pharmacy name phone number address city state zip ... gerald ford dr ste 2 palm desert ca 92211-2080...

The following pharmacies are additional Home Infusion or Long Term Care pharmacies that may be available for use.If you have any questions, please call the number on your ID Card.

Pharmacy Name Phone Number Address City State Zip Code IVY HOME INFUSIONS LLC (907) 279-2425 2841 DEBARR RD STE 20 ANCHORAGE AK 99508-2945 PIONEERS HOME PHARMACY (907) 343-7294 923 W 11TH AVE ANCHORAGE AK 99501-4306 PROVIDENCE APOTHECARY (907) 212-9251 920 COMPASSION CIR ANCHORAGE AK 99504-1645 PROFESSIONAL HOME IV INC (907) 262-8737 182 S BIRCH ST SOLDOTNA AK 99669-8020 GSI PHARMACY OF ALEXANDER CITY (256) 329-0868 1784 ELKAHATCHEE RD ALEXANDER CITY AL 35010-4800 PHARMERICA (205) 987-7444 509 MINERAL TRCE # 200 BIRMINGHAM AL 35244-4507 THE WOODLANDS PHARMACY (256) 739-0095 1824 MAIN AVE SW CULLMAN AL 35055-5253 PHARMERICA (251) 625-6270 9052 INDEPENDENCE AVE DAPHNE AL 36526-5613 INFUSION SERVICES LLC (334) 794-1126 2511 ROSS CLARK CIRCLE DOTHAN AL 36301 NUTRITIONAL PARENTERAL HOMECARE INC (256) 534-4663 2650 LEEMAN FERRY RD SW STE C HUNTSVILLE AL 35801-5610 NUTRITIONAL PARENTERAL HOME CARE (205) 345-4566 500 PAUL W BRYANT DR # B TUSCALOOSA AL 35401-2057 IV STAT INC (334) 730-4729 302 PRAIRIE ST N STE 3B UNION SPRINGS AL 36089-1417 PHARMERICA (501) 753-1529 3809 MCCAIN PARK DR STE 105 NORTH LITTLE ROCK AR 72116-7853 NEWTONS INHOUSE PHARMACY (479) 968-1157 715 W MAIN ST RUSSELLVILLE AR 72801-3616

ARIZONA STATE HOSPITAL PHCY (602) 220-6060 2500 E VAN BUREN ST PHOENIX AZ 85008-6037 PHARMERICA (800) 246-1843 8826 N 23RD AVE STE C-2 PHOENIX AZ 85021-4154 KINDRED PHARMACY SERVICES (520) 745-0025 4595 S PALO VERDE RD STE 519 TUCSON AZ 85714-1967 ST JOES HEALTH SYSTEM HOMECARE (714) 712-9555 200 W CENTER STREET PROMENADE ANAHEIM CA 92805-3960

ATASCADERO STATE HOSPITAL (805) 468-2519 10333 EL CAMINO REAL ATASCADERO CA 93422-5808 SAV-CO GENERIC DRUGS (408) 378-2363 621 E CAMPBELL AVE STE 1 CAMPBELL CA 95008 CONCIERGE RX PHARMACY (818) 960-4664 9528 TOPANGA CANYON BLVD CHATSWORTH CA 91311-4011

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Pharmacy Name Phone Number Address City State Zip Code

DEPT OF DEVELOPMENTAL SVCS (714) 957-5000 2501 HARBOR BLVD COSTA MESA CA 92626-6143 PHARMERICA (714) 891-5145 11205 KNOTT AVE STE B& CYPRESS CA 90630-5489 DELANO REGIONAL MED CTR PHARMACY (661) 721-5302 1401 GARCES HWY DELANO CA 93215-3690 PAX PHARMACY II (626) 531-7552 931 BUENA VISTA ST STE 101 DUARTE CA 91010-1780 DMK PHARMACY (619) 561-5602 8575 LOS COCHES RD # 5 EL CAJON CA 92021-8844

DEPT OF DEVELOPMENTAL SVCS (707) 938-6765 15000 ARNOLD DR ELDRIDGE CA 95431-8900

MAYERS MEMORIAL HOSPITAL (530) 336-5511 43563 STATE HIGHWAY 299 E FALL RIVER MILLS CA 96028-9787 PHARMERICA (800) 499-9079 4910 E ASHLAN AVE STE 111 FRESNO CA 93726-3021 SOUTH VALLEY PHARMACY SERVICES (408) 847-6160 7496 EIGLEBERRY ST GILROY CA 95020-5712 CAL-MED PHARMACY (949) 586-1700 24031 MARGUERITE PKWY STE A MISSION VIEJO CA 92692-1929 COFFEE PLAZA PHARMACY (209) 522-3367 2020 COFFEE RD STE C2 MODESTO CA 95355-2407 NAPA STATE HOSPITAL (707) 253-5201 2100 NAPA VALLEJO HWY NAPA CA 94558-6234 METROPOLITAN STATE HOSPITAL (562) 863-7011 11401 BLOOMFIELD AVE NORWALK CA 90650-2015 AMBROSIA HEALTHCARE INC (760) 691-2000 75060 GERALD FORD DR STE 2 PALM DESERT CA 92211-2080 LIFECARE SOLUTIONS, INC (626) 683-5401 170 N DAISY AVE PASADENA CA 91107-3465 PATTON STATE HOSPITAL (909) 425-7000 3102 E HIGHLAND AVE PATTON CA 92369-7813

DEPT OF DEVELOPMENTAL SVCS (559) 782-2336 26501 AVENUE 140 PORTERVILLE CA 93257-9109

PHARMERICA (951) 784-1616 833 MARLBOROUGH AVE STE 100 RIVERSIDE CA 92507-2133 PACIFIC WEST PHARMACY (916) 632-7560 4363 PACIFIC ST ROCKLIN CA 95677-2117

