Extended Days Supply (EDS) for Washington Apple. Page 1 of 20

Transcription

1 1ST AVE PHARMACY 6 E 1ST AVE SPOKANE WA SPOKANE N Extended Day Supply (84+) 45TH STREET CLINIC PHARMACY 1629 N 45TH ST SEATTLE WA KING N Extended Day Supply (84+) A AND H PHARMACEUTICAL SERVICES 610 W MEEKER ST STE 201 KENT WA KING N Extended Day Supply (84+) ABERDEEN HEALTH MART PHARMACY 1812 SUMNER AVE STE H ABERDEEN WA GRAYS HARBOR N Extended Day Supply (84+) ACCESS PHARMACY ST AVE S STE C NORMANDY PARK WA KING N Extended Day Supply (84+) ADVENTIST HEALTH COMMUNITY PHARMACY 1111 S 2ND AVE WALLA WALLA WA WALLA WALLA N Extended Day Supply (84+) AHF PHARMACY 1016 E PIKE ST SUITE 100 SEATTLE WA KING N Extended Day Supply (84+) AHF PHARMACY 1120 CHERRY ST SEATTLE WA KING N Extended Day Supply (84+) ALLENMORE OUTPATIENT PHARMACY 1901 S UNION AVE TACOMA WA PIERCE N Extended Day Supply (84+) APOTHECARY AT SALMON CREEK 2121 NE 139TH ST STE 310 VANCOUVER WA CLARK N Extended Day Supply (84+) ARLINGTON CHC PHARMACY 326 S STILLAGUAMISH AVE ARLINGTON WA SNOHOMISH N NONE Extended Day Supply (84+) ARLINGTON PHARMACY 540 N W AVE ARLINGTON WA SNOHOMISH N Extended Day Supply (84+) ASSURED PHARMACY # TH AVE NE KIRKLAND WA KING N Extended Day Supply (84+) BARTELL DRUG CALL CENTER 4025 DELRIDGE WAY SW # 310 SEATTLE WA KING N Extended Day Supply (84+) BARTELL DRUGS TH ST SNOHOMISH WA SNOHOMISH N Extended Day Supply (84+) BARTELL DRUGS 1628 FIFTH AVE SEATTLE WA KING N Extended Day Supply (84+) BARTELL DRUGS TH AVE SE RENTON WA KING N Extended Day Supply (84+) BARTELL DRUGS SE 237TH ST MAPLE VALLEY WA KING N Extended Day Supply (84+) BARTELL DRUGS 621 SR 9 NE LAKE STEVENS WA SNOHOMISH N Extended Day Supply (84+) BARTELL DRUGS 5006A 132ND ST SE EVERETT WA SNOHOMISH N Extended Day Supply (84+) BARTELL DRUGS TH AVE SE EVERETT WA SNOHOMISH N Extended Day Supply (84+) BARTELL DRUGS NE 8TH ST BELLEVUE WA KING N Extended Day Supply (84+) BARTELL DRUGS # NW MARKET ST STE 101 SEATTLE WA KING N Extended Day Supply (84+) BARTELL DRUGS # ST AVE NE SUITE 102 REDMOND WA KING N Extended Day Supply (84+) BARTELL DRUGS # E LAKE SAMMAMISH PKWY SE ISSAQUAH WA KING N Extended Day Supply (84+) BARTELL DRUGS # MADISON ST SEATTLE WA KING N Extended Day Supply (84+) BARTELL DRUGS # UNIVERSITY WAY NE SEATTLE WA KING N Extended Day Supply (84+) BARTELL DRUGS # BOTHELL EVERETT HIGHWAY BOTHELL WA SNOHOMISH N Extended Day Supply (84+) BARTELL DRUGS # N 45TH ST SEATTLE WA KING N Extended Day Supply (84+) BARTELL DRUGS # TH ST SW LYNNWOOD WA SNOHOMISH N Extended Day Supply (84+) BARTELL DRUGS # ND AVE SW SEATTLE WA KING N Extended Day Supply (84+) BARTELL DRUGS # BENDIGO BLVD S NORTH BEND WA KING N Extended Day Supply (84+) BARTELL DRUGS # TH AVE NE KIRKLAND WA KING N Extended Day Supply (84+) BARTELL DRUGS # A ST SE AUBURN WA KING N Extended Day Supply (84+) BARTELL DRUGS # FACTORIA BLVD SE BELLEVUE WA KING N Extended Day Supply (84+) BARTELL DRUGS # ND AVE NE KIRKLAND WA KING N Extended Day Supply (84+) BARTELL DRUGS # PACIFIC HIGHWAY SOUTH DES MOINES WA KING N Extended Day Supply (84+) BARTELL DRUGS # BROADWAY SEATTLE WA KING N Extended Day Supply (84+) BARTELL DRUGS # TH AVE NE SEATTLE WA KING N Extended Day Supply (84+) BARTELL DRUGS # TH AVE WEST MOUNTLAKE TERRACE WA SNOHOMISH N Extended Day Supply (84+) BARTELL DRUGS # NE 8TH ST BELLEVUE WA KING N Extended Day Supply (84+) BARTELL DRUGS # JUANITA DRIVE NE KIRKLAND WA KING N Extended Day Supply (84+) BARTELL DRUGS # TH AVE NE SAMMAMISH WA KING N Extended Day Supply (84+) BARTELL DRUGS # COAL CREEK PARKWAY SE NEWCASTLE WA KING N Extended Day Supply (84+) BARTELL DRUGS # NE UNIVERSITY VILLAGE ST SEATTLE WA KING N Extended Day Supply (84+) BARTELL DRUGS # PACIFIC HIGHWAY SOUTH DES MOINES WA KING N Extended Day Supply (84+) BARTELL DRUGS # KENT KANGLEY ROAD KENT WA KING N Extended Day Supply (84+) BARTELL DRUGS # MERCER ST SEATTLE WA KING Extended Day Supply (84+) BARTELL DRUGS # THIRD AVE SEATTLE WA KING N Extended Day Supply (84+) BARTELL DRUGS # ND AVE W SEATTLE WA KING N Extended Day Supply (84+) BARTELL DRUGS # OLYMPIC DRIVE GIG HARBOR WA PIERCE N Extended Day Supply (84+) BARTELL DRUGS # TH AVE S WEST BURIEN WA KING N Extended Day Supply (84+) BARTELL DRUGS # FIRST AVE NORTH SEATTLE WA KING Y Extended Day Supply (84+) BARTELL DRUGS # PACIFIC HIGHWAY SOUTH TUKWILA WA KING N Extended Day Supply (84+) BARTELL DRUGS # NE 68TH KIRKLAND WA KING N Extended Day Supply (84+) BARTELL DRUGS # NE 4TH ST RENTON WA KING N Extended Day Supply (84+) BARTELL DRUGS # BROADWAY EVERETT WA SNOHOMISH N Extended Day Supply (84+) BARTELL DRUGS # TH ST MARYSVILLE WA SNOHOMISH N Extended Day Supply (84+) BARTELL DRUGS # TH AVE NE REDMOND WA KING N Extended Day Supply (84+) BARTELL DRUGS # HIGHWAY 99 LYNWOOD WA SNOHOMISH N Extended Day Supply (84+) BARTELL DRUGS # TH AVE SOUTH TACOMA WA PIERCE N Extended Day Supply (84+) BARTELL DRUGS # ND AVE SW SEATTLE WA KING N Extended Day Supply (84+) Page 1 of 20

2 BARTELL DRUGS # BRIDGEPORT WAY WEST SUITE D UNIVERSITY PLACE WA PIERCE N Extended Day Supply (84+) BARTELL DRUGS # TH AVE WEST EDMONDS WA SNOHOMISH N Extended Day Supply (84+) BARTELL DRUGS # TH AVE NE BELLEVUE WA KING Y Extended Day Supply (84+) BARTELL DRUGS # TH AVE SEATTLE WA KING N Extended Day Supply (84+) BARTELL DRUGS # AURORA AVE NORTH SHORELINE WA KING N Extended Day Supply (84+) BARTELL DRUGS # RAINIER AVE SO SEATTLE WA KING N Extended Day Supply (84+) BARTELL DRUGS # TH ST NW STANWOOD WA SNOHOMISH N Extended Day Supply (84+) BARTELL DRUGS # NE 125TH ST SEATTLE WA KING N Extended Day Supply (84+) BARTELL DRUGS # QUEEN ANNE AVE N SEATTLE WA KING N Extended Day Supply (84+) BARTELL DRUGS # TH ST SW SUITE B LYNNWOOD WA SNOHOMISH N Extended Day Supply (84+) BARTELL DRUGS # TH AVE SW SEATTLE WA KING N Extended Day Supply (84+) BARTELL DRUGS #9 100 N 85TH ST SEATTLE WA KING N Extended Day Supply (84+) BARTELL DRUGS # HOYT AVE EVERETT WA SNOHOMISH Extended Day Supply (84+) BARTELL DRUGS # TH ST NE MARYSVILLE WA SNOHOMISH Extended Day Supply (84+) BARTELL DRUGS # TH AVE NW SEATTLE WA KING N Extended Day Supply (84+) BARTELL DRUGS.# BOTHELL EVERETT HIGHWAY SUITE 101 BOTHELL WA SNOHOMISH N Extended Day Supply (84+) BARTONS CENTER PHARMACY 1011 W SPRUCE ST YAKIMA WA YAKIMA N Extended Day Supply (84+) BATES PHARMACEUTICAL SERVICES 3704 N NEVADA STE B SPOKANE WA SPOKANE N Extended Day Supply (84+) BATES PHARMACY 3704 N NEVADA SPOKANE WA SPOKANE N Extended Day Supply (84+) BELLEGROVE PHARMACY ND AVE NE SUITE A 4B WOODINVILLE WA KING N Extended Day Supply (84+) BELLEVUE CLINIC AND SURGERY CENTER PHARMACY TH AVE NE BELLEVUE WA KING N NONE Extended Day Supply (84+) BELLINGHAM UROLOGY GROUP PLLC 340 BIRCHWOOD AVE BELLINGHAM WA WHATCOM N Extended Day Supply (84+) BENTON FRANKLIN ORTHOPEDIC ASSOCIATES 911 S WASHINGTON ST STE B KENNEWICK WA BENTON N Extended Day Supply (84+) BETHEL PHARMACY 17414HWY 99 STE 100 LYNNWOOD WA SNOHOMISH N Extended Day Supply (84+) BI MART PHARMACY # S 5TH AVE YAKIMA WA YAKIMA N Extended Day Supply (84+) BI MART PHARMACY # PLAZA WAY WALLA WALLA WA WALLA WALLA N Extended Day Supply (84+) BI MART PHARMACY # E MOUNTAIN VIEW AVE ELLENSBURG WA KITTITAS N Extended Day Supply (84+) BI MART PHARMACY # N 40TH AVE YAKIMA WA YAKIMA N Extended Day Supply (84+) BI MART PHARMACY # W S HILL RD SUNNYSIDE WA YAKIMA N Extended Day Supply (84+) BI MART PHARMACY # GRANT RD EAST WENATCHEE WA DOUGLAS N Extended Day Supply (84+) BI MART PHARMACY # NE FOURTH PLAIN BLVD ORCHARDS WA CLARK N Extended Day Supply (84+) BI MART PHARMACY # FALK RD VANCOUVER WA CLARK N Extended Day