELIZABETH	ME	04107	07/01/2023
CHC25680-18	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00143	384 ELM ST.	BIDDEFORD	ME	04005	01/01/2024
CHC25680-18	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00454	510 CONGRESS STREET	PORTLAND	ME	04101	01/01/2024
CHC25680-18	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 08245	10 MIDDLE STREET	FREEPORT	ME	04032	01/01/2024
CHC25680-18	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00806	51 MARKET STREET MILL CREEK S/C	SOUTH PORTLAND	ME	04106	01/01/2024
CHC25680-18	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00803	870 MAIN STREET	WESTBROOK	ME	04092	01/01/2024
CHC25680-18	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00374	449 FOREST AVENUE	PORTLAND	ME	04101	01/01/2024
CHC25680-18	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00804	1364 CONGRESS ST	PORTLAND	ME	04102-2103	01/01/2024
CHC25680-18	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00329	111 AUBURN ST.	PORTLAND	ME	04103	01/01/2024
CHC25680-18	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00805	335 OCEAN HOUSE ROAD	CAPE ELIZABETH	ME	04107	01/01/2024
CHC25680-19	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00806	51 MARKET STREET MILL CREEK S/C	SOUTH PORTLAND	ME	04106	01/01/2024
CHC25680-14	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 08245	10 MIDDLE STREET	FREEPORT	ME	04032	01/01/2024	10/01/2024
CHC25680-12	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00329	111 AUBURN ST.	PORTLAND	ME	04103	01/01/2024
CHC25680-19	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00454	510 CONGRESS STREET	PORTLAND	ME	04101	01/01/2024
CHC25680-19	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00804	1364 CONGRESS ST	PORTLAND	ME	04102-2103	01/01/2024
CHC25680-16	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00143	384 ELM ST.	BIDDEFORD	ME	04005	01/01/2024
CHC25680-19	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00805	335 OCEAN HOUSE ROAD	CAPE ELIZABETH	ME	04107	01/01/2024
CHC25680-19	CVS STATE CAPITAL, L.L.C.	DBA: CVS/PHARMACY # 00329	111 AUBURN ST.	PORTLAND	ME	04103	01/01/2024
CHC25680-00	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	CAREMARK, LLC	1001 SPINKS ROAD, STE 280	FLOWER MOUND	TX	75028	10/01/2022
CHC25680-17	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	CAREMARK, LLC	1001 SPINKS ROAD, STE 280	FLOWER MOUND	TX	75028	07/01/2023
CHC25680-15	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	CAREMARK, LLC	1001 SPINKS ROAD, STE 280	FLOWER MOUND	TX	75028	07/01/2023
CHC25680-16	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	CAREMARK, LLC	1001 SPINKS ROAD, STE 280	FLOWER MOUND	TX	75028	07/01/2023
CHC25680-02	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	CAREMARK, LLC	1001 SPINKS ROAD, STE 280	FLOWER MOUND	TX	75028	01/01/2024
CHC25680-18	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	CAREMARK, LLC	1001 SPINKS ROAD, STE 280	FLOWER MOUND	TX	75028	01/01/2024
CHC25680-04	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	CAREMARK, LLC	1001 SPINKS ROAD, STE 280	FLOWER MOUND	TX	75028	01/01/2024
CHC25680-14	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	CAREMARK, LLC	1001 SPINKS ROAD, STE 280	FLOWER MOUND	TX	75028	01/01/2024	10/01/2024
CHC25680-00	DOGWOOD PHARMACY LLC	D/B/A MEDSCRIPTS MEDICAL PHARMACY	1325 MILLER RD STE K	GREENVILLE	SC	29607-6541	07/01/2024
CHC25680-00	ESI MAIL PHARMACY SERVICE	DBA EXPRESS SCRIPTS	7909 S HARDY DR STE 106	TEMPE	AZ	85284-1112	04/01/2023
CHC25680-02	ESI MAIL PHARMACY SERVICE	DBA EXPRESS SCRIPTS	7909 S HARDY DR STE 106	TEMPE	AZ	85284-1112	04/01/2023
CHC25680-04	ESI MAIL PHARMACY SERVICE	DBA EXPRESS SCRIPTS	7909 S HARDY DR STE 106	TEMPE	AZ	85284-1112	04/01/2023
CHC25680-01	ESI MAIL PHARMACY SERVICE	DBA EXPRESS SCRIPTS	7909 S HARDY DR STE 106	TEMPE	AZ	85284-1112	04/01/2023
CHC25680-03	ESI MAIL PHARMACY SERVICE	DBA EXPRESS SCRIPTS	7909 S HARDY DR STE 106	TEMPE	AZ	85284-1112	04/01/2023
CHC25680-05	ESI MAIL PHARMACY SERVICE	DBA EXPRESS SCRIPTS	7909 S HARDY DR STE 106	TEMPE	AZ	85284-1112	04/01/2023
CHC25680-06	ESI MAIL PHARMACY SERVICE	DBA EXPRESS SCRIPTS	7909 S HARDY DR STE 106	TEMPE	AZ	85284-1112	04/01/2023
CHC25680-07	ESI MAIL PHARMACY SERVICE	DBA EXPRESS SCRIPTS	7909 S HARDY DR STE 106	TEMPE	AZ	85284-1112	04/01/2023
CHC25680-08	ESI MAIL PHARMACY SERVICE	DBA EXPRESS SCRIPTS	7909 S HARDY DR STE 106	TEMPE	AZ	85284-1112	04/01/2023
CHC25680-09	ESI MAIL PHARMACY SERVICE	DBA EXPRESS SCRIPTS	7909 S HARDY DR STE 106	TEMPE	AZ	85284-1112	04/01/2023
CHC25680-10	ESI MAIL PHARMACY SERVICE	DBA EXPRESS SCRIPTS	7909 S HARDY DR STE 106	TEMPE	AZ	85284-1112	04/01/2023
CHC25680-11	ESI MAIL PHARMACY SERVICE	DBA EXPRESS SCRIPTS	7909 S HARDY DR STE 106	TEMPE	AZ	85284-1112	04/01/2023
CHC25680-12	ESI MAIL PHARMACY SERVICE	DBA EXPRESS SCRIPTS	7909 S HARDY DR STE 106	TEMPE	AZ	85284-1112	04/01/2023
CHC25680-13	ESI MAIL PHARMACY SERVICE	DBA EXPRESS SCRIPTS	7909 S HARDY DR STE 106	TEMPE	AZ	85284-1112	04/01/2023
CHC25680-14	ESI MAIL PHARMACY SERVICE	DBA EXPRESS SCRIPTS	7909 S HARDY DR STE 106	TEMPE	AZ	85284-1112	04/01/2023	10/01/2024
CHC25680-17	ESI MAIL PHARMACY SERVICE	DBA EXPRESS SCRIPTS	7909 S HARDY DR STE 106	TEMPE	AZ	85284-1112	07/01/2023
CHC25680-15	ESI MAIL PHARMACY SERVICE	DBA EXPRESS SCRIPTS	7909 S HARDY DR STE 106	TEMPE	AZ	85284-1112	07/01/2023
CHC25680-18	ESI MAIL PHARMACY SERVICE	DBA EXPRESS SCRIPTS	7909 S HARDY DR STE 106	TEMPE	AZ	85284-1112	01/01/2024
CHC25680-00	EXPRESS SCRIPTS	ESI MAIL PHARMACY SERVICE INC	4600 N HANLEY RD	SAINT LOUIS	MO	63134	04/01/2023
CHC25680-02	EXPRESS SCRIPTS	ESI MAIL PHARMACY SERVICE INC	4600 N HANLEY RD	SAINT LOUIS	MO	63134	04/01/2023
CHC25680-04	EXPRESS SCRIPTS	ESI MAIL PHARMACY SERVICE INC	4600 N HANLEY RD	SAINT LOUIS	MO	63134	04/01/2023
CHC25680-01	EXPRESS SCRIPTS	ESI MAIL PHARMACY SERVICE INC	4600 N HANLEY RD	SAINT LOUIS	MO	63134	04/01/2023
CHC25680-03	EXPRESS SCRIPTS	ESI MAIL PHARMACY SERVICE INC	4600 N HANLEY RD	SAINT LOUIS	MO	63134	04/01/2023
CHC25680-05	EXPRESS SCRIPTS	ESI MAIL PHARMACY SERVICE INC	4600 N HANLEY RD	SAINT LOUIS	MO	63134	04/01/2023
CHC25680-06	EXPRESS SCRIPTS	ESI MAIL PHARMACY SERVICE INC	4600 N HANLEY RD	SAINT LOUIS	MO	63134	04/01/2023
CHC25680-07	EXPRESS SCRIPTS	ESI MAIL PHARMACY SERVICE INC	4600 N HANLEY RD	SAINT LOUIS	MO	63134	04/01/2023
CHC25680-08	EXPRESS SCRIPTS	ESI MAIL PHARMACY SERVICE INC	4600 N HANLEY RD	SAINT LOUIS	MO	63134	04/01/2023
CHC25680-09	EXPRESS SCRIPTS	ESI MAIL PHARMACY SERVICE INC	4600 N HANLEY RD	SAINT LOUIS	MO	63134	04/01/2023
CHC25680-10	EXPRESS SCRIPTS	ESI MAIL PHARMACY SERVICE INC	4600 N HANLEY RD	SAINT LOUIS	MO	63134	04/01/2023
