Attachment L-12 IHS_Pharmacy_Listing_2019.xlsx

XLSX spreadsheet 31 KB Posted

Attached to
DRAFT RFP TRICARE Pharmacy Services, 5th Generation (TPharm5) Federal contract opportunity
Solicitation number
HT940220R0002
Issued by
Defense Health Agency

About this file

Written by GovTribe AI ·

The draft request for proposal (RFP) outlines requirements for the fifth generation of TRICARE Pharmacy Services. Key details include that the Defense Health Agency (DHA) seeks to award a new fixed unit price contract to provide pharmacy benefits to TRICARE beneficiaries. The potential contract would have an 18-month transition period, followed by seven 1-year option periods and a 6-month extension option, for a total potential period of performance of 9 years. The RFP includes sections on contract line item numbers (CLINs), specialty pharmacy services, retail network access, compounded medications, care coordination, patient safety notifications, and quality control. Interested vendors are invited to submit questions on the draft RFP by January 17, 2020 regarding the agency's approach and requirements. DHA plans to issue a formal RFP in mid-2020 and conduct a competition governed by Federal Acquisition Regulation Part 15.

View the file

Other files for this federal contract opportunity

Other files attached to DRAFT RFP TRICARE Pharmacy Services, 5th Generation (TPharm5), newest first.
File Type Posted
DSADHA_SSVTemplate_20170101.pdf PDF
Responses to Industry on Revised Draft Section C 20200504.pdf PDF
TPharm5 - Overview of Changes to Draft Section C.DOCX DOCX document
DHA Responses to Industry on Draft RFP 20200318.pdf PDF
TPharm5 Draft RFP Info Session 20191211.pdf PDF
Attachment J-2 Acronym List.docx DOCX document
Attachment J-3 Website Links.docx DOCX document
Attachment L-5 Guaranty_Agreement.pdf PDF
Attachment L-7 Teaming Subcontractor Consent Ltr.docx DOCX document
Attachment L-9.3 Covered OTCs - Purchased Care.xlsx XLSX spreadsheet
Attachment L-19.1 PPI Tool Instructions.docx DOCX document
Data Pkg 3 TRICARE Retail Pharmacy Claim Volume.xlsx XLSX spreadsheet
TPharm5 Draft Section C 20191202.docx DOCX document
Data Pkg 6 - MOP Utilization.xlsx XLSX spreadsheet
Attachment L-13 VA_Pharmacy_Listing_2019.xlsx XLSX spreadsheet
Attachment L-1.2 Non-Disclosure Agreement.docx DOCX document
Data Pkg 21 Enrolled Beneficiary Population.xlsx XLSX spreadsheet
TPharm5 Draft Section H 20191121.docx DOCX document
Data Pkg 10 - Compound Utilizers.xlsx XLSX spreadsheet
TPharm5 Draft Section I 20191120.docx DOCX document
Data Pkg 11 - Retail Utilization Detail, Guarantee Categories.xlsx XLSX spreadsheet
TPharm5 Draft Section F 20191202.docx DOCX document
Data Pkg 19 Historical_TMDS_Volume_2017-2018.xlsx XLSX spreadsheet
Attachment L-9.4 Covered OTC List - MHS GENESIS.xlsx XLSX spreadsheet
Data Pkg 13 - MTF Claims Volumes by Site.xlsx XLSX spreadsheet
Attachment L-3 Specialty Reimbursement for Use in Determining Incentiv....docx DOCX document
Attachment L-9 Benefit Design Document_TPharm5.xlsx XLSX spreadsheet
Attachment L-2 Retail Network Reimbursement Table.docx DOCX document
TPharm5 Draft RFP READ FIRST 20191202.docx DOCX document
Tpharm5 Draft Section G 20191202.docx DOCX document
Attachment L-8 MMC Sample File.xlsx XLSX spreadsheet
Attachment L-9.8 PA_ST_QL List.XLSX XLSX spreadsheet
Attachment L-4 Negotiated Specialty Retail Replenished Dispensing Fees.docx DOCX document
Attachment L-9.9 Fluoride Products List.xlsx XLSX spreadsheet
Data Pkg 15 IHS_Pharmacy_Claims_Volume_2017_&_2018.xlsx XLSX spreadsheet
TPharm5 Draft Section E 20191120.docx DOCX document
TPharm5 Draft Section D 20191120.docx DOCX document
Attachment L-1.1 List of Data Packages.docx DOCX document
Attachment L-19 Past Performance Questionnaire Template Tab F 20191120.docx DOCX document
Data Pkg 7 Specialty Drug Utilization, Retail and Mail.xlsx XLSX spreadsheet
Data Pkg 14 Retail Claims with COB.xlsx XLSX spreadsheet
Attachment J-5 TPharm5 Award Fee Plan 20191122.docx DOCX document
Data Pkg 5 MOP Utilization by Drug.xlsx XLSX spreadsheet
Data Pkg 23 - Paid Claims and Rejects - MHS GENESIS.xlsx XLSX spreadsheet
Data Pkg 22 - Paid Claims and Rejects - Retail.xlsx XLSX spreadsheet
Data Pkg 24 - CHCBP Volume.xlsx XLSX spreadsheet
Attachment L-9.6 Self-Admin Injectables List.xlsx XLSX spreadsheet
Attachment L-9.7 Expanded Use of MTF and TMOP List.xlsx XLSX spreadsheet
Attachment L-18 CDRL Supplemental Bid Schedule.xlsx XLSX spreadsheet
Attachment L-1 Ordering Instructions for Data Files not on SAM.gov.docx DOCX document
Show all 50

