340B Drug Pricing Program Database


CHC28988-11 DAP HEALTH INC (Active) - information as of 6/4/2025 1:18:09 PM

Main Details
DAP HEALTH INC
Centro Medico Cathedral City General Dentistry
HRSA-Funded Health Center
BPS-H80-037225
CHC28988-11
H80CS28988


Additional Details
Active
9/21/2023
10/1/2023
9/22/2023
2/12/2025

Contacts

DAP Health Inc
Judy Stith, Chief Administration Officer
(760) 323-2118 Ext: 526

Desert Aids Project
Kendra Pilar Coburn, 340B Program Manager
(760) 835-1935

Addresses

69-195 Ramon Road STE C-3
Cathedral City, CA 92234

DAP Health
1695 N Sunrise Way
Palm Springs, CA 92262


  • Comments
  • Medicaid Billing
  • Shipping Addresses
  • Contract Pharmacies
  • Grantee Sites
  • Grantee Sites Contract Pharmacies
  • History
Comments
CommentLast Updated On 
No records to display.
Medicaid Billing

Yes
StateMedicaid NumberNPI Number
CA13368351491336835149,1619036514,1093431769,1659824837,1689741175
Shipping Addresses

Same as Street Address
Grantee Sites
340B ID 340B StatusSiteIdNameSub NameAddressAddress Cont.CityState
CHC28988-00ActiveBPS-H80-015616DAP HEALTH INCDesert AIDS Project, Inc.1695 N Sunrise Way Palm SpringsCA
CHC28988-01ActiveBPS-H80-029884DAP HEALTH INCDesert AIDS Project, Inc1695 N Sunrise Way STE 201 - 203 Palm SpringsCA
CHC28988-02ActiveBPS-H80-032763DAP HEALTH INCDesert AIDS Project, Inc1695 N Sunrise Way Ste 204 Palm SpringsCA
CHC28988-03ActiveBPS-H80-035232DAP HEALTH INCDesert AIDS Project, Inc81719 Doctor Carreon Blvd Ste 1D IndioCA
CHC28988-04ActiveBPS-H80-037240DAP HEALTH INCSTONEWALL MEDICAL CENTER68555 RAMON ROAD, STE 101,103,104,105 CATHEDRAL CITYCA
CHC28988-05TerminatedBPS-H80-037239DESERT AIDS PROJECT INCMARTHAS VILLAGE CLINIC83791 Date Ave IndioCA
CHC28988-06ActiveBPS-H80-037235DAP HEALTH INCCENTRO MEDICO EL CAJON133 W MAIN ST EL CAJONCA
CHC28988-07TerminatedBPS-H80-037238DESERT AIDS PROJECT INCLa Mesa Pediatrics8881 Fletcher Parkway STE 200 La MesaCA
CHC28988-08ActiveBPS-H80-037231DAP HEALTH INCSAN JACINTO HEALTH CENTER651 N STATE ST SAN JACINTOCA
CHC28988-09ActiveBPS-H80-037242DAP HEALTH INCDESERT HOT SPRINGS HEALTH AND WELLNESS CENTER11750 Cholla Dr STE B Desert Hot SpringsCA
CHC28988-10ActiveBPS-H80-037245DAP HEALTH INCPALM SPRINGS FAMILY HEALTH1100 N. PALM CANYON DRIVE STE 104-106 PALM SPRINGSCA
CHC28988-11ActiveBPS-H80-037225DAP HEALTH INCCentro Medico Cathedral City General Dentistry69-195 Ramon Road STE C-3 Cathedral CityCA
CHC28988-12ActiveBPS-H80-037226DAP HEALTH INCANZA COMMUNITY HEALTH CENTER58581 US HIGHWAY 371 STE F,G,H ANZACA
CHC28988-13ActiveBPS-H80-037227DAP HEALTH INCMobile Dental Trailer #169-175 RAMON ROAD BLDG A CATHEDRAL CITYCA
CHC28988-14ActiveBPS-H80-037243DAP HEALTH INCMobile Dental Trailer #269-175 RAMON ROAD BLDG A CATHEDRAL CITYCA
CHC28988-15ActiveBPS-H80-037236DAP HEALTH INCMobile Unit #41970 University Ave RiversideCA
CHC28988-16ActiveBPS-H80-037237DAP HEALTH INCCOACHELLA VALLEY COMMUNITY HEALTH CENTER49869 CALHOUN ST FL 1 COACHELLACA
CHC28988-17ActiveBPS-H80-037233DAP HEALTH INCCENTRO MEDICO ESCONDIDO1121 E WASHINGTON AVE ESCONDIDOCA
CHC28988-18ActiveBPS-H80-037246DAP HEALTH INCDesert Hot Springs Community Health Center66675 Pierson Blvd Desert Hot SpringsCA
CHC28988-19ActiveBPS-H80-037228DAP HEALTH INCMOBILE DENTAL UNIT #369-175 RAMON ROAD BLDG A CATHEDRAL CITYCA
CHC28988-20ActiveBPS-H80-037232DAP HEALTH INCCENTRO MEDICO COACHELLA55497 VAN BUREN ST THERMALCA
CHC28988-21ActiveBPS-H80-037241DAP HEALTH INCBORREGO MEDICAL CENTER4343 YAQUI PASS RD PO BOX2369 BORREGO SPRINGSCA
CHC28988-22TerminatedBPS-H80-037244DESERT AIDS PROJECT INCBORREGO HEALTH ESCONDIDO PEDIATRICS1111 E Washington Ave STE A, B, G ESCONDIDOCA
CHC28988-23ActiveBPS-H80-037630DAP HEALTH INCJAY HOFFMAN HEALTH CENTER29490 Lakeview Ave NuevoCA
CHC28988-24TerminatedBPS-H80-037582DESERT AIDS PROJECT INCVISTA VILLAGE PEDIATRICS950 Civic Center Dr Ste A VistaCA
CHC28988-25ActiveBPS-H80-037627DAP HEALTH INCDental Unit 766675 Pierson Blvd Desert Hot SpringsCA
CHC28988-26ActiveBPS-H80-037581DAP HEALTH INCCOD STUDENT HEALTH CENTER43500 MONTEREY AVE PALM DESERTCA
CHC28988-27ActiveBPS-H80-037629DAP HEALTH INCBORREGO HEALTH SPECIALTY CARE CENTER12520 PALM DR DESERT HOT SPRINGSCA
CHC28988-28ActiveBPS-H80-037631DAP HEALTH INCMOBILE UNIT # 858581 US HIGHWAY 371 STE F, G, H ANZACA
CHC28988-29ActiveBPS-H80-037583DAP HEALTH INCCentro Medico Oasis88-775 AVENUE 76 STE 1 THERMALCA
CHC28988-30ActiveBPS-H80-037580DAP HEALTH INCCentro Medico Mobile Clinic55497 Van Buren St ThermalCA
CHC28988-31ActiveBPS-H80-037628DAP HEALTH INCCENTRO MEDICO CATHEDRAL CITY69-175 Ramon Rd BLDG A CATHEDRAL CITYCA
CHC28988-32ActiveBPS-H80-037584DAP HEALTH INCWOOLCOTT DENTAL CLINIC590 Palm Canyon Dr Ste 212 Borrego SpringsCA
CHC28988-33ActiveBPS-H80-032252DAP HEALTH INCDesert AIDS Project - Mobile1695 N Sunrise Way Palm SpringsCA
CHC28988-34ActiveBPS-H80-022050DAP HEALTH INCDesert AIDS Project Administrative Offices II1445 N Sunrise Way, Suites 100 & 104 Palm SpringsCA
Grantee Sites Contract Pharmacies
340B IDPharmacy NameAddressAddress Cont.CityStateZip CodeBegin DateCarve-In Effective DateTermination Date
CHC28988-00ACCREDO HEALTH GROUP INC1620 CENTURY CENTER PKWY # 109
MEMPHISTN38134-884910/01/2017  
CHC28988-00ACCREDO HEALTH GROUP INC3000 ERICSSON DRIVE, SUITE 100
WARRENDALEPA15086-750210/01/2017  
CHC28988-00ACCREDO HEALTH GROUP INC2040 W RIO SALADO PKWY STE 101B
TEMPEAZ85281-201010/01/2017  
CHC28988-00ACCREDO HEALTH GROUP, INC.2825 W PERIMETER RD STE 112
INDIANAPOLISIN4624110/01/2017 07/01/2023
CHC28988-00ACCREDO HEALTH GROUP, INC.6272 LEE VISTA BLVD STE 100
ORLANDOFL3282210/01/2017  