CHC25680-11	EXPRESS SCRIPTS	ESI MAIL PHARMACY SERVICE INC	4600 N HANLEY RD	SAINT LOUIS	MO	63134	04/01/2023
CHC25680-12	EXPRESS SCRIPTS	ESI MAIL PHARMACY SERVICE INC	4600 N HANLEY RD	SAINT LOUIS	MO	63134	04/01/2023
CHC25680-13	EXPRESS SCRIPTS	ESI MAIL PHARMACY SERVICE INC	4600 N HANLEY RD	SAINT LOUIS	MO	63134	04/01/2023
CHC25680-14	EXPRESS SCRIPTS	ESI MAIL PHARMACY SERVICE INC	4600 N HANLEY RD	SAINT LOUIS	MO	63134	04/01/2023	10/01/2024
CHC25680-15	EXPRESS SCRIPTS	ESI MAIL PHARMACY SERVICE INC	4600 N HANLEY RD	SAINT LOUIS	MO	63134	07/01/2023
CHC25680-17	EXPRESS SCRIPTS	ESI MAIL PHARMACY SERVICE INC	4600 N HANLEY RD	SAINT LOUIS	MO	63134	07/01/2023
CHC25680-18	EXPRESS SCRIPTS	ESI MAIL PHARMACY SERVICE INC	4600 N HANLEY RD	SAINT LOUIS	MO	63134	01/01/2024
CHC25680-00	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	2040 ROUTE 130 NORTH	BURLINGTON	NJ	08016	04/01/2023
CHC25680-00	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	4750 E. 450 S.	WHITESTOWN	IN	46075	04/01/2023
CHC25680-02	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	4750 E. 450 S.	WHITESTOWN	IN	46075	04/01/2023
CHC25680-02	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	2040 ROUTE 130 NORTH	BURLINGTON	NJ	08016	04/01/2023
CHC25680-04	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	4750 E. 450 S.	WHITESTOWN	IN	46075	04/01/2023
CHC25680-04	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	2040 ROUTE 130 NORTH	BURLINGTON	NJ	08016	04/01/2023
CHC25680-01	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	4750 E. 450 S.	WHITESTOWN	IN	46075	04/01/2023
CHC25680-01	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	2040 ROUTE 130 NORTH	BURLINGTON	NJ	08016	04/01/2023
CHC25680-03	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	2040 ROUTE 130 NORTH	BURLINGTON	NJ	08016	04/01/2023
CHC25680-03	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	4750 E. 450 S.	WHITESTOWN	IN	46075	04/01/2023
CHC25680-05	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	4750 E. 450 S.	WHITESTOWN	IN	46075	04/01/2023
CHC25680-05	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	2040 ROUTE 130 NORTH	BURLINGTON	NJ	08016	04/01/2023
CHC25680-06	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	4750 E. 450 S.	WHITESTOWN	IN	46075	04/01/2023
CHC25680-06	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	2040 ROUTE 130 NORTH	BURLINGTON	NJ	08016	04/01/2023
CHC25680-07	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	2040 ROUTE 130 NORTH	BURLINGTON	NJ	08016	04/01/2023
CHC25680-07	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	4750 E. 450 S.	WHITESTOWN	IN	46075	04/01/2023
CHC25680-08	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	4750 E. 450 S.	WHITESTOWN	IN	46075	04/01/2023
CHC25680-08	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	2040 ROUTE 130 NORTH	BURLINGTON	NJ	08016	04/01/2023
CHC25680-09	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	2040 ROUTE 130 NORTH	BURLINGTON	NJ	08016	04/01/2023
CHC25680-09	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	4750 E. 450 S.	WHITESTOWN	IN	46075	04/01/2023
CHC25680-10	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	4750 E. 450 S.	WHITESTOWN	IN	46075	04/01/2023
CHC25680-10	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	2040 ROUTE 130 NORTH	BURLINGTON	NJ	08016	04/01/2023
CHC25680-11	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	2040 ROUTE 130 NORTH	BURLINGTON	NJ	08016	04/01/2023
CHC25680-11	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	4750 E. 450 S.	WHITESTOWN	IN	46075	04/01/2023
CHC25680-12	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	2040 ROUTE 130 NORTH	BURLINGTON	NJ	08016	04/01/2023
CHC25680-12	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	4750 E. 450 S.	WHITESTOWN	IN	46075	04/01/2023
CHC25680-13	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	2040 ROUTE 130 NORTH	BURLINGTON	NJ	08016	04/01/2023
CHC25680-13	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	4750 E. 450 S.	WHITESTOWN	IN	46075	04/01/2023
CHC25680-14	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	4750 E. 450 S.	WHITESTOWN	IN	46075	04/01/2023	10/01/2024
CHC25680-14	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	2040 ROUTE 130 NORTH	BURLINGTON	NJ	08016	04/01/2023	10/01/2024
CHC25680-15	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	2040 ROUTE 130 NORTH	BURLINGTON	NJ	08016	07/01/2023
CHC25680-15	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	4750 E. 450 S.	WHITESTOWN	IN	46075	07/01/2023
CHC25680-17	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	4750 E. 450 S.	WHITESTOWN	IN	46075	07/01/2023
CHC25680-17	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	2040 ROUTE 130 NORTH	BURLINGTON	NJ	08016	07/01/2023
CHC25680-18	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	4750 E. 450 S.	WHITESTOWN	IN	46075	01/01/2024
CHC25680-18	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	2040 ROUTE 130 NORTH	BURLINGTON	NJ	08016	01/01/2024
CHC25680-00	GENOA HEALTHCARE LLC	62 ELM STREET, SUITE 23, ROOM P		PORTLAND	ME	04101	01/01/2022
CHC25680-00	GENOA HEALTHCARE LLC	165 LANCASTER ST STE P		PORTLAND	ME	04101	01/01/2022
CHC25680-00	GENOA HEALTHCARE LLC	2 SPRINGBROOK DR STE 101		BIDDEFORD	ME	04005	01/01/2022
CHC25680-00	GENOA HEALTHCARE LLC	42 CEDAR STREET		BANGOR	ME	04401	01/01/2022
CHC25680-01	GENOA HEALTHCARE LLC	42 CEDAR STREET		BANGOR	ME	04401	01/01/2022
CHC25680-01	GENOA HEALTHCARE LLC	165 LANCASTER ST STE P		PORTLAND	ME	04101	01/01/2022
CHC25680-01	GENOA HEALTHCARE LLC	2 SPRINGBROOK DR STE 101		BIDDEFORD	ME	04005	01/01/2022
CHC25680-01	GENOA HEALTHCARE LLC	62 ELM STREET, SUITE 23, ROOM P		PORTLAND	ME	04101	01/01/2022
CHC25680-02	GENOA HEALTHCARE LLC	62 ELM STREET, SUITE 23, ROOM P		PORTLAND	ME	04101	01/01/2022
CHC25680-02	GENOA HEALTHCARE LLC	2 SPRINGBROOK DR STE 101		BIDDEFORD	ME	04005	01/01/2022
CHC25680-02	GENOA HEALTHCARE LLC	165 LANCASTER ST STE P		PORTLAND	ME	04101	01/01/2022
CHC25680-02	GENOA HEALTHCARE LLC	42 CEDAR STREET		BANGOR	ME	04401	01/01/2022
CHC25680-03	GENOA HEALTHCARE LLC	42 CEDAR STREET		BANGOR	ME	04401	01/01/2022
CHC25680-03	GENOA HEALTHCARE LLC	2 SPRINGBROOK DR STE 101		BIDDEFORD	ME	04005	01/01/2022
CHC25680-03	GENOA HEALTHCARE LLC	165 LANCASTER ST STE P		PORTLAND	ME	04101	01/01/2022
CHC25680-03	GENOA HEALTHCARE LLC	62 ELM STREET, SUITE 23, ROOM P		PORTLAND	ME	04101	01/01/2022
CHC25680-04	GENOA HEALTHCARE LLC	42 CEDAR STREET		BANGOR	ME	04401	01/01/2022
CHC25680-04	GENOA HEALTHCARE LLC	2 SPRINGBROOK DR STE 101		BIDDEFORD	ME	04005	01/01/2022
CHC25680-04	GENOA HEALTHCARE LLC	165 LANCASTER ST STE P		PORTLAND	ME	04101	01/01/2022