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KINDRED PHARMACY SERVICES (916) 928-3830 1214 N MARKET BLVD SACRAMENTO CA 95834-2931 PHARMERICA (858) 537-9374 8930 ACTIVITY RD STE J SAN DIEGO CA 92126-4457 LAGUNA HONDA HOSPITAL PHARMACY (415) 759-3063 375 LAGUNA HONDA BLVD SAN FRANCISCO CA 94116-1411

PAYLESS DRUG SPCL SERV PHCY (800) 330-3665 10800 BIGGE ST SAN LEANDRO CA 94577-1100 PHARMERICA (805) 543-5981 873 RICARDO CT SAN LUIS OBISPO CA 93401-7174 PREMIER PHARMACEUTICAL SVCS (925) 556-9680 18080 SAN RAMON VALLEY BLVD ST SAN RAMON CA 94583-4434 PHARMACY CARE CONCEPTS (209) 957-8787 7720 LORRAINE AVE STE 102 STOCKTON CA 95210-4203

PHARMERICA (510) 475-6042 32980 ALVARADO NILES RD STE 83 UNION CITY CA 94587-3186 PHARMERICA (805) 642-0555 5574 EVERGLADES ST STE A VENTURA CA 93003-6542 VALLEY PHARMACY SERVICES (559) 635-2674 500 N GARDEN ST STE 4 VISALIA CA 93291-5067 WARD ROAD PHARMACY (303) 420-7979 5656 WARD WAY STE A ARVADA CO 80002-1346 PHARMERICA (303) 460-9474 557 BURBANK ST UNIT Q BROOMFIELD CO 80020-7118 PHARMERICA (719) 634-6464 1041 ELKTON DR # A COLORADO SPRINGS CO 80907-3539 CSI, INC (970) 243-3411 1401 N 1ST ST GRAND JUNCTION CO 81501-2115 CJ PHARMACY II (970) 526-9417 422 MAIN ST STERLING CO 80751-4343 PHARMERICA (860) 829-6575 77 OLD BRICKYARD LN # 1 BERLIN CT 06037-1423

PROCARE LTC PHCY OF CT LLC (203) 439-9099 1492 HIGHLAND AVE STE 1C CHESHIRE CT 06410-1287 HEBREW HOME & HOSPITAL PHARMACY (860) 523-3973 1 ABRAHMS BLVD WEST HARTFORD CT 06117-1508 PHARMERICA (302) 454-8234 111 RUTHAR DR NEWARK DE 19711-8025 BAPTIST INFUSION THERAPY (904) 202-5730 3563 PHILIPS HWY BLDG B # 202 JACKSONVILLE FL 32207

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Pharmacy Name Phone Number Address City State Zip Code PHARMERICA (904) 733-6099 7970 BAYBERRY RD STE 4 JACKSONVILLE FL 32256-7474 PHARMERICA (727) 524-9333 2200 TALL PINES DR # SUITE118 LARGO FL 33771-5341 FL HOSPITAL HOME INFUSION LLC (407) 865-5489 556 FLORIDA CNTRL PKWY #1044 LONGWOOD FL 32750 PHARMERICA (407) 767-9010 735 W HIGHWAY 434 STE B LONGWOOD FL 32750-4908 PHARMERICA (800) 700-7217 2101 NW 33RD ST # 1400/1500A POMPANO BEACH FL 33069-1068 BAYFRONT HEALTH PUNTA GORDA (941) 639-3131 809 E. MARION AVE PUNTA GORDA FL 33950 PHARMERICA (941) 342-2500 775 BELL RD SARASOTA FL 34240-9509 PHARMERICA (850) 671-1334 1519 CAPITAL CIR NE STE 1 TALLAHASSEE FL 32308-6279 BARNEY'S LONG TERM CARE PHCY (706) 849-4161 2604 PEACH ORCHARD RD STE 300 AUGUSTA GA 30906-2406 HMC LONG TERM CARE PHARMACY (706) 272-6430 1200 MEMORIAL DR DALTON GA 30720-2529 ANGUS LAKE HEALTHCARE (478) 387-2404 242 MILLEDGEVILLE RD GORDON GA 31031 WESTBURY SENIOR CARE PHARMACY (770) 233-8999 1012 MEMORIAL DR STE 15 GRIFFIN GA 30223-4411 PHARMACY PARTNERS OF GA LLC (678) 797-9067 2105 BARRETT PARK DR NW KENNESAW GA 30144-7080 GWINNETT EXTENDED CARE CENTER (678) 312-3642 650 PROFESSIONAL DR LAWRENCEVILLE GA 30046 PHARMERICA (478) 765-1725 3378 BROOKDALE AVE STE H MACON GA 31204-2722 PHARMERICA (770) 432-1621 1100 WILSON WAY SE STE 500 SMYRNA GA 30082-7218

UNITED PHARMACY SERVICES (229) 244-8868 1711 RIVER ST VALDOSTA GA 31601-5163 PHARMERICA (808) 969-1775 688 KINOOLE ST STE 109 HILO HI 96720-3868 PHARMERICA (808) 832-8232 3375 KOAPAKA ST STE H 435 HONOLULU HI 96819-1800

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Pharmacy Name Phone Number Address City State Zip Code PHARMERICA (808) 236-8350 45-710 KEAAHALA RD KANEOHE HI 96744-3528 PHARMERICA (808) 245-8024 2970 KELE ST STE 113A LIHUE HI 96766-1803 PHARMERICA (808) 249-2113 1900 MAIN ST WAILUKU HI 96793-1900 ANKENY COMMUNITY PHARMACY (402) 289-0431 213 N ANKENY BLVD STE 125B ANKENY IA 50023

QC COMMUNITY PHARMACY (402) 991-0431 2435 KIMBERLY RD STE 230 NORTH BETTENDORF IA 52722 MEDICAP PHARMACY (515) 432-2311 403 STORY ST BOONE IA 50036-3533 CARROLL APOTHECARY LTC (712) 792-2671 425 W US HIGHWAY 30 STE 140C CARROLL IA 51401-2262 DUBUQUE COMMUNITY PHARMACY (402) 289-0431 1605 ASSOCIATES DR STE 102 W DUBUQUE IA 52002-2270 RASHID LONG TERM CARE (319) 376-2358 2402 AVENUE L FORT MADISON IA 52627-3933

