Workers Compensation Claims Folder - Aim Mutual …€¦ ·  · 2017-06-15Workers Compensation...

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Workers Compensation Claims Folder 54 Third Avenue * P.O. Box 4070 * Burlington, MA 01803 Telephone: 781-221-1600 / 800-876-2765 Fax: 781-270-5599 Associated Insurance Services, LLC

Transcript of Workers Compensation Claims Folder - Aim Mutual …€¦ ·  · 2017-06-15Workers Compensation...

Page 1: Workers Compensation Claims Folder - Aim Mutual …€¦ ·  · 2017-06-15Workers Compensation Claims Folder 54 Third Avenue * P.O. Box 4070 * Burlington, ... assigned to your case.

Workers Compensation

Claims Folder

54 Third Avenue * P.O. Box 4070 * Burlington, MA 01803Telephone: 781-221-1600 / 800-876-2765

Fax: 781-270-5599

Associated Insurance Services, LLC

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Associated Insurance Services, LLC 54 Third Avenue, Burlington, MA 01803

Workers Compensation Claim Reporting Options - Massachusetts

In the event of a serious accident, call us immediately at 1-866-270-3357 (toll free 24-hour/7 day a week claim reporting)

Choose from several different ways to report your workers compensation claims to us: By Fax: For Medical Only claims, complete and fax the Medical Only/Med-Fax form into us at 1-781-270-5599.

OR If this, or any work-related injury results in the employee’s total or partial incapacity to earn wages for five (5) or more calendar days, complete and fax the Form 101 (Employers First Report of Injury) to us at 1-781-270-5599. (Remember to give a copy of the Form 101 to the injured employee.) We will submit the Form 101 to the Department of Industrial Accidents (DIA) when the employee has been totally or partially incapacitated from earning wages for five (5) or more calendar days. On-Line, over the Internet: Sign on to www.aimmutual.com and click “Report A Claim”. Select To Report A Claim Online and then click on Massachusetts. You will be prompted to answer a series of questions similar to the information necessary to complete a Form 101. After answering all of the questions and clicking on SEND, you will receive a message stating your claim has been submitted. It will also state that a Claim Acknowledgement letter containing the claim number and assigned claim representative will be mailed to your company after registration has been completed. Click Print for a copy of the information you sent. We will submit the Form 101 to the Department of Industrial Accidents (DIA) when the employee has been totally or partially incapacitated from earning wages for five (5) or more calendar days. We will also file a Form 101 with the DIA when a Medical Only claim has been changed to a lost time claim. In the event an employee is incapacitated from earning wages for five (5) calendar days or more, you are responsible for giving the employee a copy of the Form 101. By Phone: Report claims by calling toll free: 1-866-270-3357. This line is established for reporting new claims only, and facilitates the initial claim reporting process (see reverse side for outline of required information). You will receive a completed Form 101 and a confirmation letter, followed by a claim acknowledgment letter including the name of the Claim Representative assigned to your case. We will submit the Form 101 to the Department of Industrial Accidents (DIA) when the employee has been totally or partially incapacitated from earning wages for five (5) or more calendar days. We will also file a Form 101 with the DIA when a Medical Only claim has been changed to a lost time claim. In the event an employee is incapacitated from earning wages for five (5) calendar days or more, you are responsible for giving the employee a copy of the Form 101. After the initial claim report: Please direct ongoing claim and service inquiries to your Claim Representative at our toll free telephone number:

1-800-876-2765 By Mail: Please refer to the Claim Reporting Procedures in your Claims Folder for instructions.

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Guide For Reporting Workers Compensation Injuries by phone Call 1-866-270-3357

(Toll free 24-hour/7 day a week claim reporting)

Here are some key items to note beforehand when calling our toll-free number to report Workers Compensation injuries. However, do not delay in calling if you do not have answers to all of these questions. Insured Information: 13 digit policy number:________________________________ Line of Business ______ Loss Date ___________________________________________ Employer Name:__________________________________________________________________________________ Employer Address:______________________________________________________ Zip Code:_________________ Telephone #______________________________ Fax #____________________________________ Type of Business:______________________________ Location code, if any (important): ________ Is this the address where the accident happened/loss occurred?:_________ (Y or N) Injured Employee Information: Employee Name:__________________________________________ Social Security #: ________________________ Employee Address:_______________________________________________ Zip Code:_______________________ Home Telephone #:_____________________________ Work Telephone #:_________________________________ Gender:________ Marital Status: _______ # of Dependents: ______Date of Birth:______________ Job Title:____________________________ Department:________________________________________________ Employment Status:____________________ Pay Type ( S-salary, H-hourly) ___________ Hired Date:__________ If Salary, what is Annual Salary: ________________________________ If Hourly, what is Hourly Wage:____________ Daily Hours Worked:__________ Days in work week:_______ Supervisor Name:__________________________________ Supervisor Telephone:___________________________ Time employee began work on day of injury:_______________________ Employer Notified Date:______________ Regular Occupation: ________________ How long has employee been in current job/position:__________________ Did the employee miss work beyond his/her normal shift:________________________________ Accident Information: Time of day or night the incident occurred: __________________ Has the employee been disabled 5 or more days:______________ Will the employee be disabled 5 or more days:_______________ Has employee Returned To Work (RTW):__________ Date disability began:____________ RTW date ____________ # of work days lost:____________ Did employee return to full duty_______________ Injury Activity:_________________________ Injury Description:_________________________ Type of Inj:___________ Category of Inj:__________ Cause of Inj:______________ Body part:________________ Severity of Injury:_______________________________ Was Medical Treatment provided:_________________ Initial place of treatment:___________________ Date of fatality:_____________ Last day worked:______________ Medical Facility Type:_____________________ Hospital Name:_______________________________________________ Address:_______________________________________ Zip Code:__________________ Telephone #:_______________ Admitted to Hospital:___________ Still in Hospital:_____________ Is Physician info available:_______________ Were there any witnesses present when the injury occurred:__________________________________________________ Witness Name:_________________________________________________________________________________________ Witness Address:___________________________________________________ Zip Code:__________________________ Home Telephone #:_______________________________ Work Telephone #:___________________________ Contact information (if different from person reporting the claim, then name, address and work telephone is needed)

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Associated Insurance

Services, LLC

Workers Compensation Claim Reporting Procedures

IT IS IMPORTANT THE INSTRUCTIONS IN THESE PROCEDURES BE FOLLOWED EXACTLY AS OUTLINED. Prompt filing of the correct forms with all the necessary information helps speed necessary claim investigations and the proper payments of benefits when due. LATE FILINGS, OR LATE PAYMENTS MAY ALSO RESULT IN PENALTIES IMPOSED ON YOUR COMPANY AND/OR ASSOCIATED INSURANCE SERVICE CORP. Keep in mind: ♦ If it’s a serious accident, call us immediately: 1-866-270-3357 ♦ We will file the Massachusetts Form 101 with the Department of Industrial Accidents regardless of

the method you use to report a claim to us. If you need additional forms, request them from Associated Insurance Services, LLC (1-800-876-2765 - Claim Services Department).

