South Dakota Board of Pharmacy South Dakota Pharmacies; Active, in good standing as of October 5, 2018 This document may be used as a Primary Source Verification

Certificate ZIP No PH Type Corporate Name DBA Name Address 1 Address 2 City State Code Phone PIC PIC# Issued Expiration

100-1616 R/I ABERDEEN MEDICAL CENTER PHARMACY dba STATE STREET PHARMACY 105 S STATE ST STE 111 ABERDEEN SD 57401 605-225-1945 ROBIN FISCHER 4513 08/10/1994 06/30/2019

100-1861 LTC ABERDEEN MEDICAL CENTER PHARMACY dba DT PHARMACY 815 1ST AVE SE STE 202 ABERDEEN SD 57401 605-725-4001 JENNIFER DAGGETT 5148 05/03/2004 06/30/2019 ABERDEEN MEDICAL CENTER PHARMACY 100-0517 R/I INC dba UNITED CLINIC PHARMACY 3015 3RD AVE SE ABERDEEN SD 57401 605-225-4001 JOANN WREN 4367 06/30/2019 ABERDEEN MEDICAL CENTER PHARMACY 100-0518 R/I INC dba PLAZA PHARMACY 2201 6TH AVE SE STE 23 ABERDEEN SD 57401 605-225-6344 JONATHAN FLIEHS 5693 06/30/2019

100-1992 T ALIXA RX LLC dba ALIXARX-SKYLINE MILBANK 1103 S 2ND ST MILBANK SD 57252 877- 322-4292 BRIAN DRESSING 4100 04/04/2014 06/30/2019

100-1998 TELEPHARMACY ALIXA RX LLC dba ALIXARX-SKYLINE ARLINGTON 120 CARE CENTER DRIVE PO BOX 280 ARLINGTON SD 57212 877- 322-4292 BRIAN DRESSING 4100 05/28/2014 06/30/2019

100-1999 TELEPHARMACY ALIXA RX LLC dba ALIXARX-SKYLINE MADISON 718 NE 8TH AVE MADISON SD 57042 877- 322-4292 BRIAN DRESSING 4100 05/28/2014 06/30/2019

100-2000 TELEPHARMACY ALIXA RX LLC dba ALIXARX-SKYLINE LAKE NORDEN 803 PARK ST LAKE NORDEN SD 57248 877- 322-4292 BRIAN DRESSING 4100 05/28/2014 06/30/2019

100-2001 TELEPHARMACY ALIXA RX LLC dba ALIXARX-SKYLINE WATERTOWN 415 4TH AVE NE WATERTOWN SD 57201 877- 322-4292 BRIAN DRESSING 4100 05/28/2014 06/30/2019

100-2003 TELEPHARMACY ALIXA RX LLC dba ALIXARX-SKYLINE GROTON 1106 N 2ND ST GROTON SD 57445 877- 322-4292 BRIAN DRESSING 4100 06/11/2014 06/30/2019

100-2004 TELEPHARMACY ALIXA RX LLC dba ALIXARX-SKYLINE SALEM 500 COLONIAL DR SALEM SD 57058 877- 322-4292 BRIAN DRESSING 4100 06/11/2014 06/30/2019

100-2005 TELEPHARMACY ALIXA RX LLC dba ALIXARX-SKYLINE ARMOUR 106 BRADDOCK PO BOX 489 ARMOUR SD 57313 877- 322-4292 BRIAN DRESSING 4100 06/11/2014 06/30/2019

100-2006 TELEPHARMACY ALIXA RX LLC dba ALIXARX-SKYLINE REDFIELD 1015 THIRD ST E REDFIELD SD 57469 877- 322-4292 KRISTEN CARTER R6106 06/11/2014 06/30/2019 dba ALIXARX-SKYLINE COVINGTON 100-2007 TELEPHARMACY ALIXA RX LLC HEIGHTS 3900 S CATHY AVE SIOUX FALLS SD 57106 877- 322-4292 BRIAN DRESSING 4100 06/11/2014 06/30/2019

100-2008 TELEPHARMACY ALIXA RX LLC dba ALIXARX-SKYLINE IPSWICH 617 BLOEMENDAAL DR PO BOX 728 IPSWICH SD 57451 877- 322-4292 KRISTEN CARTER R6106 06/11/2014 06/30/2019

100-2009 TELEPHARMACY ALIXA RX LLC dba ALIXARX-SKYLINE CLARK 201 NW 8TH AVE CLARK SD 57225 877- 322-4292 BRIAN DRESSING 4100 06/11/2014 06/30/2019

100-2012 TELEPHARMACY ALIXA RX LLC dba ALIXARX-SKYLINE PIERRE 950 E PARK ST PIERRE SD 57501 913- 307-8150 KRISTEN CARTER R6106 07/25/2014 06/30/2019

100-2013 TELEPHARMACY ALIXA RX LLC dba ALIXARX-SKYLINE MEADOWBROOK 2500 ARROWHEAD DR RAPID CITY SD 57702 913- 307-8150 EVANNE JAMI ADAM R6103 07/25/2014 06/30/2019

100-2014 TELEPHARMACY ALIXA RX LLC dba ALIXARX-SKYLINE BELLA VISTA 302 ST CLOUD ST RAPID CITY SD 57701 913- 307-8150 EVANNE JAMI ADAM R6103 07/25/2014 06/30/2019

100-2015 TELEPHARMACY ALIXA RX LLC dba ALIXARX-SKYLINE PRAIRIE HILLS 916 MOUNTAIN VIEW RD RAPID CITY SD 57702 913- 307-8150 EVANNE JAMI ADAM R6103 07/25/2014 06/30/2019

100-2016 TELEPHARMACY ALIXA RX LLC dba ALIXARX-SKYLINE BLACK HILLS 1620 N 7TH ST RAPID CITY SD 57701 913- 307-8150 EVANNE JAMI ADAM R6103 07/25/2014 06/30/2019

100-1913 MAIL SERVICE AMERIPHARM INC dba MEDVANTX PHARMACY SERVICES 2503 E 54TH ST N SIOUX FALLS SD 57104 866- 744-0621 JOEL ENGLE 6108 05/22/2006 06/30/2019

100-0044 R/I ANDERSON PHARMACY INC dba HAISCH PHARMACY 303 E 5TH ST CANTON SD 57013 605-987-2661 ARNE ANDERSON 4345 06/30/2019

100-1933 MO ANIMAL HEALTH INTERNATIONAL INC 4305 N WESTPORT AVE SIOUX FALLS SD 57107 970- 616-7411 ALINA VIZITEU 5492 10/03/2007 06/30/2019

200-1688 H AVERA DESMET MEMORIAL HOSPITAL 306 PRAIRIE AVE S DESMET SD 57249- 605-854-6140 ANNE NOPENS 4909 05/09/2008 06/30/2019

100-1980 HOSPITAL AVERA eCARE LLC dba AVERA SURGICALeCARE PHARMACY HOSPITAL - 4500 N LEWIS AVE SIOUX FALLS SD 57104 605- 322-8541 ANDREA DARR R5364 08/06/2012 06/30/2019 DEPARTMENT OF AVERA SACRED HEART 200-1677 H AVERA FOX RUN HEALTH CAMPUS HOSPITAL 2601 FOX RUN PKWY YANKTON SD 57078- 605-668-8303 MATTHEW J MERKEL R5498 02/28/2002 06/30/2019

200-1002 H AVERA GETTYSBURG HOSPITAL 606 E GARFIELD AVE GETTYSBURG SD 57442- 605-224-3301 BRAD SAATHOFF 5593 06/30/2019 South Dakota Board of Pharmacy South Dakota Pharmacies; Active, in good standing as of October 5, 2018 This document may be used as a Primary Source Verification

Certificate ZIP No PH Type Corporate Name DBA Name Address 1 Address 2 City State Code Phone PIC PIC# Issued Expiration

200-1689 H AVERA GREGORY HEALTHCARE PHARMACY 400 PARK AVE GREGORY SD 57533- 605-835-8150 DAN FIEBELKORN 5465 06/27/2008 06/30/2019 AVERA HAND COUNTY MEMORIAL 200-1687 H HOSPITAL 300 W 5TH ST MILLER SD 57362- 605-853-2421 TRENT MERKWAN 4885 12/26/2007 06/30/2019 AVERA HEART HOSPITAL OF SOUTH 100-1816 H DAKOTA 4500 W 69TH ST SIOUX FALLS SD 57108 605-977-7285 KATHLEEN VAN HOVE 4234 10/23/2000 06/30/2019 dba AVERA MCKENNAN CAMPUS 100-0452 R/H AVERA MCKENNAN PHARMACY 1325 S CLIFF AVE STE CP SIOUX FALLS SD 57105 605-322-8326 CHRISTINE BURG 5134 06/30/2019

100-1663 HOME INFUSION/H AVERA MCKENNAN dba AVERA MCKENNAN HOME INFUSION 1020 S CLIFF AVE SIOUX FALLS SD 57105 605-322-8322 OBADIAH SCHEICH 5611 10/21/1996 06/30/2019

100-1867 COMPOUNDING AVERA MCKENNAN dba AVERA SPECIALTY PHARMACY 1301 S CLIFF AVE STE 200 SIOUX FALLS SD 57105 605- 322-8300 MATTHEW TOENNIES 5594 03/29/2005 06/30/2019

100-1965 R/H AVERA MCKENNAN dba AVERA DERMATOLOGY PHARMACY 6701 S MINNESOTA AVE SIOUX FALLS SD 57108 605-322-7695 JENNIFER BERGAN 5702 05/31/2011 06/30/2019

100-1967 R/H AVERA MCKENNAN AVERA 69TH STREET PHARMACY 4400 W 69TH ST STE 300 SIOUX FALLS SD 57108 605- 322-5948 AMANDA PLAETZ 5539 08/30/2011 06/30/2019

100-1973 C AVERA MCKENNAN dba AVERA COMPOUNDING PHARMACY 911 E 20TH ST STE 201 SIOUX FALLS SD 57105 605- 322-3940 KAREN HOFFMAN 5090 04/11/2012 06/30/2019

100-1994 LTC/H AVERA MCKENNAN dba AVERA LONG TERM CARE PHARMACY 3820 N POTSDAM AVE SIOUX FALLS SD 57104 605- 322-1450 MARK GERDES 4415 04/28/2014 06/30/2019