DRAFT RFP TRICARE Pharmacy Services, 5th Generation (TPharm5) has more files on GovTribe.

On GovTribe

Work with this file on GovTribe

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file
Try for free Login

Text version

The file's text, extracted by GovTribe without its formatting.

IHS Pharmacy List

List Current as of September 2019
NCPDPNPIPHARMACYADDRESSCITYSTZIP
01305741275742546POARCH CREEK HLTH CLINIC PHCY5811 JACK SPRINGS RDATMOREAL36502
01367541538476650TRANSDERMAL THERAPEUTICS211 SUMMIT PKWY STE 124HOMEWOODAL35209
02013471003973041KODIAK AREA NATIVE ASSOCIATION3449 E REZANOF DRKODIAKAK99615
02011571427187046NORTON SOUND HEALTH CORP1000 GREG KRUSCHEK AVENOMEAK99762
02021231336272095KANAKANAK HOSPITAL6000 KANAKANAK RDDILLINGHAMAK99576
02021351851486153SEARHC MEDICAL CLINIC3245 HOSPITAL DRJUNEAUAK99801
02021731881780880SEARHC MT EDGECUMBE PHARMACY222 TONGASS DRSITKAAK99835
02022001891830451ALASKA NATIVE MEDICAL CENTER4315 DIPLOMACY DRANCHORAGEAK99508
02022121689719825YUKON-KUSKOKWIM DELTA REG HOSP700 CHIEF EDDIE HOFFMAN HWYBETHELAK99559
02024641073658431ANCHORAGE NAT PRI CR CTR PHCY4320 DIPLOMACY DRANCHORAGEAK99508
02024901649385667CHIEF ANDREW ISSAC HEALTH CTR1408 19TH AVEFAIRBANKSAK99701
02025891801899257SAMUEL SIMMONDS MEM HOSP PHCY1296 AGVIK STBARROWAK99723
02026281770671661SEARHC HAINES MEDICAL CLINIC131 FIRST AVE SHAINESAK99827
02025151154493666MANIILAQ MEDICAL CENTER5TH ST AND GRIZZLEYKOTZEBUEAK99752
02026041194812024ALICIA ROBERTS MEDICAL CENTER7300 KLAWOCK-HOLLIS HWYKLAWOCKAK99925
02278081366587743SCF RASU PHARMACY4160 TUDOR CENTRE DRANCHORAGEAK99508
02281771760739601VALLEY NATIVE PRIMARY CARE CTR1001 S KNIK GOOSE BAY RDWASILLAAK99654
02285071720460652ANTHC OSC PHARMACY3801 UNIVERSITY LAKE DRANCHORAGEAK99508
02281651972869071ANTHC MEDISET PHARMACY4315 DIPLOMACY DR # 1W346ANCHORAGEAK99508
02285331679931059ANTHC INTERNAL MED PHARMACY3900 AMBASSADOR DRANCHORAGEAK99508
02286081902342306SEARHC ALASKA ISLAND COMMUNITY333 CHURCH ST SUITE 1WRANGELLAK99929
02286601962900100CRNA PHARMACYMILE 111.5 RICHARDSON HWYGLENNALLENAK99588
03216701285750125KAYENTA INDIAN HEALTH CENTERHIGHWAY 163 BLDG KA-2010KAYENTAAZ86033
03225071255460127TSAILE HEALTH CENTERROUTE 191CHINLEAZ86503
03226721235268947HU HU KAM MEMORIAL HOSP PHCY483 W SEED FARM RDSACATONAZ85147
03241331306891486TUBA CITY INDIAN MEDICAL CTR167 N MAIN STTUBA CITYAZ86045
03245131336354968WINSLOW HEALTH CENTER PHCY500 INDIANA AVEWINSLOWAZ86047
03245251669517868COLORADO RIVER IHS PHARMACY12033 AGENCY RDPARKERAZ85344
03246261306971940PEACH SPRINGS HEALTH CTR PHCY943 HUALAPAI WAYPEACH SPRINGSAZ86434
03244981376678946HOPI HEALTH CARE CENTER PHCYHIGHWAY 264POLACCAAZ86042
03246021801900766PHOENIX INDIAN MEDICAL CENTER4212 N 16TH STPHOENIXAZ85016
03246141346377926INSCRIPTION HOUSE HEALTH CTRNAVAJO RD 16 AND HWY 98SHONTOAZ86054
03256301467587030CIBECUE IHS PHARMACY2 W 3RD STCIBECUEAZ85911