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Faxing or Mailing Medical Only Claims to Us Medical Only / Med-Fax Report

If you choose to notify us of a Medical Only claim by fax or mail, you need to complete the Associated Insurance Services, LLC Medical Only / Med-Fax Report whenever: ♦ you receive a report of an alleged illness or injury, AND ♦ that illness or injury IS NOT expected to result in the employee being disabled for five or more

calendar days. Section A - The injured worker’s supervisor or similar person in authority should complete Section A and the Supervisor action section at the bottom of the form. Don’t forget to fill in your location code. Section B - The injured worker should review, sign and date Section B. Section C - If the injured worker requires medical attention, he or she should take the form to the medical provider. The medical provider must complete Section C. Distribution of Copies – The medical provider should keep the yellow copy of the form, and the employee should keep the pink copy. The employer should fax the white copy to Associated Insurance Services, LLC at 1-781-270-5599 and keep the white copy for its files.

Note: Do not file this form with the Department of Industrial Accidents (D.I.A.)

If this work related injury results in the employee being disabled for five (5) or more calendar days, please complete a Form 101 and submit it to us by fax or mail. (Remember to give a copy of the Form 101 to the injured employee.) We will then file the Form 101 with the Department of Industrial Accidents.

Form 101

Employer’s First Report of Injury or Fatality The timely filing of Form 101 is very important. Whenever an alleged work-related injury is reported to you resulting in the employee being disabled for five (5) or more calendar days, a "Form 101-Employer's First Report of Injury" must be completed. A copy of the Form 101 must be given to the injured employee. Don’t forget to fill in your location code in Block 22.

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Fax or mail the Form 101 to Associated Insurance Services, LLC as soon as possible. Indemnity payments must be sent out fourteen (14) days from Associated Insurance Services, LLC’s receipt of the form. The distribution of Form 101 is as follows:

Original: ASSOCIATED INSURANCE SERVICES, LLC Claim Department 54 Third Avenue P.O. Box 4070 Burlington, MA 01803-0970

Copy: Employee Copy: Employer's File Copy Associated Insurance Services, LLC will file the Form 101 with the: Department of Industrial Accidents Department 101 1 Congress Street –10th Floor Boston, MA 02114 ON THE DAY AN EMPLOYEE who had five (5) or more calendar days of disability RETURNS TO WORK, PLEASE CALL Associated Insurance Services, LLC’s Claim Department at 1-800-876-2765 and report the return.

FORM 127

Average Weekly Wage Computation Schedule

FORM 127 or a similar 52-week gross payroll report must be completed and distributed by the employer immediately after filing Form 101. It is to be distributed as follows:

Original: ASSOCIATED INSURANCE SERVICES, LLC Claim Department 54 Third Avenue P.O. Box 4070 Burlington, MA 01803-0970 Copy: Employer's File Copy

This form is necessary every time a Form 101 is filed. It is used to calculate accurate benefits for the injured employee.

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FORM AIS 20

Request for Medical Services

Whenever there is a work related injury that requires medical attention, a form, "AIS 20 - Request for Medical Services," should be completed. It should be signed by the employer, and then given to the employee. The completed form should then be presented by the employee to the hospital or physician when the employee seeks medical services. This will facilitate the medical provider's billing to Associated Insurance Services, LLC.

IMPORTANT

1. THE FILING OF FORM 101 with the Department of Industrial Accidents and/or Associated Insurance Service LLC IS NOT AN AGREEMENT THERE HAS BEEN A WORKPLACE INJURY. 2. Associated Insurance Services, LLC will be filing the Form 101 with the Department of Industrial Accidents. If a claim originally reported as a medical only claim becomes a lost time claim, notify the Claim Department at 1-800-876-2765. (Note: A copy of the Form 101 must be provided to the injured employee.) 3. FORM 127 OR SIMILAR PAYROLL REPORT SHOULD BE FILED IMMEDIATELY AFTER FORM 101 IS FILED. This report is used to determine the amount of the employee's indemnity payment. Failure to make these payments within the time allowed by law may result in penalties. 4. If you have any questions regarding the requirements of the Department of Industrial Accidents, you may call their Information Desk on the toll free hotline: 1-800-323-3249 or call Associated Insurance Services, LLC’s Claim Department at 1-800-876-2765. 5. For assistance in completing these forms, follow the enclosed samples and instructions.

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A.I.M. Works TM Fax this report to AIS LLC at 781-270-5599

Tel. No. 1-800-876-2765

DO NOT File This Form With The Dept. of Industrial Accidents

MedFax Rev. 1/06

Employee Name (Last, First, MI):

Employee Telephone: ( ) -

Social Security Number: -- --

Employee Address:

Sex: ( ) F ( ) M

Date of Birth: / /

Insurer: P.O. Box 4070, Burlington, MA 01803-0970

Location Code:

Marital Status: ( ) Single ( ) Married

Employer: Employer Telephone: ( ) -

Policy Number:

Employee Occupation: Witness to Accident: Date of incident: / /

Time of incident: ( )AM ( )PM

Date of hire: / /

Date assigned to present position: / /

Date incident reported: / /

To Whom: Returned to work: ( ) Yes ( ) No

Address where injury occurred (If different from Employer above):

Date of Return to Work: / /

Returned to Regular Job: ( ) Yes ( ) No

Type of injury (Burn, Fracture, Cut, etc.):

Average 52 Week Wage: $ ( ) Estimated ( ) Actual

Injured Body Part(s) (Arm, Leg, Back, etc.):

Source of injury (Chemicals, Machinery, etc.):

Name of Employer’s Claim Coordinator:

Height: ft. in. Weight: Smoker: ( ) Yes ( ) No If yes, # pack(s) per day:

Describe what happened:

S E C T I O N

A __

S U P E R V I S O R

Supervisor Signature: _________________________________________________ Date: _____/_____/_____

Medical Authorization: In accordance with state law, I, the undersigned, authorize Associated Insurance Services LLC, as a workers compensation claim service provider, and its authorized agents or representatives, as well as my employer to be furnished with any information or facts regarding this injury only, including records, diagnosis, medical treatment and prognosis, estimates of disability and recommendations for further treatment. This information is to be used for the sole purpose of evaluating and handling my claim and to assure timely medical care as a result of the incident occurring on or about the above noted date and for no other purpose, now or in the future. I also agree that a photocopy of this release is as valid as the original.

Employee Signature: __________________________________________________ Date: _____/_____/_____

S E C T I O N

B

I do not want medical treatment for this injury – Employee Signature: Date: / /

TREATMENT AREA USE ONLY (To be filled out by Medical Care Provider)

N ame of Provider: __________________________________________ Date: ____/____/____ Arrival Time: ______ ( )AM ( )PM

Accident Description: _____________________________________________________________________________________

Preliminary Diagnosis: ________________________________________________________ New Injury/Illness: ( )Yes( )No

Related to above incident at work: ( )Yes ( )No ( )Undetermined Pre-existing Condition: ( )Yes ( )No Height: ft. in Weight: lbs. Smoker: ( ) Yes ( ) No If yes, # pack(s) per day _________

Recommended Work Status: (Check one and provide additional information as appropriate) Full Duty ( ) Modified Duty ( )

Full Duty to resume on: ______/______/______ Unable To Immediately Return To Work ( )

Modified duty to begin: ______/______/______ Full Duty to resume on: ______/______/______

May lift up to: 5 lbs. ( ) 25 lbs. ( ) 40 lbs. ( ) 75 lbs. ( ) No lifting ( )

May carry up to: 5 lbs. ( ) 25 lbs. ( ) 40 lbs. ( ) 75 lbs. ( ) No carrying ( )

May Push/Pull up to: 5 lbs. ( ) 25 lbs. ( ) 40 lbs. ( ) 75 lbs. ( ) No pushing/pulling ( ) Other Duty Modifications: _____________________________________________________________________________________

Physician Comments: ________________________________________________________________________________________

Follow-Up Appointment With: _____________________________________ Date: ____/____/____ Time: ________ ( ) AM ( ) PM Physician/Clinician Name:________________________________________ Tel. #: ( ) ______ - _________ (Please print legibly)

Physician/Clinician Signature: ___________________________________________ Date: _____/_____/_____

SUPERVISOR ACTION: ( ) Returned to Work ( ) Modified Duty ( ) Send Home ( ) Send for Treatment

S E C T I O N

C

__

M E D I C A L

P R O V I D E R

( ) Notice Only ( ) Medical Only ( ) Lost

Industry Code: ________________________(see instruction sheet) Employer Copy - WHITE Medical Provider – YELLOW Employee Copy – PINK

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Supervisor’s Instructions for Completion of the MEDICAL ONLY/MED FAX Report

All work–related incidents are to be promptly reported to the immediate department supervisor on duty who will complete this form.