Supply (84+) BI MART PHARMACY # ADDY ST WASHOUGAL WA CLARK N Extended Day Supply (84+) BI MART PHARMACY # ST ST CHENEY WA SPOKANE N Extended Day Supply (84+) BI MART PHARMACY # S MAIN AVE DEER PARK WA SPOKANE N Extended Day Supply (84+) BI MART PHARMACY # RD ST CLARKSTON WA ASOTIN N Extended Day Supply (84+) BREWSTER HEALTH MART DRUG 811 STATE HWY 97 NINTH BREWSTER WA OKANOGAN N Extended Day Supply (84+) CABRINI PHARMACY SERVICES 901 BOREN AVE SUITE 100 SEATTLE WA KING Extended Day Supply (84+) CAREPLUS CVS PHARMACY 1001 MADISON ST SEATTLE WA KING N Extended Day Supply (84+) CASCADE SPECIALTY PHARMACY 325 HOSTMARK ST POULSBO WA KITSAP N Extended Day Supply (84+) CAVALLINI PHARMACY 106 E 1ST ST CLE ELUM WA KITTITAS N Extended Day Supply (84+) CENTRAL WASHINGTON FAMILY MEDICINE PHARMACY 1806 W LINCOLN AVE YAKIMA WA YAKIMA N NONE Extended Day Supply (84+) CENTRAL WASHINGTON HOSPITAL PROFESSIONAL PHARMACY 933 RED APPLE RD, STE A WENATCHEE WA CHELAN N Extended Day Supply (84+) CHAS NORTH COUNTY PHARMACY 401 S MAIN ST DEER PARK WA SPOKANE Extended Day Supply (84+) CHENEY OWL PHARMACY 120 F ST CHENEY WA SPOKANE N Extended Day Supply (84+) CHESTERFIELD PHARMACY 720 7TH AVE SUITE 100 SEATTLE WA KING N Extended Day Supply (84+) CHUNG PHARMACY 9122 S TACOMA WAY STE 104 TACOMA WA PIERCE N Extended Day Supply (84+) CITY CENTER DRUG 108 E WISHKAH ST ABERDEEN WA GRAYS HARBOR N Extended Day Supply (84+) CLE ELUM DRUG HEALTH MART PHARMACY 219 E 1ST ST CLE ELUM WA KITTITAS N Extended Day Supply (84+) COLUMBIA PHARMACY 4741 RAINIER AVE S SEATTLE WA KING N Extended Day Supply (84+) COLUMBIA VALLEY COMM HLTH PHCY 600 ORONDO AVE STE 1 WENATCHEE WA CHELAN N NONE Extended Day Supply (84+) COLVILLE INDIAN HLTH CTR PHARMACY AGENCY CAMPUS HWY 155 NESPELEM WA OKANOGAN N Extended Day Supply (84+) COMMUNITY HEALTH CARE PHARMACY PACIFIC AVE TACOMA WA PIERCE N Extended Day Supply (84+) COMMUNITY HEALTH CARE PHARMACY 1202 MARTIN LUTHER KING JR WAY TACOMA WA PIERCE N Extended Day Supply (84+) COMMUNITY HEALTH CARE PHARMACY 1708 E 44TH ST TACOMA WA PIERCE N Extended Day Supply (84+) COMMUNITY HEALTH CARE PHARMACY GRAVELLY LAKE DR SW LAKEWOOD WA PIERCE N Extended Day Supply (84+) Page 2 of 20

3 COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY EDMONDS PHARMACY Address 2 City State Zip Code Phone Fax County Fed Tax ID 24 Hour NCPDP ID Chain ID NPI Network Description HIGHWAY 99 EDMONDS WA SNOHOMISH N Extended Day Supply (84+) COMMUNITY HEALTH OF CENTRAL WASHINGTON ELLENSBURG PHARMACY 521 E MOUNTAIN VIEW AVE ELLENSBURG WA KITTITAS N NONE Extended Day Supply (84+) COMMUNITY, A WALGREENS PHARMACY 1001 BROADWAY STE 102 SEATTLE WA KING Extended Day Supply (84+) CONNELL FAMILY CLINIC PHARMACY 1051 S COLUMBIA AVE CONNELL WA FRANKLIN N NONE Extended Day Supply (84+) CONSONUS PHCY SVCS WA LLC NE 87TH ST REDMOND WA KING N Extended Day Supply (84+) COPES PHARMACY 134 WASHINGTON AVE S ORTING WA PIERCE N Extended Day Supply (84+) COSTLESS SENIOR SERVICES ND AVE NW D GIG HARBOR WA PIERCE N Extended Day Supply (84+) COVINGTON MULTICARE CLINIC SE 272ND ST STE 100 COVINGTON WA KING N Extended Day Supply (84+) CROWN DRUG 2544 SIMPSON AVE HOQUIAM WA GRAYS HARBOR N Extended Day Supply (84+) CUSTOM PRESCRIPTION SHOPPE 1313 E MAPLE ST STE 101 BELLINGHAM WA WHATCOM N Extended Day Supply (84+) CVS PHARMACY # SE CARR RD RENTON WA KING Extended Day Supply (84+) CVS PHARMACY # SW 160TH ST BURIEN WA KING Extended Day Supply (84+) CVS PHARMACY # STATE HIGHWAY 305 NE POULSBO WA KITSAP Extended Day Supply (84+) CVS PHARMACY # N 45TH ST SEATTLE WA KING Extended Day Supply (84+) CVS PHARMACY # BELLEVUE SQ BELLEVUE WA KING Extended Day Supply (84+) CVS PHARMACY # AIRPORT RD EVERETT WA SNOHOMISH Extended Day Supply (84+) DAVENPORT GOOD NEIGHBOR PHARMACY 525 MORGAN ST DAVENPORT