100-2048 R/H AVERA MCKENNAN dba AVERA 7TH AVE PHARMACY 1200 S 7TH AVE STE 101 SIOUX FALLS SD 57105 605- 322-8360 BRIANA SCHNEIDER 5349 04/24/2017 06/30/2019

100-2057 RETAIL-CHAIN AVERA MCKENNAN dba AVERA ON LOUISE 6100 S LOUISE AVE STE 1100 SIOUX FALLS SD 57108 DARREL MUTCHLER 5105 08/27/2018 06/30/2019

200-0048 H AVERA MCKENNAN dba AVERA DELLS AREA HOSPITAL 909 N IOWA AVE DELL RAPIDS SD 57022- 605-428-2430 JOHN DANIEL 6161 06/30/2019

200-0478 H AVERA MCKENNAN dba AVERA FLANDREAU HOSPITAL 214 N PRAIRIE ST FLANDREAU SD 57028- 605-997-2433 JOHN DANIEL 6161 06/30/2019 dba AVERA LONG-TERM CARE PHARMACY 200-1706 AMDD AVERA MCKENNAN HOSPITAL AMDD #1 1700 N HWY 281 ABERDEEN SD 57401- 605-322-1450 MARK GERDES 4415 09/26/2016 06/30/2019

200-1715 AVERA MCKENNAN HOSPITAL Wagner Dialysis 310 W HWY 46 WAGNER SD 57380- 605-322-8303 GLENN VOSS 4308 05/24/2018 06/30/2019 AVERA MCKENNAN HOSPITAL AND 100-0528 HOSPITAL UNIVERSITY HEALTH CENTER 1325 S CLIFF AVE SIOUX FALLS SD 57105 605- 322-8348 MICHAEL MEEKINS R6355 06/30/2019 AVERA MCKENNAN HOSPITAL AND 100-1940 HOSPITAL UNIVERSITY HEALTH CENTER BEHAVIORAL HEALTH CENTER 4400 W 69TH ST SIOUX FALLS SD 57108 605- 322-5912 ANNE MORSTAD 5099 06/03/2008 06/30/2019 AVERA MCKENNAN PHARMACY EAST 4500 S PRINCE OF PEACE 200-1697 OFF CAMPUS INPATIENT CAMPUS PLACE SIOUX FALLS SD 57103- 605-322-5912 ANNE MORSTAD 5099 10/14/2015 06/30/2019 AVERA MEDICAL GROUP FAMILY HEALTH 200-1704 HOSPITAL ER DEPT CENTER EMERGENCY DEPARTMENT ATTN: PHARMACY 2100 S MARION RD SIOUX FALLS SD 57106- 605-322-1730 RYAN WAYBRIGHT 5827 08/19/2016 06/30/2019

100-2030 R/H AVERA QUEEN OF PEACE dba AVERA GRASSLAND PHARMACY 1900 GRASSLAND DR STE 101 MITCHELL SD 57301 605- 995-5670 SHAWNA HECK 4618 09/02/2015 06/30/2019

100-1023 H AVERA QUEEN OF PEACE HOSPITAL 525 N FOSTER ST MITCHELL SD 57301 605- 995-2237 ERIC K LARSON 4554 06/30/2019 57078- 100-1214 H AVERA SACRED HEART PHARMACY 501 SUMMIT ST YANKTON SD 3899 605-668-8303 MATTHEW MERKEL R5498 06/30/2019

200-1038 H AVERA ST BENEDICT HEALTH CENTER dba ST BENEDICT HEALTH CENTER 401 W GLYNN DR PARKSTON SD 57366- 605-928-3311 SUZANNE WEBER 4719 06/30/2019 57401- 100-0486 H AVERA ST LUKE'S PHARMACY dba AVERA ST LUKE'S HOSPITAL 305 S STATE ST ABERDEEN SD 4590 605-622-5545 ALVIN HAUGEN R4430 06/30/2019 dba AVERA ST MARY'S CAMPUS 100-2044 R/H AVERA ST MARY'S PHARMACY 100 MAC LN STE 101 PIERRE SD 57501 605- 224-7334 BRITTANY DOWLING 6065 09/20/2016 06/30/2019

100-0465 H AVERA ST MARY'S HOSPITAL 801 E SIOUX AVE PIERRE SD 57501 605-224-3301 BRAD SAATHOFF 5593 05/16/2008 06/30/2019 AVERA WESKOTA MEMORIAL MEDICAL WESSINGTON 200-0994 H CENTER 604 1ST ST NE SPRINGS SD 57382- 605-539-1201 STEPHANIE JUNGEMANN 6158 06/01/2000 06/30/2019 South Dakota Board of Pharmacy South Dakota Pharmacies; Active, in good standing as of October 5, 2018 This document may be used as a Primary Source Verification

Certificate ZIP No PH Type Corporate Name DBA Name Address 1 Address 2 City State Code Phone PIC PIC# Issued Expiration

100-0540 RETAIL INDEPENDENT B & L INC dba BOYDS DRUG MART 655 MT VIEW RD RAPID CITY SD 57701 605-343-4445 STEVE TSCHETTER R5017 06/30/2019

100-0980 R/I B & L INC dba BOYDS DRUG MART (EAST) 909 E ST PATRICK ST RAPID CITY SD 57785 605- 348-0741 CHARLES FORTIER 4614 06/30/2019

100-1826 R/I B & L INC dba BOYDS DRUG RX EXPRESS 2650 MT RUSHMORE RD RAPID CITY SD 57701 605-718-4040 FARZANEH FORTIER 4616 01/09/2002 06/30/2019 BENNETT COUNTY HOSPITAL AND 100-2050 H/CLOSED DOOR NURSING HOME PO BOX 70 102 MAJOR ALLEN ST MARTIN SD 57551 605- 685-6622 DESIREE D MORELAND R6537 12/12/2017 06/30/2019

100-0038 R/I BIEN PHARMACY INC dba BIEN PHARMACY 301 FLYNN DR STE 2 MILBANK SD 57252 605-432-5781 LANCE BIEN 4838 06/30/2019

100-1941 H BLACK HILLS SURGICAL HOSPITAL LLP 216 ANAMARIA DR RAPID CITY SD 57701 605-721-4740 DEBBIE DOOLITTLE 4404 06/03/2008 06/30/2019

100-2047 RETAIL-INDEPENDENT BOGEN CORPORATION dba TRUE CARE FAMILY PHARMACY 1120 E 10TH ST SIOUX FALLS SD 57103 605- 679-6826 LINDSEY OSTERKAMP 5596 03/09/2017 06/30/2019

200-0459 H BOWDLE HOSPITAL PHARMACY PO BOX 556 8001 W 5TH ST BOWDLE SD 57428- 605-285-6146 DOUGLAS TURNER 4058 06/30/2019

100-0515 HOSPITAL BROOKINGS HEALTH SYSTEM PHARMACY 300 22ND AVE BROOKINGS SD 57006 605- 696-8055 STEVEN J TIMMERMAN 4609 06/30/2019

100-1897 R/I BROTHERS PHARMACIES INC dba SHANE'S PHARMACY 202 ISLAND DR STE 2 FT PIERRE SD 57532 605-223-9200 SHANE CLARAMBEAU 4903 03/02/2006 06/30/2019

100-1961 R/I BROTHERS PHARMACIES INC dba BROTHERS PHARMACY 1004 6TH ST BROOKINGS SD 57006 605-692-2088 PAMELA EKERN 5821 10/22/2010 06/30/2019

100-1874 R/I BROTHERS PHARMACY INC dba NORTHSIDE PHARMACY 100 DAKOTA AVE N STE A HURON SD 57350 605-352-9222 TROY CLARAMBEAU 5152 06/22/2005 06/30/2019

100-1841 R/I BROWN PHARMACY LLC dba BROWN CLINIC PHARMACY 506 1ST AVE SE WATERTOWN SD 57201 605-884-4234 CAROLE ANDERSON 4772 10/01/2002 06/30/2019

100-1866 R/I BURKE COMMUNITY PHARMACY INC 809 JACKSON ST PO BOX 358 BURKE SD 57523 605-775-2294 RENEE SUTTON 4287 03/23/2005 06/30/2019

100-1952 R/I BURKE COMMUNITY PHARMACY INC dba PRESHO COMMUNITY PHARMACY 116 N MAIN ST STE 2 PRESHO SD 57568 605-895-6337 RENEE C SUTTON 4287 08/06/2009 06/30/2019

100-1955 R/I BURKE COMMUNITY PHARMACY INC dba MISSION COMMUNITY PHARMACY 161 S MAIN ST MISSION SD 57555 605-856-2120 RENEE SUTTON 4287 01/26/2010 06/30/2019

100-2052 R/TELEPHARMACY BURKE COMMUNITY PHARMACY INC dba WHITE RIVER COMMUNITY PHARMACY 309 E 4TH ST WHITE RIVER SD 57579 605-259-3102 RENEE SUTTON 4287 02/28/2018 06/30/2019

100-1808 NUCLEAR CARDINAL HEALTH 414 LLC 1603 C AVE SIOUX FALLS SD 57104 605-332-3703 BRUCE JORGENSEN R5949 02/16/2000 06/30/2019 CHILDREN'S CARE HOSPITAL & SCHOOL 200-1679 H PHARMACY dba LIFESCAPE 2501 W 26TH ST SIOUX FALLS SD 57105- 605-444-9500 MARK GERDES 4415 03/19/2003 06/30/2019

100-1829 R/C COBORN'S INC dba COBORN'S PHARMACY #2024 2150 DAKOTA AVE S HURON SD 57350 605-352-1641 Bobbi Jo Johnson 5762 03/08/2002 06/30/2019 COMMUNITY HEALTH CENTER OF THE 100-2025 R/I BLACK HILLS 350 PINE ST RAPID CITY SD 57701 605- 716-5505 DAVID FARBER R6352 07/22/2015 06/30/2019 COMMUNITY MEMORIAL HOSPITAL 100-1997 H PHARMACY 111 W 10TH AVE REDFIELD SD 57469 605- 472-1110 ALYSSA O. HOWARD 6191 06/30/2019 COMMUNITY MEMORIAL HOSPITAL 200-0945 H PHARMACY 809 JACKSON ST BURKE SD 57523- 605-775-2621 TYLER VAN METRE 5845 06/30/2019