EMERGENCIES In life–threatening situations, seek medical attention immediately; then proceed with completion of this form.

NON-EMERGENCIES

SUPERVISOR - Complete SUPERVISOR SECTION (top portion) upon report of injury. If medical attention is refused or not needed, complete SUPERVISOR ACTION section, (bottom of form) and send all copies to Human Resources office. EMPLOYEE - Sign the AUTHORIZATION section. If you do not want medical treatment; also sign the next section indicating you do not wish to have medical treatment. PHYSICIAN - Complete the MEDICAL TREATMENT SECTION and sign. Keep the Yellow copy.

When outside medical attention is needed, employee is escorted to appropriate treatment site with WHITE and YELLOW copies. The PINK copy is for the Employee.

The YELLOW copy is for the Physician. Return the WHITE copy to Human Resources.

AIM Works Immediate Care Facility

____________________________________

____________________________________

____________________________________

AFTER IMMEDIATE CARE RENDERED

EMPLOYEE - Return to supervisor following treatment with completed WHITE form. Keep the YELLOW form.

SUPERVISOR - Based on medical instructions (MEDICAL TREATMENT section) employee will return to work on full or modified duty, or be sent home.

- Forward the completed WHITE form to AIS LLC within 24 hours.

INDUSTRY CODES

Agriculture, Forestry and Fishing 01 Agriculture Production - Crops 02 Agriculture Production - Livestock 03 Agriculture Services 04 Forestry 05 Fishing, Hunting and Trapping Mining 10 Metal Mining 12 Coal Mining 13 Oil and Gas Extraction 14 Nonmetallic Minerals, Except Fuels Construction 15 General Building Contractors 16 Heavy Construction, Ex. Building 17 Special Trade Contractors Manufacturing 20 Food and Kindred Productions 21 Tobacco Products 22 Textile Mill Products 23 Apparel and Other Textile Products 24 Lumber and Wood Products 25 Furniture and Fixtures 26 Paper and Allied Products 27 Printing and Publishing

28 Chemicals and Allied Products 29 Petroleum and Coal Products 30 Rubber and Misc. Plastics Products 31 Leather and Leather Products 32 Stone, Clay and Glass Products 33 Primary Metal Industries 34 Fabricated Metal Products 35 Industrial Machinery and Equipment 36 Electronic and Other Electric Equipment 37 Transportation Equipment 38 Instruments and Related Products 39 Miscellaneous Manufacturing Industries Transportation and Public Utilities 40 Railroad Transportation 41 Local and Interurban Passenger Transit 42 Trucking and Warehousing 43 U.S. Postal Service 44 Water Transportation 45 Transportation by Air 46 Pipelines, Except Natural Gas 47 Transportation Services 48 Communications 49 Electric Gas and Sanitary Services

Wholesale Trade 50 Wholesale Trade – Durable Goods 51 Wholesale Trade – Nondurable Goods Retail Trade 52 Building Materials and Garden Supplies 53 General Merchandising Stores 54 Food Stores 55 Automotive Dealers and Service Stations 56 Apparel and Accessory Stores 57 Furniture and Homefurnishing Stores 58 Eating and Drinking Places 59 Miscellaneous Retail Finance, Insurance and Real Estate 60 Depository Institutions 61 Nondepository Institutions 62 Security and Commodity Brokers 63 Insurance Carriers 64 Insurance Agents, Brokers and Service 65 Real Estate 67 Holding and Other Investment Offices Services 70 Hotels and Other Lodging Places 72 Personal Services 73 Business Services

75 Auto Repair Services and Parking 76 Miscellaneous Repair Services 78 Motion Pictures 79 Amusement and Recreation Services 80 Health Services 81 Legal Services 82 Educational Services 83 Social Services 84 Museums, Botanical, Zoological Gardens 86 Membership Organizations 87 Engineering and Management Services 88 Private Households 89 Services, NEC Public Administration 91 Executive, Legislative and Garden 92 Justice, Public Order and Safety 93 Finance, Taxation and Monetary Policy 94 Administration of Human Resources 95 Environmental Quality and Housing 96 Administration of Economic Programs 97 National Security and International Affairs Nonclassifiable Establishments 99 Nonclassifiable Establishments

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Associated HOW TO COMPLETE THE MEDICAL ONLY / MED-FAX REPORT Insurance

Services, LLC Section A – Supervisor #1 Please print or type the employee's last name, first name and middle initial, as you know it. #2 Please print or type the employee's current home telephone number. #3 Please print or type the nine (9) digit employee's social security number.

#4 Please print or type the employee's current full home address. #5 Please check box indicating employee's sex. #6 Please print or type employee's birth date (MM/DD/YY). #7 Insurer name and address is already printed here for you. #8 If applicable, please print or type the location code. #9 Please check box indicating marital status. #10 Please print or type employer's name. #11 Please print or type employer's telephone number. #12 Please print or type your Workers Compensation policy number. #13 Please print or type employee's regular occupation or job description. #14 Please indicate if there was a witness(es) to the injury. If yes, specify name and position of individual(s). #15 Please print or type the date the injury or illness happened or was alleged to have happened. #16 Please print or type the time the injury or illness happened or was alleged to have happened. Check a.m. or p.m. #17 Please print or type employee's date of hire (MM/DD/YY). #18 Please print or type the date the employee was assigned to his/her present position (MM/DD/YY). #19 Please print or type the date the injury or illness was reported. #20 Please print or type the person and position to whom the injury or illness was reported. #21 Please indicate if employee has returned to work. #22 Please print or type the address where injury occurred. #23 Please print or type the date of return to work (MM/DD/YY) if employee has returned to work. #24 Please indicate if employee has returned to his/her regular position. #25 Please print or type a description of injury or illness. #26 Please print or type the average 52-week wage amount earned. Also check box indicating if estimated salary or

actual salary earned. #27 Please specify the injured body part(s). #28 Please print or type the source of injury (e.g., machine, tool, substance, etc.) #29 Please print or type the name of the employer’s claim coordinator. #30 Record the employee’s height in feet and inches. #31 Record the employee’s weight. #32 Indicate if the employee is a smoker and, if yes, how many packs per day he/she smokes. #33 Please describe in detail what happened. #34 The supervisor should sign and date the form. 5/2006

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5/2006

Section B: #1 The employee must sign and date where indicated in Section B to either: a) provide medical authorization, or (b)

decline medical treatment for this injury Section C: To be filled out by Medical Care Provider #1 Please print or type the name of the medical care provider. #2 Please print the date and time the employee arrived in the medical care facility. Check a.m. or p.m. #3 Please provide a description of the accident. #4 Please provide the preliminary diagnosis and indicate whether this is a new injury or illness. Indicate if this

diagnosis is related to the incident being reported or if it is a pre-existing condition. #5 Please provide height and weight information as well as any smoking history. #6 Please indicate whether full or modified duty work status is recommended. #7 If modified duty is recommended, specify when full duty can resume. #8 Check here if employee is unable to immediately return to work. Then specify when modified duty can begin and

when full duty can resume. #9 Specify what limits employee may lift up to, carry up to, and push or pull up to. #10 Please note any other duty modifications that may be necessary. #11 Please include additional comments that the employer should know about. #12 Please note with whom the employee has a follow-up appointment as well as the date and time of the appointment. #13 Please print the name of the treating physician or clinician and his/her phone number. #14 The treating physician or clinician should then sign and date the Report.