WA LINCOLN N Extended Day Supply (84+) DAVID C WYNECOOP MEM CLINIC PHARM 6203 AGENCY LOOP ROAD WELLPINIT WA STEVENS N Extended Day Supply (84+) DOANE'S SENIOR CARE PHARMACY 108 ELBERTA AVE CASHMERE WA CHELAN N Extended Day Supply (84+) DOANES VALLEY PHARMACY 119 COTTAGE AVE CASHMERE WA CHELAN N Extended Day Supply (84+) DONS PHARMACY INC 1151 WATER ST PORT TOWNSEND WA JEFFERSON N Extended Day Supply (84+) DOWNTOWN HEALTH MART PHARMACY 414 N PEARL ST ELLENSBURG WA KITTITAS N Extended Day Supply (84+) DUPONT PHARMACY 1545 WILMINGTON DR STE 160 DUPONT WA PIERCE N Extended Day Supply (84+) DUVALL FAMILY DRUGS MAIN ST NE DUVALL WA KING N Extended Day Supply (84+) EDMONDS PHARMACY TH ST SW STE D 100 EDMONDS WA SNOHOMISH N Extended Day Supply (84+) EDMONDS STEVENS HEALTH CENTER TH AVE W STE 104A EDMONDS WA SNOHOMISH N Extended Day Supply (84+) EDMONDS STEVENS HEALTH CENTER LTC TH AVE W STE 104B EDMONDS WA SNOHOMISH N Extended Day Supply (84+) ELFERS LYON PHARMACY 820 MEMORIAL ST SUITE 2 PROSSER WA BENTON N Extended Day Supply (84+) ELK DRUG 176 E MAIN ST DAYTON WA COLUMBIA N Extended Day Supply (84+) ELMA PHARMACY 221 W MAIN ST ELMA WA GRAYS HARBOR N Extended Day Supply (84+) EVERGREEN PROFESSIONAL CENTER PHARMACY NE 130TH LN STE 210 KIRKLAND WA KING N Extended Day Supply (84+) FAIRFIELD OWL PHARMACY E 208 MAIN ST FAIRFIELD WA SPOKANE N Extended Day Supply (84+) FAIRWAY DRUG, INC 1758 FRONT ST STE 106 LYNDEN WA WHATCOM N Extended Day Supply (84+) FAMILY MEDICAL CENTER WALLA WALLA 1120 W ROSE ST WALLA WALLA WA WALLA WALLA N Extended Day Supply (84+) FAMILY PHARMACY TH ST SW STE 100 EDMONDS WA SNOHOMISH N Extended Day Supply (84+) FAMILY PHARMACY TH ST STE 400 ANACORTES WA SKAGIT N Extended Day Supply (84+) FIESTA PHARMACY 115 S 10TH AVE PASCO WA FRANKLIN N Extended Day Supply (84+) FIRCREST PHARMACY 1107 REGENTS BLVD FIRCREST WA PIERCE N Extended Day Supply (84+) FOOD PAVILION PHARMACY 315 VALLEY MALL PKWY EAST WENATCHEE WA DOUGLAS N Extended Day Supply (84+) FRANCISCAN HOSPICE PHARMACY 2901 BRIDGEPORT WAY STE 128 UNIVERSITY PLACE WA PIERCE N Extended Day Supply (84+) FRANCISCAN PHARMACY FEDERAL WAY TH AVE S SUITE 110 FEDERAL WAY WA KING N Extended Day Supply (84+) FRANCISCAN PHARMACY ST ANTHONY CANTERWOOD BLVD NW STE 220 GIG HARBOR WA PIERCE N Extended Day Supply (84+) FRANCISCAN PHARMACY BONNEY LAKE 9230 SKY ISLAND DR E BONNEY LAKE WA PIERCE N Extended Day Supply (84+) FRANCISCAN PHARMACY CANYON ROAD CANYON RD E STE 110 PUYALLUP WA PIERCE N Extended Day Supply (84+) FRANCISCAN PHARMACY FIRST AVENUE ST AVE S FEDERAL WAY WA KING N Extended Day Supply (84+) BRIDGEPORT WAY SW SUITE FRANCISCAN PHARMACY ST. CLARE A1087 LAKEWOOD WA PIERCE N Extended Day Supply (84+) FRANCISCAN PHARMACY TACOMA 1608 S J ST TACOMA WA PIERCE N Extended Day Supply (84+) FRED MEYER PHARMACY 1206 N 40TH AVE YAKIMA WA YAKIMA N Extended Day Supply (84+) FRED MEYER PHARMACY 800 NE TENNEY ROAD VANCOUVER WA CLARK N Extended Day Supply (84+) FRED MEYER PHARMACY 2500 COLUMBIA HOUSE BLVD VANCOUVER WA CLARK N Extended Day Supply (84+) FRED MEYER PHARMACY SE MILL PLAIN BLVD VANCOUVER WA CLARK N Extended Day Supply (84+) FRED MEYER PHARMACY SE MCGILLIVRAY BLVD VANCOUVER WA CLARK N Extended Day Supply (84+) FRED MEYER PHARMACY 7411 NE 117TH AVE VANCOUVER WA CLARK N Extended Day Supply (84+) FRED MEYER PHARMACY 6305 BRIDGEPORT WAY WEST UNIVERSITY PLACE WA PIERCE N Extended Day Supply (84+) FRED MEYER PHARMACY 555 TROSPER RD SW TUMWATER WA THURSTON N Extended Day Supply (84+) FRED MEYER PHARMACY 4505 S 19TH ST TACOMA WA PIERCE N Extended Day Supply (84+) Page 3 of 20