GLENWOOD RESOURCE CENTER (712) 525-1316 711 S VINE ST GLENWOOD IA 51534-1927 STANGEL PHARMACY LTC (712) 423-1131 821 IOWA AVE ONAWA IA 51040-1629 HOME TOWN PHARMACY (712) 737-4919 512 8TH ST SE ORANGE CITY IA 51041-1984 CONTINUE CARE HOME INFUSION (712) 224-2845 2609 APACHE CT SIOUX CITY IA 51104-1504 PHARMERICA (515) 331-7756 2901 99TH ST URBANDALE IA 50322-3840 PHARMERICA (208) 322-4500 2054 S SILVERSTONE WAY MERIDIAN ID 83642-8108

IDAHO STATE VETERANS HOME (208) 236-6340 1957 ALVIN RICKEN DR POCATELLO ID 83201-2727 FRANKLIN COUNTY MEDICAL CENTER (208) 852-4129 44 N 1ST E PRESTON ID 83263-1326 ALTON MENTAL HEALTH (618) 474-3408 4500 COLLEGE AVE ALTON IL 62002-5051

CHOATE MENTAL HEALTH & DO (847) 742-1040 1000 N MAIN ST ANNA IL 62906-1652

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Pharmacy Name Phone Number Address City State Zip Code IV CARE (618) 398-2720 65 S 65TH ST STE 1 BELLEVILLE IL 62223-2946 PHARMERICA (630) 472-0401 818 THORNDALE AVE BENSENVILLE IL 60106-1138 WARREN DEVELOPMENTAL CENTER (618) 532-1811 1535 W MCCORD ST CENTRALIA IL 62801-5805 HEALTHDIRECT INSTUTUTIONAL PHARMACY (217) 483-7431 1053 JASON PLACE CHATHAM IL 62629 CHESTER MENTAL HEALTH (618) 826-4571 1315 LEHMAN DR CHESTER IL 62233-2542 PHARMASCRIPT (844) 635-3221 5437 N BROADWAY AVENUE CHICAGO IL 60640-1703

ILLINI PHARMACY SERVICES LLC (217) 791-6340 675 W IMBODEN DR DECATUR IL 62521-9068

FOX DEVELOPMENTAL CENTER (815) 584-3347 134 W MAIN ST DWIGHT IL 60420-1322 ELGIN MENTAL HEALTH (847) 742-1040 750 S STATE ST ELGIN IL 60123-7612 ORSINI PHARMACEUTICAL SERVICES INC (847) 734-7373 1107 NICHOLAS BLVD ELK GROVE VILLAGE IL 60007-2516 MADDEN MENTAL HEALTH (708) 338-7319 1200 S FIRST AVE HINES IL 60141 SHAPIRO DEVELOPMENT CENTER (815) 939-8386 100 E JEFFERY ST KANKAKEE IL 60901-5018 OSF HOME INFUSION PHARMACY (815) 221-5001 9951 ROCK CUT CROSSING LOVES PARK IL 61111 UVANTA PHARMACY - SOUTHERN ILLINOIS (618) 993-2900 7846 AVIATION DR MARION IL 62959-5818 DOEHRINGS LTC PHARMACY (618) 327-8190 145 S WASHINGTON ST NASHVILLE IL 62263-1430 LUDEMAN DEVELOPMENTAL CENTER (708) 283-3194 114 NORTH ORCHARD DRIVE PARK FOREST IL 60466 OSF HOME INFUSION PHARMACY (309) 683-7827 2265 W ALTORFER DR PEORIA IL 61615-1807

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Pharmacy Name Phone Number Address City State Zip Code MCFARLAND MENTAL HEALTH CENTER (217) 786-6930 901 SOUTHWIND DR SPRINGFIELD IL 62703-5125

KILEY DEVELOPMENTAL CENTER (847) 249-0600 1401 W DUGDALE RD WAUKEGAN IL 60085-6263 INDIANA UNIVERSITY HEALTH HOME CARE (317) 962-4745 950 N MERIDIAN ST STE 700 INDIANAPOLIS IN 46204-1236 PHARMERICA (317) 595-6270 6330 E 75TH ST STE 322 INDIANAPOLIS IN 46250-2708 CURRIER DRUG INC (785) 626-3214 416 STATE ST ATWOOD KS 67730-1929 PHARMERICA (913) 492-0359 8030 REEDER ST LENEXA KS 66214-1554 ALTERNACARE INFUSION PHARMACY (913) 906-9260 15065 W 116TH ST OLATHE KS 66062-1098 KRIEN PHARMACY, INC (785) 332-2177 105 W WASHINGTON ST SAINT FRANCIS KS 67756-5678

PRESTON PHARMACY (866) 404-3300 2900 SW WANAMAKER DR STE 201N TOPEKA KS 66614-4188 PHARMACARE HEALTH SPECIALISTS (316) 681-2181 2740 N REGENCY PARK WICHITA KS 67226-4527 PHARMERICA (800) 727-5514 301 INDUSTRIAL DR GLASGOW KY 42141-1132 BRECKINRIDGE MEM HOSP PHCY (270) 756-6557 1011 OLD HIGHWAY 60 HARDINSBURG KY 40143-2519 HAZELWOOD FACILITY PHARMACY (502) 361-2301 1800 BLUEGRASS AVE LOUISVILLE KY 40215-1130 PHARMERICA (502) 266-0811 12100 PLANTSIDE DR LOUISVILLE KY 40299-6343 ROCKCASTLE REGIONAL HOSPITAL PHCY (606) 256-7738 145 NEWCOMB AVE MOUNT VERNON KY 40456-2728 FUSIONCARE PHARMACY (318) 445-8770 180 WINDERMERE BLVD ALEXANDRIA LA 71303-3535 MAGNOLIA PHARMACY SERVICES LLC (318) 443-5810 26 HEYMAN LANE ALEXANDRIA LA 71303