Supervisor Action #1 Check what action was taken following the injury or illness: returned to work, modified duty, sent home, or sent for

treatment. #2 Indicate whether this was a notice only (no treatment necessary), whether the incident required medical attention

only, or whether lost work time was involved. #3 Please print or type the exact two (2) digit industry code number from the chart below that best describes the main

product produced or the service or type of business the employer is engaged in.

INDUSTRY CODES

Agriculture, Forestry and Fishing 01 Agriculture Production - Crops 02 Agriculture Production - Livestock 03 Agriculture Services 04 Forestry 05 Fishing, Hunting and Trapping Mining 10 Metal Mining 12 Coal Mining 13 Oil and Gas Extraction 14 Nonmetallic Minerals, Except Fuels Construction 15 General Building Contractors 16 Heavy Construction, Ex. Building 17 Special Trade Contractors Manufacturing 20 Food and Kindred Productions 21 Tobacco Products 22 Textile Mill Products 23 Apparel and Other Textile Products 24 Lumber and Wood Products 25 Furniture and Fixtures 26 Paper and Allied Products 27 Printing and Publishing

28 Chemicals and Allied Products 29 Petroleum and Coal Products 30 Rubber and Misc. Plastics Products 31 Leather and Leather Products 32 Stone, Clay and Glass Products 33 Primary Metal Industries 34 Fabricated Metal Products 35 Industrial Machinery and Equipment 36 Electronic and Other Electric Equipment 37 Transportation Equipment 38 Instruments and Related Products 39 Miscellaneous Manufacturing Industries Transportation and Public Utilities 40 Railroad Transportation 41 Local and Interurban Passenger Transit 42 Trucking and Warehousing 43 U.S. Postal Service 44 Water Transportation 45 Transportation by Air 46 Pipelines, Except Natural Gas 47 Transportation Services 48 Communications 49 Electric Gas and Sanitary Services

Wholesale Trade 50 Wholesale Trade – Durable Goods 51 Wholesale Trade – Nondurable Goods Retail Trade 52 Building Materials and Garden Supplies 53 General Merchandising Stores 54 Food Stores 55 Automotive Dealers and Service Stations 56 Apparel and Accessory Stores 57 Furniture and Homefurnishing Stores 58 Eating and Drinking Places 59 Miscellaneous Retail Finance, Insurance and Real Estate 60 Depository Institutions 61 Nondepository Institutions 62 Security and Commodity Brokers 63 Insurance Carriers 64 Insurance Agents, Brokers and Service 65 Real Estate 67 Holding and Other Investment Offices Services 70 Hotels and Other Lodging Places 72 Personal Services 73 Business Services

75 Auto Repair Services and Parking 76 Miscellaneous Repair Services 78 Motion Pictures 79 Amusement and Recreation Services 80 Health Services 81 Legal Services 82 Educational Services 83 Social Services 84 Museums, Botanical, Zoological Gardens 86 Membership Organizations 87 Engineering and Management Services 88 Private Households 89 Services, NEC Public Administration 91 Executive, Legislative and Garden 92 Justice, Public Order and Safety 93 Finance, Taxation and Monetary Policy 94 Administration of Human Resources 95 Environmental Quality and Housing 96 Administration of Economic Programs 97 National Security and International Affairs Nonclassifiable Establishments 99 Nonclassifiable Establishments

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The Commonwealth of MassachusettsDepartment of Industrial Accidents – Department 101

1 Congress Street – 10th Floor, Boston, Massachusetts 02114Info. Line 800-323-3249 ext. 470 in Mass. Outside Mass. - 617-727-4900 ext. 470

http://www.mass.gov/dia

EMPLOYER’S FIRST REPORT OF INJURY OR FATALITY

THIS FORM MUST BE FILED BY THE EMPLOYER IN THE EVENT OF AN INJURY THAT RESULTS IN DEATH OR FIVE OR MORE CALENDAR DAYS OF TOTAL OR PARTIAL INCAPACITY FROM EARNING WAGES.

INSTRUCTIONS AND CODES ON THE REVERSE SIDE - Please Print Legibly or Type - Unreadable forms will be returned.

DIA USE ONLYFORM 101

Form 101 - Revised 5/2009 - Reproduce as needed.THIS FORM DOES NOT CONSTITUTE AN EMPLOYEE’S CLAIM FOR BENEFITS UNDER WORKERS’ COMPENSATION.

1. Employee’s Name (Last, First, MI): 2. Home Telephone Number:

5. Home Address (No., Street, City, State & Zip Code): 5a. Native Language Code:

8. Date of Hire (mm/dd/yyyy):

11. Employer’s Name: 12. Federal Tax I.D. Number:

13. Employer’s Address (No., Street, City, State & Zip Code):

16. Workers’ Compensation Insurance Carrier and Tel. No. (NOT LOCAL AGENT/ADMINISTRATOR):

14. Employer’s Telephone Number:

20. DATE OF INJURY (mm/dd/yyyy):

21. Was Employee Injured on Employer’s Premises? Yes No

23. FIRST day of Total or Partial Incapacity to Earn Wages(mm/dd/yyyy):

27. Briefly Describe How Injury/Exposure Occurred and Body Part(s) involved:

28. Person to Whom Injury was Reported (list position):

EMPL O Y E E

3. Social Security Number*: 4. Sex:M F

6. Marital Status:M S

7. No. of Dependents:

9. Date of Birth (mm/dd/yyyy): 10. Average Weekly Wage:Estimated Actual$

EMPLOYER

15. Industry Code (See Reverse Side):

17. W.C. Policy Number:

18. Self-Insured? Yes No

If Yes, Self-Insurer Number:

19. Business Type : Service Wholesale Mfg.

Retail Other ________________________

INJURY

INFORMATION

22. Location of Injury if not on Employer’s Premises:

25. If Employee has Died, Date of Death (mm/dd/yyyy):

24. FIFTH day of Total or Partial Incapacity to Earn Wages (mm/dd/yyyy):

29. Date Reported (mm/dd/yyyy): 30. Date Reported as work related(mm/dd/yyyy):

31. Injury Code(s)a. to body part

b. to body part

c. to body part

Body Part Code(s)a.

b.

c.

32. Witness(es) to Injury - Give Full Name(s), if none state as such:

33. Has Employee Returned to Work? Yes No 34. Date Employee Returned to Work(mm/dd/yyyy):

35. Employee’s Regular Occupation: 36. Has Employee Returned to Regular Occupation: Yes No

37. PREPARER’S Name (SEE INSTRUCTIONS ON REVERSE SIDE): 38. PREPARER’S Title:

39. PREPARER’S Signature (SEE INSTRUCTIONS ON REVERSE SIDE): 40. Date Prepared (mm/dd/yyyy):

26. Source of Injury (Chemicals, Machinery, etc.):

*Disclosure of Social Security Number is Voluntary. It will aid in the processing of your report.

