LETRENTS PHARMACY 135 W PITT ST BEDFORD, PA (814) (814) Fax

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1 Chain Pharmacy CHAIN The following chain pharmacies can be accessed nationwide. Costco Phone: (800) Cvs Phone: (800) TTY/TDD: (800) Giant Eagle Pharmacy Phone: (800) TTY/TDD: (877) Giant Pharmacy Phone: (888) Kmart Pharmacy Phone: (800) Martin s Pharmacy Phone: (888) Medicap Pharmacy Phone: (800) Medicine Shoppe Pharmacy Phone: (800) Pathmark Phone: (866) Price Chopper Pharmacy Phone: (800) Rite Aid Pharmacy Phone: (800) RIT-EAID Sam s Pharmacy Phone: (800) WAL-MART Shoprite Pharmacy Phone: (800) Stop And Shop Pharmacy Phone: (800) Target Phone: (800) TTY/TDD: (800) Wal-mart Pharmacy Phone: (800) WAL-MART Waldbaum s Phone: (866) Wegman Pharmacy Phone: (877) Weis Pharmacy Phone: (866) (option 5) RETAIL ADAMS ADAMS CUMBERLAND 3463 BIGLERVILLE RD BIGLERVILLE, PA (717) (717) Fax CHOICE APOTHECARY 105 FOURTH ST EAST BERLIN, PA (717) (717) Fax EAST BERLIN 335 W KING ST EAST BERLIN, PA (717) (717) Fax WELLSPAN 4910 FAIRFIELD RD SUITE B FAIRFIELD, PA (717) (717) Fax LASLOWS 6 SPRINGS AVENUE GETTYSBURG, PA (717) (717) Fax WELLSPAN 40 V TWIN DR SUITE 107 GETTYSBURG, PA (717) (717) Fax KENNIES 520 W KING ST LITTLESTOWN, PA (717) (717) Fax CHOICE FAMILY 8 SOUTH SIXTH ST MCSHERRYSTOWN, PA (717) (717) Fax BEDFORD FISHERS 654 E PITT ST BEDFORD, PA (814) (814) Fax ICKES DRUG STORE 122 S JULIANNA ST BEDFORD, PA (814) (814) Fax LETRENTS 135 W PITT ST BEDFORD, PA (814) (814) Fax EVERETT 108 E MAIN ST EVERETT, PA (814) (814) Fax LOWERS. 33 E MAIN ST EVERETT, PA (814) (814) Fax CHESTNUT RIDGE 2262 QUAKER VALLEY RD FISHERTOWN, PA (814) (814) Fax POTOMAC VALLEY OF HYNDMAN 138 WASHINGTON ST HYNDMAN, PA (814) (814) Fax NORTHERN BEDFORD 3499 BRUMBAUGH RD NEW ENTERPRISE, PA (814) (814) Fax WHYSONGS 4186 CORTLAND DR NEW PARIS, PA (814) (814) Fax MCCAHANS 813 A LOWER MAIN ST SAXTON, PA (814) (814) Fax SAXTON STATION 509 MAIN ST SAXTON, PA (814) (814) Fax BERKS BIRDSBORO 330 W MAIN ST BIRDSBORO, PA (610) (610) Fax BLANDON 104 ANNA AVE BLANDON, PA (610) (610) Fax ADAMS & BRIGHT DRUGS, LLC 306 STATE ST HAMBURG, PA (610) (610) Fax REDNERS 5471 POTTSVILLE PIKE LEESPORT, PA (610) (610) Fax BERKS DISCOUNT 500 PENN ST STE B READING, PA (610) (610) Fax OAKSIDE CARE 440 LEHIGH ST READING, PA (484) (484) Fax PENN 900 PENN ST READING, PA (610) (610) Fax READING DISCOUNT 1220 CENTRE AVE READING, PA (610) (610) Fax SAN JUAN DE DIOS 961 N 10TH STREET READING, PA (610) (610) Fax THE COMMUNITY 145 NORTH 6TH ST READING, PA (610) (610) Fax VCARE DISCOUNT 108 S 5TH ST READING, PA (610) (610) Fax QUICKCARE DISCOUNT 101 W LANCASTER AVE SHILLINGTON, PA (610) (610) Fax ESTERBROOK 301 S 7TH AVE STE 145 WEST READING, PA (610) (610) Fax WEST READING DRUG STORE 538 PENN AVE WEST READING, PA (610) (610) Fax BLAIR ALTOONA 620 HOWARD AVE BLDG G SUITE 403 ALTOONA, PA (814) (814) Fax 305