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PEARSON SPECIALTY PHARMACY (318) 448-7366 2804 N BOLTON AVE ALEXANDRIA LA 71303-4509 LTC DISPENSARY LLC (225) 665-8606 257 FLORIDA AVE SE STE B DENHAM SPRINGS LA 70726-3728

PHARMERICA (504) 818-1144 520 ELMWOOD PARK BLVD STE 14 ELMWOOD LA 70123-3340

PILLS IN A POUCH PHARMACY (318) 357-7665 405 B BIENVILLE ST. NATCHITOCHES LA 71457 PHARMACEUTICALS INC (225) 545-2277 32553 BOWIE ST WHITE CASTLE LA 70788-2503 TAI TUNG PHARMACY INC (617) 482-7419 256 HARRISON AVE BOSTON MA 02111-1835 WHOLE HEALTH PHARMACY (508) 778-5928 596 W MAIN ST HYANNIS MA 02601-3465 STATE OFFICE OF PHCY SERVICES (978) 858-2100 365 EAST ST TEWKSBURY MA 01876-1950 MILLENNIUM PHARMACY SYSTEMS (724) 940-2490 202 PERRY PKWY GAITHERSBURG MD 20877-2172 IGG AMERICA (877) 674-9700 514 PROGRESS DR STE X LINTHICUM MD 21090-2214 ZONETAK PHARMACY (443) 275-1562 515 FAIRMOUNT AVE STE 130 TOWSON MD 21286-8520 ST JOHN VALLEY LONG TERM CARE (207) 834-2881 182 MARKET ST STE 3 FORT KENT ME 04743-1514

KINDRED PHARMACY SERVICES (207) 775-0631 97 MCALISTER FARM RD PORTLAND ME 04103-5946 REVERENCE HOME HEALTH & HOSPICE (810) 606-5090 1000 HEALTH PARK BLVD STE A GRAND BLANC MI 48439 PHARMERICA (616) 954-6833 4575 44TH ST SE STE A GRAND RAPIDS MI 49512-4080 ADVANCED CARE PHARMACY SERVICES JAC (517) 789-8579 1200 N WEST AVE STE 500 JACKSON MI 49202-2182 HOME I V CARE INC (248) 577-5670 32751 EDWARD AVE STE 101 MADISON HEIGHTS MI 48071-1422 PHARMERICA (989) 837-3636 215 FAST ICE DR MIDLAND MI 48642-6167

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Pharmacy Name Phone Number Address City State Zip Code GENOA-QOL HEALTHCARE (248) 799-8125 22170 W 9 MILE RD SOUTHFIELD MI 48033-6007 PHARMERICA (800) 231-8155 3410 E 12 MILE RD STE A WARREN MI 48092-2526 PHARMERICA (763) 571-2220 5255 E RIVER RD STE 204 FRIDLEY MN 55421-1005 PHARMERICA (314) 291-5700 12137 BRIDGETON SQ BRIDGETON MO 63044-2616 INFINIUM PHARMACY (314) 690-4500 1617 MANUFACTURERS DR FENTON MO 63026-2838 NETWORK HEALTHCARE PHARMACY (636) 779-2700 1329 HORAN DR FENTON MO 63026

LETASSY HEALTH SERVICES INC (573) 785-0048 1002 W PINE ST POPLAR BLUFF MO 63901-4840 BJC HOME CARE SERVICES PHARMACY (314) 953-2000 1935 BELT WAY DR SAINT LOUIS MO 63114-5825 MERCY HOSPTIAL - ST. LOUIS PHARMACY (314) 251-7843 615 S NEW BALLAS RD SAINT LOUIS MO 63141-8221 PHARMERICA (314) 473-1340 105 ARC DR SAINT LOUIS MO 63146-3502 BRUNER'S PHARMACY (417) 673-4663 101 W DAUGHERTY WEBB CITY MO 64870-1924 ELLISVILLE STATE SCHOOL PHARMACY (601) 477-5787 1101 HIGHWAY 11 S ELLISVILLE MS 39437-4443 GEORGE COUNTY HOSPITAL (601) 673-6181 859 WINTER ST LUCEDALE MS 39452-6603 NMRC PHARMACY (662) 513-7912 967 REGIONAL CENTER DR OXFORD MS 38655-3551 PHARMERICA (601) 956-1132 240 HIGHPOINT DR RIDGELAND MS 39157-6019 APS PHARMACY (662) 536-0384 480 AIRPORT INDUSTRIAL DR SOUTHAVEN MS 38671-5870

HUDSPETH CENTER PHARMACY (601) 664-6352 HWY 475 SOUTH WHITFIELD MS 39193 MISSISSIPPI STATE HOSPITAL PHARMACY (601) 351-8026 3550 HIGHWAY 468 W WHITFIELD MS 39193-5529 VA SATELLITE PHARMACY (406) 892-3256 400 VETERANS DRIVE COLUMBIA FALLS MT 59912-5505 GLENDIVE MEDICAL CENTER (406) 345-3306 202 PROSPECT DR GLENDIVE MT 59330-1943

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Pharmacy Name Phone Number Address City State Zip Code PHARMERICA (406) 452-3713 1130 17TH AVE S GREAT FALLS MT 59405-4523 MONTANA MENTAL HEALTH NURSING CNTR (406) 538-7451 800 CASINO CREEK DR LEWISTOWN MT 59457-3359 HOLY ROSARY HEALTHCARE PHARMACY (406) 233-2779 2600 WILSON ST MILES CITY MT 59301-5094 PARTNERS SOLUTIONS (406) 728-8848 2687 PALMER ST STE B MISSOULA MT 59808-1710 BLACK MOUNTAIN CENTER PHARMACY (828) 669-9674 932 OLD US HWY 70 W BLACK MOUNTAIN NC 28711-2547