Other:________________

40a. PREPARER’S e-mail address:

20a. Insurer’s Case/Claim File No.:

PREPARER

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EMPLOYER’S FIRST REPORT OF INJURY OR FATALITYFILING INSTRUCTIONS

1. WHEN TO FILE: File this form within 7 calendar days, not including Sundays and legal holidays, of receipt of notice of any injury alleged to have arisenout of and in the course of employment, which totally or partially incapacitates an employee for a period of 5 or more calendar days from earning wages. This form is not an admission of liability, but must be filed even though the Employer may believe that the Employee is not injured, or that the Employee is not entitled to benefits under M.G.L. Chapter 152.

2. WHERE TO FILE: This form should be mailed to the Department of Industrial Accidents at the address shown on the front of the form. Copies must also beprovided to the Employee and to the Employer’s Workers’ Compensation insurer.

3. PENALTIES: Failure to report injuries on this form may result in a fine of $100.00 in accordance with M.G.L. Chapter 152, Section 6.

4. EMPLOYER’S NAME & SIGNATURE IN BOXES 37 & 39: This form must be filed by the employer or an authorized agent/representative of the employer.

NATURE OF INJURY OR ILLNESS CODES

Agriculture, Forestry and Fishing01 Agriculture Production - Crops02 Agriculture Production - Livestock07 Agricultural Services08 Forestry09 Fishing, Hunting and Trapping

Mining10 Metal Mining12 Coal Mining13 Oil and Natural Gas14 Nonmetallic Minerals, Except Fuels

Construction15 General Building Contractors16 Heavy Construction, Ex. Building17 Special Trade Contractors

Manufacturing20 Food and Kindred Products21 Tobacco Products22 Textile Mill Products23 Apparel and Other Textile Products24 Lumber and Wood Products25 Furniture and Fixtures26 Paper and Allied Products27 Printing and Publishing

28 Chemicals and Allied Products29 Petroleum and Coal Products30 Rubber and Misc. Plastic Products31 Leather and Leather Products32 Stone, Clay and Glass Products33 Primary Metal Industries34 Fabricated Metal Products35 Industrial Machinery and Equipment36 Electronic and Other Electrical Equipment37 Transportation Equipment38 Instruments and Related Products39 Miscellaneous Manufacturing Industries

Transportation and Public Utilities40 Railroad Transportation41 Local and Interurban Passenger Transit42 Trucking and Warehousing43 U.S. Postal Service44 Water Transportation45 Transportation by Air 46 Pipelines, Except Natural Gas47 Transportation Services48 Communications49 Electric, Gas and Sanitary Services

Wholesale Trade50 Wholesale Trade - Durable Goods

51 Wholesale Trade - Non-durable Goods

Retail Trade52 Building Materials and Garden Supplies53 General Merchandizing54 Food Stores55 Automotive Dealers and Service Stations56 Apparel and Accessory Stores57 Furniture and Home Furnishing Stores58 Eating and Drinking Establishments59 Miscellaneous Retail

Finance, Insurance and Real Estate60 Depository Institutions61 Non-depository Institutions62 Security and Commodity Brokers63 Insurance Carriers64 Insurance Agents, Brokers and Service65 Real Estate67 Holding and Other Investment Officers

Services70 Hotels and Other Lodging Places72 Personal Services73 Business Services75 Auto Repair Services and Parking76 Miscellaneous Repair Services

78 Motion Pictures79 Amusements and Recreation Services80 Health Services81 Legal Services82 Educational Services83 Social Services84 Museums, Botanical, Zoological Gardens86 Membership Organizations87 Engineering and Management Services88 Private Households89 Services, NEC

Public Administration91 Executive, Legislative and Garden92 Justice, Public Order, and Safety93 Finance, Taxation, and Monetary Benefits94 Administration of Human Services95 Environmental Quality and Housing96 Administration of Economic Program97 National Security and International Affairs

Non-classifiable Establishments99 Non-classifiable Establishments

INDUSTRY CODES

*UNS - UNSPECIFIED **NEC - NOT ELSEWHERE CLASSIFIED

100 Amputation or Erucloation 110 Asphyxia or Strangulation Etc.120 Burns (Heat)130 Burns (Chemical)140 Concussion160 Contusion, Crushing, Bruise170 Cut, Laceration, Puncture190 Dislocation200 Electric Shock, Electrocution210 Fracture250 Hernia, Rupture300 Scratches, Abrasions310 Sprains, Strains400 Multiple Injuries900 No Injury950 Damage to Prosthetic Devices995 No Other Injury, NEC**999 Non-classifiable

Infective or Parasitic Disease150 Infective or Parasitic Disease, UNS*151 Amebiasis152 Anthrax153 Brucellosis154 Conjunctivitis and Opthalmia156 Tetanus

BODY PART AFFECTED CODES

157 Tuberculosis159 Other Infective or Parasitic DiseasesDermatitis180 Dermatitis, UNS*183 Primary Infections of the Skin184 Other Skin Conditions185 Dermatitis, Allergenic or Contact189 Skin Condition, NEC**

Poisoning Systemic270 Poisoning, Systemic, UNS*271 Due to Toxic Materials other than Lead272 Diseases of the Blood and Blood Forming

Organs273 Upper Respiratory Conditions274 Influenza, Pneumonia, Etc.276 Other Diseases of the Gastro-Intestinal

Tract278 Effects of Lead279 Other Toxic Effects of One System OnlyRespiratory Systems, Conditions of570 Respiratory Systems, Conditions of571 Upper Respiratory572 Asthma, Influenza, Pneumonia

Pneumoconiosis280 Pneumoconiosis

281 Aluminosis282 Anthracosis 283 Asbestosis284 Byssinosis285 Siderosis286 Silicosis287 Other Pneumoconioses289 Pneumoconiosis and Tuberculosis

Nervous System, Conditions of560 Nervous System, Conditions of - NEC**561 Diseases of the Central Nervous

System562 Diseases of the Nerves and Peripheral

GangliaNeoplasm Tumor

550 Neoplasm Tumor, UNS*551 Malignant552 Benign

Radiation Effects290 Radiation Effects, UNS*291 Non-Ionizing Radiation292 Microwaves293 Ionizing Radiation - X-Ray294 Ionizing Radiation - Isotopes295 Welder’s Flash

Other265 Carpal Tunnel Syndrome510 Cardiovascular and Other Conditions

of the Circulatory System520 Complications Peculiar to Medical Care500 Effects of Changes in Atmospheric

Pressure240 Effects of Environmental Heat220 Effects of Exposure to Low Temperature530 Eye, other Diseases of the Eye230 Hearing Loss or Impairment991 Heart Condition ,Excludes Heart Attack320 Hemorrhoids330 Hepatitis, Serum and Infective275 Hepatitis, Toxic260 Inflammation of Joints, Etc.540 Mental Disorders900 No Illness999 Non-classifiable990 Occupational Disease, NEC**580 Symptoms and Ill-defined Conditions

Head100 Head, UNS*110 Brain120 Ear(s), UNS*121 Ear(s), External124 Ear(s), Internal130 Eye(s), UNS*140 Face, UNS*141 Jaw, Chin144 Mouth and Throat (vocal chords, larynx)146 Nose148 Face, Multiple Parts149 Face, NEC**150 Scalp