2 Retail Pharmacy Pharmacy Providers DICKS TH ST ALTOONA, PA (814) (814) Fax GREENWOOD DRUGS 1667 BELLEMEADE DR ALTOONA, PA (814) (814) Fax THOMPSON TH ST ALTOONA, PA (814) (814) Fax THOMPSON 2329 BROAD AVE ALTOONA, PA (814) (814) Fax THOMPSON 602 E CHESTNUT AVE ALTOONA, PA (814) (814) Fax DICKS DUNNINGS HWY CLAYSBURG, PA (814) (814) Fax DUNCANSVILLE RD AVE DUNCANSVILLE, PA (814) (814) Fax THOMPSON 510 BLAIR ST HOLLIDAYSBURG, PA (814) (814) Fax TIPTON 4384 E. PLEASANT VALLEY BLVD. STE 1 TIPTON, PA (814) (814) Fax COMMUNITY 1256 PENNSYLVANIA AVE TYRONE, PA (814) (814) Fax DICKS 318 E 1ST ST WILLIAMSBURG, PA (814) (814) Fax BRADFORD LECHS 104 MAIN ST LACEYVILLE, PA (570) (570) Fax BERTS 144 DESMOND ST SAYRE, PA (570) (570) Fax CLINIC 1 GUTHRIE SQUARE SUITE EC101 SAYRE, PA (570) (570) Fax BROWNS 63 CANTON ST TROY, PA (570) (570) Fax COOKES 14 ELMIRA ST TROY, PA (570) (570) Fax MILLERS RT 6 FARM AND HOME PLAZA WYALUSING, PA (570) (570) Fax CAMBRIA SHARBAUGHS DRUG STORE 2073 PLANK RD CARROLLTOWN, PA (814) (814) Fax JAMES DRUG STORE 601 2ND ST CRESSON, PA (814) (814) Fax MAINLINE 1207 SECOND ST CRESSON, PA (814) (814) Fax MAINLINE 3720 NEW GERMANY RD EBENSBURG, PA (814) (814) Fax FOWLERS 317 BEAVER ST HASTINGS, PA (814) (814) Fax EAST HILLS FAMILY 1111 SCALP AVE JOHNSTOWN, PA (814) (814) Fax JOHNSTOWN 339 WALNUT STREET STE 100 JOHNSTOWN, PA (814) (814) Fax MARTELLA'S 1932 WILLIAM PENN AVE JOHNSTOWN, PA (814) (814) Fax MARTELLAS 1079 FRANKLIN ST JOHNSTOWN, PA (814) (814) Fax ONCOLOGY 1020 FRANKLIN ST JOHNSTOWN, PA (814) (814) Fax VO SOLUTIONS, LLC WILLIAM PENN AVE JOHNSTOWN, PA (814) (814) Fax WESTMONT DRUG STORE 1741 GOUCHER ST JOHNSTOWN, PA (814) (814) Fax WATTERS BROTHERS DRUG STR 4105 CRAWFORD AVE NORTHERN CAMBRIA, PA (814) (814) Fax PATTON AND V AND S VARIETY 503 RAILROAD AVE., STE. 2 PATTON, PA (814) (814) Fax MAINLINE 619 MAIN ST PORTAGE, PA (814) (814) Fax FOREST HILLS 552 LOCUST ST SAINT MICHAEL, PA (814) (814) Fax CARBON MAUCH CHUNK 1204 NORTH ST MCT PLAZA JIM THORPE, PA (570) (570) Fax FIRST NATIONAL 143 N 1ST ST LEHIGHTON, PA (610) (610) Fax SHIPMANS 326 DELAWARE AVE PALMERTON, PA (610) (610) Fax WEATHERLY AREA COMMUNITY 202 CARBON ST WEATHERLY, PA (570) (570) Fax CENTRE PARRISH APOTHECARY SHOP 114 N ALLEGHENY ST BELLEFONTE, PA (814) (814) Fax PLUMBS DRUG STORE 105 N ALLEGHENY ST BELLEFONTE, PA (814) (814) Fax THOMPSON 2827 EARLYSTOWN RD CENTRE HALL, PA (814) (814) Fax GRATTANS 230 N FRONT ST PHILIPSBURG, PA (814) (814) Fax MOSHANNON VALLEY, N FRONT ST PHILIPSBURG, PA (814) (814) Fax CARESITE GW 132 ABIGAIL LANE PORT MATILDA, PA (814) (814) Fax MOSHANNON VALLEY 402 E SYCAMORE RD SNOW SHOE, PA (814) (814) Fax PENNS VALLEY 4576 PENNS VALLEY RD SPRING MILLS, PA (814) (814) Fax THE BOALSBURG APOTHECARY 3901 S ATHERTONS ST STATE COLLEGE, PA (814) (814) Fax CLEARFIELD CLEARFIELD 307 E MARKET ST CLEARFIELD, PA (814) (814) Fax 306