CHC28988-00ACCREDO HEALTH GROUP, INC.2 BOULDEN CIR STE 1
NEW CASTLEDE19720-349210/01/2017  
CHC28988-00ACCREDO HEALTH GROUP, INC.4750 E 450 S SUITE A
WHITESTOWNIN4607507/01/2024  
CHC28988-00ADVANCECARE PHARMACY2484 E GETTYSBURG AVE
FRESNOCA9372601/25/2022 10/07/2024
CHC28988-00ALBERTSONS LLCSAV-ON PHARMACY #1569 1751 N SUNRISE WAY #1
PALM SPRINGSCA9226207/01/2019  
CHC28988-00ALBERTSONS LLCSAV-ON PHARMACY #0704 2955 ALPINE BLVD
ALPINECA9190107/01/2023 08/09/2024
CHC28988-00ALBERTSONS LLCSAV-ON PHARMACY #4713 1509 E VALLEY PKWY
ESCONDIDOCA9202707/01/2023  
CHC28988-00ALBERTSONS LLCSAV-ON PHARMACY #0723 9831 CAMPO RD
SPRING VALLEYCA9197707/01/2023  
CHC28988-00ALBERTSONS LLCSAV-ON PHARMACY #0725 1459 MAIN ST
RAMONACA9206507/01/2023  
CHC28988-00ALBERTSONS LLCSAV-ON PHARMACY #2783 2899 JAMACHA RD
EL CAJONCA9201907/01/2023  
CHC28988-00ALBERTSONS LLCSAV-ON PHARMACY #2586 40101 MONTEREY AVE
RANCHO MIRAGECA9227007/01/2023  
CHC28988-00AMAZON PHARMACY #0014500 S PLEASANT VALLEY RD STE 201
AUSTINTX78744-291107/01/2023  
CHC28988-00AMAZON PHARMACY #0063620 PLAINFIELD RD
INDIANAPOLISIN46231-700307/01/2023  
CHC28988-00AMAZON PHARMACY #008408 TECHNOLOGY PARKWAY BUILDING B, STE 101
COLLEGE STATIONTX7784510/01/2024 01/10/2025
CHC28988-00AMAZON PHARMACY #0097469 KINGSPOINTE PKWY STE 400
ORLANDOFL3281910/01/2024 01/10/2025
CHC28988-00AMAZON PHARMACY #0101331 E 6TH ST
CORONACA9287910/01/2024  
CHC28988-00ARKANSAS CVS PHARMACY, L.L.C.DBA CVS/PHARMACY # 10409 2402 N. COLLEGE AVENUE
FAYETTEVILLEAR7270310/01/2021  
CHC28988-00AVITA PHARMACY 1025PHARMEDQUEST PHARMACY SERVICES DBA AVITA 3020 SATURN ST STE 100
BREACA9282111/22/2021  
CHC28988-00AVITA PHARMACY 1040AVITA DRUGS, LLC D/B/A AVITA PHARMACY 10 6100 CORPORATE BLVD STE 250
BATON ROUGELA7080811/22/2021  
CHC28988-00AZ PHARMACY, LLCDBA AMAZON PHARMACY #002 3809 E WATKINS ST
PHOENIXAZ8503407/01/2023 01/10/2025
CHC28988-00BIOPLUS SPECIALTY PHARMACY SERVICES, LLC4900 PROSPECTUS DR STE 300
DURHAMNC2771301/01/2024  
CHC28988-00BIOPLUS SPECIALTY PHARMACY SERVICES, LLC376 NORTHLAKE BLVD
ALTAMONTE SPRINGSFL32701-526101/01/2024  
CHC28988-00BIOPLUS SPECIALTY PHARMACY SERVICES, LLC13925 YALE AVE STE 145
IRVINECA92620-267001/01/2024  
CHC28988-00CAREMARK FLORIDA SPECIALTY PHARMACY LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7930 WOODLAND CENTER BLVD STE 500
TAMPAFL3361401/01/2021  
CHC28988-00CAREMARK ILLINOIS SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 800 BIERMANN CT STE B
MOUNT PROSPECTIL6005601/01/2021  
CHC28988-00CAREMARK KANSAS SPECIALTY PHARMACYCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 11162 RENNER BLVD
LENEXAKS6621901/01/2021  
CHC28988-00CAREMARK MASSACHUSETTS SPECIALTY PHARMACDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 25 BIRCH STREET, BLDG B, SUITE 100
MILFORDMA0175701/01/2021  
CHC28988-00CAREMARK MICHIGAN SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1307 ALLEN DR STE H
TROYMI4808301/01/2021  
CHC28988-00CAREMARK NEW JERSEY SPECIALTY PHCY, LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 180 PASSAIC AVE UNIT B-5
FAIRFIELDNJ0700401/01/2020  
CHC28988-00CAREMARK NORTH CAROLINA SPECIALTY PHARMADBA CVS/SPECIALTY OR CARELONRX SPECIALTY 10700 WORLD TRADE BLVD STE 110
RALEIGHNC2761701/01/2021  
CHC28988-00CAREMARK TENNESSEE SPECIALTY PHARMACY, LDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 8370 WOLF LAKE DR
STE 107 		BARTLETTTN3813301/01/2021  
CHC28988-00CAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1127 BRYN MAWR AVE
SUITE A 		REDLANDSCA9237401/01/2020  
CHC28988-00CAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7251 S. EASTERN AVE.
LAS VEGASNV8911901/01/2021  
CHC28988-00CVS ALBANY, L.L.C.DBA: CVS/PHARMACY # 00366 51 NORTH BROADWAY
TARRYTOWNNY1059101/01/2021 01/01/2022
CHC28988-00CVS CAREMARKDBA CVS/CAREMARK OR CF# 11506 1 GREAT VALLEY BOULEVARD
WILKES BARREPA1870610/01/2021  
CHC28988-00CVS CAREMARK ADVANCED TECHNOLOGY PHARMACDBA CVS/CAREMARK 48067 1780 WALL ST
MT PROSPECTIL6005610/01/2021  
CHC28988-00CVS PHARMACY, INC.DBA CVS/PHARMACY #10804 750 16TH STREET
DENVERCO8020210/01/2020 01/01/2022
CHC28988-00CVS PHARMACY, INC.DBA: CVS/PHARMACY # 09269 195 PASEO DE PERALTA
SANTA FENM8750101/01/2021  
CHC28988-00CVS PHARMACY, INC.DBA: CVS/PHARMACY # 07402 7900 S MAIN
HOUSTONTX7702510/01/2021 05/05/2022
CHC28988-00CVS PHARMACY, INC.DBA: CVS/PHARMACY # 02283 715 MORRISSEY BOULEVARD
DORCHESTERMA0212207/01/2022  
CHC28988-00CVS PHARMACY, INC.DBA: CVS/PHARMACY # 00938 8 EAST WASHINGTON STREET
NORTH ATTLEBOROMA0276007/01/2023  
CHC28988-00CVS/SPECIALTY OR CARELONRX SPECIALTY PHACAREMARK, LLC 1001 SPINKS ROAD, STE 280
FLOWER MOUNDTX7502801/01/2021  
CHC28988-00CYSTIC FIBROSIS SERVICES, LLCDBA WALGREENS SPECIALTY PHARMACY #16280 10530 JOHN W ELLIOTT DR STE 200
FRISCOTX7503301/01/2020  
CHC28988-00DESERT HOSPITAL OUTPATIENT PHARMACY1180 N INDIAN CANYON DR STE E140
PALM SPRINGSCA92262-488304/01/2017  
CHC28988-00DIB PHARMACEUTICAL INCDBA: BETTER LIFE PHARMACY 528 E MAIN ST
EL CAJONCA9202010/01/2023  
CHC28988-00DOGWOOD PHARMACY LLCD/B/A MEDSCRIPTS MEDICAL PHARMACY 1325 MILLER RD
STE K 		GREENVILLESC29607-654101/01/2024  
CHC28988-00ESI MAIL PHARMACY SERVICEDBA EXPRESS SCRIPTS 7909 S HARDY DR STE 106
TEMPEAZ85284-111207/01/2020  
CHC28988-00EXPRESS PHARMACY1111 E WASHINGTON AVE STE C
ESCONDIDOCA92025-222610/01/2023 04/09/2024
CHC28988-00EXPRESS PHARMACY1111 E WASHINGTON AVE STE C
ESCONDIDOCA92025-222601/01/2025  
CHC28988-00EXPRESS SCRIPTSESI MAIL PHARMACY SERVICE INC 4600 N HANLEY RD
SAINT LOUISMO6313407/01/2020  
CHC28988-00EXPRESS SCRIPTS PHARMACY, INC.DBA EXPRESS SCRIPTS 4750 E. 450 S.