4 FRED MEYER PHARMACY 6901 S 19TH ST TACOMA WA PIERCE N Extended Day Supply (84+) FRED MEYER PHARMACY 7250 PACIFIC AVE TACOMA WA PIERCE N Extended Day Supply (84+) FRED MEYER PHARMACY 1201 VALLEY AVE E SUMNER WA PIERCE N Extended Day Supply (84+) FRED MEYER PHARMACY E SPRAGUE AVE SPOKANE VALLEY WA SPOKANE N Extended Day Supply (84+) FRED MEYER PHARMACY N DIVISION SPOKANE WA SPOKANE N Extended Day Supply (84+) FRED MEYER PHARMACY 400 S THOR ST SPOKANE WA SPOKANE N Extended Day Supply (84+) MOUNTAIN VIEW HIGHWAY FRED MEYER PHARMACY EAST SPANAWAY WA PIERCE N Extended Day Supply (84+) FRED MEYER PHARMACY 2801 BICKFORD AVE SNOHOMISH WA SNOHOMISH N Extended Day Supply (84+) FRED MEYER PHARMACY AURORA AVE NORTH SHORELINE WA KING N Extended Day Supply (84+) FRED MEYER PHARMACY 301 E WALLACE KNEELAND BLVD SHELTON WA MASON N Extended Day Supply (84+) FRED MEYER PHARMACY 100 NW 85TH ST SEATTLE WA KING N Extended Day Supply (84+) FRED MEYER PHARMACY FIRST AVE SOUTH SEATTLE WA KING N Extended Day Supply (84+) FRED MEYER PHARMACY LAKE CITY WAY NE SEATTLE WA KING N Extended Day Supply (84+) FRED MEYER PHARMACY 915 NW 45TH ST SEATTLE WA KING N Extended Day Supply (84+) FRED MEYER PHARMACY 101 WELLSIAN WAY RICHLAND WA BENTON N Extended Day Supply (84+) FRED MEYER PHARMACY 365 RENTON CENTER WAY SW RENTON WA KING N Extended Day Supply (84+) FRED MEYER PHARMACY TH AVE SE RENTON WA KING N Extended Day Supply (84+) FRED MEYER PHARMACY NE 76TH ST REDMOND WA KING N Extended Day Supply (84+) FRED MEYER PHARMACY MERIDIAN EAST PUYALLUP WA PIERCE N Extended Day Supply (84+) FRED MEYER PHARMACY 1100 N MERIDIAN PUYALLUP WA PIERCE N Extended Day Supply (84+) FRED MEYER PHARMACY 1900 SE SEDGWICK ROAD PORT ORCHARD WA KITSAP N Extended Day Supply (84+) FRED MEYER PHARMACY STATE ROUTE 2 MONROE WA SNOHOMISH N Extended Day Supply (84+) FRED MEYER PHARMACY 9925 STATE AVE MARYSVILLE WA SNOHOMISH N Extended Day Supply (84+) MAPLE VALLEY BLACK FRED MEYER PHARMACY DIAMOND RD SE MAPLE VALLEY WA KING N Extended Day Supply (84+) FRED MEYER PHARMACY TH ST SW SUITE 175 LYNNWOOD WA SNOHOMISH N Extended Day Supply (84+) FRED MEYER PHARMACY TH ST SW LYNNWOOD WA SNOHOMISH N Extended Day Supply (84+) FRED MEYER PHARMACY 3184 OCEAN BEACH WAY LONGVIEW WA COWLITZ N Extended Day Supply (84+) FRED MEYER PHARMACY 700 SLEATER KINNEY RD NE LACEY WA THURSTON N Extended Day Supply (84+) FRED MEYER PHARMACY TH AVE NE KIRKLAND WA KING N Extended Day Supply (84+) FRED MEYER PHARMACY PACIFIC HWY S KENT WA KING N Extended Day Supply (84+) FRED MEYER PHARMACY SE 240TH KENT WA KING N Extended Day Supply (84+) FRED MEYER PHARMACY SE 272ND ST KENT WA PIERCE N Extended Day Supply (84+) FRED MEYER PHARMACY 2811 W 10TH AVE KENNEWICK WA BENTON N Extended Day Supply (84+) FRED MEYER PHARMACY 6100 E LAKE SAMMAMISH PKWY SE ISSAQUAH WA KING N Extended Day Supply (84+) FRED MEYER PHARMACY ST AVE SW FEDERAL WA KING N Extended Day Supply (84+) FRED MEYER PHARMACY BOTHELLEVERETT HIGHWAY EVERETT WA SNOHOMISH N Extended Day Supply (84+) FRED MEYER PHARMACY 8530 EVERGREEN WAY EVERETT WA SNOHOMISH N Extended Day Supply (84+) FRED MEYER PHARMACY 201 S WATER ST ELLENSBURG WA KITTITAS N Extended Day Supply (84+) FRED MEYER PHARMACY 11 GRANT ROAD EAST WENATCHEE WA DOUGLAS N Extended Day Supply (84+) FRED MEYER PHARMACY 920 S BURLINGTON BLVD BURLINGTON WA SKAGIT N Extended Day Supply (84+) FRED MEYER PHARMACY 5050 STATE HIGHWAY 303 NE BREMERTON WA KITSAP N Extended Day Supply (84+) FRED MEYER PHARMACY BOTHELLEVERETT HIGHWAY BOTHELL WA SNOHOMISH N Extended Day Supply (84+) FRED MEYER PHARMACY HWY 410 BONNEY LAKE WA PIERCE N Extended Day Supply (84+) FRED MEYER PHARMACY 800 LAKEWAY DR BELLINGHAM WA WHATCOM N Extended Day Supply (84+) FRED MEYER PHARMACY 1225 W BAKERVIEW RD BELLINGHAM WA WHATCOM N Extended Day Supply (84+) FRED MEYER PHARMACY TH NE BELLEVUE WA KING N Extended Day Supply (84+) FRED MEYER PHARMACY 401 NW 12TH AVE BATTLEGROUND WA CLARK N Extended Day Supply (84+) FRED MEYER PHARMACY 801 AUBURN