3 Retail Pharmacy LEYOS 1564 MAIN STREET COALPORT, PA (814) (814) Fax CITY DRUGS OF CURWENSVILLE 360 THOMPSON ST CURWENSVILLE, PA (814) (814) Fax DUBOIS DRUG AND WELLNESS 700 S BRADY ST Dubois, PA (814) (814) Fax SHANKELS 241 W LONG AVE Dubois, PA (814) (814) Fax WOODWARD 565 SPRING ST HOUTZDALE, PA (814) (814) Fax CLINTON KELLER AND MUNRO 127 E CHURCH ST LOCK HAVEN, PA (570) (570) Fax MILL HALL 260 MAIN ST MILL HALL, PA (570) (570) Fax MOUNTAIN VIEW 144 4TH ST RENOVO, PA (570) CUMBERLAND CUMBERLAND APOTHECARY 3300 MARKET ST CAMP HILL, PA (717) (717) Fax MEDICINE SHOPPE 3913 HARTZDALE DR STE 1306 CAMP HILL, PA (717) PROFESSIONAL 890 POPLAR CHURCH STE 103 CAMP HILL, PA (717) (717) Fax QUALITY CARE 1 SPRINT DR CARLISLE, PA (717) (717) Fax SMARTMED PRESCRIPTION CENTER 233 E HIGH ST CARLISLE, PA (717) (717) Fax ALERT 940 OAK OVAL MECHANICSBURG, PA (717) (717) Fax GOOD DAY 2025 TECHNOLOGY PKWY STE G04 MECHANICSBURG, PA (717) (717) Fax MILLENNIUM SYSTEMS LLC 5020 RITTER RD STE 110 MECHANICSBURG, PA (724) (877) Fax HOLLY 31 N BALTIMORE AVE MT HOLLY SPGS, PA (717) (717) Fax BIG SPRING 91 S HIGH ST NEWVILLE, PA (717) (717) Fax ROBERT T HENRY 54 E KING ST SHIPPENSBURG, PA (717) (717) Fax DAUPHIN DAUPHIN PROFESSIONAL 722 ALLEGHENY ST STE 1 DAUPHIN, PA (717) (717) Fax HARRISBURG 2645 N 3RD ST HARRISBURG, PA (717) (717) Fax KEYSTONE 204 S 13TH STREET HARRISBURG, PA (717) (717) Fax SEE-RIGHT 2647 N 6TH ST HARRISBURG, PA (717) (717) Fax UPTOWN DISCOUNT DRUGS 2336 N 3RD ST HARRISBURG, PA (717) (717) Fax HERSHEY 731 CHERRY DR HERSHEY, PA (717) (717) Fax PENN STATE MILTON S. HERSHEY MEDICAL CENTER 500 UNIVERSITY DR PSCI SUITE T1100 HERSHEY, PA (717) (717) Fax PENN STATE THE MILTON S HERSHEY MEDICAL CENTER 500 UNIVERSITY DRIVE UPC SUITE 1200 HERSHEY, PA (717) (717) Fax RHOADS 17 W MAIN ST HUMMELSTOWN, PA (717) (717) Fax THE RX SHOPPE 672 MAIN ST LYKENS, PA (717) (717) Fax MIDDLETOWN 436 E MAIN ST MIDDLETOWN, PA (717) (717) Fax MILLERSBURG 242 MARKET ST MILLERSBURG, PA (717) (717) Fax STEELTON 15 N FRONT ST STEELTON, PA (717) (717) Fax ELK THE PRESCRIPTION CENTER 223 MAIN ST RIDGWAY, PA (814) (814) Fax ST MARYS 4 RAILROAD ST SAINT MARYS, PA (814) (814) Fax BENNETTS VALLEY BENNETTS VLY HWY WEEDVILLE, PA (814) (814) Fax FULTON MCLAUGHLINS DRUG STORE 182 BUCHANAN TRL STE 150 MC CONNELLSBURG, PA (717) (717) Fax MACDONALDS 105 S 3RD ST MCCONNELLSBURG, PA (717) (717) Fax HUNTINGDON APPLEBYS DRUG STORE 133 E SHIRLEY ST MT UNION, PA (814) (814) Fax ORBY 626 WATER ST SUITE 3 ORBISONIA, PA (814) (814) Fax JEFFERSON BROCKWAY DRUG CO., MAIN ST BROCKWAY, PA (814) (814) Fax MEANS LAUF SUPER DRUG 155 MAIN ST BROOKVILLE, PA (814) (814) Fax PUNXSY HOMETOWN 203 NORTH HAMPTON AVE PUNXSUTAWNEY, PA (814) (814) Fax MCCABE DRUG 419 MAIN ST REYNOLDSVILLE, PA (814) (814) Fax JUNIATA BEWARD 27 CJEMS LANE MIFFLINTOWN, PA (717) (717) Fax MIFFLINTOWN ROUTE 35 N MIFFLINTOWN, PA (717) (717) Fax 307