03256421699717785SELLS INDIAN HOSPITALUS HIGHWAY 86SELLSAZ85634
03256541053446526WHITERIVER IHS PHARMACYHWY 73 MILE POST 342WHITERIVERAZ85941
03256781518905793SAN XAVIER INDIAN HLTH CTR7900 SJ STOCK RDTUCSONAZ85746
03262881144359852KOMATKE HEALTH CENTER17487 S HEALTHCARE DRLAVEENAZ85339
03264781457486177YUMA IHS PHARMACYONE INDIAN HILL RDWINTERHAVENCA92283
03265171659490225TSAILE HEALTH CENTERINTERSECTION OF RTE 64 & 12TSAILEAZ86556
03271771326080425SANTA ROSA INDIAN HLTH CTRHC01 BOX 8700SELLSAZ85634
03522831710010327FORT MOJAVE HEALTH CENTER1607 E PLANTATION RDMOHAVE VALLEYAZ86440
03547061386857993US PUBLIC HLTH INDIAN HOSPUS HWY 160 AND NAVAJO RTETEECNOS POSAZ86514
03551881811165319USPHS SAN SIMON HEALTH CTRW HWY 86 MILE MARKER 74SELLSAZ85634
03547821912030768PINON HEALTH CENTERNAVAJO RTE 4 2 MILES EASTPINONAZ86510
03566091083937569FORT DEFIANCE INDIAN HOSPITALN ROUTE 12 AND ROUTE 7FORT DEFIANCEAZ86504
03572571235410309SACRED PEAKS HEALTH CTR PHCY3480 E ROUTE 66FLAGSTAFFAZ86004
03602921861875536SAN CARLOS APACHE HEALTHCARE103 MEDICINE WAY RDPERIDOTAZ85542
03603051417330713CLARENCE WESLEY HLTH CTR PHCY101 MEDICINE DRBYLASAZ85530
03618141790210755SALT RIVER INTEGRATED HEALTH C10005 E OSBORN RDSCOTTSDALEAZ85256
05089551508882911CHAPA-DE INDIAN HEALTH CENTER11670 ATWOOD RDAUBURNCA95603
05339221326217829KINAM MEDICAL CENTER PHCY1200 AIRPORT RDHOOPACA95546
05441391528102282REDDING RANCHERIA INDIAN HEALT1441 LIBERTY STREDDINGCA96001
05579101568461267SONOMA CO INDIAN HLTH PHARMACY144 STONY POINT RDSANTA ROSACA95401
05695231760495485FEATHER RIVER TRIBAL HEALTH2145 5TH AVEOROVILLECA95965
05833711487855045SOBOBA INDIAN HLTH CLINIC PHCY607 DONNA WAYSAN JACINTOCA92583
05870761235280223SOUTHERN INDIAN HEALTH CLINIC4058 WILLOWS RDALPINECA91901
05871771821030446INDIAN HEALTH COUNCIL PHARMACY50100 GOLSH RDVALLEY CENTERCA92082
05890681902954944MORONGO INDIAN CLINIC PHARMACY11555 1/2 POTRERO RDBANNINGCA92220
06171961972670461UTE MOUNTAIN UTE PHCY232 RUSTLING WILLOW STTOWAOCCO81334
06172091073630174SOUTHERN UTE HEALTH CENTER123 WEEMINUCHEIGNACIOCO81137
07186191003036435PEQUOT HEALTH CARE1 ANNIE GEORGE DRMASHANTUCKETCT06338
07194831316062904PIONEER HLTH COMPOUNDING PHCY520 HARTFORD TPKE STE DVERNONCT06066
13052731306948674BENEWAH MEDICAL CENTER1115 B STPLUMMERID83851
13053981235205915NIMIIPUU HEALTH PHARMACY111 BEAVER GRADELAPWAIID83540
13059321972632834NOT-TSOO GAH-NEE INDIAN HLTHMISSION RD BOX 717FORT HALLID83203
17174781326198581HASKELL IHS PHARMACY2415 MASSACHUSETTS AVELAWRENCEKS66046
17174921275683369WHITELCOUD HEALTH STATION3313 THRASHER RDWHITECLOUDKS66094
17180521801058748KICKAPOO NATION HEALTH CENTER1117 GOLDFINCH RDHORTONKS66439
17181911952323958PRAIRIE BAND POTAWATOMI CTR11400 158TH RDMAYETTAKS66509
20042261699788356PENOBSCOT FAMILY HEALTH CTR23 WABANAKI WAYINDIAN ISLANDME04468