WHITESTOWNIN4607507/01/2020  
CHC28988-00EXPRESS SCRIPTS PHARMACY, INC.DBA EXPRESS SCRIPTS 2040 ROUTE 130 NORTH
BURLINGTONNJ0801607/01/2020  
CHC28988-00FIRESIDE PHARMACY73847 HIGHWAY 111
PALM DESERTCA9226007/25/2022 11/24/2024
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 01520 68-010 VISTA CHINO
CATHEDRAL CITYCA9223401/01/2020  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09804 425 S. SUNRISE WAY
PALM SPRINGSCA9226201/01/2020  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09616 31575 DATE PALM DR.
CATHEDRAL CITYCA9223407/01/2020  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09648 82-270 HIGHWAY 111
INDIOCA9220107/01/2020 05/29/2024
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09549 1980 COLLEGE BLVD
OCEANSIDECA9205610/01/2020  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09660 3751 WILSHIRE BOULEVARD
LOS ANGELESCA9001010/01/2020  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09610 12280 PERRIS BLVD
MORENO VALLEYCA9255710/01/2020  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 08838 2130 N. BELLFLOWER BLVD.
LONG BEACHCA9081510/01/2020  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09574 883 S. SANTA FE AVENUE
VISTACA9208310/01/2020  
CHC28988-00GARFIELD BEACH CVS, L.L.C.CVS PHARMACY # 17377 27100 EUCALYPTUS AVE
MORENO VALLEYCA9255501/01/2021  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 05497 84010 AVE 50
COACHELLACA9223601/01/2021  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 08881 1020 IRVINE AVENUE
NEWPORT BEACHCA9266001/01/2021 01/01/2022
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 08894 101 REDLANDS MALL
REDLANDSCA9237310/01/2021  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09739 42136 BIG BEAR BLVD/PO BOX 6966
BIG BEAR LAKECA9231510/01/2021  
CHC28988-00GARFIELD BEACH CVS, L.L.C.CVS/PHARMACY #10663 1919 SOUTH HOOVER STREET
LOS ANGELESCA9000710/01/2021  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA CVS/PHARMACY #11216 7030 HOLLISTER AVENUE
GOLETACA9311710/01/2021  
CHC28988-00GARFIELD BEACH CVS, L.L.C.CVS PHARMACY # 16507 1415 MAIN ST
WATSONVILLECA9507610/01/2021  
CHC28988-00GARFIELD BEACH CVS, L.L.C.CVS PHARMACY # 16987 78935 US HWY 111
LA QUINTACA9225310/01/2021  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA CVS/PHARMACY #11178 500 WILSHIRE BLVD
SANTA MONICACA9040110/01/2021  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 08521 1003 E. DEVONSHIRE AVE.
HEMETCA9254310/01/2021 08/23/2023
CHC28988-00GARFIELD BEACH CVS, L.L.C.CVS PHARMACY # 16104 67750 E PALM CANYON DR
CATHEDRAL CITYCA9223410/01/2021  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09628 25080 HANCOCK AVE.
MURRIETACA9256210/01/2021 06/06/2024
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 08818 997 WOODLAND PKWY.
SAN MARCOSCA9206910/01/2021  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA CVS/PHARMACY #10310 1795 E. LUGONIA AVENUE
REDLANDSCA9237410/01/2021  
CHC28988-00GARFIELD BEACH CVS, L.L.C.CVS/PHARMACY# 1983 701 PORTOLA DR
SAN FRANCISCOCA9412710/01/2021  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 03341 44-075 JEFFERSON ST.
LA QUINTACA9225310/01/2021  
CHC28988-00GARFIELD BEACH CVS, L.L.C.CVS PHARMACY # 16359 72549 HIGHWAY 111
PALM DESERTCA9226010/01/2021  
CHC28988-00GARFIELD BEACH CVS, L.L.C.CVS PHARMACY # 16964 2755 CANYON SPRINGS PKWY
RIVERSIDECA9250710/01/2021  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09779 74955 US HIGHWAY 111
INDIAN WELLSCA9221010/01/2021  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09646 42155 WASHINGTON ST.
PALM DESERTCA9221110/01/2021  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09649 33499 YUCAIPA BLVD
YUCAIPACA9239907/01/2022  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 02050 42150 A JACKSON ST.
INDIOCA9220307/01/2022  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 08897 3361 MARKET ST.
RIVERSIDECA9250107/01/2022  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 07127 1302 WEST MISSION RD.
SAN MARCOSCA9206907/01/2023  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09166 734 S. RANCHO SANTA FE RD.
SAN MARCOSCA9207807/01/2023  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09103 318 W EL NORTE PARKWAY
ESCONDIDOCA9202607/01/2023  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09108 1655 S. CENTRE CITY PKWY.
ESCONDIDOCA9202507/01/2023  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09668 727 S. ARROYO PARKWAY
PASADENACA9110507/01/2023  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09849 8280 MAGNOLIA AVE.
RIVERSIDECA9250407/01/2023  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09104 2427 E. VALLEY PKWY
ESCONDIDOCA9202707/01/2023  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09145 9730 MISSION GORGE RD.
SANTEECA9207107/01/2023  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09175 4829 CLAIREMONT DR
SAN DIEGOCA9211707/01/2023  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 08859 16 3RD AVENUE EXT.
CHULA VISTACA9191007/01/2023  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09114 1299 BROADWAY
EL CAJONCA9202107/01/2023  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09193 1380 43RD ST.
SAN DIEGOCA9211307/01/2023  
CHC28988-00GARFIELD BEACH CVS, L.L.C.CVS/PHARMACY # 17709 233 WINSTON DRIVE
SAN FRANCISCOCA9413207/01/2023  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09109 6265 EL CAJON BLVD
SAN DIEGOCA9211507/01/2023  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 08833 3332 SANDROCK ROAD
SAN DIEGOCA9212307/01/2023  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 08866 1706 OCEANSIDE BLVD
OCEANSIDECA9205407/01/2023  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 08836 1631 S MELROSE DR
VISTACA9208107/01/2023  
CHC28988-00GARFIELD BEACH CVS, L.L.C.CVS PHARMACY # 16937 2295 N IMPERIAL AVE
EL CENTROCA9224307/01/2023  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09740 15210 ROSECRANS AVENUE
LA MIRADACA9063807/01/2023  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09721 1401 S. BALDWIN AVE.
ARCADIACA9100707/01/2023  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09115 645 SATURN BLVD
SAN DIEGOCA9215407/01/2023  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09561 17625 HARVARD AVENUE
IRVINECA9261407/01/2023  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09120 800 PALM AVE.
IMPERIAL BEACHCA9193207/01/2023  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09799 6215 RIVERSIDE AVE.
RIVERSIDECA9250607/01/2023  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09137 7393 JACKSON DR.
SAN DIEGOCA9211907/01/2023  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09483 10011 ADAMS AVENUE
HUNTINGTON BEACHCA9264607/01/2023  
CHC28988-00GARFIELD BEACH CVS, L.L.C.CVS PHARMACY # 16083 1280 AUTO PARKWAY SOUTH
ESCONDIDOCA9202907/01/2023  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09173 2760 FLETCHER PKY
EL CAJONCA9202007/01/2023  
CHC28988-00GARFIELD BEACH CVS, L.L.C.CVS PHARMACY # 16094 3333 ARLINGTON AVE
RIVERSIDECA9250607/01/2023  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09634 2521 EAST AVENUE S
PALMDALECA9355007/01/2023  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09524 3350 PALM AVE.