CHC25680-04	GENOA HEALTHCARE LLC	62 ELM STREET, SUITE 23, ROOM P		PORTLAND	ME	04101	01/01/2022
CHC25680-05	GENOA HEALTHCARE LLC	42 CEDAR STREET		BANGOR	ME	04401	01/01/2022
CHC25680-05	GENOA HEALTHCARE LLC	2 SPRINGBROOK DR STE 101		BIDDEFORD	ME	04005	01/01/2022
CHC25680-05	GENOA HEALTHCARE LLC	165 LANCASTER ST STE P		PORTLAND	ME	04101	01/01/2022
CHC25680-05	GENOA HEALTHCARE LLC	62 ELM STREET, SUITE 23, ROOM P		PORTLAND	ME	04101	01/01/2022
CHC25680-06	GENOA HEALTHCARE LLC	42 CEDAR STREET		BANGOR	ME	04401	01/01/2022
CHC25680-06	GENOA HEALTHCARE LLC	2 SPRINGBROOK DR STE 101		BIDDEFORD	ME	04005	01/01/2022
CHC25680-06	GENOA HEALTHCARE LLC	165 LANCASTER ST STE P		PORTLAND	ME	04101	01/01/2022
CHC25680-06	GENOA HEALTHCARE LLC	62 ELM STREET, SUITE 23, ROOM P		PORTLAND	ME	04101	01/01/2022
CHC25680-07	GENOA HEALTHCARE LLC	42 CEDAR STREET		BANGOR	ME	04401	01/01/2022
CHC25680-07	GENOA HEALTHCARE LLC	2 SPRINGBROOK DR STE 101		BIDDEFORD	ME	04005	01/01/2022
CHC25680-07	GENOA HEALTHCARE LLC	165 LANCASTER ST STE P		PORTLAND	ME	04101	01/01/2022
CHC25680-07	GENOA HEALTHCARE LLC	62 ELM STREET, SUITE 23, ROOM P		PORTLAND	ME	04101	01/01/2022
CHC25680-08	GENOA HEALTHCARE LLC	42 CEDAR STREET		BANGOR	ME	04401	01/01/2022
CHC25680-08	GENOA HEALTHCARE LLC	2 SPRINGBROOK DR STE 101		BIDDEFORD	ME	04005	01/01/2022
CHC25680-08	GENOA HEALTHCARE LLC	165 LANCASTER ST STE P		PORTLAND	ME	04101	01/01/2022
CHC25680-08	GENOA HEALTHCARE LLC	62 ELM STREET, SUITE 23, ROOM P		PORTLAND	ME	04101	01/01/2022
CHC25680-09	GENOA HEALTHCARE LLC	42 CEDAR STREET		BANGOR	ME	04401	01/01/2022
CHC25680-09	GENOA HEALTHCARE LLC	2 SPRINGBROOK DR STE 101		BIDDEFORD	ME	04005	01/01/2022
CHC25680-09	GENOA HEALTHCARE LLC	165 LANCASTER ST STE P		PORTLAND	ME	04101	01/01/2022
CHC25680-09	GENOA HEALTHCARE LLC	62 ELM STREET, SUITE 23, ROOM P		PORTLAND	ME	04101	01/01/2022
CHC25680-10	GENOA HEALTHCARE LLC	2 SPRINGBROOK DR STE 101		BIDDEFORD	ME	04005	01/01/2022
CHC25680-10	GENOA HEALTHCARE LLC	165 LANCASTER ST STE P		PORTLAND	ME	04101	01/01/2022
CHC25680-10	GENOA HEALTHCARE LLC	62 ELM STREET, SUITE 23, ROOM P		PORTLAND	ME	04101	01/01/2022
CHC25680-10	GENOA HEALTHCARE LLC	42 CEDAR STREET		BANGOR	ME	04401	01/01/2022
CHC25680-11	GENOA HEALTHCARE LLC	42 CEDAR STREET		BANGOR	ME	04401	01/01/2022
CHC25680-11	GENOA HEALTHCARE LLC	2 SPRINGBROOK DR STE 101		BIDDEFORD	ME	04005	01/01/2022
CHC25680-11	GENOA HEALTHCARE LLC	165 LANCASTER ST STE P		PORTLAND	ME	04101	01/01/2022
CHC25680-11	GENOA HEALTHCARE LLC	62 ELM STREET, SUITE 23, ROOM P		PORTLAND	ME	04101	01/01/2022
CHC25680-12	GENOA HEALTHCARE LLC	42 CEDAR STREET		BANGOR	ME	04401	01/01/2022
CHC25680-12	GENOA HEALTHCARE LLC	2 SPRINGBROOK DR STE 101		BIDDEFORD	ME	04005	01/01/2022
CHC25680-12	GENOA HEALTHCARE LLC	165 LANCASTER ST STE P		PORTLAND	ME	04101	01/01/2022
CHC25680-12	GENOA HEALTHCARE LLC	62 ELM STREET, SUITE 23, ROOM P		PORTLAND	ME	04101	01/01/2022
CHC25680-13	GENOA HEALTHCARE LLC	42 CEDAR STREET		BANGOR	ME	04401	01/01/2022
CHC25680-13	GENOA HEALTHCARE LLC	2 SPRINGBROOK DR STE 101		BIDDEFORD	ME	04005	01/01/2022
CHC25680-13	GENOA HEALTHCARE LLC	165 LANCASTER ST STE P		PORTLAND	ME	04101	01/01/2022
CHC25680-13	GENOA HEALTHCARE LLC	62 ELM STREET, SUITE 23, ROOM P		PORTLAND	ME	04101	01/01/2022
CHC25680-14	GENOA HEALTHCARE LLC	42 CEDAR STREET		BANGOR	ME	04401	01/01/2022	10/01/2024
CHC25680-14	GENOA HEALTHCARE LLC	2 SPRINGBROOK DR STE 101		BIDDEFORD	ME	04005	01/01/2022	10/01/2024
CHC25680-14	GENOA HEALTHCARE LLC	165 LANCASTER ST STE P		PORTLAND	ME	04101	01/01/2022	10/01/2024
CHC25680-14	GENOA HEALTHCARE LLC	62 ELM STREET, SUITE 23, ROOM P		PORTLAND	ME	04101	01/01/2022	10/01/2024
CHC25680-17	GENOA HEALTHCARE LLC	42 CEDAR STREET		BANGOR	ME	04401	07/01/2023
CHC25680-17	GENOA HEALTHCARE LLC	2 SPRINGBROOK DR STE 101		BIDDEFORD	ME	04005	07/01/2023
CHC25680-17	GENOA HEALTHCARE LLC	165 LANCASTER ST STE P		PORTLAND	ME	04101	07/01/2023
CHC25680-17	GENOA HEALTHCARE LLC	62 ELM STREET, SUITE 23, ROOM P		PORTLAND	ME	04101	07/01/2023
CHC25680-15	GENOA HEALTHCARE LLC	42 CEDAR STREET		BANGOR	ME	04401	07/01/2023
CHC25680-15	GENOA HEALTHCARE LLC	2 SPRINGBROOK DR STE 101		BIDDEFORD	ME	04005	07/01/2023
CHC25680-15	GENOA HEALTHCARE LLC	165 LANCASTER ST STE P		PORTLAND	ME	04101	07/01/2023
CHC25680-15	GENOA HEALTHCARE LLC	62 ELM STREET, SUITE 23, ROOM P		PORTLAND	ME	04101	01/01/2024
CHC25680-18	GENOA HEALTHCARE LLC	42 CEDAR STREET		BANGOR	ME	04401	01/01/2024
CHC25680-18	GENOA HEALTHCARE LLC	2 SPRINGBROOK DR STE 101		BIDDEFORD	ME	04005	01/01/2024
CHC25680-18	GENOA HEALTHCARE LLC	165 LANCASTER ST STE P		PORTLAND	ME	04101	01/01/2024
CHC25680-18	GENOA HEALTHCARE LLC	62 ELM STREET, SUITE 23, ROOM P		PORTLAND	ME	04101	01/01/2024
CHC25680-00	PROCARE PHARMACY DIRECT, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	105 MALL BOULEVARD	MONROEVILLE	PA	15146	10/01/2022
CHC25680-17	PROCARE PHARMACY DIRECT, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	105 MALL BOULEVARD	MONROEVILLE	PA	15146	07/01/2023
CHC25680-15	PROCARE PHARMACY DIRECT, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	105 MALL BOULEVARD	MONROEVILLE	PA	15146	07/01/2023
CHC25680-16	PROCARE PHARMACY DIRECT, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	105 MALL BOULEVARD	MONROEVILLE	PA	15146	07/01/2023
CHC25680-18	PROCARE PHARMACY DIRECT, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	105 MALL BOULEVARD	MONROEVILLE	PA	15146	01/01/2024
CHC25680-12	PROCARE PHARMACY DIRECT, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	105 MALL BOULEVARD	MONROEVILLE	PA	15146	01/01/2024
CHC25680-02	PROCARE PHARMACY DIRECT, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	105 MALL BOULEVARD	MONROEVILLE	PA	15146	01/01/2024
CHC25680-04	PROCARE PHARMACY DIRECT, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	105 MALL BOULEVARD	MONROEVILLE	PA	15146	01/01/2024
CHC25680-00	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY #48611	141 PREBLE STREET	PORTLAND	ME	04101	01/12/2018
CHC25680-01	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY #48611	141 PREBLE STREET	PORTLAND	ME	04101	04/01/2018
CHC25680-02	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY #48611	141 PREBLE STREET	PORTLAND	ME	04101	04/01/2018
CHC25680-03	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY #48611	141 PREBLE STREET	PORTLAND	ME	04101	04/01/2018
CHC25680-08	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY #48611	141 PREBLE STREET	PORTLAND	ME	04101	04/01/2018
CHC25680-07	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY #48611	141 PREBLE STREET	PORTLAND	ME	04101	04/01/2018
CHC25680-06	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY #48611	141 PREBLE STREET	PORTLAND	ME	04101	04/01/2018