20054561366526188PLEASANT POINT HEALTH CENTER11 BACK RDPLEASANT POINTME04667
20054441619005493INDIAN TOWNSHIP HEALTH CENTER401 PETER DANA POINT RDPRINCETONME04668
23441131891871539SAULT STE MARIE HEALTH CENTER2864 ASHMUN STSAULT S MARIEMI49783
23488441205939469NIMKEE PHARMACY2591 S LEATON RDMOUNT PLEASANTMI48858
23528051346331584SAULT STE MARIE TRIBAL HEALTH1140 N STATE STSAINT IGNACEMI49781
23544551760536007LAC VIEUX DESERT PHARMACYN5241 US HIGHWAY 45WATERSMEETMI49969
23567021922112812HANNAVILLE HEALTH CENTERW365 US HIGHWAY 2 41WILSONMI49896
23624381316904337BAY MILLS PHARMACY12124 W LAKESHORE DRBRIMLEYMI49715
23670101508957747MANISTIQUE TRIBAL HEALTH CTR5698 W US 2MANISTIQUEMI49854
23744331669786257POKAGON HEALTH SERVICES PHCY32652 KNO DRDOWAGIACMI49047
23755981114217833KBIC HEALTH FACILITY PHARMACY102 SUPERIOR AVEBARAGAMI49908
23833171467997239LITTLE RIVER BAND OF OTTAWA2608 GOVERNMENT CENTER DRMANISTEEMI49660
23835571588108260LTBB OF ODAWA PHARMACY1250 LEARS RDPETOSKEYMI49770
24179921346501392MIN NO AYA WIN PHARMACY927 TRETTEL LNCLOQUETMN55720
24178531053447599CASS LAKE INDIAN HEALTH HOSP425 7TH STREET NWCASS LAKEMN56633
24181601063549822RED LAKE IHS PHARMACY24760 HOSPITAL DRIVEREDLAKEMN56671
24204701982729364NE-IA-SHING CLINIC PHARMACY43500 MIGIZI DRONAMIAMN56359
24219891922024876WHITE EARTH HEALTH CENTER40520 COUNTY HIGHWAY 34OGEMAMN56569
24216121629256763CAIR-CENTER FOR AMERICAN INDIA211 W 4TH STDULUTHMN55806
24224241972666469BOIS FORTE BAND13071 NETT LAKE RDNETT LAKEMN55771
24283491700064714MASHKIKI WAAKAAIGAN1433 E FRANKLIN AVE STE 13BMINNEAPOLISMN55404
24333901437691417VERMILION PHARMACY1613 FARM RD STOWERMN55790
27055011821123522BLACKFEET INDIAN PHARMACY760 HOSPITAL CIRBROWNINGMT59417
27055131952437287CROW INDIAN HOSPITAL PHARMACY212 HWY AND I 90CROW AGENCYMT59022
27055251861528192FORT HELKNAP HEALTH CTR PHCY669 AGENCY MAIN STHARLEMMT59526
27055371588791586POPLAR HEALTH CENTER PHARMACY107 H STREET EPOPLARMT59255
27055491669508768LAME DEER HEALTH CENTER PHCY100 CHEYENNE AVELAME DEERMT59043
27064021316158280BOX ELDER TRIBAL HEALTH CTR535 CLINIC RD EBOX ELDERMT59521
27627391588791594WOLF POINT HEALTH CENTER PHCY550 6TH AVE NWOLF POINTMT59201
27628421306972633HAYES HEALTH CENTER PHARMACY123 WHITE CROW RDHAYSMT59527
27631971699801779HEART BUTTE PHS INDIAN HTH CTR81 DISNEY STHEART BUTTEMT59448
27064381669502316CONF SALISH AND KOOTENIA TRIBE308 MISSION DRSAINT IGNATIUSMT59865
27629551669501649LODGE GRASS HEALTH CENTER PHCYHARDING AVELODGE GRASSMT59050
27630841619007242PRYOR HEALTH STATION PHARMACYPRYOR GAP RDPRYORMT59066
27831491558482935CSKT POLSON HEALTH CENTER PHAR314 1ST ST EPOLSONMT59860
28099931205831237CARL T CURTIS HEALTH ED CENTER100 INDIAN HILLS DRMACYNE68039
28155801154451730WINNEBAGO IHS HOSP PHARMACYUS HWY 75-77WINNEBAGONE68071
28154771972630234SANTEE SIOUX TRIBAL HLTH CTR110 S VISTING EAGLE STNIOBRARANE68760