160 Skull198 Head Multiple200 Neck & Cervical VertebraeUPPER EXTREMITIES300 Upper Extremities, NEC**310 Arm(s), UNS*311 Upper Arm313 Elbow(s)315 Forearm(s)318 Arm(s), Multiple319 Arm(s), NEC**320 Wrist(s)330 Hand(s), Not Wrists or Fingers340 Finger(s)

398 Upper Extremities, Multiple400 Trunk, UNS*410 Abdomen, Internal Organs,

Inguinal Hernia420 Back430 Chest, Ribs, Breastbone,

Internal Organs440 Hip(s)..,Pelvis, Organs and

Buttocks450 Shoulder(s)498 Trunk, MultipleLOWER EXTREMITIES500 Lower Extremities510 Leg(s), UNS*

513 Knee(s)515 Lower Leg(s)518 Leg(s), Multiple519 Leg(s), NEC**520 Ankle(s)530 Foot or Feet, Not Ankle540 Toe(s)598 Lower Extremities, Multiple700 MULTIPLE PARTS

Applies when more than one major body part as been effected such as an arm and a leg

999 NON-CLASSIFIABLE - Insufficient infor-mation to identify part of body effected. In-cludes damage to prosthetic devises.

NATIVE LANGUAGE CODES1 – English / 2 – Portuguese / 3 – Haitian Creole / 4 – Spanish / 5 – Chinese / 6 – Vietnamese / 7 – Cape Verdean / 9 – Other

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HOW TO COMPLETE "EMPLOYER'S FIRST REPORT OF INJURY - FORM 101"

Box #1 Please print or type the employee's last name, first name and middle initial, as you know it. Box #2 Please print or type the employee's current home telephone number. Box #3 Please print or type the nine (9) digit employee's social security number. Disclosing this number is voluntary, but it helps the Department of Industrial Accidents (DIA) keep more accurate records. Box #4 Please check box indicating employee's sex. Box #5 Please print or type the employee's current full home address. Box #5a Please print or type the Native Language Code (found on the reverse side of Form 101). Box #6 Please check box indicating marital status. Box #7 Please print or type the number of dependents employee has (including spouse). Box #8 Please print or type employee's date of hire (MM/DD/YY). Box #9 Please print or type employee's birth date (MM/DD/YY). Box #10 Please print or type the average 52-week wage amount earned. Also check box indicating if estimated salary

or actual salary earned. Box #11 Please print or type employer's name. Box #12 Please print or type your nine (9) digit Federal Tax ID Number. Box #13 Please print or type your full business address. This is important because this is the address that the DIA will

use to correspond with you. Box #14 Please print or type employer's telephone number, Box #15 Please print or type the exact two (2) digit industry code number from the chart on the back of the form that

best describes the main product produced or the service or type of business the employer is engaged in. Box #16 Please print or type the name and phone of your Workers Compensation Insurance Carrier (Associated Insurance Services LLC 781-221-1600). Box #17 Please print or type your Workers Compensation policy number. Box #18 Please indicate “yes” in box. Box #19 Please indicate nature of business in block which best describes the employer’s operations.

Rev. 5/2009

Box #20 Please print or type the date the injury or illness was alleged or reported to you as having happened by any source (including the employee's legal representative).

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Rev. 5/2009

Box #20a Please print or type the 10-digit Insurer’s Case/Claim File Number if known. Box #21 Please check appropriate box to indicate if injury occurred on employer's premises. Box #22 Please print or type the address where injury occurred (if different from #13 above). Box #23 Please print or type the first day, which an alleged injury totally or partially incapacitates an employee from

earning full wages, no matter how minor the reduction. Box #24 Please print or type the fifth calendar day for which an employee is incapacitated from earning full wages

because of an alleged injury arising out of and in the course of employment Box #25 Please print or type date of death (MM/DD/YY) if employee has died. Box #26 Please print or type the source of injury (e.g., machine, tool, substance, etc.) Box #27 Please print or type a description of injury or illness. Box #28 Please print or type the name of the person and position, to whom the injury was reported. Box #29 Please print or type the date the injury was first reported to the individual in Box 28. Box #30 Please print or type the date the injury was first reported as work related. Box #31 Please print or type the nature of the injury or illness from the codes printed on the back of the form. You

may have more than one type of illness or injury from an accident. What body part(s) has been injured or affected? Box #32 Please indicate if there was a witness(es) to the injury in the appropriate box. If yes, specify name and

position of individual(s). Box #33 Please indicate if employee has returned to work. Box #34 Please print or type the date of return (MM/DD/YY) if employee has returned to work. Box #35 Please print or type employee's regular occupation or job description. Box #36 Please indicate if employee has returned to his/her regular occupation. Box #37 Please print or type your name. Box #38 Please print or type your title. Box #39 Please sign your name. Box #40 Please date this form. Box #40a Please include the preparer’s email address.

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The Commonwealth of MassachusettsDepartment of Industrial Accidents – Department 101

1 Congress Street – 10th Floor, Boston, Massachusetts 02114Info. Line 800-323-3249 ext. 470 in Mass. Outside Mass. - 617-727-4900 ext. 470

http://www.mass.gov/dia

EMPLOYER’S FIRST REPORT OF INJURY OR FATALITY

THIS FORM MUST BE FILED BY THE EMPLOYER IN THE EVENT OF AN INJURY THAT RESULTS IN DEATH OR FIVE OR MORE CALENDAR DAYS OF TOTAL OR PARTIAL INCAPACITY FROM EARNING WAGES.

INSTRUCTIONS AND CODES ON THE REVERSE SIDE - Please Print Legibly or Type - Unreadable forms will be returned.

DIA USE ONLYFORM 101

Form 101 - Revised 5/2009 - Reproduce as needed.THIS FORM DOES NOT CONSTITUTE AN EMPLOYEE’S CLAIM FOR BENEFITS UNDER WORKERS’ COMPENSATION.

1. Employee’s Name (Last, First, MI): 2. Home Telephone Number:

5. Home Address (No., Street, City, State & Zip Code): 5a. Native Language Code:

8. Date of Hire (mm/dd/yyyy):

11. Employer’s Name: 12. Federal Tax I.D. Number:

13. Employer’s Address (No., Street, City, State & Zip Code):

16. Workers’ Compensation Insurance Carrier and Tel. No. (NOT LOCAL AGENT/ADMINISTRATOR):

14. Employer’s Telephone Number:

20. DATE OF INJURY (mm/dd/yyyy):

21. Was Employee Injured on Employer’s Premises? Yes No

23. FIRST day of Total or Partial Incapacity to Earn Wages(mm/dd/yyyy):

27. Briefly Describe How Injury/Exposure Occurred and Body Part(s) involved:

28. Person to Whom Injury was Reported (list position):

EMPL O Y E E

3. Social Security Number*: 4. Sex:M F

6. Marital Status:M S

7. No. of Dependents:

9. Date of Birth (mm/dd/yyyy): 10. Average Weekly Wage:Estimated Actual$

EMPLOYER

15. Industry Code (See Reverse Side):

17. W.C. Policy Number:

18. Self-Insured? Yes No

If Yes, Self-Insurer Number:

19. Business Type : Service Wholesale Mfg.

Retail Other ________________________

INJURY

INFORMATION

22. Location of Injury if not on Employer’s Premises:

25. If Employee has Died, Date of Death (mm/dd/yyyy):

24. FIFTH day of Total or Partial Incapacity to Earn Wages (mm/dd/yyyy):

29. Date Reported (mm/dd/yyyy): 30. Date Reported as work related(mm/dd/yyyy):

31. Injury Code(s)a. to body part

b. to body part

c. to body part

Body Part Code(s)a.

b.

c.