100-1896 R/I COMMUNITY PHARMACIES INC dba VILAS LTC PHARMACY 200 E DAKOTA STE 2 PIERRE SD 57501 605-224-0907 JAMES R STEPHENS 3553 12/23/2005 06/30/2019

100-1953 R/TELEPHARMACY COMMUNITY PHARMACIES INC dba VILAS PHARMACY PO BOX 520 123 S MAIN ST EAGLE BUTTE SD 57625 605- 964-8955 JAMES R STEPHENS 3553 08/21/2009 06/30/2019

100-1956 R/TELEPHARMACY COMMUNITY PHARMACIES INC dba VILAS PHARMACY PO BOX 637 100 MAIN ST FAITH SD 57626 605-967-2123 JAMES R STEPHENS 3553 02/12/2010 06/30/2019

100-2038 R/TELEPHARMACY COMMUNITY PHARMACIES INC dba VILAS PHARMACY 120 COMMERCIAL SE HIGHMORE SD 57345 605- 852-2890 JAMES STEPHENS 3553 01/22/2016 06/30/2019 57442- BETH R SIELER-JOACHIM, 100-0981 R/I COMMUNITY PHARMACIES, INC dba VILAS PHARMACY OF GETTYSBURG 103 E COMMERCIAL AVE GETTYSBURG SD 0187 605-765-9458 PHARM D 5409 06/30/2019 South Dakota Board of Pharmacy South Dakota Pharmacies; Active, in good standing as of October 5, 2018 This document may be used as a Primary Source Verification

Certificate ZIP No PH Type Corporate Name DBA Name Address 1 Address 2 City State Code Phone PIC PIC# Issued Expiration

100-1527 LTC / DME/I COMPLETE HOME CARE INC 1104 W RUSSELL ST SIOUX FALLS SD 57104 605-338-9383 YEE-LAI CHIU 3923 07/01/1991 06/30/2019 6709 S MINNESOTA AVE STE 100-1964 R/I COMPLETE HOME CARE INC dba CARETRENDS PHARMACY 105 SIOUX FALLS SD 57108 605-338-9383 THOMAS K CHIU 5422 05/26/2011 06/30/2019

100-1989 R/C COSTCO WHOLESALE CORPORATION dba COSTCO PHARMACY #1159 3700 S GRANGE AVE SIOUX FALLS SD 57105 605- 988-9150 JOSHUA C ALEXANDER R6466 08/14/2013 06/30/2019 COTEAU DES PRAIRIES HOSPITAL 200-0052 H PHARMACY 205 ORCHARD DR SISSETON SD 57262- 605-698-4685 MICHAELA JOHNSON 5861 06/30/2019

100-0460 R/I COUNTY DRUG INC 1111 LAZELLE ST STURGIS SD 57785 605-347-2466 TYLER BERTSCH 6390 06/30/2019

100-1916 R/I CSRX INC dba THE MEDICINE SHOPPE 1304 MT RUSHMORE RD RAPID CITY SD 57701 605-348-6305 CURTIS D RISING 4926 06/12/2006 06/30/2019 dba MEDICINE SHOPPE ADVANCED CARE 100-1935 LTC/C CSRX INC PHARMACY 339 ST PATRICK ST RAPID CITY SD 57701 605-348-2500 JENNIFER J MAYFORTH 4659 02/15/2008 06/30/2019 dba RUSHMORE COMPOUNDING 100-2032 R/I/COMPOUNDING CSRX INC PHARMACY 1308 MT RUSHMORE RD RAPID CITY SD 57701 605- 721-0831 KELLI SHAW 5995 10/06/2015 06/30/2019

100-2051 R/I CUSTER COMMUNITY PHARMACY LLC dba CARSON DRUG 521 MT RUSHMORE RD CUSTER SD 57730 605- 673-2225 COLBY A JOHNSON R6559 12/28/2017 06/30/2019

200-0497 H CUSTER REGIONAL HOSPITAL 1220 MONTGOMERY ST CUSTER SD 57730- 605-673-2229 DANA DARGER R4251 06/30/2019

100-2035 R/C CVS PHARMACY INC dba CVS/PHARMACY #16018 3600 S LOUISE AVE SIOUX FALLS SD 57106 605- 254-1110 JOHN WEITGENANT 5932 12/16/2015 06/30/2019

100-2036 R/C CVS PHARMACY INC dba CVS/PHARMACY #17566 1021 S HIGHLINE PL SIOUX FALLS SD 57110 605- 333-5601 KATIE HAGEN 5990 12/16/2015 06/30/2019

100-2037 R/C CVS PHARMACY INC dba CVS/PHARMACY #17510 1415 EGLIN ST RAPID CITY SD 57701 605- 341-8621 JEAN ROBERT KROEGER III R6269 12/16/2015 06/30/2019

100-1993 R/I DAKOTA COUNTRY PHARMACY INC 130 S CENTER AVE PHILIP SD 57567 605- 859-2833 COURTNEY KJERSTAD 5843 04/15/2014 06/30/2019

200-1703 HOSPITAL DAKOTA PLAINS SURGICAL CENTER 701 8TH AVE NW STE C ABERDEEN SD 57401- 605-622-5545 ALVIN HAUGEN R4430 06/20/2016 06/30/2019

100-1806 R/I DAKOTAMART INC dba LYNN'S DAKOTAMART PHARMACY 120 W SIOUX AVE PIERRE SD 57501 605-224-7396 KRISTEN CARTER 6106 01/06/2000 06/30/2019

100-1881 R/I DAKOTAMART INC dba LYNN'S DAKOTAMART PHARMACY 600 NATIONAL ST BELLE FOURCHE SD 57717 605-892-2666 KIMBERLY AMMERMAN R5122 12/08/2005 06/30/2019

100-1882 R/I DAKOTAMART INC dba LYNN'S DAKOTAMART PHARMACY 501 S 6TH ST HOT SPRINGS SD 57747 605-745-3110 AMANDA DAHL 5420 12/08/2005 06/30/2019

100-0455 R/I DAVIS PHARMACY INC 5 W CHERRY ST VERMILLION SD 57069 605-624-4444 MATTHEW LAVIN 4996 07/20/1999 06/30/2019

200-1686 HOSPICE DOUGHERTY HOSPICE HOUSE dba AVERA MCKENNAN 4509 S PRINCE OF PEACE PL SIOUX FALLS SD 57103- 605-322-8348 MICHAEL MEEKINS R6355 10/22/2007 06/30/2019

100-1848 R/I DOUGLAS COUNTY MEMORIAL HOSPITAL dba PRAIRIE PHARMACY 1311 BRADDOCK ST ARMOUR SD 57313 605-724-2970 KRISTIN M DVORAK 5578 06/18/2003 06/30/2019

100-1899 R/I DOUGLAS COUNTY MEMORIAL HOSPITAL dba PRAIRIE PHARMACY CORSICA 265 E MAIN ST CORSICA SD 57328 605- 946-5690 KRISTEN BITTNER 5224 04/05/2006 06/30/2019 DOUGLAS COUNTY MEMORIAL HOSPITAL 200-0475 H PHARMACY 708 8TH ST ARMOUR SD 57313- 605-724-2970 KRISTIN M DVORAK 5578 06/30/2019

100-2018 R/I DPX ENTERPRISES INC dba DAN'S DRUGSTORE 5028 S CLIFF AVE SIOUX FALLS SD 57108 605- 275-9442 DANIEL PETERSON 5575 10/22/2014 06/30/2019

100-1858 R/I DUNES FAMILY PHARMACY INC dba DUNES FAMILY PHARMACY 101 TOWER RD STE 130 DAKOTA DUNES SD 57049 605-242-5050 TERESA ORLANDO R5312 03/10/2004 06/30/2019 EUREKA COMMUNITY HEALTH SERVICES dba EUREKA COMMUNITY HOSPITAL 200-0046 H AVERA PHARMACY PO BOX 517 410 9TH ST EUREKA SD 57437- 605-284-2661 CHRISTINE SAWINSKY R5038 06/30/2019

100-0482 R/C EUREKA PHARMACY & GIFT SHOPPE INC dba VILAS PHARMACY 712 7TH ST PO BOX 707 EUREKA SD 57437 605-284-2752 JAMES STEPHENS 3353 01/01/2009 06/30/2019

100-1957 R/I EUREKA PHARMACY & GIFT SHOPPE INC dba VILAS PHARMACY PO BOX 347 401 5TH AVE IPSWICH SD 57451 605-426-6551 JAMES STEPHENS 3553 05/18/2010 06/30/2019 South Dakota Board of Pharmacy South Dakota Pharmacies; Active, in good standing as of October 5, 2018 This document may be used as a Primary Source Verification

Certificate ZIP No PH Type Corporate Name DBA Name Address 1 Address 2 City State Code Phone PIC PIC# Issued Expiration

100-2024 HOSPITAL FALL RIVER HEALTH SERVICES 1201 HWY 71 SOUTH HOT SPRINGS SD 57747 605- 745-8910 SHELLY L GARDNER 4724 05/15/2015 06/30/2019

100-0982 R/C FAMILY FARE PHARMACY #3253 1516 E ST PATRICK ST RAPID CITY SD 57703 605- 343-6214 MARCIA WILLIAMSON 4233 06/30/2019

100-1796 R/I FAMILY PHARMACY OF MOBRIDGE INC dba FAMILY PHARMACY DOWNTOWN 323 MAIN ST MOBRIDGE SD 57601 605-845-3345 J MARK DADY 4158 06/01/1999 06/30/2019

100-1797 R/I FAMILY PHARMACY OF MOBRIDGE INC dba FAMILY PHARMACY 1317 10TH AVE W MOBRIDGE SD 57601 605-845-8140 RUSSELL M HATCH 4181 06/01/1999 06/30/2019

200-0490 H FAULKTON AREA MEDICAL CENTER 1300 OAK ST FAULKTON SD 57438- 605-598-1242 PAULA WINTHER 4878 06/30/2019

100-1945 R/I FAULKTON PHARMACY INC dba FAULKTON DRUG 118 8TH AVE S PO BOX 70 FAULKTON SD 57438 605-598-4187 TRISHA HADRICK 5339 08/29/2008 06/30/2019