CENTRAL REGIONAL HOSPITAL (919) 764-5700 300 VEAZEY ROAD BUTNER NC 27509

KINDRED PHARMACY SERVICES (704) 573-3383 4600 LEBANON RD STE F CHARLOTTE NC 28227-8252 PHARMERICA (704) 332-4131 3300 MONROE RD STE A CHARLOTTE NC 28205 REMEDI SENIORCARE OF CHARLOTTE (844) 312-3649 7504 E INDEPENDENCE BLVD #112 CHARLOTTE NC 28227-9454 CENTRAL CAROLINA PHARMACY SERVICES (704) 784-4242 813 DAVIDSON DR NW CONCORD NC 28025-4351 UNITED PHARMACY SERVICES OF NC INC (919) 484-2229 4022 STIRRUP CREEK DR STE 325 DURHAM NC 27703-8971 EDGEWAY PHARMACY (704) 865-9480 1351 ROBINWOOD RD STE 2 GASTONIA NC 28054-1689

CHERRY HOSPITAL PHARMACY (919) 947-7408 1401 WEST ASH ST GOLDSBORO NC 27530 PHARMERICA (336) 547-2988 12 OAK BRANCH DR STE A GREENSBORO NC 27407-2398 BROUGHTON HOSPITAL PHARMACY (828) 433-2509 1000 S STERLING ST MORGANTON NC 28655-3938 J IVERSON RIDDLE DEVEL CTR (828) 433-2653 300 ENOLA RD MORGANTON NC 28655-4608

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Pharmacy Name Phone Number Address City State Zip Code SERVANT PHARMACY OF RALEIGH (678) 303-1680 1401 SUNDAY DR STE 104 RALEIGH NC 27607-5173 PHARMERICA (252) 329-9037 749 A SIMPSON STREET SIMPSON NC 27879 EXPRESSCARE PHARMACY (252) 946-2425 505 HACKNEY AVE WASHINGTON NC 27889-4230 LONGLEAF NEURO MED TREATMENT CTR (252) 399-2109 4761 WARD BLVD WILSON NC 27893-4359 TRIAD CHOICE PHARMACY (336) 893-6286 658 WAUGHTOWN ST WINSTON SALEM NC 27107 TRINITY INFUSION (336) 659-0899 1400 WESTGATE CTR DR STE 202 WINSTON SALEM NC 27103 BOTTINEAU PHARMACY (701) 228-2291 505 MAIN ST BOTTINEAU ND 58318-1202 DEVELOPMENTAL CENTER PHARMACY (701) 352-4216 701 W 6TH ST GRAFTON ND 58237-1379 NORTH DAKOTA VETERANS HOME PHARMACY (701) 683-6516 1600 VETERANS DR LISBON ND 58054 AFFINITY BIOTECH (402) 286-0189 1810 N 203RD ST OMAHA NE 68022-2885 PHARMERICA (888) 895-7133 6528 S118TH ST OMAHA NE 68137 GOOD LIFE LONG TERM CARE (308) 728-3295 127 S 16TH ST ORD NE 68862-1415 PHARMERICA (603) 223-0380 38 LOCKE RD STE 3 CONCORD NH 03301-5422 ROLLIE'S PHARMACY INC (856) 210-1515 128 CROSS KEYS RD BERLIN NJ 08009-9201 CHEM RX (908) 222-1011 4041 HADLEY RD BLDG M S PLAINFIELD NJ 07080-1111

PHARMERICA (505) 343-1113 2720 BROADBENT PKWY NE STE A ALBUQUERQUE NM 87107-1623 CONSONUS PHARMACY SERVICES NEVADA (971) 206-5205 6351 N FORT APACHE RD LAS VEGAS NV 89149-2300

KINDRED PHARMACY SERVICES (800) 921-4700 2450 FIRE MESA ST STE 180 LAS VEGAS NV 89128-9008 SPECTRUM PHARMACY SERVICES LLC (775) 825-6117 4690 LONGLEY LN A # 39 RENO NV 89502-5954

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Pharmacy Name Phone Number Address City State Zip Code CHEM RX (518) 452-7795 16 WALKER WAY ALBANY NY 12205-4995 CRESTWOOD PHARMACY (518) 435-2315 26 PICOTTE DR # A ALBANY NY 12208-1710 DR S SMITH MCKINNEY NURS REHAB (718) 245-7267 594 ALBANY AVE BROOKLYN NY 11203-1706 INFUSION OPTIONS INC (718) 283-7233 5924 13TH AVE BROOKLYN NY 11219-4934 KINGSBROOK JEWISH MEDICAL CENTER (718) 363-6576 585 SCHENECTADY AVE BROOKLYN NY 11203-1809 THE MCGUIRE GROUP PHARMACY (716) 631-2433 2355 UNION RD STE 200 CHEEKTOWAGA NY 14227-2234 HOLLEY PHARMACY (585) 638-5499 3 GEDDES STREET EXT HOLLEY NY 14470-1122 CHEM RX (516) 536-0800 790 PARK PLACE LONG BEACH NY 11561-2111 PARKER JEWISH INSTITUTE (718) 289-2270 27111 76TH AVE NEW HYDE PARK NY 11040-1436 AMERICAN OUTCOMES MGNT OF NY LP (800) 746-9089 40 W 38TH ST FL 5 NEW YORK NY 10018-6240 GOLDWATER SPECIALTY HOSP & SNF (212) 318-4059 1 MAIN ST NEW YORK NY 10044-0052 GOUVERNEUR HLTHCARE SERV SKILLED NU (212) 238-7070 227 MADISON ST NEW YORK NY 10002-7537 THE JEWISH HOME AND HOSPITAL (212) 870-4972 120 W 106TH ST NEW YORK NY 10025-3712 SUMMIT PARK HOSPITAL (845) 364-2836 50 SANITORIUM RD BLDG A POMONA NY 10970-3555