4 Retail Pharmacy Pharmacy Providers LACKAWANNA FAMILY OF ARCHBALD 4 KELLY ST KENNEDY PLZ 1 ARCHBALD, PA (570) (570) Fax FIGLIOMENIS DRUG STORE 19 DUNDAFF ST CARBONDALE, PA (570) (570) Fax BILLS SHOPRITE 921 DRINKER TPKE COVINGTON TOWNSHIP, PA (570) (570) Fax DALTON 102 W MAIN ST DALTON, PA (570) (570) Fax DEPIETRO'S 617 3RD ST DUNMORE, PA (570) (570) Fax DUNMORE DRUG STORE 702 N BLAKELY ST UNIT 9 DUNMORE, PA (570) (570) Fax STERLING 547 WASHINGTON AVE JERMYN, PA (570) (570) Fax FAMILY OF JESSUP 128 CONSTITUTION AVE JESSUP, PA (570) (570) Fax AMERICAN INFUSION 4113 BIRNEY AVE MOOSIC, PA (570) (570) Fax FAMILY OF MOSCOW 330 N MAIN ST STE 202 MOSCOW, PA (570) (570) Fax FAMILY OF OLYPHANT 110 DELAWARE AVENUE OLYPHANT, PA (570) (570) Fax ALLENS 402 PRESCOTT AVE SCRANTON, PA (570) (570) Fax ANDREW BROWNS DRUG STORE 1502 PITTSTON AVE SCRANTON, PA (570) (570) Fax CARESITE LS 531 MT. PLEASANT DRIVE SCRANTON, PA (570) (570) Fax GERRITYS KEYSER 1782 N KEYSER AVE SCRANTON, PA (570) (570) Fax LEONARDS 107 W MARKET ST SCRANTON, PA (570) (570) Fax SHEELEY'S DRUG STORE,. 539 LINDEN ST SCRANTON, PA (570) (570) Fax THE PRESCRIPTION CENTER 310 ADAMS AVE SCRANTON, PA (570) (570) Fax OLEXY 143 N MAIN ST TAYLOR, PA (570) (717) Fax BUTASH 319 GEORGE ST THROOP, PA (570) (570) Fax LANCASTER ROYER 113 S 7TH ST AKRON, PA (717) (717) Fax HINKLES 261 LOCUST ST COLUMBIA, PA (717) (717) Fax ANDERSON 334 MAIN ST DENVER, PA (717) (717) Fax ANDERSON 2590 N READING RD DENVER, PA (717) (717) Fax SHADY MAPLE 1324 MAIN ST EAST EARL, PA (717) (717) Fax DARRENKAMPS ELIZABETHTOWN 191 SOUTH RIDGEVIEW RD ELIZABETHTOWN, PA (717) (717) Fax SLOANS E TOWN 2389 S MARKET ST ELIZABETHTOWN, PA (717) (717) Fax SLOANS NORLANCO 428 CLOVERLEAF RD ELIZABETHTOWN, PA (717) (717) Fax ROYER 2 E MAIN ST EPHRATA, PA (717) (717) Fax ROYER 1021 SHARP AVE EPHRATA, PA (717) (717) Fax LONGENECKER 5277 LOLN HWY GAP, PA (717) (717) Fax GANSE APOTHECARY 355 W KING ST LANCASTER, PA (717) (717) Fax LIFECARE 2108 HARRISBURG PIKE STE 314 LANCASTER, PA (717) (717) Fax ROYER 508 HERSHEY AVE LANCASTER, PA (717) (717) Fax SAVEMART 241 W ROSEVILLE RD LANCASTER, PA (717) (717) Fax SMITHGALL 536 W LEMON ST LANCASTER, PA (717) (717) Fax STAUFFERS OF KISSEL HILL ROHRERSTOWN 301 ROHRERSTOWN RD LANCASTER, PA (717) (717) Fax WILEYS 903 NISSLEY RD LANCASTER, PA (717) (717) Fax 600 WILLOW VALLEY SQUARE LANCASTER, PA (717) (717) Fax 201 E CHESTNUT ST LANCASTER, PA (717) (717) Fax ROYER 335 W MAIN ST LEOLA, PA (717) (717) Fax MCELROY 100 E MAIN ST LITITZ, PA (717) (717) Fax 6 WEST NEWPORT ROAD LITITZ, PA (717) (717) Fax SLOANS MANHEIM 73 S MAIN ST MANHEIM, PA (717) (717) Fax WILEYS OF MILLERSVILLE 507 LEAMAN AVENUE MILLERSVILLE, PA (717) (717) Fax SLOANS 2 COLLEGE AVE MOUNTVILLE, PA (717) (717) Fax DARRENKAMPS 945 E MAIN ST MT JOY, PA (717) (717) Fax SLOANS MT JOY 61 E MAIN ST MT JOY, PA (717) (717) Fax 308