WAY N AUBURN WA KING N Extended Day Supply (84+) FRED MEYER PHARMACY # HIGHWAY 99 VANCOUVER WA CLARK N Extended Day Supply (84+) FRIDAY HARBOR DRUG 210 SPRING ST W FRIDAY HARBOR WA SAN JUAN N Extended Day Supply (84+) GENEVA WOODS PHARMACY 6600 NE 112TH COURT STE 103 VANCOUVER WA CLARK N Extended Day Supply (84+) GENEVA WOODS PHARMACY 1605 S 93RD ST STE EB SEATTLE WA KING Extended Day Supply (84+) GENOA A QOL HEALTHCARE COMPANY LLC TH AVE STE 201A LONGVIEW WA COWLITZ N Extended Day Supply (84+) GENOA HEALTHCARE 402 S 4TH AVE YAKIMA WA YAKIMA N Extended Day Supply (84+) GENOA HEALTHCARE 1600 E OLIVE ST BLDG D SEATTLE WA KING N Extended Day Supply (84+) GENOA HEALTHCARE TH AVE SW LAKEWOOD WA PIERCE N Extended Day Supply (84+) GENOA HEALTHCARE 3322 BROADWAY STE 230 EVERETT WA SNOHOMISH N Extended Day Supply (84+) Page 4 of 20

5 GENOA HEALTHCARE 1210 SW 136TH ST RM 101 BURIEN WA KING N Extended Day Supply (84+) GENOA HEALTHCARE 5455 ALMIRA DRIVE NE BREMERTON WA KITSAP N Extended Day Supply (84+) GENOA HEALTHCARE 4508 AUBURN WAY N STE A104 AUBURN WA KING N Extended Day Supply (84+) 1601 E FOURTH PLAIN BLVD STE GENOA, A QOL HEALTHCARE COMPANY, LLC B260 VANCOUVER WA CLARK N Extended Day Supply (84+) GIBBONS PHARMACY 117 S TOPPENISH AVE TOPPENISH WA YAKIMA N Extended Day Supply (84+) GOOD PHARMACY 8741 S TACOMA WAY LAKEWOOD WA PIERCE N Extended Day Supply (84+) GOOD SAMARITAN BEHAVIORAL HEALTH 325 E PIONEER WAY PUYALLUP WA PIERCE N Extended Day Supply (84+) HAGGEN FOOD & PHARMACY TH AVE SE PUYALLUP WA PIERCE N Extended Day Supply (84+) HAGGEN FOOD & PHARMACY 1406 LAKE TAPPS PARKWAY E AUBURN WA KING N Extended Day Supply (84+) HAGGEN FOOD & PHARMACY # MERIDIAN ST BELLINGHAM WA WHATCOM N Extended Day Supply (84+) HAGGEN FOOD & PHARMACY # HAGGEN DR BURLINGTON WA SKAGIT N Extended Day Supply (84+) HAGGEN FOOD & PHARMACY # TH ST BELLINGHAM WA WHATCOM N Extended Day Supply (84+) HAGGEN FOOD & PHARMACY # COOPER PT RD OLYMPIA WA THURSTON N Extended Day Supply (84+) HAGGEN FOOD & PHARMACY # WOBURN BELLINGHAM WA WHATCOM N Extended Day Supply (84+) HAGGEN FOOD & PHARMACY # ND AVE NW STANWOOD WA SNOHOMISH N Extended Day Supply (84+) HAGGEN FOOD & PHARMACY # MAIN ST FERNDALE WA WHATCOM N Extended Day Supply (84+) HAGGEN FOOD & PHARMACY # GARDEN WAY NE WOODINVILLE WA KING N Extended Day Supply (84+) HAGGEN FOOD & PHARMACY # E DIVISION MOUNT VERNON WA SKAGIT N Extended Day Supply (84+) HAGGEN FOOD & PHARMACY # MARKET PLACE 100 LAKE STEVENS WA SNOHOMISH N Extended Day Supply (84+) HAGGEN FOOD & PHARMACY # CORDATA PARKWAY BELLINGHAM WA WHATCOM N Extended Day Supply (84+) HAGGEN FOOD & PHARMACY # TH ST NE MARYSVILLE WA SNOHOMISH N Extended Day Supply (84+) HAGGEN FOOD & PHARMACY, # AVE D SNOHOMISH WA SNOHOMISH N Extended Day Supply (84+) HAGGEN PHARMACY # N MILLER ST WENATCHEE WA CHELAN N Extended Day Supply (84+) HAGGEN PHARMACY # N WILBUR AVE WALLA WALLA WA WALLA WALLA N Extended Day Supply (84+) HAGGEN PHARMACY # E LAURIDSEN BLVD PORT ANGELES WA CLALLAM N Extended Day Supply (84+) HAGGEN PHARMACY # TH AVE NE REDMOND WA KING N Extended Day Supply (84+) HAGGEN PHARMACY # STATE ROUTE 9 SE SNOHOMISH WA SNOHOMISH N Extended Day Supply (84+) HAGGEN PHARMACY # PACIFIC AVE SE OLYMPIA WA THURSTON N Extended Day Supply (84+) HAGGEN PHARMACY # STEILACOOM BLVD SW LAKEWOOD WA PIERCE N Extended Day Supply (84+) HAGGEN PHARMACY # CANYON RD E PUYALLUP WA PIERCE N Extended Day Supply (84+) HAGGEN PHARMACY # PACIFIC HWY S FEDERAL WAY WA KING N Extended Day Supply (84+) HALLS DRUG CENTER 505 S TOWER AVE SUITE 2 CENTRALIA WA LEWIS N Extended Day Supply (84+) HALLS LONG TERM CARE PHARMACY 505 S TOWER AVE STE 2B CENTRALIA WA LEWIS N Extended Day Supply (84+) HARBOR DRUG COMPANY 316 8TH ST HOQUIAM WA GRAYS HARBOR N Extended Day Supply (84+) HARBORVIEW MEDICAL