CHC25680-05	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY #48611	141 PREBLE STREET	PORTLAND	ME	04101	04/01/2018	01/09/2018
CHC25680-04	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY #48611	141 PREBLE STREET	PORTLAND	ME	04101	04/01/2018
CHC25680-05	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY #48611	141 PREBLE STREET	PORTLAND	ME	04101	04/01/2018
CHC25680-09	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY #48611	141 PREBLE STREET	PORTLAND	ME	04101	07/01/2020
CHC25680-10	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY #48611	141 PREBLE STREET	PORTLAND	ME	04101	07/01/2020
CHC25680-11	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY #48611	141 PREBLE STREET	PORTLAND	ME	04101	07/01/2020
CHC25680-13	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY #48611	141 PREBLE STREET	PORTLAND	ME	04101	01/01/2022
CHC25680-14	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY #48611	141 PREBLE STREET	PORTLAND	ME	04101	01/01/2022	10/01/2024
CHC25680-12	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY #48611	141 PREBLE STREET	PORTLAND	ME	04101	01/01/2022
CHC25680-00	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY #2909	1521 4TH AVE., SOUTH	BIRMINGHAM	AL	35233	10/01/2022
CHC25680-00	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY OR CARELONRX SPECIALTY	ONE WATERFRONT PLAZA 500 ALA MOANA BLVD., BLDG 1	HONOLULU	HI	96813	10/01/2022
CHC25680-00	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY #2923	3250 HARDEN ST. EXT. SUITE #300	COLUMBIA	SC	29203	10/01/2022
CHC25680-15	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY #48611	141 PREBLE STREET	PORTLAND	ME	04101	07/01/2023
CHC25680-17	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY OR CARELONRX SPECIALTY	ONE WATERFRONT PLAZA 500 ALA MOANA BLVD., BLDG 1	HONOLULU	HI	96813	07/01/2023
CHC25680-17	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY #2923	3250 HARDEN ST. EXT. SUITE #300	COLUMBIA	SC	29203	07/01/2023
CHC25680-17	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY #2909	1521 4TH AVE., SOUTH	BIRMINGHAM	AL	35233	07/01/2023
CHC25680-17	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY #48611	141 PREBLE STREET	PORTLAND	ME	04101	07/01/2023
CHC25680-15	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY OR CARELONRX SPECIALTY	ONE WATERFRONT PLAZA 500 ALA MOANA BLVD., BLDG 1	HONOLULU	HI	96813	07/01/2023
CHC25680-15	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY #2923	3250 HARDEN ST. EXT. SUITE #300	COLUMBIA	SC	29203	07/01/2023
CHC25680-15	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY #2909	1521 4TH AVE., SOUTH	BIRMINGHAM	AL	35233	07/01/2023
CHC25680-18	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY #48611	141 PREBLE STREET	PORTLAND	ME	04101	01/01/2024
CHC25680-04	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY #2909	1521 4TH AVE., SOUTH	BIRMINGHAM	AL	35233	01/01/2024
CHC25680-18	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY OR CARELONRX SPECIALTY	ONE WATERFRONT PLAZA 500 ALA MOANA BLVD., BLDG 1	HONOLULU	HI	96813	01/01/2024
CHC25680-18	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY #2923	3250 HARDEN ST. EXT. SUITE #300	COLUMBIA	SC	29203	01/01/2024
CHC25680-18	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY #2909	1521 4TH AVE., SOUTH	BIRMINGHAM	AL	35233	01/01/2024
CHC25680-02	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY OR CARELONRX SPECIALTY	ONE WATERFRONT PLAZA 500 ALA MOANA BLVD., BLDG 1	HONOLULU	HI	96813	01/01/2024
CHC25680-02	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY #2923	3250 HARDEN ST. EXT. SUITE #300	COLUMBIA	SC	29203	01/01/2024
CHC25680-02	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY #2909	1521 4TH AVE., SOUTH	BIRMINGHAM	AL	35233	01/01/2024
CHC25680-04	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY OR CARELONRX SPECIALTY	ONE WATERFRONT PLAZA 500 ALA MOANA BLVD., BLDG 1	HONOLULU	HI	96813	01/01/2024
CHC25680-04	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY #2923	3250 HARDEN ST. EXT. SUITE #300	COLUMBIA	SC	29203	01/01/2024
CHC25680-16	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY #48611	141 PREBLE STREET	PORTLAND	ME	04101	01/01/2024
CHC25680-19	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY #48611	141 PREBLE STREET	PORTLAND	ME	04101	01/01/2024
CHC25680-16	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY OR CARELONRX SPECIALTY	ONE WATERFRONT PLAZA 500 ALA MOANA BLVD., BLDG 1	HONOLULU	HI	96813	01/01/2024
CHC25680-00	RAINA RX LLC	DBA ROUTE 300 PHARMACY	1208 ROUTE 300 SUITE 103	NEWBURGH	NY	12550	07/01/2024
CHC25680-01	RITE AID OF MAINE, INC.	RITE AID #4133	701 FOREST AVENUE	PORTLAND	ME	04103	07/01/2018	06/11/2018
CHC25680-01	RITE AID OF MAINE, INC.	RITE AID #3277	290 CONGRESS STREET	PORTLAND	ME	04101	07/01/2018
CHC25680-01	RITE AID OF MAINE, INC.	RITE AID #4132	279 MAIN STREET	SOUTH PORTLAND	ME	04106	07/01/2018
CHC25680-02	RITE AID OF MAINE, INC.	RITE AID #4133	701 FOREST AVENUE	PORTLAND	ME	04103	07/01/2018	06/11/2018
CHC25680-02	RITE AID OF MAINE, INC.	RITE AID #4132	279 MAIN STREET	SOUTH PORTLAND	ME	04106	07/01/2018
CHC25680-03	RITE AID OF MAINE, INC.	RITE AID #4133	701 FOREST AVENUE	PORTLAND	ME	04103	07/01/2018	06/11/2018
CHC25680-03	RITE AID OF MAINE, INC.	RITE AID #3277	290 CONGRESS STREET	PORTLAND	ME	04101	07/01/2018
CHC25680-04	RITE AID OF MAINE, INC.	RITE AID #4133	701 FOREST AVENUE	PORTLAND	ME	04103	07/01/2018	06/11/2018
CHC25680-05	RITE AID OF MAINE, INC.	RITE AID #4133	701 FOREST AVENUE	PORTLAND	ME	04103	07/01/2018	06/11/2018
CHC25680-05	RITE AID OF MAINE, INC.	RITE AID #4132	279 MAIN STREET	SOUTH PORTLAND	ME	04106	07/01/2018
CHC25680-06	RITE AID OF MAINE, INC.	RITE AID #4133	701 FOREST AVENUE	PORTLAND	ME	04103	07/01/2018	06/11/2018
CHC25680-07	RITE AID OF MAINE, INC.	RITE AID #4133	701 FOREST AVENUE	PORTLAND	ME	04103	07/01/2018	06/11/2018
CHC25680-07	RITE AID OF MAINE, INC.	RITE AID #3277	290 CONGRESS STREET	PORTLAND	ME	04101	07/01/2018
CHC25680-08	RITE AID OF MAINE, INC.	RITE AID #4133	701 FOREST AVENUE	PORTLAND	ME	04103	07/01/2018	06/11/2018
CHC25680-08	RITE AID OF MAINE, INC.	RITE AID #4132	279 MAIN STREET	SOUTH PORTLAND	ME	04106	07/01/2018
CHC25680-00	RITE AID OF MAINE, INC.	RITE AID #4660	698 MINOT AVENUE	AUBURN	ME	04210	07/01/2019	04/14/2019
CHC25680-01	RITE AID OF MAINE, INC.	RITE AID #4660	698 MINOT AVENUE	AUBURN	ME	04210	07/01/2019	04/14/2019
CHC25680-02	RITE AID OF MAINE, INC.	RITE AID #4660	698 MINOT AVENUE	AUBURN	ME	04210	07/01/2019	04/14/2019
CHC25680-03	RITE AID OF MAINE, INC.	RITE AID #4660	698 MINOT AVENUE	AUBURN	ME	04210	07/01/2019	04/14/2019