SAN DIEGOCA9215407/01/2023  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA CVS/PHARMACY # 10931 1745 S. IMPERIAL AVE
EL CENTROCA9224307/01/2023  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09112 7100 BROADWAY
LEMON GROVECA9194507/01/2023  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09194 1810 MAIN ST.
RAMONACA9206507/01/2023  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09580 5101 OBAMA BLVD
LOS ANGELESCA9001607/01/2023 03/05/2025
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09657 44430 CHALLENGER WAY
LANCASTERCA9353507/01/2023  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 04768 510 C STREET
SAN DIEGOCA9210107/01/2023  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA CVS/PHARMACY # 3055 38012 47TH STREET EAST
PALMDALECA9355207/01/2023  
CHC28988-00GARFIELD BEACH CVS, L.L.C.CVS PHARMACY # 16053 3520 TYLER ST
RIVERSIDECA9250307/01/2023  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09746 6840 LINCOLN AVENUE
RIVERSIDECA9250607/01/2023  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 08862 12031 BROOKHURST STREET
GARDEN GROVECA9284007/01/2023  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09728 1322 W. 6TH ST.
CORONACA9288207/01/2023  
CHC28988-00GARFIELD BEACH CVS, L.L.C.CVS PHARMACY # 17625 2675 GEARY BLVD
SAN FRANCISCOCA9411807/01/2023  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 08857 1441 N SANTA FE
VISTACA9208407/01/2023  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 08842 426 EAST CHASE AVENUE
EL CAJONCA9202007/01/2023  
CHC28988-17GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09103 318 W EL NORTE PARKWAY
ESCONDIDOCA9202610/01/2024  
CHC28988-06GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 09114 1299 BROADWAY
EL CAJONCA9202110/01/2024  
CHC28988-00GARFIELD BEACH CVS, L.L.C.DBA: CVS/PHARMACY # 08943 102 S. SANDERSON AVE.
SAN JACINTOCA9258201/01/2025  
CHC28988-00GENOA HEALTHCARE LLC1850 W FLORIDA AVE
HEMETCA9254501/01/2024 04/01/2025
CHC28988-00GENOA HEALTHCARE LLC17782 COWAN ST STE G
IRVINECA9261401/01/2024  
CHC28988-00GENOA HEALTHCARE LLC474 W VERMONT AVE, STE 104
ESCONDIDOCA9202504/01/2025  
CHC28988-00HOOK-SUPERX, L.L.C.DBA: CVS/PHARMACY # 06875 930 N. GOSPEL ST
PAOLIIN4745410/01/2021  
CHC28988-00IC PHARMACY LLCAMAZON PHARMACY #004 34 35TH STREET
STE 4BSW, UNIT 28 		BROOKLYNNY1123210/01/2024 01/10/2025
CHC28988-00ICARE RX LLC14447 COUNTRY WALK DR
MIAMIFL3318601/25/2022  
CHC28988-00INDIO MEDICAL PHARMACY81-893 DR CARREON BLVD STE 7
INDIOCA92201-559207/25/2022 05/21/2023
CHC28988-00LA QUINTA PHARMACY43875 WASHINGTON ST STE A
PALM DESERTCA92211-824907/25/2022 11/24/2024
CHC28988-00LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 03058 26180 IRIS AVE
MORENO VALLEYCA9255510/01/2020  
CHC28988-00LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09134 49980 JEFFERSON ST
INDIOCA9220110/01/2020  
CHC28988-00LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 07962 5685 BALBOA AVE
SAN DIEGOCA9211110/01/2020  
CHC28988-00LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09656 2771 4TH ST
SANTA ROSACA9540501/01/2021 01/01/2022
CHC28988-00LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09933 1405 HERNDON AVENUE
CLOVISCA9361101/01/2021  
CHC28988-00LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09922 3950 W POINT LOMA BLVD
SAN DIEGOCA9211010/01/2021  
CHC28988-00LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09918 31021 TEMECULA PARKWAY
TEMECULACA9259210/01/2021  
CHC28988-00LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09086 670 EL CERRITO PLZ
EL CERRITOCA9453010/01/2021  
CHC28988-00LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09987 1798 MIRAMONTE AVE
MOUNTAIN VIEWCA9404010/01/2021 10/26/2023
CHC28988-00LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09153 42520 BOB HOPE DR
RANCHO MIRAGECA9227010/01/2021  
CHC28988-00LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09286 581 W CHANNEL ISLANDS BLVD
PORT HUENEMECA9304107/01/2023  
CHC28988-00LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09969 7850 TELEGRAPH RD
VENTURACA9300407/01/2023  
CHC28988-00LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09169 5500 GROSSMONT CENTER DR BLDG P
LA MESACA9194207/01/2023  
CHC28988-00LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09282 1471 W COVELL BLVD
DAVISCA9561607/01/2023  
CHC28988-00LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09959 1560 W VALLEY PKWY
ESCONDIDOCA9202907/01/2023  
CHC28988-00LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09818 572 FLETCHER PKWY
EL CAJONCA9202007/01/2023 04/15/2025
CHC28988-00LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09506 1140 S MAIN ST
SALINASCA9390107/01/2023  
CHC28988-00LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09162 3749 AVOCADO BLVD
LA MESACA9194107/01/2023  
CHC28988-00LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09973 1595 MAIN STREET
WEAVERVILLECA9609307/01/2023  
CHC28988-00LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09961 191 WOODLAND PKWY
SAN MARCOSCA9206907/01/2023  
CHC28988-00LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 06368 635 S MELROSE DR
VISTACA9208107/01/2023  
CHC28988-00LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09167 790 JAMACHA RD
EL CAJONCA9201907/01/2023  
CHC28988-00LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09632 691 3RD AVE
CHULA VISTACA9191007/01/2023  
CHC28988-00LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 09240 380 E H ST
CHULA VISTACA9191007/01/2023  
CHC28988-00LONGS DRUG STORES CALIFORNIA, L.L.C.DBA: CVS/PHARMACY # 03033 110 E STETSON AVE
HEMETCA9254301/01/2025  
CHC28988-00LONGS DRUGS OF LEXINGTOND/B/A AVITA PHARMACY 1051 1216 W MAIN ST
STE D 		LEXINGTONSC29072-245311/22/2021  
CHC28988-00M.N. PHARMACY LLCDBA AMAZON PHARMACY #003 6701 NW 7TH ST., STE. #199
MIAMIFL3312607/01/2023 01/10/2025
CHC28988-00NEVADA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 09770 2830 BICENTENNIAL PKWY.
HENDERSONNV8904410/01/2021  
CHC28988-00NEVADA CVS PHARMACY, L.L.C.CVS/PHARMACY # 10861 8491 FARM RD.
LAS VEGASNV8913110/01/2021  
CHC28988-00NEVADA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 08788 1812 E. CHARLESTON BLVD.
LAS VEGASNV8910410/01/2021 08/01/2023
CHC28988-00NEW JERSEY CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 03136 440 BELLEVILLE TPKE.
NORTH ARLINGTONNJ0703110/01/2021  
CHC28988-00NORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 02571 1235 PECAN AVE.,
CHARLOTTENC2820510/01/2021  
CHC28988-00NORTH CAROLINA CVS PHARMACY, L.L.C.CVS PHARMACY # 16480 4711 NEW CENTRE DR
WILMINGTONNC2840510/01/2021  
CHC28988-00NSKAPE INCDBA: INDIANA PHARMACY 6780 INDIANA AVE STE 145
RIVERSIDECA92506-427010/01/2023  
CHC28988-00OPTUM FRONTIER THERAPIES II, LLC6425 SANTA MARGARITA ST UNIT 110
LAS VEGASNV89118-191307/01/2023 03/29/2024
CHC28988-00OPTUM INFUSION SERVICES 305, LLC15529 COLLEGE BLVD.