5 Retail Pharmacy STAUFFERS DRUG STORE 149 E MAIN ST NEW HOLLAND, PA (717) (717) Fax AMERICUS 723 N 19TH ST ALLENTOWN, PA (610) (610) Fax WEST END 133 S 17TH ST ALLENTOWN, PA (610) (610) Fax NOCKLEY FAMILY 1198 S MAIN ST HANOVER TOWNSHIP, PA (570) (570) Fax YODERS 14 S TOWER RD NEW HOLLAND, PA (717) (717) Fax WILEYS OF QUARRYVILLE 112 TOWNSEDGE DR QUARRYVILLE, PA (717) (717) Fax WILEY OF STRASBURG 300 HISTORIC DR STRASBURG, PA (717) (717) Fax LEBANON REDNERS 2977 ROUTE 22 FREDERICKSBURG, PA (717) (717) Fax DONOUGH 545 CUMBERLAND ST LEBANON, PA (717) (717) Fax LOEHLES LEHMAN ST LEBANON, PA (717) (717) Fax MIKES, MEDICINE SHOPPE W WASHINGTON AVE MYERSTOWN, PA (717) (717) Fax TRUE CARE 9 WEST MAIN AVE MYERSTOWN, PA (717) (717) Fax PALMYRA 22 E MAIN ST PALMYRA, PA (717) (717) Fax LEHIGH ALLENTOWN 416 W TILGHMAN ST ALLENTOWN, PA (610) (610) Fax CEDAR CREST 1251 S CEDAR CREST BLVD STE 104 ALLENTOWN, PA (484) (484) Fax EXPRESS CARE 1727 W LIBERTY STREET UNIT 2 ALLENTOWN, PA (610) (610) Fax G&K 4680 BROADWAY ALLENTOWN, PA (610) (610) Fax HEALTH SPECTRUM 1202 S CEDAR CREST BLVD CEDAR CREST CAMPUS ALLENTOWN, PA (610) (610) Fax HEALTH SPECTRUM 1637 W CHEW ST ALLENTOWN, PA (610) (610) Fax HOMESTAR AND MEDICAL EQUIPMENT 1736 W HAMILTON ST 1ST FLOOR - SOUTH TOWER ALLENTOWN, PA (610) (610) Fax LEHIGH DRUG STORE 540 N. 7TH ST. ALLENTOWN, PA (484) (484) Fax NEW LIBERTY 1606 W ALLEN ST ALLENTOWN, PA (610) (610) Fax S H 451 W CHEW ST STE 201 ALLENTOWN, PA (610) (610) Fax SOUTH MOUNTAIN 2441 W EMAUS AVE ALLENTOWN, PA (610) (610) Fax WALTERS 401 N 17TH STREET ALLENTOWN, PA (610) (610) Fax HARTZELLS 300 AMERICAN ST CATASAUQUA, PA (610) (610) Fax BECHTELS 302 MAIN ST SLATINGTON, PA (610) (610) Fax WHITEHALL 4117 MAIN ST WHITEHALL, PA (610) (610) Fax LUZERNE LLEWELLYNS DRUGS 703 MAIN ST AVOCA, PA (570) (570) Fax CONYNGHAM 303 MAIN ST CONYNGHAM, PA (570) (570) Fax CARESITE - DALLAS 114 LT. MICHAEL CLEARY DRIVE DALLAS, PA (570) (570) Fax FINOS 3 MAIN ST DALLAS, PA (570) (570) Fax VALLEY 8 RITTENHOUSE PLACE DRUMS, PA (570) (570) Fax FAMILY PRESCRIPTION COUNTER 335 MAIN ST DURYEA, PA (570) (570) Fax FORLENZAS 531 MAIN ST EDWARDSVILLE, PA (570) (570) Fax GERRITYS HANOVER 2280 SAN SONCI PKWY HANOVER MALL HANOVER TOWNSHIP, PA (570) (570) Fax HAZLE DRUGS 1 E BROAD ST HAZLETON, PA (570) (570) Fax HEIGHTS TERRACE 475 S POPLAR ST HAZLETON, PA (570) (570) Fax JOHNSONS OF HAZLETON 901 WEST 15TH STREET HAZLETON, PA (570) (570) Fax WASCHKOS 257 N WYOMING ST HAZLETON, PA (570) (570) Fax YOCUMS 1749 E BROAD ST HAZLETON, PA (570) COOKS PHCY OF KINGSTON 777 WYOMING AVE KINGSTON, PA (570) (570) Fax PIERCE DRUGS 435 PIERCE ST KINGSTON, PA (570) (570) Fax CRESTWOOD 10 S MOUNTAIN BLVD MOUNTAIN TOP, PA (570) (570) Fax TRIANGLE 89 S MAIN ST MOUNTAIN TOP, PA (570) (570) Fax ALBERTS. 201 S MAIN ST STE 2 PITTSTON, PA (570) (570) Fax FINOS LLC 32 N MAIN ST PITTSTON, PA (570) (570) Fax ADVANCED LLC 220 S RIVER ST PLAINS, PA (570) (570) Fax 309