CHC25680-05	RITE AID OF MAINE, INC.	RITE AID #4660	698 MINOT AVENUE	AUBURN	ME	04210	07/01/2019	04/14/2019
CHC25680-06	RITE AID OF MAINE, INC.	RITE AID #4660	698 MINOT AVENUE	AUBURN	ME	04210	07/01/2019	04/14/2019
CHC25680-08	RITE AID OF MAINE, INC.	RITE AID #4660	698 MINOT AVENUE	AUBURN	ME	04210	07/01/2019	04/14/2019
CHC25680-07	RITE AID OF MAINE, INC.	RITE AID #4660	698 MINOT AVENUE	AUBURN	ME	04210	07/01/2019	04/14/2019
CHC25680-17	RITE AID OF MAINE, INC.	RITE AID #3277	290 CONGRESS STREET	PORTLAND	ME	04101	07/01/2023
CHC25680-17	RITE AID OF MAINE, INC.	RITE AID #4132	279 MAIN STREET	SOUTH PORTLAND	ME	04106	07/01/2023
CHC25680-15	RITE AID OF MAINE, INC.	RITE AID #3277	290 CONGRESS STREET	PORTLAND	ME	04101	07/01/2023
CHC25680-15	RITE AID OF MAINE, INC.	RITE AID #4132	279 MAIN STREET	SOUTH PORTLAND	ME	04106	07/01/2023
CHC25680-07	RITE AID OF MAINE, INC.	RITE AID #4132	279 MAIN STREET	SOUTH PORTLAND	ME	04106	01/01/2024	10/15/2023
CHC25680-00	RIVER MEDICAL PHARMACY LLC	4752 RESEARCH DR		SAN ANTONIO	TX	78240-5002	07/01/2024
CHC25680-00	SANTA BARBARA SPECIALTY PHARMACY LLC	4690 CARPINTERIA AVE STE B		CARPINTERIA	CA	93013	07/01/2024
CHC25680-00	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	01/01/2025
CHC25680-00	WAL-MART PHARMACY 10-1788	500 GALLERY BLVD		SCARBOROUGH	ME	04074	01/01/2025
CHC25680-00	WAL-MART PHARMACY 10-1797	55 THOMASTON COMMONS WAY		THOMASTON	ME	04861	01/01/2025
CHC25680-00	WAL-MART PHARMACY 10-1866	615 WILTON ROAD		FARMINGTON	ME	04938	01/01/2025
CHC25680-00	WAL-MART PHARMACY 10-1868	100 MT AUBURN AVE		AUBURN	ME	04210	01/01/2025
CHC25680-00	WAL-MART PHARMACY 10-1939	15 TIBBETTS DRIVE		BRUNSWICK	ME	04011	01/01/2025
CHC25680-00	WAL-MART PHARMACY 10-1954	1930 MAIN STREET		SANFORD	ME	04073	01/01/2025
CHC25680-00	WAL-MART PHARMACY 10-2013	80 WATERVILLE COMMONS DRIVE		WATERVILLE	ME	04901	01/01/2025
CHC25680-00	WAL-MART PHARMACY 10-2046	201 CIVIC CENTER DRIVE		AUGUSTA	ME	04330	01/01/2025
CHC25680-00	WAL-MART PHARMACY 10-2140	46 NORTH SOUTH RD		NORTH CONWAY	NH	03860	01/01/2025
CHC25680-00	WAL-MART PHARMACY 10-2153	50 BOULDER WAY		BIDDEFORD	ME	04005	01/01/2025
CHC25680-00	WAL-MART PHARMACY 10-2183	1240 MAIN STREET 1 RT.26		OXFORD	ME	04270	01/01/2025
CHC25680-00	WAL-MART PHARMACY 10-2202	30 LANDING ROAD		WINDHAM	ME	04062	01/01/2025
CHC25680-00	WAL-MART PHARMACY 10-2659	206 U.S. ROUTE 1		FALMOUTH	ME	04105	01/01/2025
CHC25680-00	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	01/01/2025
CHC25680-00	WALGREEN EASTERN CO INC	WALGREENS SPECIALTY PHARMACY #15307	21 STANHOPE STREET #23	BOSTON	MA	02116	07/01/2023
CHC25680-01	WALGREEN EASTERN CO INC	WALGREENS SPECIALTY PHARMACY #15307	21 STANHOPE STREET #23	BOSTON	MA	02116	07/01/2023
CHC25680-02	WALGREEN EASTERN CO INC	WALGREENS SPECIALTY PHARMACY #15307	21 STANHOPE STREET #23	BOSTON	MA	02116	07/01/2023
CHC25680-03	WALGREEN EASTERN CO INC	WALGREENS SPECIALTY PHARMACY #15307	21 STANHOPE STREET #23	BOSTON	MA	02116	07/01/2023
CHC25680-04	WALGREEN EASTERN CO INC	WALGREENS SPECIALTY PHARMACY #15307	21 STANHOPE STREET #23	BOSTON	MA	02116	07/01/2023
CHC25680-05	WALGREEN EASTERN CO INC	WALGREENS SPECIALTY PHARMACY #15307	21 STANHOPE STREET #23	BOSTON	MA	02116	07/01/2023
CHC25680-06	WALGREEN EASTERN CO INC	WALGREENS SPECIALTY PHARMACY #15307	21 STANHOPE STREET #23	BOSTON	MA	02116	07/01/2023
CHC25680-07	WALGREEN EASTERN CO INC	WALGREENS SPECIALTY PHARMACY #15307	21 STANHOPE STREET #23	BOSTON	MA	02116	07/01/2023
CHC25680-08	WALGREEN EASTERN CO INC	WALGREENS SPECIALTY PHARMACY #15307	21 STANHOPE STREET #23	BOSTON	MA	02116	07/01/2023
CHC25680-09	WALGREEN EASTERN CO INC	WALGREENS SPECIALTY PHARMACY #15307	21 STANHOPE STREET #23	BOSTON	MA	02116	07/01/2023
CHC25680-10	WALGREEN EASTERN CO INC	WALGREENS SPECIALTY PHARMACY #15307	21 STANHOPE STREET #23	BOSTON	MA	02116	07/01/2023
CHC25680-11	WALGREEN EASTERN CO INC	WALGREENS SPECIALTY PHARMACY #15307	21 STANHOPE STREET #23	BOSTON	MA	02116	07/01/2023
CHC25680-12	WALGREEN EASTERN CO INC	WALGREENS SPECIALTY PHARMACY #15307	21 STANHOPE STREET #23	BOSTON	MA	02116	07/01/2023
CHC25680-13	WALGREEN EASTERN CO INC	WALGREENS SPECIALTY PHARMACY #15307	21 STANHOPE STREET #23	BOSTON	MA	02116	07/01/2023
CHC25680-14	WALGREEN EASTERN CO INC	WALGREENS SPECIALTY PHARMACY #15307	21 STANHOPE STREET #23	BOSTON	MA	02116	07/01/2023	10/01/2024
CHC25680-15	WALGREEN EASTERN CO INC	WALGREENS SPECIALTY PHARMACY #15307	21 STANHOPE STREET #23	BOSTON	MA	02116	07/01/2023
CHC25680-16	WALGREEN EASTERN CO INC	WALGREENS SPECIALTY PHARMACY #15307	21 STANHOPE STREET #23	BOSTON	MA	02116	07/01/2023
CHC25680-17	WALGREEN EASTERN CO INC	WALGREENS SPECIALTY PHARMACY #15307	21 STANHOPE STREET #23	BOSTON	MA	02116	07/01/2023
CHC25680-18	WALGREEN EASTERN CO INC	WALGREENS SPECIALTY PHARMACY #15307	21 STANHOPE STREET #23	BOSTON	MA	02116	01/01/2024
CHC25680-00	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #11886	127 MARGINAL WAY STE 3	PORTLAND	ME	04101	04/01/2014
CHC25680-00	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #12325	616 FOREST AVE	PORTLAND	ME	04101-1510	01/01/2015
CHC25680-03	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #11886	127 MARGINAL WAY STE 3	PORTLAND	ME	04101	07/01/2015
CHC25680-03	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #12325	616 FOREST AVE	PORTLAND	ME	04101-1510	07/01/2015
CHC25680-02	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #11886	127 MARGINAL WAY STE 3	PORTLAND	ME	04101	07/01/2015
CHC25680-02	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #12325	616 FOREST AVE	PORTLAND	ME	04101-1510	07/01/2015
CHC25680-01	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #11886	127 MARGINAL WAY STE 3	PORTLAND	ME	04101	07/01/2015
CHC25680-01	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #12325	616 FOREST AVE	PORTLAND	ME	04101-1510	07/01/2015
CHC25680-00	WALGREEN EASTERN CO., INC.	RITE AID #04133	701 FOREST AVE	PORTLAND	ME	04103	07/01/2018	06/11/2018
CHC25680-00	WALGREEN EASTERN CO., INC.	WALGREENS #19078	465 MAIN ST	WESTBROOK	ME	04092	07/01/2018
CHC25680-00	WALGREEN EASTERN CO., INC.	WALGREENS #19464	290 CONGRESS ST STE 4	PORTLAND	ME	04101	07/01/2018
CHC25680-00	WALGREEN EASTERN CO., INC.	WALGREENS #19678	279 MAIN ST	SOUTH PORTLAND	ME	04106-2629	07/01/2018
CHC25680-00	WALGREEN EASTERN CO., INC.	WALGREENS #19821	713 CONGRESS ST	PORTLAND	ME	04102	07/01/2018
CHC25680-01	WALGREEN EASTERN CO., INC.	WALGREENS #19078	465 MAIN ST	WESTBROOK	ME	04092	07/01/2018
CHC25680-01	WALGREEN EASTERN CO., INC.	WALGREENS #19821	713 CONGRESS ST	PORTLAND	ME	04102	07/01/2018
CHC25680-02	WALGREEN EASTERN CO., INC.	WALGREENS #19078	465 MAIN ST	WESTBROOK	ME	04092	07/01/2018