200-0461 H FREEMAN REGIONAL HEALTH SERVICES PO BOX 370 510 E 8TH ST FREEMAN SD 57029- 605-925-4000 BARRY UECKER 4460 06/30/2019

100-2020 LTC/C GENOA HEALTHCARE LLC 123 19TH ST NE WATERTOWN SD 57201 605- 882-9400 KAY QUALE 4949 02/23/2015 06/30/2019

100-1926 R/I GREGORY DRUG 604 MAIN ST GREGORY SD 57533 605-835-8198 CLAUDIA SHAFFER 5739 05/22/2007 06/30/2019

100-2031 REMOTE HANS P PETERSON MEMORIAL HOSPITAL dba PHILIP HEALTH SERVICES INC 503 WEST PINE PHILIP SD 57567 605- 859-2511 COURTNEY KJERSTAD 5843 09/30/2015 06/30/2019

100-1873 R/I HARTFORD PHARMACY LLC dba MEDICAP PHARMACY #8394 304 W HWY 38 STE 102 HARTFORD SD 57033 605-528-2000 VINCENT G REILLY 4455 06/13/2005 06/30/2019

100-0474 R/I HOFFMAN DRUG INC dba HOFFMAN DRUG PO BOX 110 408 MAIN ST PLATTE SD 57369 605-337-3662 TIFFANY MAYDEW 5510 03/09/2016 06/30/2019 HURON REGIONAL MEDICAL CENTER 100-0947 H PHARMACY 172 4TH ST SE HURON SD 57350 605-353-6232 HOLLIS L MCKILLOP 3903 06/30/2019

100-1962 R/C HY-VEE INC dba HY-VEE PHARMACY #7 2700 W 10TH ST SIOUX FALLS SD 57104 605-271-1645 LACEY WAGNER 5750 11/15/2010 06/30/2019

100-1864 R/C HY-VEE PHARMACY #1039 790 22ND AVE S BROOKINGS SD 57006 605- 692-7311 LORI COUSER 5064 12/29/2004 06/30/2019

100-1483 R/C HY-VEE PHARMACY #1624 1601 S SYCAMORE DR SIOUX FALLS SD 57110 605-334-1173 GINA M HIEB 5287 06/30/2019

100-1817 R/C HY-VEE PHARMACY #1637 3020 E 10TH ST SIOUX FALLS SD 57103 605-336-8998 MICHELE FRITZ 5094 01/02/2001 06/30/2019 HY-VEE PHARMACY #1638 (SIOUX FALLS 100-1960 R/C #6) dba HY-VEE INC 1231 E 57TH ST SIOUX FALLS SD 57108 605-274-7062 BETH CLARKE R5719 08/31/2010 06/30/2019

100-1836 R/C HY-VEE PHARMACY #1820 525 W CHERRY ST VERMILLION SD 57069 605-624-9591 MEGAN DREESEN 5721 06/28/2002 06/30/2019

100-1742 R/C HY-VEE PHARMACY #1871 1320 9TH AVE SE WATERTOWN SD 57201 605-886-0661 DUSTIN BRINKMAN 5546 12/15/1997 06/30/2019

100-1814 R/C HY-VEE PHARMACY #1899 2100 BROADWAY AVE YANKTON SD 57078 605-665-8261 DANA LIST 6202 08/25/2000 06/30/2019

100-1809 R/C HY-VEE PHARMACY #4 1900 S MARION RD SIOUX FALLS SD 57106 605-361-3347 AMY L HUNTIMER 5374 03/13/2000 06/30/2019

100-1521 R/C HY-VEE PHARMACY 1631 4101 S LOUISE AVE SIOUX FALLS SD 57106 605-361-1382 JANELLE LINNEMAN 5045 02/15/1991 06/30/2019

100-0522 R/C HY-VEE PHARMACY 1632 3000 S MINNESOTA AVE SIOUX FALLS SD 57105 605-334-8012 JUDITH ZACHARIASEN 5273 06/30/2019

200-1691 SURGICAL CTR I-SURGERY LLC 905 N 3RD ST ABERDEEN SD 57401- 605-226-3937 PAULA WINTHER 4878 05/12/2009 06/30/2019

100-2026 R/I JAMES PHARMACY INC dba JAMES DRUG 201 S MAIN AVE WAGNER SD 57380 605- 384-3541 PATRICIA DEURMIER 4524 08/17/2015 06/30/2019

100-2017 R/I KESSLER PHARMACY INC dba JONES DRUG 816 6TH AVE SE STE 1 ABERDEEN SD 57401 605- 225-3010 STACY ANDERSON 6425 10/06/2014 06/30/2019

100-0458 R/I KESSLER'S PHARMACY 621 6TH AVE SE ABERDEEN SD 57401 605- 225-6673 JERRAD AMAN 5393 06/30/2019 South Dakota Board of Pharmacy South Dakota Pharmacies; Active, in good standing as of October 5, 2018 This document may be used as a Primary Source Verification

Certificate ZIP No PH Type Corporate Name DBA Name Address 1 Address 2 City State Code Phone PIC PIC# Issued Expiration

100-0949 R/C KMART CORP dba KMART PHARMACY #4170 1111 E NORTH ST RAPID CITY SD 57701 605-343-2248 KELLY D JERRED 4165 06/30/2019

100-1821 R/I KWASNIEWSKI ENTERPRISES INC dba CORNWELL DRUG 701 MAIN ST WEBSTER SD 57274 605-345-3351 ROBERT KWASNIEWSKI 4905 05/01/2001 06/30/2019 LANDMANN-JUNGMAN MEMORIAL 200-0469 H HOSPITAL PHARMACY 600 BILLARS ST SCOTLAND SD 57059- 605-583-2514 CODY CARSTENSEN 5234 06/30/2019

100-0499 H/TELEPHARMACY LEAD DEADWOOD REGIONAL HOSPITAL 61 CHARLES ST DEADWOOD SD 57732 605- 644-4014 TIFFANY CLENDENEN 4867 06/30/2019

100-2055 RETAIL-CHAIN LEWIS DRUG INC dba LEWIS DRUG #14 136 S PHILLIPS AVE SIOUX FALLS SD 57104 605- 367-2390 JORDON BREUER 5589 07/05/2018 06/30/2019

100-2056 RETAIL-CHAIN LEWIS DRUG INC dba LEWIS DRUG #15 2525 S ELLIS RD SIOUX FALLS SD 57106 605- 367-2410 AMY SCHOENEMAN 5033 07/05/2018 06/30/2019

100-0985 R/C LEWIS DRUGS INC dba LEWIS DRUG #4 1950 DAKOTA AVE S HURON SD 57350 605-352-6496 MONICA JONES R4434 06/30/2019 57106- 100-0986 R/C LEWIS DRUGS INC dba LEWIS DRUG #6 5500 W 41ST ST SIOUX FALLS SD 1009 605- 367-2617 KYLE HEER 5837 06/30/2019

100-0987 R/C LEWIS DRUGS INC dba LEWIS DRUGS #3 1301 E 10TH ST SIOUX FALLS SD 57103 605- 367-2317 JAMES RASMUSSEN 4470 06/30/2019

100-0988 R/C LEWIS DRUGS INC dba LEWIS DRUG #2 2700 W 12TH ST SIOUX FALLS SD 57104 605- 367-2217 LAURA HAYNES 5671 06/30/2019

100-0989 R/C LEWIS DRUGS INC dba LEWIS DRUG #1 2901 S MINNESOTA AVE SIOUX FALLS SD 57105 605- 367-2117 SARA HAHN 5758 06/30/2019

100-1415 R/C LEWIS DRUGS INC dba LEWIS DRUG #7 4409 E 26TH ST SIOUX FALLS SD 57103 605- 367-2717 JUSTIN RICHTER 5376 09/25/1989 06/30/2019

100-1661 C LEWIS DRUGS INC dba LEWIS DRUG #9 115 SPLITROCK BLVD BRANDON SD 57005 605- 367-2917 ANITA TIGNER 4602 09/24/1996 06/30/2019 57042- 100-1827 R/C LEWIS DRUGS INC dba LEWIS DRUG #5 741 S WASHINGTON AVE MADISON SD 3409 605-256-3571 MEGAN NOONAN 6212 12/21/2001 06/30/2019

100-1844 LTC LEWIS DRUGS INC dba LEWIS DRUG #11 1301 E 10TH ST STE 100 SIOUX FALLS SD 57103 605-367-2828 SARA HICKS 5582 01/23/2003 06/30/2019

100-1853 R/C LEWIS DRUGS INC LEWIS DRUG #12 910 22ND AVE S BROOKINGS SD 57006 605-692-8881 ROSS TELLINGHUISEN 6192 10/22/2003 06/30/2019

100-1919 R/C LEWIS DRUGS INC dba LEWIS DRUG #10 6109 S LOUISE AVE SIOUX FALLS SD 57108 605- 367-2517 SAMANTHA INGEMANSEN 5855 09/18/2006 06/30/2019

100-1939 R/C LEWIS DRUGS INC dba LEWIS DRUG #13 720 E 1ST ST TEA SD 57064 605-368-9001 REBECCA JOHNSON 4869 05/09/2008 06/30/2019

100-2029 R/C LEWIS DRUGS INC dba LEWIS DRUG #8 323 SW 10TH ST STE 101 MADISON SD 57042 605- 556-0300 RACHEL SCHARDIN 5515 08/26/2015 06/30/2019

200-1716 LEWIS DRUGS INC dba LEWIS DRUG CALL CENTER 2701 S MINNESOTA AVE STE 1 SIOUX FALLS SD 57105- 605-367-2870 JENILEE KLUDT 5512 08/30/2018 06/30/2019

100-1790 R/C LEWIS FAMILY DRUG LLC dba LEWIS FAMILY DRUG #60 715 E 5TH STREET CANTON SD 57013 605-987-4284 ROBERT HALVERSON 5174 09/11/1998 06/30/2019

100-1791 R/C LEWIS FAMILY DRUG LLC dba LEWIS FAMILY DRUG #58 104 W PARK AVE VIBORG SD 57070 605-326-5211 QUEENA GETSKOW 5133 09/11/1998 06/30/2019