28179641356673040FRED LEROY HEALTH AND WELLNESS2602 J STOMAHANE68107
28184111013260561PONCA HILLS HEALTH WELLNESS1800 SYRACUSE AVENORFOLKNE68701
28194871891284022WINNEBAGO COMPREHENSIVE HEALTHUS HIGHWAY 77 75WINNEBAGONE68701
29047171447273438WASHOE TRIBE HEALTH CENTER950 US HIGHWAY 395 NGARDNERVILLENV89410
29053531629113881SOUTHERN BANDS HEALTH CENTER515 SHOSHONE CIRELKONV89801
29056561205986528LAS VEGAS INDIAN CLINIC6 PAIUTE DRLAS VEGASNV89106
29073691245445071DUCKWATER HEALTH CLINIC502 DUCKWATER FALLS RDDUCKWATERNV89314
29781421336274646RENO SPARKS SHOSHONE HLTH CTR1715 KUENZLI STRENONV89502
29786971538298773YERINGTON TRIBAL HEALTH CENTER171 CAMPBELL LNYERINGTONNV89447
29787001114052198FALLON PAIUTE-SHOSHONE HC1001 RIO VISTA DRFALLONNV89406
29789261932237229PYRAMID LAKE TRIBAL HLTH CTR705 HIGHWAY 446NIXONNV89424
29925841912205378OWYHEE COMMUNITY HLTH FACILITY1623 HOSPITAL LOOPOWYHEENV89832
32089521104943950ZUNI INDIAN HOSPITALRT 301 NORTH B STZUNINM87327
32090931235268996NORTHERN NAVAJO MEDICAL CENTERHIGHWAY 491 NSHIPROCKNM87420
32092451881727873ACOMA CANONCITO LAGUNA IHSINTERSTATE 40 EXIT 102SAN FIDELNM87049
32092691225155666ZIA IHS CENTER PHARMACY155 CAPITAL SQUARE DR # BZIA PUEBLONM87053
32092191093847451SANTA FE IHS PHARMACY1700 CERRILLOS RDSANTA FENM87501
32092711154453413SANTA ANA HEALTH CLINIC203 SANDIA DAY SCHOOL RDBERNALILLONM87004
32092831578692828ALBUQUERQUE INDIAN HLTH CTR801 VASSAR DR NEALBUQUERQUENM87106
32093081477676567PHS HEALTH CENTER-JEMEZ110 SHEEPSPRINGS RDJEMEZ PUEBLONM87024
32099781538298989GALLUP INDIAN MEDICAL CENTER516 E NIZHONI BLVDGALLUPNM87301
32102481124220900JICARILLA IHS PHARMACY12000 STONE LAKE RDDULCENM87528
32102861336278597DZILITH-NA-DITH-HLE HLTH CTR6 ROAD 7586BLOOMFIELDNM87413
32102501750425484MEDCALERO INDIAN HOSPITAL PHCY301 SAGE AVEMESCALERONM88340
32102621023148608CROWNPOINT IHS PHARMACYHWY 371 AND RTE 9CROWNPOINTNM87313
32102981013011212ALAMO NAVAJO HEALTH CENTERMILE MARKER 29 HIGHWAY 169ALAMONM87825
32103631790802890TAOS PICURIS HLTH CTR PHCY1090 GOAT SPRINGS RDTAOSNM87571
32103751407979008ISLETA HEALTH CENTER1 SAGEBRUSH STALBUQUERQUENM87105
32103871467550475SAN FELIPE HEALTH CLINIC PHCYCEDAR ST # 4SAN FELIPENM87001
32104021285766642COCHITI IHS PHARMACY255 COCHITI STCOCHITI PUEBLONM87072
32106041679607014TOHATCHI HEALTH CENTER07 CHOOSGAITOHATCHINM87325
32104381932231941SANTA CLARA IHS PHARMACYRR 5 BOX 446ESPANOLANM87532
32125191609116573PUEBLO OF SANDIA PHARMACY203 SANDIA DAY SCHOOL RDBERNALILLONM87004
32122161194002345SANTO DOMINGO PUEBLO PHARMACY85 W HIGHWAY 22SANTO DOMINGONM87052
32133331629525605CANONCITO HEALTH CENTER PHARMA129 MEDICINE HORSE DRIVETOHAJIILEENM87026
33009601659457851LIONEL R JOHN HEALTH CENTER987 R C HOAG DRSALAMANCANY14779
33010491154404606CATTARAUGUS INDIAN HEALTH CTR36 THOMAS INDIAN SCHOOL DRIRVINGNY14081
33040571053432195ST REGIS MOHAWK PHARMACY412 STATE ROUTE 37HOGANSBURGNY13655