6 Retail Pharmacy Pharmacy Providers SHEEHANS 79 E CAREY ST PLAINS, PA (570) (570) Fax ROANS DRUG STORE 159 E MAIN ST PLYMOUTH, PA (570) (570) Fax COOKS OF SHAVERTOWN 1909 MEMORIAL HIGHWAY SHAVERTOWN, PA (570) (570) Fax VALLEY 647 STATE ROUTE 93 STE # 6 SUGAR LOAF, PA (570) (570) Fax BEDWICK'S & GIFTS 452 HAZLE ST WILKES BARRE, PA (570) (570) Fax CARESITE CWB 175 S WILKES BARRE BLVD WILKES BARRE, PA (570) (570) Fax CARESITE GWV 1000 E MOUNTAIN DR WILKES BARRE, PA (570) (570) Fax HARROLDS 250 OLD RIVER RD WILKES BARRE, PA (570) (570) Fax LYCOMING MONTGOMERYS 49 NORTH RAILROAD ST HUGHESVILLE, PA (570) (570) Fax MONTGOMERYS 21 S MAIN ST MONTGOMERY, PA (570) (570) Fax TOWNVILLE 2195 RT 442 HWY MUNCY, PA (570) (570) Fax HEALTH 1201 GRAMPIAN BLVD WILLIAMSPORT, PA (570) (570) Fax SUSQUEHANNA HEALTH 740 HIGH ST WILLIAMSPORT, PA (570) (570) Fax MIFFLIN CARESITE LTN 21 GEISINGER LANE LEWISTOWN, PA (717) (717) Fax LEWISTOWN 7 N WAYNE ST LEWISTOWN, PA (717) (717) Fax GREENWAY 310 S MAIN ST STE K YEAGERTOWN, PA (814) MONROE BLAKESLEE 393 RT940 SUITE1 BLAKESLEE, PA (570) (570) Fax GOOD HEALTH 5216 MILFORD ROAD SUIT # 118 EAST STROUDSBURG, PA (570) (570) Fax BILLS SHOPRITE 3430 ROUTE 940 SUITE 102 MT POCONO, PA (570) (570) Fax CARESITE MP 126 MARKET WAY MT POCONO, PA (570) (570) Fax TOTAL HOME HEALTH CARE 437 MAIN ST STROUDSBURG, PA (570) (570) Fax MONTOUR DANVILLE 229 MILL ST DANVILLE, PA (570) (570) Fax NORTHAMPTON SLATE BELT 435 BLUE VALLEY DR BANGOR, PA (610) (610) Fax BATH DRUG 310 S WALNUT ST BATH, PA (610) (610) Fax SOUTHMOORE 2453 PLAZA CT STE A BATH, PA (484) (484) Fax FAMILY PRESCRIPTION CENTER 439 WYANDOTTE ST BETHLEHEM, PA (610) (610) Fax FOUNTAIN HILL BROADWAY BETHLEHEM, PA (610) (610) Fax HEALTH SPECTRUM 2545 SCHOENERSVILLE RD BETHLEHEM, PA (484) (484) Fax HOMESTAR 801 OSTRUM STREET STE 101 A BETHLEHEM, PA (484) (484) Fax RITTER 115 W 4TH ST BETHLEHEM, PA (610) (610) Fax SOUTH BETHLEHEM 817 E 4TH ST BETHLEHEM, PA (610) (610) Fax YOUNGS 3708 FREEMANSBURG AVE BETHLEHEM, PA (610) (610) Fax BELL 2045 FAIRVIEW AVE EASTON, PA (610) (610) Fax EASTON'S NEIGHBORX 1800 SULLIVAN TRL SUITE 305 EASTON, PA (610) (610) Fax YEAGERS 654 MAIN ST HELLERTOWN, PA (610) (610) Fax NEWHARD 1001 MAIN ST NORTHAMPTON, PA (610) (610) Fax NORTHUMBERLAND BURCH DRUG STORE 120 WEST VALLEY AVE ELYSBURG, PA (570) (570) Fax DAL-HERN 4372 STATE ROUTE 147 HERNDON, PA (570) (570) Fax CUSTOM CARE 57 S FRONT ST MILTON, PA (570) (570) Fax BELSKI COMMUNITY 49 S OAK ST MT CARMEL, PA (570) (570) Fax NORRY 125 DUKE ST NORTHUMBERLAND, PA (570) (570) Fax TOM OLCESE 400 W SPRUCE ST SHAMOKIN, PA (570) (570) Fax CUSTOM CARE 300 MARKET ST SUNBURY, PA (570) (570) Fax PERRY WEST PERRY 1102 MONTOUR RD LOYSVILLE, PA (717) (717) Fax BLOOMFIELD 1 W MAIN ST NEW BLOOMFIELD, PA (717) (717) Fax 310

7 Retail Pharmacy PIKE GOOD HEALTH, 1592 ROUTE 739 SUITE 2 DINGMANS FERRY, PA (570) (570) Fax LORDS VALLEY VILLAGE PHCY RT 739 LORDS VALLEY TRADERS MARKET LORDS VALLEY, PA (570) (570) Fax ALITON'S HOME HEALTHCARE CENTERS OF MILFORD, ROUTE 6 MILFORD, PA (570) (845) Fax POTTER BUCHANAN BROTHERS 101 MAIN ST COUDERSPORT, PA (814) (814) Fax GALETON DRUG 20 WEST ST GALETON, PA (814) (814) Fax SPROUTS DRUG STORE 122 E ACADEMY ST SHINGLEHOUSE, PA (814) (814) Fax SCHUYLKILL BRACEY 626 CENTER ST ASHLAND, PA (570) (717) Fax REDNER'S #46 22 FOREST DRIVE UNIT 3 HEGINS, PA (570) (570) Fax MORRIS DRUGS 15 E CENTRE ST MAHANOY CITY, PA (570) (717) Fax STANDARD DRUG STORE 322 S HANCOCK ST MCADOO, PA (570) (570) Fax MINERSVILLE 106 SUNBURY ST MINERSVILLE, PA (570) (570) Fax CARESITE 300 HOLLYWOOD BLVD ORWIGSBURG, PA (570) (570) Fax THOMAS 101 W MARKET ST ORWIGSBURG, PA (570) (570) Fax PINE GROVE 8-10 E POTTSVILLE ST PINE GROVE, PA (570) (570) Fax TRI-VALLEY 101 S TULPEHOCKEN ST PINE GROVE, PA (570) (570) Fax CARESITE -PVL 529 TERRY REILLEY WAY POTTSVILLE, PA (570) (570) Fax TOWNE DRUGS 17 S CENTRE ST POTTSVILLE, PA (570) (570) Fax YORKVILLE DRUG STORE 1824 W MARKET ST POTTSVILLE, PA (570) (570) Fax GLAD RX 216 N ROUTE 183 SCHUYLKILL HAVEN, PA (570) (570) Fax REDNERS 191 MANHEIM RD SCHUYLKILL HAVEN, PA (570) (570) Fax STINES 1 E MAIN ST SCHUYLKILL HAVEN, PA (570) (570) Fax REDNERS 3 GOLD STAR PLAZA SHENANDOAH, PA (570) (570) Fax HOMETOWN VILLAGE 220 CLAREMONT AVE SUITE #2 TAMAQUA, PA (570) (570) Fax SHAFERS 11 CENTER ST TAMAQUA, PA (570) (570) Fax WILLIAMS VALLEY 226 E GRAND AVE TOWER CITY, PA (717) (717) Fax TRI VALLEY 301 W MAIN ST VALLEY VIEW, PA (570) SNYDER SHADE MOUNTAIN 9627 ROUTE 35 STE 20 MOUNT PLEASANT MILLS, PA (570) (570) Fax SOMERSET BERLIN 413 N BROADWAY BERLIN, PA (814) (814) Fax BOSWELL PRESCRIPTION CENTER LLC 210 OHIO ST BOSWELL, PA (814) (814) Fax PENN LAUREL 112 SUNSHINE AVE CENTRAL CITY, PA (814) (814) Fax YOUGH VALLEY 511 WILLIAMS ST STE 2 CONFLUENCE, PA (814) (814) Fax TOWNSHIP 118 N MAIN ST DAVIDSVILLE, PA (814) (814) Fax F B THOMAS DRUG STORE 327 MAIN ST MEYERSDALE, PA (814) (814) Fax FINDLEYS 136 W MAIN ST SOMERSET, PA (814) (814) Fax SOMERSET DRUG 168 W MAIN ST SOMERSET, PA (814) (814) Fax MARTELLA'S 901 GRAHAM AVE WINDBER, PA (814) (814) Fax SHAFER DRUG STORE 1328 GRAHAM AVE WINDBER, PA (814) (814) Fax SUSQUEHANNA ENDLESS MOUNTAINS 1866 STATE ROUTE 106 SUITE 11 CLIFFORD, PA (570) (570) Fax REDDON DRUG COMPANY STATE ROUTE 11 HALLSTEAD PLAZA HALLSTEAD, PA (570) (570) Fax LENOX 5879 SR 92 SUITE 3 LENOX PLAZA KINGSLEY, PA (570) (570) Fax FAIRWAY SR 706 MONTROSE, PA (570) (570) Fax MONTROSE MEDICAL ARTS 100 HOSPITAL DRIVE MONTROSE, PA (570) (570) Fax LECHS 56 MAIN ST SUITE 1 NICHOLSON, PA (570) (570) Fax REDDON DRUG COMPANY 177 ERIE BLVD. SUITE 2 SUSQUEHANNA, PA (570) (570) Fax 311

8 Retail Pharmacy Pharmacy Providers TIOGA BLOSS 2 RIVERSIDE PLAZA BLOSSBURG, PA (570) (570) Fax CANTON 7 TROY ST CANTON, PA (570) (570) Fax BUCHANAN BROTHERS 206 MAIN ST ELKLAND, PA (814) (814) Fax BUCHANAN BROTHERS 122 W MAIN ST WESTFIELD, PA (814) (814) Fax UNION MIFFLINBURG 2 FOREST HILL ROAD MIFFLINBURG, PA (570) (570) Fax WAYNE RED CROSS 420 MAIN ST FOREST CITY, PA (570) (570) Fax STEPHENS 1101 MAIN STREET HONESDALE, PA (570) (570) Fax WAYNE HEALTH 600 MAPLE AVE HONESDALE, PA (570) (570) Fax BRUNDAGES WAYMART 238 BELMONT ST WAYMART, PA (570) (570) Fax WYOMING CARESITE TUNK 10 TRIEBLE DRIVE TUNKHANNOCK, PA (570) (570) Fax LECHS 1 KIM AVE SUITE 1 TUNKHANNOCK, PA (570) (570) Fax YORK WELLSPAN 755 S PLEASANT AVE DALLASTOWN, PA (717) (717) Fax LASLOWS 800 CARLISLE ST