32. Witness(es) to Injury - Give Full Name(s), if none state as such:

33. Has Employee Returned to Work? Yes No 34. Date Employee Returned to Work(mm/dd/yyyy):

35. Employee’s Regular Occupation: 36. Has Employee Returned to Regular Occupation: Yes No

37. PREPARER’S Name (SEE INSTRUCTIONS ON REVERSE SIDE): 38. PREPARER’S Title:

39. PREPARER’S Signature (SEE INSTRUCTIONS ON REVERSE SIDE): 40. Date Prepared (mm/dd/yyyy):

26. Source of Injury (Chemicals, Machinery, etc.):

*Disclosure of Social Security Number is Voluntary. It will aid in the processing of your report.

Other:________________

40a. PREPARER’S e-mail address:

20a. Insurer’s Case/Claim File No.:

PREPARER

SAMPLE

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DIA USE ONLY

Make any comments on the reverse side of this form or on a separate sheet. Form 127 - Created 8/2005 Reproduce as needed.

AVERAGE WEEKLY WAGE COMPUTATION SCHEDULE

Indicate only those wages earned by the injured worker during the 52 week period immediately preceding the accident. If the injuredemployee has worked for less than 52 weeks, report wages from the time worked and, for the remaining weeks on this schedule,substitute wages of a fellow employee in the same class of employment who has worked for one year or more.

16. Date Signed (mm/dd/yyyy):

The Commonwealth of MassachusettsDepartment of Industrial Accidents

1 Congress Street – 10th Floor, Boston, Massachusetts 02114Info. Line 800 323-3249 ext. 470 in Mass. Outside Mass. - 617-727-4900 ext. 470

http://www.mass.gov/dia

FORM 127

Print or Type1. Employer’s Name and Address:

4. Employee’s Name and Address:

8. Date of Disability (mm/dd/yyyy):7. Date of Injury (mm/dd/yyyy):

2. Insurer’s Case File #:

5. # of dependent children:

6. # of other dependents:

3. DIA Board # (if known):

9. Date of Employment (mm/dd/yyyy):

10. Has employee been certified by U.S. Veterans Administration for any type of disability? Yes No

11. Week

No.

Year:

Week Ending

Month Day

Year:

Week Ending

Month Day

Gross AmountBefore Taxes

Gross AmountBefore Taxes

123456789101112131415161718

192021222324252627282930313233343536

WeekNo.

Year:

Week Ending

Month Day

Gross AmountBefore Taxes

37383940414243444546474849505152

WeekNo.

Total: 12. Was room furnished to the employee?

Yes No

13. If tips or other benefits were earned, describe and state value per week:

THIS IS A TRUE COPY OF THE PAYROLL RECORD OF THE ABOVE NAMED EMPLOYEE OR FELLOW EMPLOYEE IN THE SAME CLASS OF EMPLOYEMENT

14. Name of Fellow Employee (if applicable):

15. Employer/Preparer Signature:

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DIA USE ONLY

Make any comments on the reverse side of this form or on a separate sheet. Form 127 - Created 8/2005 Reproduce as needed.

AVERAGE WEEKLY WAGE COMPUTATION SCHEDULE

Indicate only those wages earned by the injured worker during the 52 week period immediately preceding the accident. If the injuredemployee has worked for less than 52 weeks, report wages from the time worked and, for the remaining weeks on this schedule,substitute wages of a fellow employee in the same class of employment who has worked for one year or more.

16. Date Signed (mm/dd/yyyy):

The Commonwealth of MassachusettsDepartment of Industrial Accidents

1 Congress Street – 10th Floor, Boston, Massachusetts 02114Info. Line 800 323-3249 ext. 470 in Mass. Outside Mass. - 617-727-4900 ext. 470

http://www.mass.gov/dia

FORM 127

Print or Type1. Employer’s Name and Address:

4. Employee’s Name and Address:

8. Date of Disability (mm/dd/yyyy):7. Date of Injury (mm/dd/yyyy):

2. Insurer’s Case File #:

5. # of dependent children:

6. # of other dependents:

3. DIA Board # (if known):

9. Date of Employment (mm/dd/yyyy):

10. Has employee been certified by U.S. Veterans Administration for any type of disability? Yes No

11. Week

No.

Year:

Week Ending

Month Day

Year:

Week Ending

Month Day

Gross AmountBefore Taxes

Gross AmountBefore Taxes

123456789101112131415161718

192021222324252627282930313233343536

WeekNo.

Year:

Week Ending

Month Day

Gross AmountBefore Taxes

37383940414243444546474849505152

WeekNo.

Total: 12. Was room furnished to the employee?

Yes No

13. If tips or other benefits were earned, describe and state value per week:

THIS IS A TRUE COPY OF THE PAYROLL RECORD OF THE ABOVE NAMED EMPLOYEE OR FELLOW EMPLOYEE IN THE SAME CLASS OF EMPLOYEMENT

14. Name of Fellow Employee (if applicable):

15. Employer/Preparer Signature:

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REQUEST FOR MEDICAL SERVICES

Date_____________________________ Medical Care Provider: __________________________________________________________ Address: ______________________________________________________________________________ City____________________________________ State _____________ Zip ______________ Kindly care for the injury sustained by: __________________________________________________on: ________________________ (Name of Employee) (Date) Description of accident: __________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Name of Employer: _____________________________________________________________ Address:______________________________________________________________________ Telephone: ___________________________ W.C. Policy Number: _______________________ Requested by: __________________________________________________________________

(Signature)

The employee will present this slip to the medical care provider who will attach it to the original bill for services.

PLEASE SEND BILLS DIRECTLY TO:

Associated Insurance Services, LLC Claim Department 54 Third Avenue P.O. Box 4070

Burlington, MA 01803-0970 MEDICAL BENEFITS ARE GOVERNED BY THE PROVISIONS OF THE WORKERS COMPENSATION LAW OF THE COMMONWEALTH OF MASSACHUSETTS. AIS 20

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REQUEST FOR MEDICAL SERVICES

Date_____________________________ 3/25/93

Medical Care Provider: __________________________________________________________

ABC Industrial Medical Clinic

Address:

______________________________________________________________________________ 114 Main Street

City____________________________________ State _____________ Zip ______________ Kindly care for the injury sustained by: __________________________________________________on: ________________________ (Name of Employee) (Date) Description of accident: __________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Name of Employer: _____________________________________________________________ Address:______________________________________________________________________ Telephone: ___________________________ W.C. Policy Number: _______________________ Requested by: __________________________________________________________________

Andover MA 01810

Jane J. Doe 3/25/93

Cut hand on large staple while opening box.

Able Manufacturing

44 Elm Street, Andover, MA 01810

(508) 475-9111 094-00041

John Smith (Signature)

The employee will present this slip to the medical care provider who will

attach it to the original bill for services.