JAMAICA HOSPITAL PHARMACY (718) 206-6051 8900 VAN WYCK EXPY RICHMOND HILL NY 11418-2897 UPSTATE HOMECARE (315) 437-1627 6700 THOMPSON RD SYRACUSE NY 13211-2141 EDEN SPRINGS PHARMACY (419) 639-6226 401 N BROADWAY ST GREEN SPRINGS OH 44836 PHARMERICA (800) 643-5523 1750 HIGHLAND RD STE F TWINSBURG OH 44087-2244 P & R HOME IV SERVICE (419) 587-3349 16937 DEFIANCE TRL VAN WERT OH 45891-8619

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PHARMERICA (614) 430-9720 720 LAKEVIEW PLAZA BLVD STE H WORTHINGTON OH 43085-4733 MAHONING VALLEY INFUSION CARE (330) 759-9487 4891 BELMONT AVE YOUNGSTOWN OH 44505-1015 NORTHSIDE HOME INFUSION (740) 452-2447 21 MAYSVILLE AVE ZANESVILLE OH 43701-0000

PHARMCAREOK OF DURANT INC (580) 920-2211 102 WALDRON DR DURANT OK 74701-1902 BOOMER SOLUTIONS (877) 774-3706 310 S 1ST ST EUFAULA OK 74432-3059

PRESCRIPTION CARE PHARMACY (405) 310-9230 800 ROCK CREEK RD STE 117 NORMAN OK 73069-8581 PHARMERICA (405) 681-2032 4425 SW 21ST ST OKLAHOMA CITY OK 73108-1748 MANAGED HEALTHCARE PHARMACY (541) 744-1641 1750 WILLOW CREEK CIR EUGENE OR 97402-9152 FAIRLEYS HEALTHCARE (503) 281-7500 7206 NE SANDY BLVD PORTLAND OR 97213-5741

SACRED HEART HOME INFUSION (541) 461-7650 3333 RIVERBEND DR SPRINGFIELD OR 97477 UNIVERSITY COMPOUNDERS LLC (503) 427-0361 9150 SW PIONEER CT STE B WILSONVILLE OR 97070-9623 SACRED HEART HOSPITAL PHARMACY (610) 776-4825 421 CHEW ST ALLENTOWN PA 18102-3406 LIFE TREE PHARMACY (610) 489-6640 5 BLUE HERON DR COLLEGEVILLE PA 19426

PHARMERICA (724) 836-5749 4000 HEMPFIELD PLAZA BLVD #966 GREENSBURG PA 15601-1485 PHARMERICA (570) 821-0842 153 STEWART RD HANOVER TOWNSHIP PA 18706-1486 PHARMERICA (717) 651-9996 491A BLUE EAGLE AVE HARRISBURG PA 17112-2314 MILLENNIUM PHARMACY SYSTEMS (724) 940-2490 1500 INDUSTRY RD STE A HATFIELD PA 19440-3271

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Pharmacy Name Phone Number Address City State Zip Code PHARMERICA (724) 981-1181 175 SNYDER RD HERMITAGE PA 16148-3431 HERSHEYCARE (717) 534-1450 11 BRIARCREST SQUARE HERSHEY PA 17033 PHARMERICA (610) 337-6820 489 SHOEMAKER RD STE 106 KING OF PRUSSIA PA 19406-4235 HORIZON HEALTHCARE SERVICES LLP (717) 544-3590 1070 NEW HOLLAND AVE LANCASTER PA 17601-5606 PHARMERICA (610) 373-1600 1011 BERK RD LEESPORT PA 19533-8705 CHOICE CRITICAL CARE PHCY (717) 630-2773 10 S 6TH ST MC SHERRYSTOWN PA 17344-1800 CONTRACT PHARMACY SERVICES-PPH (215) 214-6608 6500 TABOR AVE PHILADELPHIA PA 19111-5332 ALLIED SERVICES PHARMACY (570) 702-8700 201 SMALLACOMBE DR SCRANTON PA 18508-2616 ICP INC (724) 962-2056 175 CANAL ST SHARPSVILLE PA 16150-2236 GRANE SUPPLY (412) 449-0680 550 E UNION ST STE B WEST CHESTER PA 19382 ELEANOR SLATER HOSPITAL PHARMACY (401) 462-3077 111 HOWARD AVE CRANSTON RI 02920-3001 ELEANOR SLATER HOSPITAL PHARMACY (401) 567-5548 2090 WALLUM LAKE RD PASCOAG RI 02859-1834 PHARMERICA (401) 737-4165 83 VERMONT AVE UNIT 2 WARWICK RI 02888-3047 RM CAMPBELL VET NURS HOME DIS (864) 261-6734 4605 BELTON HWY ANDERSON SC 29621-5045 HEALTHQUEST PHARMACY (843) 971-5492 457 JESSEN LN STE A CHARLESTON SC 29492-7987 INTRAMED PLUS (843) 763-2080 4995 LACROSS RD STE 1200 CHARLESTON SC 29406-6542 GENOA-QOL HEALTHCARE (803) 731-0203 16 BERRYHILL RD STE 109 COLUMBIA SC 29210-6433

ARK PHARMACY SERVICES (864) 859-0283 5119 CALHOUN MEMORIAL HWY STE EASLEY SC 29640-3889

INTRAMED PLUS (864) 281-1553 1200 WOODRUFF RD STE G28 GREENVILLE SC 29607-5792

NURSING HOME DISPENSARY (843) 332-5193 212 W CAROLINA AVE HARTSVILLE SC 29550-4520

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INFUSCIENCE (843) 553-7588 2683 ELMS PLNTTION BLVD #101 NORTH CHARLESTON SC 29406-9165

PALMETTO INFUSION SERVICES (843) 414-0287 9295 MEDICAL PLAZA DR SUITE C NORTH CHARLESTON SC 29406 BANKS DRUG LTC (803) 233-3557 632 E MAIN ST RIDGE SPRING SC 29129-9139 INTRAMED PLUS (803) 794-0200 112 SALUDA RIDGE CT STE 100 WEST COLUMBIA SC 29169-3461 DT PHARMACY (605) 725-4001 815 1ST AVE SE STE 202 ABERDEEN SD 57401-4602 PHARMERICA (605) 342-8132 3615 5TH ST STE 109 RAPID CITY SD 57701-7360