CHC25680-02	WALGREEN EASTERN CO., INC.	WALGREENS #19464	290 CONGRESS ST STE 4	PORTLAND	ME	04101	07/01/2018
CHC25680-02	WALGREEN EASTERN CO., INC.	WALGREENS #19821	713 CONGRESS ST	PORTLAND	ME	04102	07/01/2018
CHC25680-03	WALGREEN EASTERN CO., INC.	WALGREENS #19078	465 MAIN ST	WESTBROOK	ME	04092	07/01/2018
CHC25680-03	WALGREEN EASTERN CO., INC.	WALGREENS #19678	279 MAIN ST	SOUTH PORTLAND	ME	04106-2629	07/01/2018
CHC25680-03	WALGREEN EASTERN CO., INC.	WALGREENS #19821	713 CONGRESS ST	PORTLAND	ME	04102	07/01/2018
CHC25680-04	WALGREEN EASTERN CO., INC.	WALGREENS #19078	465 MAIN ST	WESTBROOK	ME	04092	07/01/2018
CHC25680-04	WALGREEN EASTERN CO., INC.	WALGREENS #19464	290 CONGRESS ST STE 4	PORTLAND	ME	04101	07/01/2018
CHC25680-04	WALGREEN EASTERN CO., INC.	WALGREENS #19678	279 MAIN ST	SOUTH PORTLAND	ME	04106-2629	07/01/2018
CHC25680-04	WALGREEN EASTERN CO., INC.	WALGREENS #19821	713 CONGRESS ST	PORTLAND	ME	04102	07/01/2018
CHC25680-05	WALGREEN EASTERN CO., INC.	WALGREENS #19078	465 MAIN ST	WESTBROOK	ME	04092	07/01/2018
CHC25680-05	WALGREEN EASTERN CO., INC.	WALGREENS #19464	290 CONGRESS ST STE 4	PORTLAND	ME	04101	07/01/2018
CHC25680-05	WALGREEN EASTERN CO., INC.	WALGREENS #19821	713 CONGRESS ST	PORTLAND	ME	04102	07/01/2018
CHC25680-06	WALGREEN EASTERN CO., INC.	WALGREENS #19078	465 MAIN ST	WESTBROOK	ME	04092	07/01/2018
CHC25680-06	WALGREEN EASTERN CO., INC.	WALGREENS #19464	290 CONGRESS ST STE 4	PORTLAND	ME	04101	07/01/2018
CHC25680-06	WALGREEN EASTERN CO., INC.	WALGREENS #19678	279 MAIN ST	SOUTH PORTLAND	ME	04106-2629	07/01/2018
CHC25680-06	WALGREEN EASTERN CO., INC.	WALGREENS #19821	713 CONGRESS ST	PORTLAND	ME	04102	07/01/2018
CHC25680-07	WALGREEN EASTERN CO., INC.	WALGREENS #19078	465 MAIN ST	WESTBROOK	ME	04092	07/01/2018
CHC25680-07	WALGREEN EASTERN CO., INC.	WALGREENS #19678	279 MAIN ST	SOUTH PORTLAND	ME	04106-2629	07/01/2018
CHC25680-07	WALGREEN EASTERN CO., INC.	WALGREENS #19821	713 CONGRESS ST	PORTLAND	ME	04102	07/01/2018
CHC25680-08	WALGREEN EASTERN CO., INC.	WALGREENS #19078	465 MAIN ST	WESTBROOK	ME	04092	07/01/2018
CHC25680-08	WALGREEN EASTERN CO., INC.	WALGREENS #19464	290 CONGRESS ST STE 4	PORTLAND	ME	04101	07/01/2018
CHC25680-08	WALGREEN EASTERN CO., INC.	WALGREENS #19821	713 CONGRESS ST	PORTLAND	ME	04102	07/01/2018
CHC25680-00	WALGREEN EASTERN CO., INC.	WALGREENS #19461	33 DEPOT RD	FALMOUTH	ME	04105	01/01/2019
CHC25680-01	WALGREEN EASTERN CO., INC.	WALGREENS #19461	33 DEPOT RD	FALMOUTH	ME	04105	01/01/2019
CHC25680-02	WALGREEN EASTERN CO., INC.	WALGREENS #19461	33 DEPOT RD	FALMOUTH	ME	04105	01/01/2019
CHC25680-03	WALGREEN EASTERN CO., INC.	WALGREENS #19461	33 DEPOT RD	FALMOUTH	ME	04105	01/01/2019
CHC25680-04	WALGREEN EASTERN CO., INC.	WALGREENS #19461	33 DEPOT RD	FALMOUTH	ME	04105	01/01/2019
CHC25680-05	WALGREEN EASTERN CO., INC.	WALGREENS #19461	33 DEPOT RD	FALMOUTH	ME	04105	01/01/2019
CHC25680-06	WALGREEN EASTERN CO., INC.	WALGREENS #19461	33 DEPOT RD	FALMOUTH	ME	04105	01/01/2019
CHC25680-07	WALGREEN EASTERN CO., INC.	WALGREENS #19461	33 DEPOT RD	FALMOUTH	ME	04105	01/01/2019
CHC25680-08	WALGREEN EASTERN CO., INC.	WALGREENS #19461	33 DEPOT RD	FALMOUTH	ME	04105	01/01/2019
CHC25680-00	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #19162	698 MINOT AVE	AUBURN	ME	04210	07/01/2019
CHC25680-01	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #19162	698 MINOT AVE	AUBURN	ME	04210	07/01/2019
CHC25680-02	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #19162	698 MINOT AVE	AUBURN	ME	04210	07/01/2019
CHC25680-03	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #19162	698 MINOT AVE	AUBURN	ME	04210	07/01/2019
CHC25680-04	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #19162	698 MINOT AVE	AUBURN	ME	04210	07/01/2019
CHC25680-05	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #19162	698 MINOT AVE	AUBURN	ME	04210	07/01/2019
CHC25680-08	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #19162	698 MINOT AVE	AUBURN	ME	04210	07/01/2019
CHC25680-06	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #19162	698 MINOT AVE	AUBURN	ME	04210	07/01/2019
CHC25680-07	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #19162	698 MINOT AVE	AUBURN	ME	04210	07/01/2019
CHC25680-09	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #11886	127 MARGINAL WAY STE 3	PORTLAND	ME	04101	07/01/2020
CHC25680-09	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #12325	616 FOREST AVE	PORTLAND	ME	04101-1510	07/01/2020
CHC25680-09	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #19162	698 MINOT AVE	AUBURN	ME	04210	07/01/2020
CHC25680-09	WALGREEN EASTERN CO., INC.	WALGREENS #19078	465 MAIN ST	WESTBROOK	ME	04092	07/01/2020
CHC25680-09	WALGREEN EASTERN CO., INC.	WALGREENS #19464	290 CONGRESS ST STE 4	PORTLAND	ME	04101	07/01/2020
CHC25680-09	WALGREEN EASTERN CO., INC.	WALGREENS #19821	713 CONGRESS ST	PORTLAND	ME	04102	07/01/2020
CHC25680-09	WALGREEN EASTERN CO., INC.	WALGREENS #19461	33 DEPOT RD	FALMOUTH	ME	04105	07/01/2020
CHC25680-09	WALGREEN EASTERN CO., INC.	WALGREENS #19678	279 MAIN ST	SOUTH PORTLAND	ME	04106-2629	07/01/2020
CHC25680-10	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #11886	127 MARGINAL WAY STE 3	PORTLAND	ME	04101	07/01/2020
CHC25680-10	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #12325	616 FOREST AVE	PORTLAND	ME	04101-1510	07/01/2020
CHC25680-10	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #19162	698 MINOT AVE	AUBURN	ME	04210	07/01/2020
CHC25680-10	WALGREEN EASTERN CO., INC.	WALGREENS #19078	465 MAIN ST	WESTBROOK	ME	04092	07/01/2020
CHC25680-10	WALGREEN EASTERN CO., INC.	WALGREENS #19464	290 CONGRESS ST STE 4	PORTLAND	ME	04101	07/01/2020
CHC25680-10	WALGREEN EASTERN CO., INC.	WALGREENS #19821	713 CONGRESS ST	PORTLAND	ME	04102	07/01/2020
CHC25680-10	WALGREEN EASTERN CO., INC.	WALGREENS #19461	33 DEPOT RD	FALMOUTH	ME	04105	07/01/2020
CHC25680-11	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #11886	127 MARGINAL WAY STE 3	PORTLAND	ME	04101	07/01/2020
CHC25680-11	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #12325	616 FOREST AVE	PORTLAND	ME	04101-1510	07/01/2020
CHC25680-11	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #19162	698 MINOT AVE	AUBURN	ME	04210	07/01/2020
CHC25680-11	WALGREEN EASTERN CO., INC.	WALGREENS #19078	465 MAIN ST	WESTBROOK	ME	04092	07/01/2020
CHC25680-11	WALGREEN EASTERN CO., INC.	WALGREENS #19464	290 CONGRESS ST STE 4	PORTLAND	ME	04101	07/01/2020
CHC25680-11	WALGREEN EASTERN CO., INC.	WALGREENS #19821	713 CONGRESS ST	PORTLAND	ME	04102	07/01/2020
CHC25680-11	WALGREEN EASTERN CO., INC.	WALGREENS #19461	33 DEPOT RD	FALMOUTH	ME	04105	07/01/2020
CHC25680-11	WALGREEN EASTERN CO., INC.	WALGREENS #19678	279 MAIN ST	SOUTH PORTLAND	ME	04106-2629	07/01/2020