LENEXAKS66219-135107/01/2023  
CHC28988-00OPTUM INFUSION SERVICES 401, LLC4610 NORTHGATE BLVD. STE. 130
SACRAMENTOCA95834-115407/01/2023  
CHC28988-00OPTUM INFUSION SERVICES 402, LLC2300 MAIN ST STE 150
IRVINECA92614-622307/01/2023 10/01/2024
CHC28988-00OPTUM PHARMACY 701, LLC8131 W BOSTIAN RD STE A350
WOODINVILLEWA98072-502904/01/2022  
CHC28988-00OPTUM PHARMACY 701, LLC1830 S HORNE
MESAAZ8520401/01/2024  
CHC28988-00OPTUM PHARMACY 701, LLC4100 S SAGINAW ST STE D
FLINTMI4850704/01/2024  
CHC28988-00OPTUM PHARMACY 702, LLC1050 PATROL RD
JEFFERSONVILLEIN4713004/01/2022  
CHC28988-00OPTUM PHARMACY 704, INC.5627 UNIVERSITY HTS STE 108
SAN ANTONIOTX7824901/01/2023  
CHC28988-00OPTUM PHARMACY 705, LLC1100 LEE BRANCH LN
BIRMINGHAMAL35242-729804/01/2022  
CHC28988-00OPTUM PHARMACY 707, INC4900 RIVERGRADE RD STE E110
IRWINDALECA91706-140104/01/2022  
CHC28988-00OPTUM PHARMACY 801, INC.24416 N 19TH AVE STE. 100
PHOENIXAZ8508504/01/2022  
CHC28988-00OPTUMRX2858 LOKER AVE E STE 100
CARLSBADCA92010-660804/01/2022 06/06/2022
CHC28988-00OPTUMRXOPTUMRX INC 6800 W 115TH ST STE 600
OVERLAND PARKKS66211-983804/01/2022  
CHC28988-00PATHWAY PHARMACEUTICALS INCDBA LAS PALMAS PHARMACY 555 E TACHEVAH DR
STE 1W101 		PALM SPRINGSCA9226207/25/2022 11/24/2024
CHC28988-00PHARMEDQUEST PHARMACYPHARMEDQUEST PHARMACY SERVICES 451 W. LAMBERT RD STE 209
BREACA92821-928201/01/2022 10/15/2021
CHC28988-00PHYSICIAN'S RX PHARMACY, LLCPHYSICIANS RX PHARMACY, LLC 9701 APOLLO DRIVE
#400 		LARGOMD2077401/25/2022  
CHC28988-00PILLPACK LLCDBA PILLPACK BY AMAZON PHARMACY 250 COMMERCIAL ST STE 2012
MANCHESTERNH0310107/01/2023  
CHC28988-00PILLPACK LLCAMAZON PHARMACY #005 20416 72ND AVE S
KENTWA98032-231910/01/2024  
CHC28988-00PREMIER PHARMACY SERVICES410 CLOVERLEAF DR
BALDWIN PARKCA9170610/01/2023  
CHC28988-00PRIME THERAPEUTICS SPECIALTY PHARMACY LLALLIANCERX WALGREENS PRIME #16568 2354 COMMERCE PARK DRIVE
SUITE 100 		ORLANDOFL32819-999201/01/2020 01/01/2023
CHC28988-00PROCARE PHARMACY DIRECT, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 105 MALL BOULEVARD
MONROEVILLEPA1514601/01/2020  
CHC28988-00PROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY 445 CASTRO STREET
SAN FRANCISCOCA9411410/01/2020  
CHC28988-00PROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY 8607 SANTA MONICA BOULEVARD
WEST HOLLYWOODCA9006910/01/2020  
CHC28988-00PROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY #2923 3250 HARDEN ST. EXT. SUITE #300
COLUMBIASC2920301/01/2021 01/01/2022
CHC28988-00PROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY OR CARELONRX SPECIALTY ONE WATERFRONT PLAZA
500 ALA MOANA BLVD., BLDG 1 		HONOLULUHI9681301/01/2021 01/01/2022
CHC28988-00PROCARE PHARMACY, L.L.C.DBA: CVS/PHARMACY #2909 1521 4TH AVE., SOUTH
BIRMINGHAMAL3523301/01/2021 01/01/2022
CHC28988-00PROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY OR CARELONRX SPECIALTY ONE WATERFRONT PLAZA
500 ALA MOANA BLVD., BLDG 1 		HONOLULUHI9681307/01/2023  
CHC28988-00PROCARE PHARMACY, L.L.C.DBA: CVS/PHARMACY #2909 1521 4TH AVE., SOUTH
BIRMINGHAMAL3523307/01/2023  
CHC28988-00PROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY #2923 3250 HARDEN ST. EXT. SUITE #300
COLUMBIASC2920307/01/2023  
CHC28988-00PRXP OF CA LLCPRXP OF CA LLC 4345 E LOWELL ST
STE C & D 		ONTARIOCA9176101/25/2022  
CHC28988-00PRXP OF NEW YORK LLCDBA BROADWAY FAMILY PHARMACY 601 AMSTERDAM AVE
NEW YORKNY1002401/25/2022  
CHC28988-00RAINA RX LLCDBA ROUTE 300 PHARMACY 1208 ROUTE 300
SUITE 103 		NEWBURGHNY1255001/01/2024  
CHC28988-00RALPHS GROCERY CODBA RALPHS #611 425 S SUNRISE WAY STE A
PALM SPRINGSCA9226207/01/2020  
CHC28988-01RALPHS GROCERY CODBA RALPHS #611 425 S SUNRISE WAY STE A
PALM SPRINGSCA9226207/01/2020 04/25/2023
CHC28988-00RIVER MEDICAL PHARMACY LLC4752 RESEARCH DR
SAN ANTONIOTX78240-500201/01/2024  
CHC28988-00SANTA BARBARA SPECIALTY PHARMACY LLC4690 CARPINTERIA AVE STE B
CARPINTERIACA9301301/01/2024  
CHC28988-00SINA DRUG LLCDBA ONCO360 1985 MARCUS AVE STE 120
NEW HYDE PARKNY1104207/01/2025  
CHC28988-00SINA DRUG LLCD/B/A ONCO 360 13410 EASTPOINT CENTRE DR
STE 101 		LOUISVILLEKY4022307/01/2025  
CHC28988-00SINA DRUG, LLC D/B/A ONCO36015990 N GREENWAY HAYDEN LOOP STE D-100
SCOTTSDALEAZ8526007/01/2025  
CHC28988-00THE VONS COMPANIES INCVONS PHARMACY #2384 4733 EAST PALM CANYON DRIVE
PALM SPRINGSCA9226407/01/2019  
CHC28988-00THRIFTY PAYLESS, INC.RITE AID #5673 616 EAST HOBSONWAY
BLYTHECA9222501/01/2021  
CHC28988-00THRIFTY PAYLESS, INC.RITE AID #5671 1660 E FIRST ST
BEAUMONTCA92223-371501/01/2021  
CHC28988-00THRIFTY PAYLESS, INC.RITE AID #5685 72253 29 PALMS HWY
TWENTYNINE PALMSCA9227701/01/2021  
CHC28988-00THRIFTY PAYLESS, INC.RITE AID #5681 72-875 HIGHWAY 111
PALM DESERTCA9226001/01/2021 01/01/2024
CHC28988-00THRIFTY PAYLESS, INC.RITE AID #5679 12900 PALM DRIVE
DESERT HOT SPRINGSCA9224001/01/2021  
CHC28988-00THRIFTY PAYLESS, INC.RITE AID #5683 366 SOUTH PALM CANYON DRIVE
PALM SPRINGSCA9226201/01/2021 09/18/2023
CHC28988-00THRIFTY PAYLESS, INC.RITE AID #5684 111 S SUNRISE WAY
PALM SPRINGSCA9226201/01/2021  
CHC28988-00THRIFTY PAYLESS, INC.RITE AID #5297 2519 MAIN STREET
UNION GAPWA9890301/01/2021 01/01/2021
CHC28988-00THRIFTY PAYLESS, INC.RITE AID #5676 69155 RAMON ROAD
CATHEDRAL CITYCA9223401/01/2021  
CHC28988-00THRIFTY PAYLESS, INC.RITE AID #5672 806 W RAMSEY STREET
BANNINGCA9222001/01/2021  
CHC28988-00THRIFTY PAYLESS, INC.RITE AID #6532 47985 MONROE STREET BLDG A
INDIOCA9220107/01/2022  
CHC28988-00THRIFTY PAYLESS, INC.RITE AID #5714 4920 LA SIERRA AVE
RIVERSIDECA9250501/24/2023  
CHC28988-00THRIFTY PAYLESS, INC.RITE AID #5686 57701 29 PALMS HIGHWAY
YUCCA VALLEYCA9228401/24/2023  
CHC28988-00THRIFTY PAYLESS, INC.RITE AID #5712 6150 VAN BUREN BOULEVARD
RIVERSIDECA9250307/01/2023  
CHC28988-00THRIFTY PAYLESS, INC.RITE AID #5678 51101 CESAR CHAVEZ ST
COACHELLACA9223607/01/2023  
CHC28988-00THRIFTY PAYLESS, INC.RITE AID #6486 1180 N STATE STREET
SAN JACINTOCA9258310/01/2023  
CHC28988-00THRIFTY PAYLESS, INC.RITE AID #6293 1605 SOUTH SAN JACINTO AVE.