HANOVER, PA (717) (717) Fax LION 10 W BROADWAY RED LION, PA (717) (717) Fax SAUBELS SHREWSBURY 65 E FORREST AVE SHREWSBURY, PA (717) (717) Fax KENNIES 440 N MAIN ST SPRING GROVE, PA (717) (717) Fax FAMILY HEALTH APOTHECARY 25 MONUMENT RD STE 210 YORK, PA (717) (717) Fax HEALTHY COMMUNITY 116 S GEORGE ST STE 101 YORK, PA (717) (717) Fax MINNICH'S COLONIAL 976 S GEORGE ST YORK, PA (717) (717) Fax UNION PRESCRIPTION CENTER 100 N BROAD ST YORK, PA (717) (717) Fax WELLSPAN 1001 S GEORGE ST YORK, PA (717) (717) Fax WELLSPAN 25 MONUMENT RD STE 265 YORK, PA (717) (717) Fax HOME INFUSION BERKS HEALTHCARE EVOLUTION, LLC 207 BELLEVUE AVENUE READING, PA (610) (610) Fax LACKAWANNA BIOSCRIP INFUSION 1000 MEADE ST STE 104 DUNMORE, PA (570) (570) Fax IV SOLUTIONS 162 N MAIN ST OLD FORGE, PA (570) (570) Fax LEHIGH HEALTH SPECTRUM 1247 S CEDAR CREST BLVD ALLENTOWN, PA (610) (610) Fax LUZERNE HARROLDS INFUSION 250 OLD RIVER RD STE B WILKES BARRE, PA (570) (570) Fax MONTOUR VITALINE INFUSION 109 WOODBINE LN DANVILLE, PA (800) (570) Fax YORK HOME SOLUTIONS 3415 C CONCORD RD YORK, PA (717) (717) Fax WELLSPAN INFUSION SERVICE 304 ST CHARLES WAY YORK, PA (717) (717) Fax LONG TERM CARE Long term care pharmacies do not service walk-ins. These pharmacies help prepare and deliver medications for our members who reside in the nursing homes, assisted living, residential care and rehab facilities listed under this section. ADAMS CHOICE CRITICAL CARE 10 SOUTH SIXTH ST MCSHERRYSTOWN, PA (717) (717) Fax BERKS PHARMERICA 1011 BERKS RD LEESPORT, PA (610) (610) Fax DIAMOND 215 CORPORATE DR READING, PA (888) (888) Fax CAMBRIA REZK LLC 204 SOUTH MAIN ST. SUITE 100 CARROLLTOWN, PA (814) (814) Fax DAUPHIN PHARMERICA 491-A BLUE EAGLE AVENUE HARRISBURG, PA (717) (717) Fax ELK ELK REGIONAL HEALTH CENTER 763 JOHNSONBURG RD ST MARYS, PA (814) (814) Fax LANCASTER DIAMOND PHCY SVCS 900 E KING ST LANCASTER, PA (717) (717) Fax 312

9 Long Term Care Pharmacy 2001 HARRISBURG PIKE LANCASTER, PA (717) (717) Fax 3001 LITITZ PIKE LANCASTER, PA (717) (717) Fax 208 N LIME ST LANCASTER, PA (717) (717) Fax 1001 E OREGON RD LITITZ, PA (717) (717) Fax MAIL ORDER If you are a member that has mail order prescription drug coverage through Express Scripts, you will be able to order refills online 24 hours a day, 7 days a week and use the convenient, time-savings services that Express Scripts offers. You can call Express Scripts at Your prescriber can call Express Scripts at for faxing instructions. Express Scripts LEHIGH THE GOOD SHEPHERD REHAB HOSP PHCY GOOD SHEPHERD PLAZA 850 S 5TH ST ALLENTOWN, PA (610) (610) Fax WEST END 135 S 17TH ST UNIT 1 ALLENTOWN, PA (610) (610) Fax LUZERNE EVOLUTION SERVICE 1170 HIGHWAY 315 BLVD PLAINS, PA (570) (570) Fax KEYSTONE PROFESSIONAL 485 SOUTH RIVER STREET WILKES BARRE, PA (570) (570) Fax PHARMERICA 153 STEWART ROAD WILKES BARRE, PA (570) (570) Fax UNION ALBRIGHT 110 MAPLEWOOD DR LEWISBURG, PA (570) (570) Fax 313

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