CHC25680-13	WALGREEN EASTERN CO., INC.	WALGREENS #19821	713 CONGRESS ST	PORTLAND	ME	04102	01/01/2022
CHC25680-15	WALGREEN EASTERN CO., INC.	WALGREENS #19678	279 MAIN ST	SOUTH PORTLAND	ME	04106-2629	07/01/2023
CHC25680-15	WALGREEN EASTERN CO., INC.	WALGREENS #19461	33 DEPOT RD	FALMOUTH	ME	04105	07/01/2023
CHC25680-15	WALGREEN EASTERN CO., INC.	WALGREENS #19821	713 CONGRESS ST	PORTLAND	ME	04102	07/01/2023
CHC25680-15	WALGREEN EASTERN CO., INC.	WALGREENS #19464	290 CONGRESS ST STE 4	PORTLAND	ME	04101	07/01/2023
CHC25680-15	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #11886	127 MARGINAL WAY STE 3	PORTLAND	ME	04101	07/01/2023
CHC25680-15	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #12325	616 FOREST AVE	PORTLAND	ME	04101-1510	07/01/2023
CHC25680-15	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #19162	698 MINOT AVE	AUBURN	ME	04210	07/01/2023
CHC25680-15	WALGREEN EASTERN CO., INC.	WALGREENS #19078	465 MAIN ST	WESTBROOK	ME	04092	07/01/2023
CHC25680-17	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #11886	127 MARGINAL WAY STE 3	PORTLAND	ME	04101	07/01/2023
CHC25680-17	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #12325	616 FOREST AVE	PORTLAND	ME	04101-1510	07/01/2023
CHC25680-17	WALGREEN EASTERN CO., INC.	WALGREENS #19461	33 DEPOT RD	FALMOUTH	ME	04105	07/01/2023
CHC25680-17	WALGREEN EASTERN CO., INC.	WALGREENS #19678	279 MAIN ST	SOUTH PORTLAND	ME	04106-2629	07/01/2023
CHC25680-17	WALGREEN EASTERN CO., INC.	WALGREENS #19078	465 MAIN ST	WESTBROOK	ME	04092	07/01/2023
CHC25680-17	WALGREEN EASTERN CO., INC.	WALGREENS #19464	290 CONGRESS ST STE 4	PORTLAND	ME	04101	07/01/2023
CHC25680-17	WALGREEN EASTERN CO., INC.	WALGREENS #19821	713 CONGRESS ST	PORTLAND	ME	04102	07/01/2023
CHC25680-18	WALGREEN EASTERN CO., INC.	WALGREENS #19821	713 CONGRESS ST	PORTLAND	ME	04102	01/01/2024
CHC25680-18	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #11886	127 MARGINAL WAY STE 3	PORTLAND	ME	04101	01/01/2024
CHC25680-18	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #12325	616 FOREST AVE	PORTLAND	ME	04101-1510	01/01/2024
CHC25680-18	WALGREEN EASTERN CO., INC.	WALGREENS #19078	465 MAIN ST	WESTBROOK	ME	04092	01/01/2024
CHC25680-18	WALGREEN EASTERN CO., INC.	WALGREENS #19464	290 CONGRESS ST STE 4	PORTLAND	ME	04101	01/01/2024
CHC25680-18	WALGREEN EASTERN CO., INC.	WALGREENS #19461	33 DEPOT RD	FALMOUTH	ME	04105	01/01/2024
CHC25680-04	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #11886	127 MARGINAL WAY STE 3	PORTLAND	ME	04101	01/01/2024
CHC25680-04	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #12325	616 FOREST AVE	PORTLAND	ME	04101-1510	01/01/2024
CHC25680-18	WALGREEN EASTERN CO., INC.	WALGREENS #19678	279 MAIN ST	SOUTH PORTLAND	ME	04106-2629	01/01/2024
CHC25680-01	WALGREEN EASTERN CO., INC.	WALGREENS #19678	279 MAIN ST	SOUTH PORTLAND	ME	04106-2629	01/01/2024
CHC25680-05	WALGREEN EASTERN CO., INC.	WALGREENS #19678	279 MAIN ST	SOUTH PORTLAND	ME	04106-2629	01/01/2024
CHC25680-18	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #19162	698 MINOT AVE	AUBURN	ME	04210	01/01/2024
CHC25680-13	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #11886	127 MARGINAL WAY STE 3	PORTLAND	ME	04101	01/01/2024
CHC25680-14	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #11886	127 MARGINAL WAY STE 3	PORTLAND	ME	04101	01/01/2024	10/01/2024
CHC25680-14	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #12325	616 FOREST AVE	PORTLAND	ME	04101-1510	01/01/2024	10/01/2024
CHC25680-14	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #19162	698 MINOT AVE	AUBURN	ME	04210	01/01/2024	10/01/2024
CHC25680-14	WALGREEN EASTERN CO., INC.	WALGREENS #19078	465 MAIN ST	WESTBROOK	ME	04092	01/01/2024	10/01/2024
CHC25680-14	WALGREEN EASTERN CO., INC.	WALGREENS #19464	290 CONGRESS ST STE 4	PORTLAND	ME	04101	01/01/2024	10/01/2024
CHC25680-14	WALGREEN EASTERN CO., INC.	WALGREENS #19821	713 CONGRESS ST	PORTLAND	ME	04102	01/01/2024	10/01/2024
CHC25680-14	WALGREEN EASTERN CO., INC.	WALGREENS #19461	33 DEPOT RD	FALMOUTH	ME	04105	01/01/2024	10/01/2024
CHC25680-14	WALGREEN EASTERN CO., INC.	WALGREENS #19678	279 MAIN ST	SOUTH PORTLAND	ME	04106-2629	01/01/2024	10/01/2024
CHC25680-03	WALGREEN EASTERN CO., INC.	WALGREENS #19464	290 CONGRESS ST STE 4	PORTLAND	ME	04101	01/01/2024
CHC25680-06	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #11886	127 MARGINAL WAY STE 3	PORTLAND	ME	04101	01/01/2024
CHC25680-06	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #12325	616 FOREST AVE	PORTLAND	ME	04101-1510	01/01/2024
CHC25680-12	WALGREEN EASTERN CO., INC.	WALGREENS #19678	279 MAIN ST	SOUTH PORTLAND	ME	04106-2629	01/01/2024
CHC25680-19	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #11886	127 MARGINAL WAY STE 3	PORTLAND	ME	04101	01/01/2024
CHC25680-19	WALGREEN EASTERN CO., INC.	WALGREENS #19464	290 CONGRESS ST STE 4	PORTLAND	ME	04101	01/01/2024
CHC25680-16	WALGREEN EASTERN CO., INC.	WALGREENS #19464	290 CONGRESS ST STE 4	PORTLAND	ME	04101	01/01/2024
CHC25680-16	WALGREEN EASTERN CO., INC.	WALGREENS #19821	713 CONGRESS ST	PORTLAND	ME	04102	01/01/2024
CHC25680-12	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #11886	127 MARGINAL WAY STE 3	PORTLAND	ME	04101	01/01/2024
CHC25680-12	WALGREEN EASTERN CO., INC.	WALGREENS #19464	290 CONGRESS ST STE 4	PORTLAND	ME	04101	01/01/2024
CHC25680-12	WALGREEN EASTERN CO., INC.	WALGREENS #19078	465 MAIN ST	WESTBROOK	ME	04092	01/01/2024
CHC25680-19	WALGREEN EASTERN CO., INC.	WALGREENS #19078	465 MAIN ST	WESTBROOK	ME	04092	01/01/2024
CHC25680-19	WALGREEN EASTERN CO., INC.	WALGREENS #19678	279 MAIN ST	SOUTH PORTLAND	ME	04106-2629	01/01/2024
CHC25680-19	WALGREEN EASTERN CO., INC.	WALGREENS #19461	33 DEPOT RD	FALMOUTH	ME	04105	01/01/2024
CHC25680-12	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #12325	616 FOREST AVE	PORTLAND	ME	04101-1510	01/01/2024
CHC25680-12	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #19162	698 MINOT AVE	AUBURN	ME	04210	01/01/2024
CHC25680-07	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #11886	127 MARGINAL WAY STE 3	PORTLAND	ME	04101	01/01/2024
CHC25680-16	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #11886	127 MARGINAL WAY STE 3	PORTLAND	ME	04101	01/01/2024
CHC25680-16	WALGREEN EASTERN CO., INC.	WALGREENS #19078	465 MAIN ST	WESTBROOK	ME	04092	01/01/2024
CHC25680-16	WALGREEN EASTERN CO., INC.	WALGREENS #19678	279 MAIN ST	SOUTH PORTLAND	ME	04106-2629	01/01/2024
CHC25680-16	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #12325	616 FOREST AVE	PORTLAND	ME	04101-1510	01/01/2024