100-1819 R/C LEWIS FAMILY DRUG LLC dba LEWIS FAMILY DRUG #53 1002 N HWY 77 DELL RAPIDS SD 57022 605-428-5440 JILL ANDERSON 4868 02/01/2001 06/30/2019

100-1854 R/C LEWIS FAMILY DRUG LLC dba LEWIS FAMILY DRUG #63 515 N PINE ST LENNOX SD 57039 605-647-2256 KATHRYN MEYER 4354 11/04/2003 06/30/2019

100-1856 R/C LEWIS FAMILY DRUG LLC dba LEWIS FAMILY PHARMACY #64 1205 S GRANGE AVE STE 103 SIOUX FALLS SD 57105 605-328-2620 JENILEE KLUDT 5512 11/18/2003 06/30/2019

100-1862 R/C LEWIS FAMILY DRUG LLC dba LEWIS FAMILY DRUG #65 6110 S MINNESOTA AVE SIOUX FALLS SD 57108 605-367-2810 LINDA NASSER 4169 06/30/2004 06/30/2019

100-1865 R/C LEWIS FAMILY DRUG LLC dba LEWIS FAMILY DRUG #66 911 W CEDAR ST STE 1 BERESFORD SD 57004 605-763-2633 JACCII HOFFBECK 5799 01/20/2005 06/30/2019

100-1879 R/C LEWIS FAMILY DRUG LLC dba LEWIS FAMILY DRUG #68 111 CALUMET AVE SW DE SMET SD 57231 605-854-9033 LISA SLATER 5091 12/01/2005 06/30/2019 South Dakota Board of Pharmacy South Dakota Pharmacies; Active, in good standing as of October 5, 2018 This document may be used as a Primary Source Verification

Certificate ZIP No PH Type Corporate Name DBA Name Address 1 Address 2 City State Code Phone PIC PIC# Issued Expiration

100-1931 R/C LEWIS FAMILY DRUG LLC dba LEWIS FAMILY DRUG #70 127 E 2ND AVE FLANDREAU SD 57028 605-997-2122 JEANIE NOLD 4653 07/27/2007 06/30/2019

100-1968 R/C LEWIS FAMILY DRUG LLC dba LEWIS FAMILY DRUG #71 1507 N MAIN ST MITCHELL SD 57301 605- 292-1013 CORY WEGENHAUPT 6296 09/26/2011 06/30/2019

100-1972 LLC LEWIS FAMILY DRUG LLC dba LEWIS FAMILY DRUG #72 1305 W HAVENS AVE MITCHELL SD 57301 605- 292-4000 JASON SWINDLER 4982 03/01/2012 06/30/2019

100-1985 R/C LEWIS FAMILY DRUG LLC dba LEWIS FAMILY DRUG #73 201 N MAIN ST CHAMBERLAIN SD 57325 605- 734-5871 JAMES BREGEL 4257 11/02/2012 06/30/2019 WESSINGTON 100-2002 R/C LEWIS FAMILY DRUG LLC dba LEWIS FAMILY DRUG #78 202 E MAIN ST SPRINGS SD 57382 605- 539-1421 STEPHANIE JUNGEMANN 6158 06/02/2014 06/30/2019

100-2010 R/C LEWIS FAMILY DRUG LLC dba LEWIS FAMILY DRUG #31 109 S MAIN ST MILBANK SD 57252 605- 432-5542 ERIN HOLSCHER 5763 06/19/2014 06/30/2019

100-2034 R/C LEWIS FAMILY DRUG LLC dba LEWIS FAMILY DRUG #37 204 W MAIN ST ELK POINT SD 57025 605- 356-3336 JOEL REPENNING 6039 11/18/2015 06/30/2019

100-2041 R/C LEWIS FAMILY DRUG LLC dba LEWIS FAMILY DRUG #38 404 3RD AVE S CLEAR LAKE SD 57226 605- 874-8220 KRISTIN GOEHRING 5329 04/11/2016 06/30/2019

100-2049 R/TELEPHARMACY LEWIS FAMILY DRUG LLC dba LEWIS FAMILY DRUG #41 513 BROADWAY ST CENTERVILLE SD 57014 605-563-2243 QUEENA GETSKOW 5133 05/11/2017 06/30/2019

100-2053 RETAIL-CHAIN LEWIS FAMILY DRUG LLC dba LEWIS FAMILY DRUG #57 211 N COMMERCIAL ST, STE A CLARK SD 57225 605- 532-3400 BEVERLY SPLINTER 4845 04/20/2018 06/30/2019

100-0002 R/I LORI'S PHARMACY PO BOX 347 1205 N 1ST ST GROTON SD 57445 605- 397-2363 LORI L GIEDT 4176 06/30/2019 MADISON COMMUNITY HOSPITAL 200-0496 H PHARMACY dba MADISON REGIONAL HEALTH SYSTEM 323 SW 10TH ST MADISON SD 57042- 605-256-8795 IAN ALVERSON 5934 06/30/2019

100-1944 R/I MAIN STREET PHARMACY I CORP dba NORM'S THRIFTY WHITE PHARMACY 389 S MAIN ST FREEMAN SD 57029 605-925-7059 NORM KAUFMAN 4299 08/29/2008 06/30/2019 MALLARD POINTE-PRAIRIE LAKES 200-1684 SURGICAL CTR HEALTHCARE SYSTEM 1201 MICKELSON DR WATERTOWN SD 57201- 605-882-4743 SARA SPILDE 5558 02/22/2005 06/30/2019 HOSPITAL 100-2054 TELEPHARMACY MARSHALL COUNTY MEMORIAL HOSPITAL 413 9TH ST BRITTON SD 57430- 605- 448-1151 ALYSSA HOWARD 6191 06/25/2018 06/30/2019

100-0514 R/I MARTIN DRUG AND MERCANTILE PO BOX A MARTIN SD 57551 605-685-6200 KIRK STEPHEN WILSON R3621 06/30/2019

100-1950 MAIL SERVICE MEDVANTX INC 2503 E 54TH ST N SIOUX FALLS SD 57104 866- 744-0621 JOEL ENGLE 6108 02/10/2009 06/30/2019

200-1678 H MILBANK AREA HOSPITAL - AVERA HEALTH 301 FLYNN DR MILBANK SD 57252- 605-432-3255 MEREDITH JUNKER R5304 07/01/2002 06/30/2019

100-0057 R/I MILLER DRUG INC dba RANDALL PHARMACY 1010 W 1ST ST STE 2 PO BOX 499 REDFIELD SD 57469 605-472-1810 HUGH P MACK 4420 06/30/2019

100-0964 R/I MILLER REXALL DRUG CO dba MILLER REXALL DRUG 209 N BROADWAY MILLER SD 57362 605-853-3647 TRENT MERKWAN 4885 07/30/1999 06/30/2019 MOBRIDGE REGIONAL HOSPITAL 100-0973 HOSPITAL PHARMACY 1401 TENTH AVE W MOBRIDGE SD 57601 605- 845-8115 DIANE DADY 4217 06/30/2019

100-0966 R/I NELSON DRUG INC dba NELSON DRUG 125 S MAIN ST ARLINGTON SD 57212 605-983-5711 JULIE SEAS 3905 06/30/2019 OMNICARE PHARMACY AND SUPPLY 100-1917 LTC SERVICES LLC dba OMNICARE OF SOUTH DAKOTA 709 N KIWANIS AVE SIOUX FALLS SD 57104 605-338-9980 LANCE LINDERMAN 5971 07/10/2006 06/30/2019 OMNICARE PHARMACY AND SUPPLY dba OMNICARE OF SOUTH DAKOTA- 200-1700 NURSING HOME SERVICES LLC FOUNTAIN SPRINGS HEALTHCARE CENTER 2000 WESLEYAN BLVD RAPID CITY SD 57702- 605-338-9980 LANCE LINDERMAN 5971 05/24/2016 06/30/2019 OMNICARE PHARMACY AND SUPPLY dba OMNICARE OF SOUTH DAKOTA-DAVID 200-1701 NURSING HOME SERVICES LLC M DORSETT HEALTHCARE CENTER 1020 N 10TH ST SPEARFISH SD 57783- 605-338-9980 LANCE LINDERMAN 5971 05/24/2016 06/30/2019 OMNICARE PHARMACY AND SUPPLY dba OMNICARE OF SOUTH DAKOTA-BELLE 200-1702 NURSING HOME SERVICES LLC FOURCHE HEALTHCARE CENTER 2200 13TH AVE BELLE FOURCHE SD 57717- 605-338-9980 LANCE LINDERMAN 5971 05/24/2016 06/30/2019

100-1979 R/I PARKER PHARMACY LLC dba PARKER PHARMACY 27516 SD HWY 19 STE 2 PO BOX 519 PARKER SD 57053 605- 297-3235 CHRIS PONCELET 5215 08/06/2012 06/30/2019

100-1946 R/I PARKSTON DRUG INC 112 WEST MAIN PARKSTON SD 57366 605-928-3125 RICHARD BOETTCHER 4860 09/25/2008 06/30/2019 South Dakota Board of Pharmacy South Dakota Pharmacies; Active, in good standing as of October 5, 2018 This document may be used as a Primary Source Verification

Certificate ZIP No PH Type Corporate Name DBA Name Address 1 Address 2 City State Code Phone PIC PIC# Issued Expiration

100-1928 LTC PHARMACY CORPORATION OF AMERICA dba PHARMERICA 3615 5TH ST STE 109 RAPID CITY SD 57701 605-348-0815 KATIE MIRES 5559 05/22/2007 06/30/2019

100-1929 R/C PHARMACY CORPORATION OF AMERICA dba PHARMERICA 1507 W 51ST ST SIOUX FALLS SD 57105 605- 338-7007 ANGELA BOMGAARS 5738 05/22/2007 06/30/2019

200-1698 AMDD PHARMACY CORPORATION OF AMERICA C/O LUTHER MANOR 1500 W 38TH ST SIOUX FALLS SD 57105- 605-338-7007 ANGELA BOMGAARS 5738 10/30/2015 06/30/2019