34401201649374943CHEROKEE INDIAN HSP AUTH PHCY1 HOSPITAL RDCHEROKEENC28719
35038331770613325FT YATES IHS HOSP PHARMACY1010 N RIVER RDFORT YATESND58538
35038711790811503BELCOURT IHS PHARMACY1 MAIN ST HWY 5BELCOURTND58316
35039341689895427TRENTON COMMUNITY CLINIC331 4TH AVE E RM 18TRENTONND58853
35045561124284914TAT WHITE TELE PHARMACY2 MAIN ST BROSEGLENND58775
35045681063678779TAT MANDAREE TELEPHARMACY00N01 WARRIOR CIR/ 305 MAIN STMANDAREEND58757
35045321811153505TAT TWIN BUTTES TELE PHARMACY726 80 AVE NWHALLIDAYND58636
35045441801052592TAT PARSHALL TELEPHARMACY107 3RD ST NEPARSHALLND58770
35045941467611970ELBOWOODS PHARMACY1058 COLLEGE DRNEW TOWNND58763
35051421265884308SPIRIT LAKE HEALTH CENTER PHA3883 74TH AVENUE NEFORT TOTTENND58335
37108181538216205CHOCTAW NATION HEALTH CENTER1 CHOCTAW WAYTALIHINAOK74571
37110621023168051CLAREMORE IHS PHARMACY101 S MOORE AVECLAREMOREOK74017
37182701316097298LAWTON IHS PHARMACY1515 LAURIE TATUM RDLAWTONOK73507
37184581457447609INDIAN HEALTH RESOURCE CENTER550 S PEORIA AVETULSAOK74120
37197151811980154OKLAHOMA CITY INDIAN CLINIC4913 W RENO AVEOKLAHOMA CITYOK73127
37196761669597027ARDMORE INDIAN CLINIC PHCY2510 CHICKASAW BLVDARDMOREOK73401
37196881750406757TISHOMINGO INDIAN CLINIC PHCY815 E 6TH STTISHOMINGOOK73460
37203901891816377A-MO HEALTH CENTER RX900 N OWEN WALTERS BLVDSALINAOK74365
37204031649216441WILL ROGERS HEALTH CENTER RX1020 LENAPE DRNOWATAOK74048
37204531417090820SAM HIDER HEALTH CENTER859 E MELTON DRJAYOK74346
37205301699790543LITTLE AXE HEALTH CENTER15951 LITTLE AXE DRNORMANOK73026
37208691477674075KANZA PHARMACY3151 E RIVER RDNEWKIRKOK74647
37204391497791859WILMA P MANKILLER HEALTH CTRRR 6 BOX 840STILWELLOK74960
37204411801803846REDBIRD SMITH HEALTH CENTER RX301 JT STITES BLVDSALLISAWOK74955
37206791689680670CITIZENS POTAWATOMI NATION PHA2307 S GORDON COOPER DRSHAWNEEOK74801
37208711154430031OKMULGEE INDIAN HLTH CTR1313 E 20TH STOKMULGEEOK74447
37209461831208719EUFAULA INDIAN HEALTH CENTER800 W FORREST AVEEUFAULAOK74432
37210251457460321SAPULPA INDIAN HEALTH CENTER1125 E CLEVELAND AVESAPULPAOK74066
37211401033229992CREEK NATION COMM CLINIC PHCY309 N 14TH STOKEMAHOK74859
37212651487715587CHICKASAW NATION REFILL CTR933 N COUNTRY CLUB RDADAOK74820
37214311831294024ABSENTEE SHAWNEE PHARMACY2029 S GORDON COOPER DRSHAWNEEOK74801
37213541538219431CLINTON IHS PHARMACYROUTE 1 BOX 3060CLINTONOK73601
37214791851448526RUBIN WHITE HEALTH CLINIC109 KERR AVEPOTEAUOK74953
37215821568510451CHOWTAW NATION HEATLH CLINIC410 N M STHUGOOK74743
37218091194803346KICKAPOO TRIBAL HLTH CTR PHCY105365 S HIGHWAY 102MCLOUDOK74851
37220771497791982THREE RIVERS HEALTH CENTER1001 S 41ST ST EMUSKOGEEOK74403
37215681124175518CHOCTAW NATL INDIAN HLTH CTR903 E MONROE AVEMCALESTEROK74501
37218611538219381EL RENO INDIAN HEALTH CENTER1631A E US HIGHWAY 66EL RENOOK73036