CENTER 325 9TH AVE SEATTLE WA KING N NONE Extended Day Supply (84+) HART AND DILATUSH PHARMACY 601 W RIVERSIDE STE 140 SPOKANE WA SPOKANE N Extended Day Supply (84+) HAWKS PRAIRIE HEALTH MART PHARMACY 2539 MARVIN RD NE STE E LACEY WA THURSTON N Extended Day Supply (84+) HEALTHPOINT MIDWAY PHARMACY PACIFIC HWY S STE 102 DES MOINES WA KING N Extended Day Supply (84+) HEALTHPOINT AUBURN PHARMACY 126 AUBURN AVE STE 104 AUBURN WA KING N Extended Day Supply (84+) HEALTHPOINT BOTHELL PHARMACY BEARDSLEE BLVD BOTHELL WA KING N Extended Day Supply (84+) HEALTHPOINT CENTRAL FILL PHARMACY 947 POWELL AVE SW SUITE 100 RENTON WA KING N Extended Day Supply (84+) HEALTHPOINT FEDERAL WAY PHARMACY TH PL S FEDERAL WAY WA KING N Extended Day Supply (84+) HEALTHPOINT KENT PHARMACY 403 E MEEKER ST STE 300 KENT WA KING N Extended Day Supply (84+) HEALTHPOINT REDMOND PHARMACY NE 87TH ST STE B6 REDMOND WA KING N Extended Day Supply (84+) HEALTHPOINT SEATAC PHARMACY 4040 S 188TH ST STE 201 SEATAC WA KING N Extended Day Supply (84+) HEALTHPOINT TUKWILA PHARMACY MILITARY RD S STE 206 TUKWILA WA KING N Extended Day Supply (84+) HIGHLAND PHARMACY PACIFIC HWY S STE 10 FEDERAL WAY WA KING N Extended Day Supply (84+) HILLTOP PHARMACY 1223 E DIVISION ST MOUNT VERNON WA SKAGIT N Extended Day Supply (84+) HILTON PHARMACY 220 STATE AVE MARYSVILLE WA SNOHOMISH N Extended Day Supply (84+) HOAGLAND PHARMACY 2330 YEW ST BELLINGHAM WA WHATCOM N Extended Day Supply (84+) HOAGLAND PHARMACY 1414 MEADOR AVE STE 101 BELLINGHAM WA WHATCOM N Extended Day Supply (84+) HOLLY PARK PHARMACY ICHS 3815 S OTHELLO ST 2ND FLOOR SEATTLE WA KING N NONE Extended Day Supply (84+) HOMETOWN PHARMACY 640 SR HWY 20 UNIT 101 SEDRO WOOLLEY WA SKAGIT N Extended Day Supply (84+) HORIZON PHARMACY 633 W 1ST ST WAPATO WA YAKIMA N Extended Day Supply (84+) HOWARDS DRUG 119 E 3RD AVE SELAH WA YAKIMA N Extended Day Supply (84+) ICHS INTERNATIONAL DISTRICT 720 8TH AVE S SEATTLE WA KING N NONE Extended Day Supply (84+) ILWACO DRUGS 101 1ST AVE SOUTH ILWACO WA PACIFIC N Extended Day Supply (84+) INTERFAITH PHARMACY 218 UNITY ST BELLINGHAM WA WHATCOM N Extended Day Supply (84+) INTERNATIONAL PHARMACY BRIDGEPORT WAY SW LAKEWOOD WA PIERCE N Extended Day Supply (84+) INTERNATIONAL PHARMACY LTC BRIDGEPORT WAY SW SUITE B LAKEWOOD WA PIERCE N Extended Day Supply (84+) JIMS PHARMACY AND HOME HEALTH 424 E 2ND ST PORT ANGELES WA CLALLAM N Extended Day Supply (84+) Page 5 of 20

6 Address 2 City State Zip Code Phone Fax County Fed Tax ID 24 Hour NCPDP ID Chain ID NPI Network Description KADLEC CLINIC HEMATOLOGY AND ONCOLOGY 7360 W DESCHUTES AVE KENNEWICK WA BENTON N Extended Day Supply (84+) KELLEY ROSS LONG TERM CARE 2324 EASTLAKE AVE E STE 400 SEATTLE WA KING N Extended Day Supply (84+) KELLEY ROSS PHARMACY AT THE POLYCLINIC 904 7TH AVE # 103 SEATTLE WA KING N Extended Day Supply (84+) KETTLE FALLS PHARMACY W 280 THIRD AVE KETTLE FALLS WA STEVENS N Extended Day Supply (84+) KING PLAZA PHARMACY 7101 ML KING WY S STE 101B SEATTLE WA KING Extended Day Supply (84+) KIRKS PHARMACY 104 MASHELL AVE EATONVILLE WA PIERCE N Extended Day Supply (84+) KIRKS PHARMACY AT HARTLAND TH ST SE STE 2 PUYALLUP WA PIERCE N Extended Day Supply (84+) KIRKS PHARMACY AT SUNRISE SUNRISE BLVD E STE 204 PUYALLUP WA PIERCE N Extended Day Supply (84+) KITSAP PHARMACY TH AVE NE POULSBO WA KITSAP N Extended Day Supply (84+) KMART PHARMACY E SPRAGUE AVE SPOKANE WA SPOKANE N Extended Day Supply (84+) KMART PHARMACY ND ST E TACOMA WA PIERCE N Extended Day Supply (84+) KMART PHARMACY E NOB HILL BLVD YAKIMA WA YAKIMA N Extended Day Supply (84+) KMART PHARMACY NW LOUISIANA AVE CHEHALIS WA LEWIS N Extended Day Supply (84+) LAFFERTYS PHARMACY TH AVE NW SEATTLE WA KING N Extended Day Supply (84+) LAKE SPOKANE PHARMACY 5919 F HWY 291, STE 5 NINE