CHC25680-16	WALGREEN EASTERN CO., INC.	DBA: WALGREENS #19162	698 MINOT AVE	AUBURN	ME	04210	01/01/2024
CHC25680-12	WALGREEN EASTERN CO., INC.	WALGREENS #19821	713 CONGRESS ST	PORTLAND	ME	04102	01/01/2024
CHC25680-16	WALGREEN EASTERN CO., INC.	WALGREENS #19461	33 DEPOT RD	FALMOUTH	ME	04105	01/01/2024
CHC25680-12	WALGREEN EASTERN CO., INC.	WALGREENS #19461	33 DEPOT RD	FALMOUTH	ME	04105	01/01/2024
CHC25680-00	Walgreens Central Fill #21400	44 Cabot Blvd.		Mansfield	MA	02048	04/01/2023
CHC25680-01	Walgreens Central Fill #21400	44 Cabot Blvd.		Mansfield	MA	02048	04/01/2023
CHC25680-02	Walgreens Central Fill #21400	44 Cabot Blvd.		Mansfield	MA	02048	04/01/2023
CHC25680-03	Walgreens Central Fill #21400	44 Cabot Blvd.		Mansfield	MA	02048	04/01/2023
CHC25680-04	Walgreens Central Fill #21400	44 Cabot Blvd.		Mansfield	MA	02048	04/01/2023
CHC25680-05	Walgreens Central Fill #21400	44 Cabot Blvd.		Mansfield	MA	02048	04/01/2023
CHC25680-06	Walgreens Central Fill #21400	44 Cabot Blvd.		Mansfield	MA	02048	04/01/2023
CHC25680-07	Walgreens Central Fill #21400	44 Cabot Blvd.		Mansfield	MA	02048	04/01/2023
CHC25680-08	Walgreens Central Fill #21400	44 Cabot Blvd.		Mansfield	MA	02048	04/01/2023
CHC25680-09	Walgreens Central Fill #21400	44 Cabot Blvd.		Mansfield	MA	02048	04/01/2023
CHC25680-10	Walgreens Central Fill #21400	44 Cabot Blvd.		Mansfield	MA	02048	04/01/2023
CHC25680-11	Walgreens Central Fill #21400	44 Cabot Blvd.		Mansfield	MA	02048	04/01/2023
CHC25680-12	Walgreens Central Fill #21400	44 Cabot Blvd.		Mansfield	MA	02048	04/01/2023
CHC25680-13	Walgreens Central Fill #21400	44 Cabot Blvd.		Mansfield	MA	02048	04/01/2023
CHC25680-14	Walgreens Central Fill #21400	44 Cabot Blvd.		Mansfield	MA	02048	04/01/2023	10/01/2024
CHC25680-15	Walgreens Central Fill #21400	44 Cabot Blvd.		Mansfield	MA	02048	07/01/2023
CHC25680-17	Walgreens Central Fill #21400	44 Cabot Blvd.		Mansfield	MA	02048	07/01/2023
CHC25680-18	Walgreens Central Fill #21400	44 Cabot Blvd.		Mansfield	MA	02048	01/01/2024
CHC25680-16	Walgreens Central Fill #21400	44 Cabot Blvd.		Mansfield	MA	02048	01/01/2024
CHC25680-00	WALGREENS MAIL SERVICE, INC.	8350 S RIVER PARKWAY		TEMPE	AZ	85284	04/01/2014	07/07/2015
CHC25680-03	WALGREENS MAIL SERVICE, INC.	8350 S RIVER PARKWAY		TEMPE	AZ	85284	07/01/2015	07/07/2015
CHC25680-02	WALGREENS MAIL SERVICE, INC.	8350 S RIVER PARKWAY		TEMPE	AZ	85284	07/01/2015	07/07/2015
CHC25680-01	WALGREENS MAIL SERVICE, INC.	8350 S RIVER PARKWAY		TEMPE	AZ	85284	07/01/2015	07/07/2015
CHC25680-00	WALMART PHARMACY 10-5169	2252 NORTH 8TH STREET	SUITE A	ROGERS	AR	72756	01/01/2025
CHC25680-00	Walmart Pharmacy 10-7611	2501 Perry Rd		Plainfield	IN	46168	01/01/2025

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Entity Name	Update	Change Request	Portland Community Health Center	PORTLAND COMMUNITY HEALTH CENTER	4/14/2025 6:55 AM
Details	Entity Subname	Update	Change Request	Greater Portland Health - 295 Park Avenue	Greater Portland Health at 295 Park Avenue	4/14/2025 6:55 AM
Details	Last Recertification Date	Update	Recertification	2/22/2024 2:07:18 PM	3/3/2025 8:21:07 AM	3/3/2025 8:21 AM
Details	Entity Name	Update	Change Request	PORTLAND COMMUNITY HEALTH	Portland Community Health Center	7/8/2024 3:54 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/22/2024 2:07 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		1982338240-001	2/22/2024 2:07 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		ME	2/22/2024 2:07 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1609120856	2/22/2024 2:07 PM
Medicaid Billing	NPI: State	Insert	Recertification		ME	2/22/2024 2:07 PM
Contacts	Primary Contact	Update	Recertification	Weller, Tara Director of HR & Financial Reporting Portland Community Health Center 2078742141	Leblanc, Tara Director of HR & Financial Reporting Portland Community Health Center 2078742141	2/22/2024 2:07 PM
Details	Last Recertification Date	Update	Recertification		2/22/2024 2:07:18 PM	2/22/2024 2:07 PM
Details	State	Update		Approved	Active	4/1/2023 12:01 AM
Contacts	Signed By	Insert	New Registration		Tucker, Ann Chief Executive Officer Portland Community Health Center 2078742141-3886	1/23/2023 7:25 AM
Details	340B ID	Update	New Registration		CHC25680-15	1/23/2023 7:25 AM
Dates	Participating Approval Date	Update	New Registration		1/23/2023 7:25:19 AM	1/23/2023 7:25 AM
Details	State	Update	New Registration	Pending	Approved	1/23/2023 7:25 AM
Dates	Signed By Date	Update	New Registration		1/11/2023 2:07:56 PM	1/23/2023 7:25 AM
Dates	Start Date	Update	New Registration		4/1/2023 12:00:00 AM	1/23/2023 7:25 AM
Addresses	Main Address	Insert	New Registration		295 Park Ave Portland, ME 04102-2911	1/11/2023 2:07 PM
Contacts	Authorizing Official	Insert	New Registration		Tucker, Ann Chief Executive Officer Portland Community Health Center 2078742141-3886	1/11/2023 2:07 PM
Contacts	Primary Contact	Insert	New Registration		Weller, Tara Director of HR & Financial Reporting Portland Community Health Center 2078742141	1/11/2023 2:07 PM
Details	Assistance Received From Date	Insert	New Registration			1/11/2023 2:07 PM
Details	Assistance Received To Date	Insert	New Registration			1/11/2023 2:07 PM
Details	Last Recertification Date	Insert	New Registration			1/11/2023 2:07 PM
Details	Grant Number	Insert	New Registration		H80CS25680	1/11/2023 2:07 PM
Details	340B ID	Insert	New Registration			1/11/2023 2:07 PM
Details	Is Authorizing Official EHB Data	Insert	New Registration			1/11/2023 2:07 PM
Dates	Last Date That 340B Drugs Purchased	Insert	New Registration			1/11/2023 2:07 PM
Details	Medicare Provider Number	Insert	New Registration			1/11/2023 2:07 PM
Details	Entity Name	Insert	New Registration		PORTLAND COMMUNITY HEALTH	1/11/2023 2:07 PM
Details	NOFO Number	Insert	New Registration			1/11/2023 2:07 PM
Details	Program Code	Insert	New Registration		CH	1/11/2023 2:07 PM
Details	Entity Subname	Insert	New Registration		Greater Portland Health - 295 Park Avenue	1/11/2023 2:07 PM
Dates	Participating Approval Date	Insert	New Registration			1/11/2023 2:07 PM
Details	State	Insert	New Registration		Pending	1/11/2023 2:07 PM
Dates	Registration Date	Insert	New Registration		1/11/2023 2:07:52 PM	1/11/2023 2:07 PM
Dates	Signed By Date	Insert	New Registration			1/11/2023 2:07 PM
Dates	Start Date	Insert	New Registration			1/11/2023 2:07 PM
Terminations	Termination Comments	Insert	New Registration			1/11/2023 2:07 PM
Terminations	Termination Date	Insert	New Registration			1/11/2023 2:07 PM
Terminations	Termination Effective Date	Insert	New Registration			1/11/2023 2:07 PM
Terminations	Termination Reason	Insert	New Registration			1/11/2023 2:07 PM

340B Drug Pricing Program Database