REGIONAL HEALTH HOME PLUS (605) 755-1150 224 ELK STREET, STE 100 RAPID CITY SD 57701 SOUTH DAKOTA DEVELOPMENTAL CTR PHCY (605) 472-4231 17267 W 3RD ST REDFIELD SD 57469-1001 PHARMERICA (605) 338-7007 1507 W 51ST ST SIOUX FALLS SD 57105-6648 PHARMERICA (615) 641-3845 3026 OWEN DR STE 116 ANTIOCH TN 37013-2417

KINDRED PHARMACY SERVICES (865) 558-8733 3588 WORKMAN RD STE 101 KNOXVILLE TN 37921-5932 NETWORK HEALTHCARE (865) 531-0008 9000 EXECUTIVE PARK DR #A203 KNOXVILLE TN 37923-4653

KINDRED PHARMACY SERVICES (901) 388-4519 1680 CENTURY CENTER PKWY STE 1 MEMPHIS TN 38134-8827 BEST MED METROPLEX (325) 646-9414 4360 BELTWAY STE 260 ARLINGTON TX 76018-5249 AUSTIN STATE HOSPITAL (512) 419-2741 4110 GUADALUPE ST AUSTIN TX 78751-4223 AUSTIN STATE SUPPORTED LIVING (512) 374-6168 2203 W 35TH ST AUSTIN TX 78703-1203 PHARMERICA (512) 443-8984 321 W BEN WHITE BLVD STE 103 AUSTIN TX 78704-7086 BIG SPRING STATE HOSPITAL PHCY (432) 268-7289 1901 N HWY 87 BIG SPRING TX 79720-0283

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Pharmacy Name Phone Number Address City State Zip Code BRENHAM STATE SUPPORTED LIVING (979) 277-1351 4001 HIGHWAY 36 S BRENHAM TX 77833-9610 SAN ANGELO STATE SUPPORTED LIV (325) 465-2350 11640 US HIGHWAY 87 N CARLSBAD TX 76934-7000 LIFECHEK (979) 732-2361 109 SHULT DR COLUMBUS TX 78934-3009 CORPUS CHRISTI STATE SUPPORTED (361) 844-7667 902 AIRPORT RD CORPUS CHRISTI TX 78405-3513 QOL MEDS (214) 634-1300 2600 N. STEMMONS FRWY #151 DALLAS TX 75207 DENTON STATE SUPPORTED LIVING (940) 591-3573 3980 STATE SCHOOL RD DENTON TX 76210 EL PASO PSYCHIATRIC CENTER PHCY (915) 534-5300 4615 ALAMEDA AVE EL PASO TX 79905-2702 EL PASO STATE SUPPORTED LIVING (915) 782-6328 6700 DELTA DR EL PASO TX 79905-5506 PHARMERICA (915) 545-1955 4171 N MESA ST STE A210 EL PASO TX 79902-1443 PHARMERICA (972) 623-1075 2214 PADDOCK WAY DR STE 900 GRAND PRAIRIE TX 75050-8703 RIO GRANDE STATE CENTER PHARMACY (956) 364-8262 1401 RANGERVILLE RD HARLINGEN TX 78552

PHARMACARE (713) 426-4800 9000 HEMPSTEAD RD BLDG C # 385 HOUSTON TX 77008-6037 PHARMERICA (713) 680-1325 1289 N POST OAK RD STE 130 HOUSTON TX 77055-7253 LUBBOCK STATE SUPPORTED LIVING (806) 741-3439 3401 N UNIVERSITY AVE LUBBOCK TX 79415 PHARMERICA (866) 258-7662 6113 43RD ST STE D LUBBOCK TX 79407-3748 MEXIA STATE SUPPORTED LIVING (254) 562-1413 540 CHAPEL DR MEXIA TX 76667-3490

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Pharmacy Name Phone Number Address City State Zip Code SENIOR CARE PHARMACY OF TEXAS (888) 908-8148 3001 SUMMIT AVE STE 200 PLANO TX 75074-7225 LUFKIN STATE SUPPORTED LIVING (936) 853-8358 6844 US HIGHWAY 69 N POLLOK TX 75969-4548 FREEDOM PHARMACY (817) 590-8339 7339 AIRPORT FREEWAY RICHLAND HILLS TX 76118 GLENVIEW PROFESSIONAL PHARMACY II (817) 284-1926 7640 GLENVIEW DR # B RICHLAND HILLS TX 76180-8330 RICHMOND STATE SUPPORTED LIVIN (281) 344-4601 2100 PRESTON ST RICHMOND TX 77469-1419 PHARMERICA (210) 227-5262 3019 INTERSTATE DR SAN ANTONIO TX 78219-1708 SAN ANTONIO STATE HOSP SCHOOL (210) 531-8401 6711 S NEW BRAUNFELS AVE SAN ANTONIO TX 78223-3005 TERRELL STATE HOSPITAL (972) 551-8238 1200 E BRIN ST TERRELL TX 75160-2938 PHARMERICA (903) 509-4950 4801 TROUP HWY STE 603 TYLER TX 75703-2357 NORTH TEXAS STATE HOSPITAL VERNON (940) 552-9901 4730 COLLEGE DR VERNON TX 76384 SPECIALIZED PHARMACY SERVICES (801) 316-1146 7351 UNION PARK AVE MIDVALE UT 84047-1863 PHARMERICA (866) 355-7666 960 LEVOY DR STE 170 SALT LAKE CITY UT 84123-2963

PIEDMONT GERIATRIC HOSPITAL (434) 767-4922 5001 E PATRICK HENRY HWY BURKEVILLE VA 23922

CATAWBA HOSPITAL PHARMACY (540) 375-4314 5525 CATAWBA HOSPITAL DR CATAWBA VA 24070-2115 VITAL CARE OF SW VIRGINIA (276) 964-0555 305 OLD KENTUCKY TPKE CEDAR BLUFF VA 24609-9401 SOUTHERN VA MNTL HLTH INST PHY (434) 773-4216 382 TAYLOR DR DANVILLE VA 24541-4023