SAN JACINTOCA9258310/01/2023 10/01/2023
CHC28988-00THRIFTY PAYLESS, INC.RITE AID #5704 27350 SUN CITY BOULEVARD
MENIFEECA9258610/01/2023  
CHC28988-00THRIFTY PAYLESS, INC.RITE AID #5623 2516 JAMACHA ROAD
EL CAJONCA9201910/01/2023  
CHC28988-00THRIFTY PAYLESS, INC.RITE AID #5682 74958 COUNTRY CLUB DRIVE
PALM DESERTCA9226007/01/2024  
CHC28988-00TOWN SQUARE PHARMACY, INC.81709 DOCTOR CARREON BLVD STE E3
INDIOCA9220107/25/2022  
CHC28988-00UTAH CVS PHARMACY, L.L.C.CVS PHARMACY # 17596 1110 S 300 W
SALT LAKE CITYUT8410110/01/2021  
CHC28988-00UTAH CVS PHARMACY, L.L.C.DBA CVS/PHARMACY #10423 1269 E 2100 S
SALT LAKE CITYUT8410610/01/2021  
CHC28988-00WAL-MART CENTRAL FILL 10-2670608 SPRING HILL DR # 3 SUITE 300
SPRINGTX7738610/01/2023  
CHC28988-00WAL-MART PHARMACY 10-15552150 N. WATERMAN AVE
EL CENTROCA9224310/01/2023  
CHC28988-00WAL-MART PHARMACY 10-1600201 EAST BOWMAN RD.
RIDGECRESTCA9355510/01/2023  
CHC28988-00WAL-MART PHARMACY 10-16921120 SOUTH MT VERNON AVE
COLTONCA9232410/01/2023  
CHC28988-00WAL-MART PHARMACY 10-175617251 FOOTHILL BLVD
FONTANACA9233510/01/2023  
CHC28988-00WAL-MART PHARMACY 10-180579295 HWY 111
LAQUINTACA9225310/01/2023  
CHC28988-00WAL-MART PHARMACY 10-18325601 E RAMON RD
PALM SPRINGSCA9226410/01/2023  
CHC28988-00WAL-MART PHARMACY 10-18592540 ROCKWOOD AVENUE
CALEXICOCA9223110/01/2023  
CHC28988-00WAL-MART PHARMACY 10-18621366 SOUTH RIVERSIDE AVE
RIALTOCA9237610/01/2023  
CHC28988-00WAL-MART PHARMACY 10-1879301 MONTARA RD
BARSTOWCA9231110/01/2023  
CHC28988-00WAL-MART PHARMACY 10-18996250 VALLEY SPRINGS PKWY
RIVERSIDECA9250710/01/2023  
CHC28988-00WAL-MART PHARMACY 10-1917170 TOWN CENTER PARKWAY
SANTEECA9207110/01/2023  
CHC28988-00WAL-MART PHARMACY 10-192212549 FOOTHILL BLVD
RANCHO CUCAMONGACA9173910/01/2023  
CHC28988-00WAL-MART PHARMACY 10-20285200 VAN BUREN BOULEVARD
RIVERSIDECA9250310/01/2023  
CHC28988-00WAL-MART PHARMACY 10-2150710 DENNERY RD
SAN DIEGOCA9215410/01/2023  
CHC28988-00WAL-MART PHARMACY 10-218182-491 AVENUE 42
INDIOCA9220310/01/2023  
CHC28988-00WAL-MART PHARMACY 10-225313487 CAMINO CANADA
EL CAJON (EAST)CA9202110/01/2023  
CHC28988-00WAL-MART PHARMACY 10-24793412 COLLEGE AVENUE
SAN DIEGO (E)CA9211510/01/2023  
CHC28988-00WAL-MART PHARMACY 10-270832225 TEMECULA PKWY
TEMECULACA9259210/01/2023  
CHC28988-00WAL-MART PHARMACY 10-32764001 HALLMARK PKWY
SAN BERNARDINO (N)CA9240710/01/2023  
CHC28988-00WAL-MART PHARMACY 10-34643943 GRAND AVENUE
CHINOCA9171010/01/2023  
CHC28988-00WAL-MART PHARMACY 10-3494732 CENTER DR
SAN MARCOSCA9206910/01/2023  
CHC28988-00WAL-MART PHARMACY 10-3524605 FLETCHER PKWY
EL CAJON (C)CA9202010/01/2023 04/01/2025
CHC28988-00WAL-MART PHARMACY 10-509634500 MONTEREY AVE.
PALM DESERT(C. CITY)CA9226010/01/2023  
CHC28988-00WAL-MART PHARMACY 10-519312721 MORENO BEACH DRIVE
MORENO VALLEYCA9255510/01/2023  
CHC28988-00WAL-MART PHARMACY 10-54251861 SOUTH SAN JACINTO AVENUE
SAN JACINTOCA9258310/01/2023  
CHC28988-00WAL-MART PHARMACY 10-59961330 EAST GRAND AVE
ESCONDIDOCA9202710/01/2023  
CHC28988-00WAL-MART PHARMACY 10-59979600 PARKSOUTH CT. SUITE 100
ORLANDOFL3283710/01/2023  
CHC28988-00WALGREEN CODBA: WALGREENS #10467 1236 N WATERMAN AVE
SAN BERNARDINOCA92404-531104/01/2016 04/14/2016
CHC28988-00WALGREEN CODBA: WALGREENS #09885 2465 E. PALM CANYON DR, BLDG 14
PALM SPRINGSCA9226404/01/2016  
CHC28988-00WALGREEN CODBA: WALGREENS #09021 1811 S SAN JACINTO AVE
SAN JACINTOCA92583-560504/01/2017  
CHC28988-00WALGREEN CODBA: WALGREENS #09641 72027 DINAH SHORE DR
RANCHO MIRAGECA92270-173904/01/2017  
CHC28988-00WALGREEN CODBA: WALGREENS #09781 82-955 AVENUE 48, BLDG B
INDIOCA9220104/01/2017  
CHC28988-00WALGREEN CODBA: WALGREENS #10242 78218 VARNER RD
PALM DESERTCA9221104/01/2017  
CHC28988-00WALGREEN CODBA: WALGREENS #10368 2261 W ESPLANADE AVE
SAN JACINTOCA9258204/01/2017  
CHC28988-00WALGREEN CODBA: WALGREENS #10703 82900 AVENUE 42
STE D 		INDIOCA9220304/01/2017  
CHC28988-00WALGREEN CODBA: WALGREENS #12143 5504 BALBOA AVE
SAN DIEGOCA9211107/01/2023  
CHC28988-00WALGREEN CODBA: WALGREENS #10467 1236 N WATERMAN AVE
SAN BERNARDINOCA92404-531107/01/2023  
CHC28988-00WALGREEN CO.DBA WALGREENS SPECIALTY PHARMACY #07577 1695 N SUNRISE WAY
PALM SPRINGSCA9226204/01/2016  
CHC28988-00WALGREEN CO.DBA: WALGREENS # 01079 1700 E VISTA CHINO ROAD
PALM SPRINGSCA9226204/01/2016  
CHC28988-00WALGREEN CO.DBA: WALGREENS # 09183 1301 W BASELINE ST
SAN BERNARDINOCA92411-170704/01/2016 04/14/2016
CHC28988-00WALGREEN CO.DBA WALGREENS SPECIALTY PHARMACY #13435 555 S SUNRISE WAY STE 112-113
PALM SPRINGSCA9226404/01/2016  
CHC28988-00WALGREEN CO.DBA WALGREENS SPECIALTY PHARMACY #12694 10990 WARNER AVE STE A
FOUNTAIN VALLEYCA9270807/01/2016  
CHC28988-00WALGREEN CO.DBA: WALGREENS # 04756 44840 MONTEREY AVE.