100-1793 R/I/COMPOUNDING PHARMACY SPECIALTIES & CLINIC INC 2333 W 57TH ST STE 109 SIOUX FALLS SD 57108 605- 334-1672 CHERI KRAEMER 4388 11/02/1998 06/30/2019 PIONEER MEMORIAL HOSPITAL AND 57070- 200-0500 H HEALTH SERVICES 315 N WASHINGTON ST PO BOX 368 VIBORG SD 0368 605-326-3096 PATRICIA A ROTH R4279 06/30/2019

200-1682 AMBULATORY SURG CTR PLASTIC SURGICAL CENTER OF RAPID CITY 3615 5TH ST STE 100 RAPID CITY SD 57754- 605-343-6714 KERRI ASHBY 4745 06/29/2004 06/30/2019 PLATTE COMMUNITY MEMORIAL HOSPITAL 200-0466 H INC 601 E 7TH ST PLATTE SD 57369- 605-337-3364 RICHARD A SWETT 4116 06/30/2019

100-1855 R/H PRAIRIE LAKES CAMPUS PHARMACY 401 9TH AVE NW WATERTOWN SD 57201 605- 882-7790 SARA SPILDE 5558 11/14/2003 06/30/2019 PRAIRIE LAKES HEALTHCARE SYSTEM 100-1008 H PHARMACY 401 9TH AVE NW WATERTOWN SD 57201 605- 882-7980 SARA SPILDE 5558 06/30/2019

100-0001 R/I QUARVE DRUG CO dba QUARVE DRUG 710 MAIN BRITTON SD 57430 605-448-2471 CYNTHIA J BREMMON 4255 06/30/2019

100-0008 R/I RAFFERTY ROBBINS JOHNSON INC dba RAFFERTY ROBBINS DRUG STORE 108 S MAIN ST HOWARD SD 57349 605-772-5581 JEROME JOHNSON 4073 06/30/2019

100-2046 LTC RAMBO LTC INC dba BROTHERS PHARMACY LTC 1004 6TH ST STE B BROOKINGS SD 57006 605- 696-3526 PAMELA EKERN 5821 11/17/2016 06/30/2019

100-0535 HOSPTIAL RAPID CITY REGIONAL HOSPITAL 353 FAIRMONT BLVD RAPID CITY SD 57701 605- 755-8196 DANA DARGER R4251 05/17/2010 06/30/2019 dba PSYCHIATRIC/ADDICTION RECOVERY 100-1580 HOSPITAL RAPID CITY REGIONAL HOSPITAL PHARMACY 915 MOUNTAIN VIEW RD RAPID CITY SD 57702 605- 755-8196 DANA DARGER R4251 07/01/1993 06/30/2019 RAPID CITY REGIONAL HOSPITAL 200-1699 H OUTPATIENT DIALYSIS 640 FLORMANN ST STE 401 RAPID CITY SD 57701- 605-775-8196 DANA DARGER R4251 05/04/2016 06/30/2019

200-1705 HOSPITAL RAPID CITY REHAB 1050 FAIRMONT AVE RAPID CITY SD 57701- 605-755-8196 DANA DARGER R4251 09/26/2016 06/30/2019 dba REDLER'S LONG TERM CARE 317 DAKOTA DUNES BLVD STE 100-1949 LTC/I REDLER'S LONG TERM CARE LLC PHARMACY A DAKOTA DUNES SD 57049 605-235-1552 TROY REDLER R5652 12/18/2008 06/30/2019

200-1717 HOSPITAL REGIONAL HEALTH dba ADVANCED ORTHOPEDIC HOSPITAL 1635 CAREGIVER CIRCLE RAPID CITY SD 57702- 605-755-8196 DANA DARGER 4521 09/27/2018 06/30/2019 dba REGIONAL HEALTH HOME PLUS 100-1923 HOSPICE REGIONAL HEALTH HOME PLUS LLC HOSPICE 224 ELK ST RAPID CITY SD 57701 605- 755-8196 TESSA ROBY 5561 01/17/2007 06/30/2019 dba REGIONAL HEALTH HOME PLUS 100-1970 R/I REGIONAL HEALTH HOME PLUS LLC PHARMACY-SPEARFISH 1420 N 10TH ST STE 1 SPEARFISH SD 57783 605- 717-8741 LORA HUMMEL-KOCH 4539 11/17/2011 06/30/2019 dba REGIONAL HEALTH HOME PLUS 100-1986 R/H REGIONAL HEALTH HOME PLUS LLC PHARMACY-RAPID CITY 353 FAIRMONT BLVD RAPID CITY SD 57701 605- 755-8184 MICHELE KOOIMAN 5463 01/07/2013 06/30/2019 dba REGIONAL HEALTH HOME PLUS LONG 100-1987 LTC REGIONAL HEALTH HOME PLUS LLC TERM CARE PHARAMCY 1906 LOMBARDY DR STE 101 RAPID CITY SD 57703 605- 755-3060 KERRI ASHBY 4745 01/07/2013 06/30/2019 dba REGIONAL HEALTH HOME PLUS 100-1988 R/H REGIONAL HEALTH HOME PLUS LLC SPECIALTY PHARMACY 1906 LOMBARDY DR STE 102 RAPID CITY SD 57703 605- 755-3065 LEONARD PETRIK 5112 01/07/2013 06/30/2019 dba REGIONAL HEALTH HOME PLUS HOME 100-2019 HOME INFUSION/H REGIONAL HEALTH HOME PLUS LLC dbaINFUSION REGIONAL PHARMACY HEALTH HOME PLUS LONG 224 ELK ST STE 100 RAPID CITY SD 57701 605- 755-1150 TESSA ROBY 5561 11/17/2014 06/30/2019 TERM CARE PHARMACY-CUSTER REGIONAL 200-1693 NH REGIONAL HEALTH HOME PLUS LLC dbaSENIOR REGIONAL CARE HEALTH HOME PLUS LONG 1065 MONTGOMERY ST CUSTER SD 57730- 605-673-3593 KERRI ASHBY 4745 03/12/2010 06/30/2019 TERM CARE PHARMACY-STURGIS 200-1695 NH REGIONAL HEALTH HOME PLUS LLC REGIONAL SENIOR CARE 949 HARMON ST STURGIS SD 57785- 605-720-2400 KERRI ASHBY 4745 05/18/2011 06/30/2019 REGIONAL HEALTH SPECIALTY HOSPITAL 200-1714 HOSPITAL PHARMACY 353 FAIRMONT BLVD RAPID CITY SD 57701- 605-755-8196 DANA DARGER R4521 02/23/2018 06/30/2019

100-0533 R/C SAFEWAY INC dba SAFEWAY PHARMACY #0583 1606 NORTH AVE STE 2 SPEARFISH SD 57783 605-642-3039 APRIL OWEN R5554 06/30/2019 South Dakota Board of Pharmacy South Dakota Pharmacies; Active, in good standing as of October 5, 2018 This document may be used as a Primary Source Verification

Certificate ZIP No PH Type Corporate Name DBA Name Address 1 Address 2 City State Code Phone PIC PIC# Issued Expiration

100-0965 R/C SAFEWAY INC dba SAFEWAY PHARMACY #1554 730 MT VIEW RD RAPID CITY SD 57702 605-342-8505 BETH SUNDAHL R5984 06/30/2019

100-1005 R/C SAFEWAY INC dba SAFEWAY PHARMACY #0581 2120 MT RUSHMORE RD RAPID CITY SD 57701 605-348-7552 ROXANNE WILLIAM 4060 06/30/2019

100-0946 R/I SALEM DRUG INC dba SALEM COMMUNITY DRUG 300 N MAIN ST PO BOX 316 SALEM SD 57058 605-425-2827 WILLIAM J ROTH 4018 06/30/2019

200-1657 H SAME DAY SURGERY CENTER LLC 353 FAIRMONT BLVD RAPID CITY SD 57701- 605-755-8196 DANA DARGER R4251 07/03/1996 06/30/2019

100-1845 R/C SAM'S WEST INC dba SAM'S CLUB PHARMACY #10-8165 3201 S LOUISE AVE SIOUX FALLS SD 57106 605-362-2625 WENDY HARMSEN R6553 04/21/2003 06/30/2019

100-1963 R/C SAM'S WEST INC SAM'S CLUB PHARMACY 10-6565 925 EGLIN ST RAPID CITY SD 57701 605-877-3103 MARGARET ANDERSON 5479 01/07/2011 06/30/2019

100-1969 H SANFORD ABERDEEN MEDICAL CENTER dba SANFORD HEALTH NETWORK 2905 3RD AVE SE ABERDEEN SD 57401 605- 626-4780 ASHLEY HANSEN 5688 10/20/2011 06/30/2019 SANFORD CANCER CENTER - ONCOLOGY 100-1562 R/H CLINIC PHARMACY 1309 W 17TH ST SIOUX FALLS SD 57104 605- 312-3200 JOSEPH P WEBER 5185 09/29/1992 06/30/2019 SANFORD DEUEL COUNTY MEDICAL 200-0103 H CENTER dba SANFORD HEALTH NETWORK 701 3RD AVE S CLEAR LAKE SD 57226- 605-874-3512 DEAN FENENGA 4985 06/30/2019 dba SANFORD VERMILLION MEDICAL 100-1522 H SANFORD HEALTH CENTER 20 S PLUM ST VERMILLION SD 57069 605- 677-3360 PAIGE FORNIA 5331 06/30/2019 dba SANFORD CHAMBERLAIN MEDICAL 100-1951 H SANFORD HEALTH NETWORK CENTER 300 S BYRON BLVD CHAMBERLAIN SD 57325 605- 293-3289 JERRI ANN HAAK 5269 06/09/2008 06/30/2019 dba SANFORD CANTON-INWOOD MEDICAL 200-1690 H SANFORD HEALTH NETWORK CENTER 440 N HIAWATHA DR CANTON SD 57013- 605-764-1400 SANDRA D SCHULZ R4517 12/12/2008 06/30/2019

200-1709 HOSPITAL SANFORD HOME HEALTH dba SANFORD HOSPICE 1320 W 17TH ST SIOUX FALLS SD 57104- 605-404-4800 STEVEN BULTJE 5631 07/25/2017 06/30/2019