37229381891999157WHITE EAGLE HEALTH CENTER200 WHITE EAGLE DRPONCA CITYOK74601
37229141568512374WEWOKA INDIAN HEALTH CENTERHIGHWAY 56 AND 270WEWOKAOK74884
37230431699825489CARNEGIE INDIAN HEALTH CLINICUS HIGHWAY 9 WCARNEGIEOK73015
37230551326198219WATONGA IHS PHARMACYRR 1 BOX 34AWATONGAOK73772
37230291124178017PAWNEE IHS PHARMACY1201 HERITAGE CIRPAWNEEOK74058
37230311316097389ANADARKO IHS PHARMACY115 OLD TOWN DR NEANADARKOOK73005
37231441639267065NORTHEASTERN TRIBAL HLTH CTR7600 S HIGHWAY 69AMIAMIOK74354
37240691609924471CHOCTAW NATION HLTH CLINIC2204 E MAIN STSTIGLEROK74462
37240951396860003PURCELL INDIAN HLTH CLINIC1438 HARDCASTLE BLVDPURCELLOK73080
37242851790833564CHOCTAW NATION HEALTH CLINIC902 E LINCOLN RDIDABELOK74745
37245641881616456PERKINS FAMILY CLINIC501 E HIGHWAY 33PERKINSOK74059
37253381326294968WW HASTINGS INDIAN HOSPITAL RX100 S BLISS AVETAHLEQUAHOK74464
37253261972769701CHOCTAW NATION HEALTH CLINIC1201 W LIBERTY RDATOKAOK74525
37261021649593252CHICKASAW NATION MEDICAL CTR1921 STONECIPHER BLVDADAOK74820
37266191598053993CPN WEST CLINIC PHARMACY781 GRAND CASINO BLVDSHAWNEEOK74804
37269481790030369VINITA HEALTH CENTER27371 S 4410 RDVINITAOK74301
37270911033462593BEARSKIN HEALTH CLINIC PHCY1 TURTLE DRWYANDOTTEOK74370
37283341295142115CHOCTAW NATION HLTH CLINIC D1600 N WASHINGTON AVEDURANTOK74701
37285621629476221COOWEESCOWEE HEALTH CLINIC PHA395200 W 2900 RDOCHELATAOK74051
37288891346623584W W HASTINGS INDIAN HEALTH C100 S BLISS AVETAHLEQUAHOK74464
37290951568839470WAH-ZHA-ZHI HEALTH CENTER715 GRANDVIEW AVEPAWHUSKAOK74056
38109971891822003SILETZ TRIBAL HEALTH CLINIC107 SE SWAN STSILETZOR97380
38111651639290778KLAMATH TRIBAL HEALTH PHARMACY330 CHILOQUIN BLVDCHILOQUINOR97624
38126621174666358GRAND RONDE HEALTH AND WLNS9605 GRAND RONDE RDGRAND RONDEOR97347
38126861861556920CHEMAWA IND HLTH CTR PHCY3750 CHEMAWA RD NESALEMOR97305
38132081376672352WARM SPRINGS HEALTH WELLNESS1270 KOT-NUM RDWARM SPRINGSOR97761
38136021285706721YELLOWHAWK INDIAN HEALTH73265 CONFEDERATED WAYPENDLETONOR97801
38431501477711802GRAND RHONDE HEALTH CLINIC9605 GRAND RONDE RDGRAND RONDEOR97347
42259231467581819CATAWBA INDIAN HEALTH CTR PHCY2893 STURGIS RDROCK HILLSC29730
43047311801925060SISSETON IHS HOSPITAL PHARMACY5 E CHSTNUT STSISSETONSD57262
43047931033248059FORT THOMPSON INDIAN HEALTH CTPO BOX 200FORT THOMPSONSD57339
43048441548390115WAGNER INDIAN HOSPITAL111 WASHINGTON ST NWWAGNERSD57380
43048701093845653MCLAUGHLIN INDIAN PHARMACY701 EAST 6TH STMC LAUGHLINSD57642
43049071174653752WANBLEE IHS HEALTH CENTER210 1ST ST NWANBLEESD57577
43049191184753337RAPID CITY - SIOUX SAN IHS3200 CANYON LAKE DRRAPID CITYSD57702
43049451720117740KYLE IHS CLINIC PHARMACY1000 HEALTH CENTER CIRKYLESD57752
43049571053441626ROSEBUD IHS HOSPITAL PHARMACY400 SOLDIER CREEK RDROSEBUDSD57570
43047791790815363PINE RIDGE IHS HOSPITAL1 HIGHWAY 18PINE RIDGESD57770