PALM DESERTCA9226007/01/2016  
CHC28988-00WALGREEN CO.DBA: WALGREENS # 09229 30-015 DATE PALM
CATHEDRAL CITYCA9223407/01/2016  
CHC28988-00WALGREEN CO.DBA: WALGREENS # 05037 14001 PALM DR
DESERT HOT SPRINGSCA9224007/01/2016  
CHC28988-00WALGREEN CO.DBA: WALGREENS # 05301 33975 DATE PALM DR
CATHEDRAL CITYCA9223407/01/2016  
CHC28988-00WALGREEN CO.DBA: WALGREENS # 01254 44100 JEFFERSON ST
INDIOCA9220104/01/2017  
CHC28988-00WALGREEN CO.DBA: WALGREENS # 04757 42010 WASHINGTON ST.
BERMUDA DUNESCA9220304/01/2017  
CHC28988-00WALGREEN CO.DBA: WALGREENS # 05182 60 N HIGHLAND SPRINGS AVE
BANNINGCA9222004/01/2017  
CHC28988-00WALGREEN CO.DBA: WALGREENS # 05220 12275 PERRIS BLVD
MORENO VALLEYCA9255704/01/2017  
CHC28988-00WALGREEN CO.DBA: WALGREENS # 05348 34503 YUCAIPA BLVD
YUCAIPACA9239904/01/2017  
CHC28988-00WALGREEN CO.DBA: WALGREENS # 05349 1311 E. FLORIDA AVE.
HEMETCA9254404/01/2017  
CHC28988-00WALGREEN CO.DBA: WALGREENS # 05506 118 E BASE LINE ROAD
RIALTOCA92376-360704/01/2017 01/01/2022
CHC28988-00WALGREEN CO.DBA: WALGREENS # 06126 27975 BRADLEY RD
MENIFEECA92586-227304/01/2017  
CHC28988-00WALGREEN CO.DBA: WALGREENS # 06127 30251 MURRIETA ROAD
MENIFEECA9258404/01/2017 01/01/2022
CHC28988-00WALGREEN CO.DBA: WALGREENS # 06399 58133 29 PALMS HWY
YUCCA VALLEYCA9228404/01/2017  
CHC28988-00WALGREEN CO.DBA: WALGREENS # 07714 1400 BEAUMONT AVE
BEAUMONTCA9222304/01/2017  
CHC28988-00WALGREEN CO.DBA: WALGREENS # 07765 47900 WASHINGTON STREET
LA QUINTACA9225304/01/2017  
CHC28988-00WALGREEN CO.DBA: WALGREENS # 09080 80925 US HIGHWAY 111
INDIOCA9220104/01/2017  
CHC28988-00WALGREEN CO.DBA: WALGREENS #10366 1186 CALIMESA BLVD
CALIMESACA9232004/01/2017 01/01/2022
CHC28988-00WALGREEN CO.DBA: WALGREENS #11611 50040 CESAR CHAVEZ ST
COACHELLACA9223604/01/2017  
CHC28988-00WALGREEN CO.DBA: WALGREENS # 13833 10992 MAGNOLIA AVENUE
RIVERSIDECA9250501/24/2023  
CHC28988-00WALGREEN CO.DBA: WALGREENS # 07176 8766 NAVAJO RD
SAN DIEGOCA92119-272207/01/2023  
CHC28988-00WALGREEN CO.DBA: WALGREENS # 05455 111 W WASHINGTON AVE
ESCONDIDOCA9202507/01/2023  
CHC28988-00WALGREEN CO.DBA: WALGREENS # 01080 43200 STATE HWY 74
HEMETCA9254407/01/2023  
CHC28988-00WALGREEN CO.DBA: WALGREENS #11990 9728 WINTER GARDENS BLVD
LAKESIDECA9204007/01/2023  
CHC28988-00WALGREEN CO.DBA: WALGREENS # 01995 40420 MURRIETA HOT SPRINGS
MURRIETACA9256307/01/2023  
CHC28988-00WALGREEN CO.DBA: WALGREENS # 02712 8044 LIMONITE AVE
RIVERSIDECA9250907/01/2023  
CHC28988-00WALGREEN CO.DBA WALGREENS SPECIALTY PHARMACY #16554 7000 INDIANA AVE STE 112
RIVERSIDECA9250607/01/2023  
CHC28988-00WALGREEN CO.DBA: WALGREENS #12915 7195 BROADWAY
LEMON GROVECA91945-140807/01/2023  
CHC28988-00WALGREEN CO.DBA: WALGREENS # 01870 12109 APPLE VALLEY RD
APPLE VALLEYCA9230807/01/2023  
CHC28988-00WALGREEN CO.DBA: WALGREENS #11653 1320 ENCINITAS BLVD
ENCINITASCA9202407/01/2023  
CHC28988-00WALGREEN CO.DBA: WALGREENS # 06856 100 N IMPERIAL AVE
EL CENTROCA9224307/01/2023  
CHC28988-00WALGREEN CO.DBA: WALGREENS #09817 9305 MISSION GORGE RD
SANTEECA92071-381507/01/2023  
CHC28988-00WALGREEN CO.DBA WALGREENS SPECIALTY PHARMACY #16490 4130 LA JOLLA VILLAGE DR STE 103
LA JOLLACA9203707/01/2023  
CHC28988-00WALGREEN CO.DBA: WALGREENS # 05038 1661 W FLORIDA AVE
HEMETCA9254307/01/2023  
CHC28988-00WALGREEN CO.DBA: WALGREENS # 06685 1634 E HIGHLAND AVE
SAN BERNARDINOCA92404-461607/01/2023  
CHC28988-00WALGREEN CO.DBA: WALGREENS # 05556 17051 BEAR VALLEY ROAD
HESPERIACA9234507/01/2023  
CHC28988-00WALGREEN CO.DBA WALGREENS SPECIALTY PHARMACY #15294 8490 SANTA MONICA BLVD STE 1
WEST HOLLYWOODCA9006907/01/2023  
CHC28988-00WALGREEN CO.DBA: WALGREENS # 01081 1101 S SANDERSON AVE
HEMETCA9254507/01/2023  
CHC28988-00WALGREEN CO.DBA: WALGREENS # 07262 6600 MAGNOLIA AVE
RIVERSIDECA92506-290307/01/2023  
CHC28988-00WALGREEN CO.DBA: WALGREENS # 05844 215 NORTH 2ND STREET
EL CAJONCA9202107/01/2023  
CHC28988-00WALGREEN CO.DBA: WALGREENS # 05700 1574 E VALLEY PKWY
ESCONDIDOCA9202707/01/2023  
CHC28988-00WALGREEN CO.DBA: WALGREENS #07990 1745 UNIVERSITY AVE.