MILE FALLS WA SPOKANE N Extended Day Supply (84+) LAKEMONT PHARMACY 4935 LAKEMONT BLVD SE STE B4 BELLEVUE WA KING N Extended Day Supply (84+) LAKEWOOD PHARMACY 8720 S TACOMA WAY STE 103 LAKEWOOD WA PIERCE N Extended Day Supply (84+) LATAH PHARMACY 4235 S CHENEY SPOKANE RD SPOKANE WA SPOKANE N Extended Day Supply (84+) LIDGERWOOD OWL PHARMACY 5901 N LIDGERWOOD ST STE 100 SPOKANE WA SPOKANE N Extended Day Supply (84+) LIFECARE SOLUTIONS, INC E SPRAGUE AVE BLDG C 3 SPOKANE VALLEY WA SPOKANE N Extended Day Supply (84+) LINCOLN COUNTY HEALTHMART PHARM 621 MORGAN S DAVENPORT WA LINCOLN N Extended Day Supply (84+) LINCOLN PHARMACY 821 S 38TH ST TACOMA WA PIERCE N Extended Day Supply (84+) LINCOLN PHARMACY LTC 821B S 38TH ST TACOMA WA PIERCE N Extended Day Supply (84+) LOGAR PHARMACY TH ST SUITE A BENTON CITY WA BENTON N Extended Day Supply (84+) LONG BEACH PHARMACY 101 BOLSTAD AVE 3 LONG BEACH WA PACIFIC N Extended Day Supply (84+) LOURDES WEST PASCO PHARMACY 7425 WRIGLEY DR STE 104 PASCO WA FRANKLIN N Extended Day Supply (84+) LUKES PHARMACY 611 MAYNARD AVE S SEATTLE WA KING N Extended Day Supply (84+) MAI LINH PHARMACY 1211 S 11TH ST TACOMA WA PIERCE N Extended Day Supply (84+) MALLEY'S COMPOUNDING PHARMACY 1906 GEORGE WASHINGTON WAY RICHLAND WA BENTON N Extended Day Supply (84+) MARTIN'S SOUTHGATE DRUG 5201 CAPITOL BLVD S TUMWATER WA THURSTON N Extended Day Supply (84+) MATRX PHARMACY 1030 AVE D STE 2 SNOHOMISH WA SNOHOMISH Extended Day Supply (84+) MEDICAL LAKE OWL PHARMACY 123 E LAKE ST MEDICAL LAKE WA SPOKANE N Extended Day Supply (84+) MEDICAL MALL PHARMACY 521 N YOUNG ST KENNEWICK WA BENTON N NONE Extended Day Supply (84+) MEDICAL ONCOLOGY ASSOCIATES PS 6001 N MAYFAIR ST SPOKANE WA SPOKANE N Extended Day Supply (84+) MEDICINE SHOPPE 1121 W COURT ST PASCO WA FRANKLIN N Extended Day Supply (84+) MEDICINE SHOPPE # PROFESSIONAL WAY SHELTON WA MASON N Extended Day Supply (84+) MEDICINE SHOPPE # W NORTHWEST BLVD SPOKANE WA SPOKANE N Extended Day Supply (84+) MEDORGANIZE 325 NE HOSTMARK ST, STE B POULSBO WA KITSAP N Extended Day Supply (84+) MEGA PHARMACY TH ST S STE A TACOMA WA PIERCE N Extended Day Supply (84+) MEMORIAL PHARMACY AT CORNERSTONE 4003 CREEKSIDE LOOP YAKIMA WA YAKIMA N NONE Extended Day Supply (84+) MERCURY PHARMACY SVCS INC TH AVE W STE 202 MOUNTLAKE TERRACE WA SNOHOMISH N Extended Day Supply (84+) MERIDIAN CENTER FOR HEALTH PHARMACY MERIDIAN AVE N SEATTLE WA KING N Extended Day Supply (84+) METMEDS 5707 LACEY BLVD SE SUITE 103 LACEY WA THURSTON N Extended Day Supply (84+) MOSES LAKE COMM HLTH CTR 605 S COOLIDGE ST MOSES LAKE WA GRANT N NONE Extended Day Supply (84+) MULTICARE AMC OUTPATIENT PHARMACY 202 N DIVISION ST AUBURN WA KING N Extended Day Supply (84+) MULTICARE BONNEY LAKE PHARMACY TH AVE E SUITE 1200 BONNEY LAKE WA PIERCE N Extended Day Supply (84+) MULTICARE CLINIC PHARMACY 521 MARTIN LUTHER KING JR WAY TACOMA WA PIERCE N Extended Day Supply (84+) MULTICARE GIG HARBOR PHARMACY 4545 POINT FOSDICK DR NW SUITE 250 GIG HARBOR WA PIERCE N Extended Day Supply (84+) MULTICARE GOOD SAMARITAN PHARMACY TH ST SE STE 1200 PUYALLUP WA PIERCE N Extended Day Supply (84+) MULTICARE MARY BRIDGE CLINICS PHARMACY 311 S L ST TACOMA WA PIERCE N Extended Day Supply (84+) MULTICARE MEDICAL CENTER PHARMACY 315 MARTIN LUTHER KING JR WAY TACOMA WA PIERCE Y Extended Day Supply (84+) MULTICARE WESTGATE PHARMACY 2209 N PEARL ST STE 100 TACOMA WA PIERCE N Extended Day Supply (84+) NAVOS 2600 SW HOLDEN ST SEATTLE WA KING N Extended Day Supply (84+) NEIGHBORCARE HEALTH RAINIER PARK PHARMACY CLINIC PHARMACY TH AVE S SEATTLE WA KING N Extended Day Supply (84+) NEILS PHARMACY 512 W FRANKLIN SHELTON WA MASON N Extended Day Supply (84+) NGUYENS PHARMACY 1221 S MAIN ST STE 103 SEATTLE WA KING N Extended Day Supply (84+) Page 6 of 20