43048821184753147LOWER BRULE IHS CLINIC PHCY601 GALL STLOWER BRULESD57548
43049331770610842EAGLE BUTTE IHS HOSP PHARMACY317 MAIN STEAGLE BUTTESD57625
43050981558387076SANTEE SIOUX TRIBAL CLINIC701 W BROAD AVEFLANDREAUSD57028
45527241326288259CHIEF KINA HEALTH CLINIC129 DAYCARE RDLIVINGSTONTX77351
46078601477688190FT DUCHESNE HEALTH CENTER PHCY6822 E 1000 SFORT DUCHESNEUT84026
49157361245378298SEATTLE INDIAN HEALTH BOARD611 12TH AVE SSEATTLEWA98144
49247351588789416INCHELIUM COMMUNITY CLINICINCHELIUM-KETTLE FALLS HWYINCHELIUMWA99138
49253571659406171PUYALLUP TRIBAL HEALTH2209 E 32ND ST BLDG 15TACOMAWA98404
49257251619193570TULALIP PHARMACY8825 34TH AVE NE STE ATULALIPWA98271
49263091750411310DAVID C WYNECOOP MEM CLNC6203 AGENCY LOOP RDWELLPINITWA99040
49263111548307929YAKAMA INDIAN HLTH CTR PHCY401 BUSTER RDTOPPENISHWA98948
49262841063542645COLVILLE INDIAN HEALTH CTRAGENCY CAMPUS HWY 155NESPELEMWA99155
49262961710995279SOPHIA TRETTEVICK INDIAN HLTHHIGHWAY 112 CLINIC RDNEAH BAYWA98357
49276661184743221LUMMI TRIBAL HEALTH CENTER2592 KWINA RDBELLINGHAMWA98226
49304851851420905OMAK HEALTH STATION PHARMACY617 BENTON STOMAKWA98841
49336451952623027NISQUALL TRIBAL PHARMACY4816 SHE NAH NUM DR SEOLYMPIAWA98513
49379601881142214CHEHALIS TRIBAL WELLNESS CENTE21 NIEDERMAN RDOAKVILLEWA98568
51183191750579058ONEIDA COMM HEALTH CENTER PHCY525 AIRPORT DRONEIDAWI54155
51187991942331467STOCKBRIDGE-MUNSEE HEALTH CTRW 12802 COUNTY HWY ABOWLERWI54416
51190441598890378LAC COURTE OREILLES CLINIC13380 W TREPANIA RDHAYWARDWI54843
51214791780702829BAD RIVER PHARMACY53585 NOKOMIS RDASHLANDWI54806
51223821447271408PETER CHRISTENSEN HLTH CTR129 OLD ABE RDLAC DU FLAMBEAUWI54538
51227981699988295HO-CHUNK HEALTH CARE CENTERN 6520 LUMBER JACK GUY RDBLACK RIVER FALLSWI54615
51235001275606808RED CLIFF COMM HEALTH CENTER36745 AIKEN RDBAYFIELDWI54814
51255161972725240HO-CHUNK NATION HOUSE OF WELL2845 S WHITE EAGLE RDBARABOOWI53913
51360641487171054RX LINK IGNACE PHARMACY930 W HISTORIC MITCHELL STMILWAUKEEWI53204
52031441336274026FT WASHAKIE HEALTH CENTER29 BLACK COAL DRFORT WASHAKIEWY82514
52047801699292391WIND RIVER CARES RIVERTON511 N 12TH ST ERIVERTONWY82501
52046531528424611WIND RIVER FAMILY AND COMM14 GREAT PLAINS RDARAPAHOEWY82510
56155151417026758SOUTHERN INDIAN HLTH COUNCIL4058 WILLOWS RDALPINECA91901
56233841699881540TUOLUMNE ME-WUK IND HLTH CTR18880 CHERRY VALLEY BLVDTUOLUMNECA95379
56344761942435946CHAPA-DE INDIAN HEALTH PROGRAM1350 E MAIN STGRASS VALLEYCA95945
56461781760728380PECHANGA INDIAN HEALTH CLINIC12784 PECHANGA RDTEMECULACA92592
56473581528402336LAKE COUNTY TRIBAL HEALTH PHAR925 BEVINS CTLAKEPORTCA95453
56620831710423793SHINGLE SPRINGS HEALTH5168 HONPIE RDPLACERVILLECA95667

Info

Info obtained from:
M010 Network Pharmacy Report
Filter 'x' for 'IHS Pharmacy Identifier'

File details come from the government source that posted it. Updated .