100-1545 HOME INFUSION/H SANFORD HOME MEDICAL EQUIPMENT INC 2710 W 12TH ST SIOUX FALLS SD 57104 605-328-4429 JULIE PATTERSON 4266 12/04/1991 06/30/2019

200-1102 H SANFORD HOSPITAL WEBSTER PHARMACY 1401 W 1ST ST WEBSTER SD 57274- 605-345-3336 ANGELA SANNES 4975 06/30/2019

100-0464 H SANFORD USD MEDICAL CENTER 1305 W 18TH ST SIOUX FALLS SD 57117 603- 333-6531 MICHAEL DUNCAN R4365 06/30/2019 dba SANFORD USD MEDICAL CENTER 200-1711 HOSPITAL SANFORD USD MEDICAL CENTER DIALYSIS AMDD1 AND AMDD2 1321 W 22ND ST SIOUX FALLS SD 57105- 605-333-6531 MICHAEL DUNCAN R4365 02/08/2018 06/30/2019 dba SANFORD USD MEDICAL CENTER 200-1712 HOSPITAL SANFORD USD MEDICAL CENTER MADISON DIALYSIS 903 WASHINGTON AVE N MADISON SD 57042- 605-333-6531 MICHAEL DUNCAN R4365 02/08/2018 06/30/2019 dba SANFORD USD MEDICAL CENTER 200-1713 HOSPITAL SANFORD USD MEDICAL CENTER CHAMBERLAIN DIALYSIS 300 S BYRON BLVD CHAMBERLAIN SD 57325- 605-333-6531 MICHAEL DUNCAN R4365 02/08/2018 06/30/2019

100-1840 R/I SCOTLAND PHARMACY 620 BILLARS ST SCOTLAND SD 57059 605-583-2514 CODY CARSTENSEN 5234 11/04/2002 06/30/2019

200-1011 OTHER SD DEVELOPMENTAL CENTER PHARMACY 17267 W 3RD ST REDFIELD SD 57469- 605-472-4240 MELISSA GORECKI 5509 06/30/2019

100-1017 H / LTC SD HUMAN SERVICES CENTER PHARMACY 3515 N BROADWAY AVE PO BOX 7600 YANKTON SD 57078 605-668-3155 JEFFERY R HERRON 4218 06/30/2019 SD HUMAN SERVICES CENTER PHARMACY - 100-1991 T JAMESON ANNEX 1600 NORTH DR SIOUX FALLS SD 57117 605- 668-3155 JEFFERY R HERRON 4218 04/03/2014 06/30/2019 SD HUMAN SERVICES CENTER PHARMACY - 100-1990 T MIKE DURFEE STATE PRISON 1412 WOOD ST SPRINGFIELD SD 57062 605- 668-3155 JEFFERY R HERRON 4218 04/03/2014 06/30/2019 SD HUMAN SERVICES CENTER PHARMACY - 100-2028 O RAPID CITY MINIMUM UNIT 12725 CREEK DR RAPID CITY SD 57703 605- 668-3155 JEFFERY R HERRON 4218 08/17/2015 06/30/2019 SD HUMAN SERVICES CENTER PHARMACY- 100-2045 TELEPHARMACY/G SD STATE PENITENTIARY 1600 N. DRIVE SIOUX FALLS SD 57117 605- 668-3155 JEFF HERRON 4218 09/26/2016 06/30/2019

100-1627 LTC SD STATE VETERANS HOME PHARMACY 2500 MINNEKAHTA AVE HOT SPRINGS SD 57747 605-745-5127 JOHN L LANE R6120 03/31/1995 06/30/2019 1440 NORTH CAMPUS DR RM 100-0492 R/College SDSU JACKRABBIT PHARMACY 102 BROOKINGS SD 57007 605-688-5410 MELANIE LUNN 5390 06/30/2019 South Dakota Board of Pharmacy South Dakota Pharmacies; Active, in good standing as of October 5, 2018 This document may be used as a Primary Source Verification

Certificate ZIP No PH Type Corporate Name DBA Name Address 1 Address 2 City State Code Phone PIC PIC# Issued Expiration

200-1694 PHARM PRACTICE LAB SDSU PHARMACY PRACTICE LAB 1055 CAMPANILE AVE BROOKINGS SD 57007- 605-688-6197 JAMES CLEM 4743 11/15/2010 06/30/2019 SELECT SPECIALTY HOSPITAL-SIOUX FALLS dba SELECT SPECIALTY HOSPITAL-SOUTH 100-1693 HOSPITAL INC DAKOTA 1305 W 18TH ST SIOUX FALLS SD 57105 605- 312-9500 LISA VIEHWEG R6138 07/14/1997 06/30/2019

100-1905 R/C SHOPKO STORES OPERATING CO LLC dba SHOPKO PHARMACY #2022 1900 N MAIN ST HWY 37 NORTH MITCHELL SD 57301 605- 996-6568 MARGARET ZARD 3855 05/09/2006 06/30/2019

100-1906 R/C SHOPKO STORES OPERATING CO LLC dba SHOPKO PHARMACY #2049 500 N HWY 281 ABERDEEN SD 57401 605-225-3577 KEVIN HED 4923 05/09/2006 06/30/2019

100-1907 R/C SHOPKO STORES OPERATING CO LLC SHOPKO PHARMACY #2054 700 9TH AVE SE WATERTOWN SD 57201 605-882-2011 ROLAND NIEWOEHNER R4341 05/09/2006 06/30/2019

100-1908 R/C SHOPKO STORES OPERATING CO LLC SHOPKO PHARMACY #2076 1601 W 41ST ST SIOUX FALLS SD 57105 605- 338-3155 JESS HANSON 5061 05/09/2006 06/30/2019

100-1909 R/C SHOPKO STORES OPERATING CO LLC dba SHOPKO PHARMACY #2078 1845 HAINES AVE RAPID CITY SD 57701 605-342-1055 RACHAEL ROVERE R6380 05/09/2006 06/30/2019

100-1910 R/C SHOPKO STORES OPERATING CO LLC dba SHOPKO PHARMACY #2101 4501 E ARROWHEAD PKWY SIOUX FALLS SD 57110 605- 335-8805 AMY LO 4948 05/09/2006 06/30/2019

100-1976 R/C SHOPKO STORES OPERATING CO LLC SHOPKO PHARMACY #2746 800 S WASHINGTON AVE MADISON SD 57042 605- 256-6169 MICHELLE EYKAMP 5865 06/15/2012 06/30/2019

100-1977 R/C SHOPKO STORES OPERATING CO LLC dba SHOPKO PHARMACY #2745 1140 E 5TH ST PO BOX 70 WINNER SD 57580 605- 842-3242 SONYA ZIMBELMAN 5441 06/15/2012 06/30/2019

100-1978 R/C SHOPKO STORES OPERATING CO LLC SHOPKO PHARMACY #2751 1712 SD HWY 10 SISSETON SD 57262 605- 742-0011 LARRY BECKER 4122 06/15/2012 06/30/2019

100-1981 R/C SHOPKO STORES OPERATING CO LLC dba SHOPKO PHARMACY #2753 2701 HWY 18 W HOT SPRINGS SD 57747 605- 745-4681 SARA BUTTS 6428 08/08/2012 06/30/2019

100-1982 R/C SHOPKO STORES OPERATING CO LLC dba SHOPKO PHARMACY #2757 1 N 5TH AVE BELLE FOURCHE SD 57717 605- 892-2252 JENILEE LEWIS R6093 08/08/2012 06/30/2019

100-1984 R/C SHOPKO STORES OPERATING CO LLC dba SHOPKO PHARMACY #2759 2105 LAZELLE ST STE 2 STURGIS SD 57785 605- 347-4553 CHAD SCHOLTEN 4652 09/18/2012 06/30/2019 SIOUX FALLS SPECIALTY HOSPITAL 100-1872 H PHARMACY LLP 910 E 20TH ST SIOUX FALLS SD 57105 605-335-4202 YEE-LAI CHIU 3923 09/03/1996 06/30/2019

200-1628 HOSPITAL SIOUXLAND SURGERY CENTER dba DUNES SURGICAL HOSPITAL 600 N SIOUX POINT RD DAKOTA DUNES SD 57049- 605- 223-3332 TERESA ORLANDO R5312 04/10/1995 06/30/2019

200-1710 HOSPITAL SIOUXLAND SURGERY CENTER dba DUNES SURGICAL HOSPITAL 455 SIOUX POINT RD DAKOTA DUNES SD 57049- 605-323-3332 TERESA ORLANDO R5312 08/28/2017 06/30/2019

100-1830 H SPEARFISH REGIONAL HOSPITAL 1440 N MAIN ST SPEARFISH SD 57783 605- 644-4014 TIFFANY CLENDENEN 4867 03/26/2002 06/30/2019

200-1685 SURGERY CENTER SPEARFISH REGIONAL SURGERY CENTER 1316 10TH ST N SPEARFISH SD 57783- 605-644-4014 TIFFANY CLENDENEN 4867 08/28/2007 06/30/2019

200-0468 H ST MICHAEL'S HOSPITAL PHARMACY 410 W 16TH AVE TYNDALL SD 57066- 605-589-2218 JACLYN DVORACEK 5662 06/30/2019

100-1860 R/I ST. MICHAEL'S HOSPITAL INC dba BON HOMME PHARMACY 410 W 16TH AVE TYNDALL SD 57066 605- 589-2218 JACLYN DVORACEK 5662 04/23/2004 06/30/2019

100-1948 R/I STATELINE DRUG INC dba SMITH'S DRUG 301 MAIN AVE LEMMON SD 57638 605-374-3897 ERIC SONSALLA R5647 10/17/2008 06/30/2019

100-1831 H STURGIS REGIONAL HOSPITAL PHARMACY 2140 JUNCTION AVE STURGIS SD 57785 605-720-2420 MICHELLE BLUE 4970 03/26/2002 06/30/2019

100-1332 MAIL ORDER TEL-DRUG INC dba CIGNA HOME DELIVERY PHARMACY 4901 N 4TH AVE SIOUX FALLS SD 57104 800- 835-3784 GINA HANSON 5151 02/06/1989 06/30/2019