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Pharmacy Name Phone Number Address City State Zip Code NORTHERN VIRGINIA MNTL HLTH INST (703) 207-7218 3302 GALLOWS RD FALLS CHURCH VA 22042-3398 S WESTERN VA TRAINING CTR PHCY (276) 728-9081 160 TRAINING CENTER ROAD HILLSVILLE VA 24343 EXPRESSCARE PHARMACY (571) 258-0426 26 FAIRFAX ST SE STE C LEESBURG VA 20175-3621 SERVANT PHARMACY OF VIRGINIA (877) 262-0458 10370 BATTLEVIEW PKWY MANASSAS VA 20109-2338 SW VIRGINIA MENTAL HLTH INSTI (276) 783-1215 340 BAGLEY CIR MARION VA 24354-3126 HIRAM DAVIS MEDICAL CENTER PHCY (804) 524-7188

26317 W WASHINGTON ST BLDG 110 PETERSBURG VA 23803-2727

BREMO-LTC PHARMACY (804) 285-7823 2002 STAPLES MILL RD RICHMOND VA 23230-3109 WESTWOOD BEHAVIORAL HTH PHCY (804) 288-1933 107 S 5TH ST, 1ST FLOOR RICHMOND VA 23219

EXPRESSCARE PHARMACY (844) 661-7240 4423 PHEASANT RIDGE RD STE 205 ROANOKE VA 24014-5299 WESTERN STATE HOSPITAL PHARMACY (540) 332-8042 1301 RICHMOND AVE STAUNTON VA 24401-9146

ADVANCED PATIENT CARE CORP (703) 444-4365 21630 RIDGETOP CIRCLE STE 100 STERLING VA 20166 PHARMERICA (540) 890-7788 9386 HARDY RD VINTON VA 24179-5690

KINDRED PHARMACY SERVICES (757) 499-9637 247 EXPRESSWAY CT STE 247 VIRGINIA BEACH VA 23462-6526 RAINIER SCHOOL PHARMACY (360) 829-3004 2120 RYAN RD BUCKLEY WA 98321-9115 A & H PHARMACEUTICAL SERVICES (253) 852-1123 610 W MEEKER ST STE 201 KENT WA 98032-5726 PHARMERICA (425) 251-0118 18016 72ND AVE S KENT WA 98032-1065

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Pharmacy Name Phone Number Address City State Zip Code PROPAC PHARMACY (253) 478-4910 7102 S 220TH ST KENT WA 98032-1946 WESTERN STATE HOSPITAL (253) 756-3916 9601 STEILACOOM BLVD SW LAKEWOOD WA 98498-7213 EASTERN STATE HOSPITAL (509) 565-4711 850 MAPLE ST MEDICAL LAKE WA 99022

LAKELAND VILLAGE PHARMACY (509) 299-1948 S 2320 SALNAVE RD MEDICAL LAKE WA 99022 YAKIMA VALLEY SCHOOL PHARMACY (509) 698-1345 609 SPEYERS RD SELAH WA 98942-1050

FIRCREST SCHOOL PHARMACY (206) 361-3568 15230 15TH AVE NE SHORELINE WA 98155-7130 LIFECARE SOLUTIONS, INC (509) 921-6560 11703 E SPRAGUE AVE STE C3 SPOKANE VALLEY WA 99206-6129 PHARMERICA (509) 893-1011 2114 N PINES RD STE 4-5 SPOKANE VALLEY WA 99206-4757 PROPAC PHARMACY (360) 260-7156 12606 NE 95TH ST VANCOUVER WA 98682-2398 CENTRAL WASHINGTON HOME INFUSION (509) 665-6058 1201 S MILLER ST WENATCHEE WA 98801-3201 THEDACARE INFUSION PHARMACY (920) 831-1829 1818 N MEADE ST APPLETON WI 54911-3454 ROCKMED LONG TERM CARE PHARM (608) 884-6644 607 E STATE RD 59 EDGERTON WI 53534 MED PAK PHARMACY (608) 782-4448 505 KING ST STE 154 LA CROSSE WI 54601 OAKWOOD PHARMACY (608) 230-4217 6201 MINERAL POINT RD MADISON WI 53705-4503 PHARMERICA (800) 477-7221 9041 W HEATHER AVE MILWAUKEE WI 53224-2411 PHOENIX PHARMACY INC (414) 225-4478 1748 N FARWELL AVE MILWAUKEE WI 53202-1806 AFFINITY HOME CARE PLUS (920) 735-8100 2074 AMERICAN DR STE A NEENAH WI 54956-1002 NORTH CENTRAL IV (715) 762-3248 138 1/2 2ND AVE N PARK FALLS WI 54552-1214 FREEMAN DRUG (715) 425-2255 104 S MAIN ST RIVER FALLS WI 54022-2423 EPPYS IV INC (304) 252-6332 2987A ROBERT BYRD DR BECKLEY WV 25801

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Pharmacy Name Phone Number Address City State Zip Code CONTINUUMCARE PHCYHUNTINGTON (304) 736-8310 78 PERRY WINKLE LN HUNTINGTON WV 25702-9506

Innovation Health Medicare is a HMO, PPO plan with a Medicare contract. Enrollment in our plans depends on contract renewal. Enrollment in our plan depends on contract renewal. The provider network may change at any time. You will receive notice when necessary. See Evidence of Coverage for a complete description of plan benefits, exclusions, limitations and conditions of coverage. Plan features and availability may vary by service area. Participating physicians, hospitals and other health care providers are independent contractors and are neither agents nor employees of Innovation Health. The availability of any particular provider cannot be guaranteed, and provider network composition is subject to change.

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pharmacy name phone number address city state zip ... gerald ford dr ste 2 palm desert ca 92211-2080...

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