RIVERSIDECA9250707/01/2023  
CHC28988-00WALGREEN CO.DBA: WALGREENS # 07976 800 E LUGONIA AVENUE
REDLANDSCA9237407/01/2023  
CHC28988-00WALGREEN CO.DBA: WALGREENS # 06656 3222 UNIVERSITY AVENUE
SAN DIEGOCA92104-201007/01/2023 11/15/2023
CHC28988-00WALGREEN CO.DBA: WALGREENS # 05527 25011 ALESSANDRO BLVD
MORENO VALLEYCA9255307/01/2023  
CHC28988-00WALGREEN CO.DBA: WALGREENS # 02223 17383 MAIN STREET
HESPERIACA92345-611707/01/2023  
CHC28988-00WALGREEN CO.DBA: WALGREENS # 10142 460 W FELICITA AVENUE
ESCONDIDOCA92025-651807/01/2023  
CHC28988-18WALGREEN CO.DBA: WALGREENS # 05037 14001 PALM DR
DESERT HOT SPRINGSCA9224010/01/2024  
CHC28988-00WALGREENS MAIL SERVICE, LLCWALGREENS MAIL SERVICE #03397 8350 S RIVER PARKWAY
TEMPEAZ8528407/01/2023  
CHC28988-00WALGREENS SPECIALTY PHARMACY, LLCALLIANCERX WALGREENS PRIME #12314 9775 SW GEMINI DR, STE 1
BEAVERTONOR9700801/01/2020 01/01/2022
CHC28988-00WALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #15438 41460 HAGGERTY CIR S
CANTONMI4818801/01/2020  
CHC28988-00WALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #15443 10530 JOHN W ELLIOTT DR STE 100
FRISCOTX7503301/01/2020  
CHC28988-00WALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #16287 130 ENTERPRISE DR
PITTSBURGHPA1527501/01/2020  
CHC28988-00WALGREENS.COM, INC.DBA: WALGREENS 2225 S. PRICE ROAD
CHANDLERAZ8528607/01/2023  
CHC28988-00WALMART PHARMACY #10-4169300 N. 2ND ST
EL CAJONCA9202110/01/2023  
CHC28988-00WALMART PHARMACY 10-282683053 AVENUE 48
COACHELLACA9223610/01/2023  
CHC28988-00WALMART PHARMACY 10-302672314 HIGHWAY 111
PALM DESERTCA9226010/01/2023  
CHC28988-00WALMART PHARMACY 10-30841266 E VALLEY PKWY
ESCONDIDOCA9202710/01/2023  
CHC28988-00WALMART PHARMACY 10-51692252 NORTH 8TH STREET
SUITE A 		ROGERSAR7275610/01/2023  
CHC28988-00WALMART PHARMACY 10-56638844 LIMONITE AVE
JURUPA VALLEYCA92509-502110/01/2023  
CHC28988-00Walmart Pharmacy 10-76112501 Perry Rd
PlainfieldIN4616801/01/2024  
CHC28988-00WHITE CROSS PHARMACY #11717 E VISTA CHINO STE B2
PALM SPRINGSCA92262-370004/01/2017  
CHC28988-00WISCONSIN CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 08768 240 E HAMPTON AVENUE
WHITEFISH BAYWI5321701/01/2021 01/01/2022
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
Medicaid BillingNPI: NumberInsertGroup Change Request 10934317695/27/2025 11:02 AM
Medicaid BillingNPI: StateInsertGroup Change Request CA5/27/2025 11:02 AM
Medicaid BillingNPI: NumberInsertGroup Change Request 16598248375/27/2025 11:02 AM
Medicaid BillingNPI: StateInsertGroup Change Request CA5/27/2025 11:02 AM
Medicaid BillingNPI: NumberInsertGroup Change Request 16897411755/27/2025 11:02 AM
Medicaid BillingNPI: StateInsertGroup Change Request CA5/27/2025 11:02 AM
Medicaid BillingNPI: NumberInsertChange Request 16190365144/3/2025 4:14 PM
Medicaid BillingNPI: StateInsertChange Request CA4/3/2025 4:14 PM
DetailsEntity NameUpdateGroup Change RequestDESERT AIDS PROJECT INCDAP HEALTH INC3/19/2025 6:13 AM
ContactsAuthorizing OfficialUpdateProfile Change RequestStith, Judy Chief Financial Officer Desert AIDS Project 7603232118-526Stith, Judy Chief Administration Officer DAP Health Inc 7603232118-5263/19/2025 6:11 AM
DetailsLast Recertification DateUpdateRecertification2/6/2024 1:35:38 PM2/12/2025 3:05:29 PM2/12/2025 3:05 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1124725346 (CA) 10/7/2024 9:40 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False10/7/2024 9:40 PM
Medicaid BillingMedicaid: NumberInsertChange Request 133683514910/7/2024 9:40 PM
Medicaid BillingMedicaid: StateInsertChange Request CA10/7/2024 9:40 PM
Medicaid BillingNPI: NumberDeleteChange Request1124725346 (CA) 10/7/2024 9:40 PM
Medicaid BillingNPI: NumberInsertChange Request 133683514910/7/2024 9:40 PM
Medicaid BillingNPI: StateInsertChange Request CA10/7/2024 9:40 PM
ContactsAuthorizing OfficialUpdateGroup Change RequestBrinkman, David Chief Executive Officer Desert AIDS Project 7609920418Stith, Judy Chief Financial Officer Desert AIDS Project 7603232118-5267/15/2024 7:06 AM
ContactsPrimary ContactUpdateGroup Change RequestStith, Judy Chief Financial Officer Desert AIDS Project 7603232118-526Coburn, Kendra Pilar 340B Program Manager Desert Aids Project 76083519357/15/2024 7:06 AM
DetailsLast Recertification DateUpdateRecertification 2/6/2024 1:35:38 PM2/6/2024 1:35 PM
DetailsStateUpdate ApprovedActive10/1/2023 12:01 AM
ContactsSigned ByInsertNew Registration Brinkman, David Chief Executive Officer Desert AIDS Project 76099204189/22/2023 10:03 AM
Details340B IDUpdateNew Registration CHC28988-119/22/2023 10:03 AM
DatesParticipating Approval DateUpdateNew Registration 9/22/2023 10:03:56 AM9/22/2023 10:03 AM
DetailsStateUpdateNew RegistrationPendingApproved9/22/2023 10:03 AM
DatesSigned By DateUpdateNew Registration 9/21/2023 3:37:32 PM9/22/2023 10:03 AM
DatesStart DateUpdateNew Registration 10/1/2023 12:00:00 AM9/22/2023 10:03 AM
AddressesMain AddressInsertNew Registration  69-195 Ramon Road STE C-3 Cathedral City, CA 922349/21/2023 9:46 AM
AddressesBilling AddressInsertNew Registration DAP Health 1695 N Sunrise Way Palm Springs, CA 922629/21/2023 9:46 AM
Medicaid BillingMedicaid: Is PrimaryInsertNew Registration False9/21/2023 9:46 AM
Medicaid BillingMedicaid: NumberInsertNew Registration 11247253469/21/2023 9:46 AM
Medicaid BillingMedicaid: StateInsertNew Registration CA9/21/2023 9:46 AM
Medicaid BillingNPI: NumberInsertNew Registration 11247253469/21/2023 9:46 AM
Medicaid BillingNPI: StateInsertNew Registration CA9/21/2023 9:46 AM
ContactsPrimary ContactInsertNew Registration Stith, Judy Chief Financial Officer Desert AIDS Project 7603232118-5269/21/2023 9:46 AM
ContactsAuthorizing OfficialInsertNew Registration Brinkman, David Chief Executive Officer Desert AIDS Project 76099204189/21/2023 9:46 AM
DetailsAssistance Received From DateInsertNew Registration  9/21/2023 9:46 AM
DetailsAssistance Received To DateInsertNew Registration  9/21/2023 9:46 AM
DetailsLast Recertification DateInsertNew Registration  9/21/2023 9:46 AM
DetailsGrant NumberInsertNew Registration H80CS289889/21/2023 9:46 AM
Details340B IDInsertNew Registration  9/21/2023 9:46 AM
DetailsIs Authorizing Official EHB DataInsertNew Registration  9/21/2023 9:46 AM
DatesLast Date That 340B Drugs PurchasedInsertNew Registration  9/21/2023 9:46 AM
DetailsMedicare Provider NumberInsertNew Registration  9/21/2023 9:46 AM
DetailsEntity NameInsertNew Registration DESERT AIDS PROJECT INC9/21/2023 9:46 AM
DetailsNOFO NumberInsertNew Registration  9/21/2023 9:46 AM
DetailsProgram CodeInsertNew Registration CH9/21/2023 9:46 AM
DetailsEntity SubnameInsertNew Registration Centro Medico Cathedral City General Dentistry9/21/2023 9:46 AM
DatesParticipating Approval DateInsertNew Registration  9/21/2023 9:46 AM
DetailsStateInsertNew Registration Pending9/21/2023 9:46 AM
DatesRegistration DateInsertNew Registration 9/21/2023 9:46:13 AM9/21/2023 9:46 AM
DatesSigned By DateInsertNew Registration  9/21/2023 9:46 AM
DatesStart DateInsertNew Registration  9/21/2023 9:46 AM
TerminationsTermination CommentsInsertNew Registration  9/21/2023 9:46 AM
TerminationsTermination DateInsertNew Registration  9/21/2023 9:46 AM
TerminationsTermination Effective DateInsertNew Registration  9/21/2023 9:46 AM
TerminationsTermination ReasonInsertNew Registration  9/21/2023 9:46 AM