100-1938 MO TEL-DRUG INC dba CIGNA HOME DELIVERY PHARMACY 2500 E 52ND ST N SIOUX FALLS SD 57104 800- 835-3784 CHAD SHERARD 4858 05/01/2008 06/30/2019 TRIBAL CLINIC PHARMACY FLANDREAU FLANDREAU SANTEE SIOUX TRIBAL CLINIC 100-0527 RETAIL/TRIBAL SANTEE SIOUX TRIBE PHARMACY 403 W BROAD AVE FLANDREAU SD 57028 605- 573-4128 GLORIZ NELSON 5708 06/30/2019

100-0004 R/I TURNER DRUG INC dba TURNER DRUG 3033 MAIN PO BOX E BOWDLE SD 57428 605-285-6121 DOUGLAS TURNER 4058 06/30/2019

100-2033 R/I TWO FISHES INC dba ROGER'S FAMILY PHARMACY 218 W 4TH ST YANKTON SD 57078 605- 665-8042 BYRON C OLSON 4910 10/26/2015 06/30/2019 South Dakota Board of Pharmacy South Dakota Pharmacies; Active, in good standing as of October 5, 2018 This document may be used as a Primary Source Verification

Certificate ZIP No PH Type Corporate Name DBA Name Address 1 Address 2 City State Code Phone PIC PIC# Issued Expiration

100-1850 R/I UECKER PHARMACIES INC dba HERITAGE PHARMACY 609 S HWY 81 FREEMAN SD 57029 605-925-4510 BARRY UECKER 4460 08/20/2003 06/30/2019 WAGNER COMMUNITY MEMORIAL 200-0498 H HOSPITAL PHARMACY 513 3RD ST SW WAGNER SD 57380- 605-384-3611 SUZANNE WEBER 4719 06/30/2019

100-1802 R/C WALGREEN CO dba WALGREENS #05242 4900 S CLIFF AVE SIOUX FALLS SD 57108 605-357-9233 MARIAH FICKBOHM 6134 07/27/1999 06/30/2019

100-1803 R/C WALGREEN CO dba WALGREENS #5243 2605 W 12TH ST SIOUX FALLS SD 57104 605-357-9359 JESS HAENSEL 5563 08/17/1999 06/30/2019

100-1810 R/C WALGREEN CO dba WALGREENS #05745 3620 W 41ST ST SIOUX FALLS SD 57106 605-361-5600 NICOLE WELCH 5585 03/23/2000 06/30/2019

100-1813 R/C WALGREEN CO dba WALGREENS #05643 540 MOUNTAIN VIEW RD RAPID CITY SD 57702 605-342-6010 CARRIE GERDEMAN 5143 06/06/2000 06/30/2019

100-1846 R/C WALGREEN CO dba WALGREENS #05514 1806 S MINNESOTA AVE SIOUX FALLS SD 57105 605-221-0578 RYAN GIENAPP R5084 05/20/2003 06/30/2019

100-1863 R/C WALGREEN CO dba WALGREENS #01975 1720 S SYCAMORE AVE SIOUX FALLS SD 57110 605-221-0782 CASEY LESNAR 5402 09/20/2004 06/30/2019

100-1895 R/C WALGREEN CO dba WALGREENS #10007 421 9TH AVE SE WATERTOWN SD 57201 605-882-3788 STEPHANIE MULLER 5334 02/01/2006 06/30/2019

100-1898 R/C WALGREEN CO dba WALGREENS #09806 2020 BROADWAY AVE YANKTON SD 57078 605-665-1124 LAURA JOHNSON 6079 04/04/2006 06/30/2019

100-1911 R/C WALGREEN CO dba WALGREENS #10347 901 S BURR MITCHELL SD 57301 605-996-3179 NICOLE CHENOWETH 4776 05/15/2006 06/30/2019

100-1918 R/C WALGREEN CO dba WALGREENS #09512 1125 N LACROSSE ST RAPID CITY SD 57701 605-348-3265 JODENE RECTENWALD R6555 07/19/2006 06/30/2019

100-1920 R/C WALGREEN CO dba WALGREENS #10572 100 E SIOUX AVE PIERRE SD 57501 605-224-4962 NICHOLE METZINGER 5237 09/27/2006 06/30/2019

100-1925 R/C WALGREEN CO dba WALGREENS #10729 7120 W 41ST ST SIOUX FALLS SD 57106 605-221-0989 EDDY EKOBENA 6387 05/14/2007 06/30/2019

100-1927 R/C WALGREEN CO dba WALGREENS #10656 1902 MT RUSHMORE RD RAPID CITY SD 57701 605-342-0194 WENDY CHRISTENSEN 5494 05/18/2007 06/30/2019

100-1942 R/C WALGREEN CO dba WALGREENS #12906 1430 NORTH AVE SPEARFISH SD 57783 605-642-0650 TERRI ADAMSKI 5218 08/14/2008 06/30/2019

100-0054 R/I WALL DRUG STORE INC dba WALL DRUG 510 MAIN ST PO BOX 401 WALL SD 57790 605- 279-1931 CYNTHIA DINGER 5186 06/04/2010 06/30/2019

100-1474 R/C WAL-MART STORES INC dba WALMART PHARMACY #10-1500 1201 29TH ST SE WATERTOWN SD 57201 605-886-8419 JESSICA SITTIG 6318 06/30/2019

100-1475 R/C WAL-MART STORES INC dba WALMART PHARMACY #10-1483 3001 BROADWAY AVE YANKTON SD 57078 605- 665-8197 KIMBERLY CRISSEY 6188 06/30/2019

100-1487 R/C WAL-MART STORES INC dba WALMART PHARMACY #10-1520 3820 7TH AVE SE ABERDEEN SD 57401 605-229-1519 JODI FISCHER 6227 06/30/2019

100-1488 R/C WAL-MART STORES INC dba WALMART PHARMACY #10-1543 2825 1ST AVE SPEARFISH SD 57783 605-642-3025 BONNIE WALNO R5998 06/30/2019

100-1489 R/C WAL-MART STORES INC dba WALMART PHARMACY #10-1535 3209 S LOUISE AVE SIOUX FALLS SD 57106 605-362-1602 HILLARY DODSON 5977 06/30/2019 57006- 100-1501 R/C WAL-MART STORES INC dba WALMART PHARMACY #10-1538 2233 6TH ST BROOKINGS SD 1733 605-692-1858 LINDSAY HALETA 6305 06/30/2019

100-1513 R/C WAL-MART STORES INC dba WALMART PHARMACY #10-1604 1200 N LACROSSE ST RAPID CITY SD 57701 605-342-0881 BRENNER KNAPP R6011 06/30/2019

100-1546 R/C WAL-MART STORES INC dba WALMART PHARMACY #10-1685 1730 N GARFIELD RD PIERRE SD 57501 605-224-8766 KAREN RICHART 6328 12/04/1991 06/30/2019

100-1818 R/C WAL-MART STORES INC dba WALMART PHARMACY #10-2990 1101 E SPRUCE ST MITCHELL SD 57301 605-995-6845 BRIAN BANNWARTH 5175 01/18/2001 06/30/2019

100-1839 R/C WAL-MART STORES INC dba WALMART PHARMACY #10-3237 5521 E ARROWHEAD PKWY SIOUX FALLS SD 57110 605-367-3206 WENDY JACKSON 5187 09/04/2002 06/30/2019

100-1878 R/C WAL-MART STORES INC dba WALMART PHARMACY #10-3734 1207 PRINCETON AVE VERMILLION SD 57069 605-624-4106 HAILEY OLSON 6035 11/18/2005 06/30/2019 South Dakota Board of Pharmacy South Dakota Pharmacies; Active, in good standing as of October 5, 2018 This document may be used as a Primary Source Verification

Certificate ZIP No PH Type Corporate Name DBA Name Address 1 Address 2 City State Code Phone PIC PIC# Issued Expiration

100-1912 R/C WAL-MART STORES INC dba WALMART PHARMACY #10-3853 2791 DAKOTA AVE S HURON SD 57350 605-353-9513 PAUL O'NEILL R5306 05/22/2006 06/30/2019

100-1983 R/C WAL-MART STORES INC dba WALMART PHARMACY #10-3872 100 STUMER RD RAPID CITY SD 57701 605- 877-3298 ALEXANDER CHMURA 5666 08/15/2012 06/30/2019

100-1995 R/C WAL-MART STORES INC dba WALMART PHARMACY #10-4865 5200 W 60TH ST N SIOUX FALLS SD 57107 605- 906-6080 JEREMY GIESEKE R6231 04/28/2014 06/30/2019

100-2039 R/C WAL-MART STORES INC dba WAL-MART PHARMACY 10-2443 7821 S MINNESOTA AVE SIOUX FALLS SD 57108 605- 338-9326 JADA LE 6241 02/29/2016 06/30/2019

100-1947 R/C WHITE DRUG ENTERPRISES INC dba WHITE DRUG #70 71 CHARLES ST DEADWOOD SD 57732 605-578-1512 LEE CORDELL 6055 10/03/2008 06/30/2019

100-1959 R/I WINNER HEALTH MART PHARMACY, INC 702 W 2ND ST WINNER SD 57580 605-842-7777 KARA ZEIGLER 5838 07/19/2010 06/30/2019

200-0996 H WINNER REGIONAL HEALTHCARE CENTER 745 E 8TH ST WINNER SD 57580- 605-842-7172 MARLA HAYES 4441 06/30/2019

100-1958 R/I WULLSTEIN PHARMACY INC dba BRANDON PHARMACY 116 E HOLLY BLVD BRANDON SD 57005 605-582-6000 TOM WULLSTEIN 5446 05/19/2010 06/30/2019

100-2042 TELEPHARMACY/I WYODAK PHARMACIES INC dba VILAS PHARMACY 95 E MAIN ST LEAD SD 57754 605- 717-2496 JAMES STEPHENS 3553 05/03/2016 06/30/2019

100-0473 R/I YANKTON DRUG COMPANY INC 109 W 3RD ST YANKTON SD 57078 605-665-7865 DAN SOMSEN 4019 06/30/2019

100-1876 R/I YANKTON MEDICAL CLINIC P.C. dba CLINIC PHARMACY 1104 WEST 8TH ST YANKTON SD 57078 605-665-2929 CARMEN Y HUTCHISON 5389 10/25/2005 06/30/2019