PLEASE SEND BILLS DIRECTLY TO: Associated Insurance Services, LLC Claim Department

54 Third Avenue P.O. Box 4070

Burlington, MA 01803-0970 MEDICAL BENEFITS ARE GOVERNED BY THE PROVISIONS OF THE WORKERS COMPENSATION LAW OF THE COMMONWEALTH OF MASSACHUSETTS. AIS 20

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Massachusetts Statutory Benefit Provisions TEMPORARY TOTAL DISABILITY % Rate of compensation 60% of Employee's Gross Average Weekly Wage

(AWW) Minimum weekly benefit 20% of State Average Weekly Wage (SAWW) Maximum weekly benefit SAWW Waiting period/retroactive 5 days. If incapacity extends 21 days or more, then

compensation is paid back to date of incapacity; if incapacity extends for 5 days but less than 21 days, compensation is paid from 6th day of incapacity

Maximum duration 156 weeks

TEMPORARY PARTIAL DISABILITY % Rate of compensation AWW less earnings (or earning capacity) x 60% Maximum weekly benefit 75% of Temporary Total Benefits Waiting period/retroactive See Temporary Total Benefits Maximum duration 260 weeks of partial disability alone (or 364 weeks

when combined with Temporary Total)1 PERMANENT TOTAL DISABILITY % Rate of compensation 66 2/3 % of AWW Minimum weekly benefit 20% of SAWW Maximum weekly benefit SAWW Cost-of-Living Adjustment Employee eligibility will be reviewed following the

required waiting period.

State Average Weekly Wage (SAWW) effective October 1, 2012=$1,173.06

Page 1 of 2

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FATAL Spouse and Children2 % Rate of compensation 66 2/3 % of AWW Minimum weekly benefit $110.00 Maximum weekly benefit SAWW Maximum aggregate payable 250 x SAWW Children benefit if spouse remarries $60 per child, but no more than would have been

paid to surviving spouse Dependency Other than Spouse and Children % Rate of compensation 66 2/3% Maximum weekly benefit $80.00 Maximum aggregate payable 250 x SAWW, subject to escalation Cost-of-Living Adjustment Beneficiary will be eligible for a cost of living

adjustment.

1The 520 weeks combined limit for the temporary total and partial disability benefit limit applies if the employee has permanently lost 75% or more of the use of an eye, an arm, a hand, a leg or a foot, or if the employee has a “permanently life threatening physical condition” or a “permanently disabling occupational disease which is of a physical nature and cause.”

2If spouse's benefit is under $150, the spouse will receive $6 per dependent. The sum of the employee's benefit plus the dependency benefit is limited to $150. If the spouse's benefit is over $150, no dependency is paid.

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Primary Occupational Health CentersBDOHI Credentialed Affi liates in BLUE

Best Doctors® and the star-in-cross logo are trademarks of Best Doctors, Inc. in the United States and other countries. October 2011

1*Most languages available through interpreter services.**Spanish only.***No other languages.

Boston Area

All One Health***101 Arch St., Suite 20Boston, MA 02110Tel: (617) 357-4140Fax: (617) 695-3740Contact: Lois Picard

Concentra Medical Center1 Harborside Drive Logan AirportEast Boston, MA 02128Tel: (617) 568-6500Fax: (617) 568-6573Contact: Ed Bride (617) 275-3553

New England Baptist Occupational Health**125 Parker Hill Ave.6th Floor, Converse BuildingBoston, MA 02120Tel: (617) 754-5620Fax: (617) 754-6453Contact: Patrice Carter

Boston Medical Occupational & Environmental MedicinePreston Family Building732 Harrison Avenue, 5th FloorBoston, MA 02118Tel: (617) 638-8400Fax: (617) 638-8406

Brighton

St. Elizabeth’s Occupational Health*Mother Mary Rose, 2nd fl oor736 Cambridge St.Brighton, MA 02135Tel: (617) 789-2430Fax: (617)789-3277Contact: Keith Brinkley (617) 789-2213

Cambridge

Mount Auburn Hospital Occupational Health*725 Concord Ave., Suite 5100Cambridge, MA 02138Tel: (617) 354-0546Fax: (617) 868-4497Contact: Bob Benoit

Cambridge Health Alliance Occupational Health*Assembly Square Mall5 Middlesex Ave.Somerville, MA 02144Tel: (617) 591-4660Fax: (617) 591-4670Contact: John Babchak

Somerville

Metrowest

Chelmsford

Saints Memorial Corporate Well Care*85 Parkhurst RoadChelmsford, MA 01824Tel: (978) 458-6868Fax: (978) 458-3735Contact: Pam Huntley (978) 458-1126

Needham

BI Deaconess Needham Hospital Occupational Health148 Chestnut St.Needham, MA 02492Tel: (781) 453-3041Fax: (781) 453-3645Contact: Karen Foulkro

Framingham

Fallon Clinic Oc Health***85 Lincoln St.Framingham, MA 01702Tel: (508) 853-2854Fax: (508) 872-3157Contact: Mary Beth Colarusso (508) 852-0600 x51352

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Primary Occupational Health CentersBDOHI Credentialed Affi liates in BLUE

2*Most languages available through interpreter services.**Spanish only.***No other languages.

Milford

Teamwork @ Milford Hospital*Hill Executive Park115 Water Street, 2nd FloorMilford, MA 01757Tel: (508) 422-2761Fax: (508) 473-7588Contact: Dena Stetson (508) 422-2318

All One Health***Preplacement Screening & RTW Exam only190 North Main St., Suite 2Natick, MA 01760Tel: (508) 655-9766Fax: (508) 655-9922Contact: Deborah Lada

Davis Occupational Health***49 Walpole Suite 1Norwood, MA 02062Tel: (781) 255-0778Fax: (781) 255-0857Contact: Rachel

Medworks28 Newton St.Southborough, MA 01770Tel: (508) 486-5711Fax: (508) 597-2224Contact: Anette Casco (508) 486-5901

Waltham

Health at WorkSterling Medical Building9 Hope Ave.Waltham, MA 02458Tel: (617) 243-6444Fax: (617) 243-6126(Spanish, Creole, Arabic)Contact: Pat Schindeler

Anna Jacques Hospital Occupational Health***24 Morrill PlaceAmesbury, MA 01913Tel: (978) 834-8190Fax: (978) 834-8188Contact: Pat Powers

Amesbury

Northshore

Beverly

Quadrant Health Strategies***500 Cummings Center, Suite 4350Beverly, MA 01915Tel: (978) 532-2428Fax: (978) 532-0616Contact: Diane Talbot (978) 998-3173

Chelsea

All One Health1000 Broadway St., 2nd FloorChelsea, MA 01510Tel: (617) 660-6360Fax: (617) 660-6365(German, Portuguese)Contact: Nancy MacComber

Natick

Norwood

Southborough

Best Doctors® and the star-in-cross logo are trademarks of Best Doctors, Inc. in the United States and other countries. October 2011

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Primary Occupational Health CentersBDOHI Credentialed Affi liates in BLUE

3*Most languages available through interpreter services.**Spanish only.***No other languages.

LawrenceWork Health at Lawrence Hospital*1 General StreetLawrence, MA 01841Tel: (978) 683-4000 ext 2343Fax: (978) 946-8296Contact: Janet Sheehan

Saints Medical Corporate WellCare1230 Bridge St.Lowell, MA 01850Tel: (978) 458-6868Fax: (978) 458-3735Contact: Pam Huntley (978) 458-1126

Occupational Health Services at Sports Medicine North Orthopedics147 South main St.Middleton, MA 01949Tel: (978) 539-6200Fax: (978) 539-6199Contact: Ann Persia (978) 233-1610

Concentra Medical Center66 B Concord St.Wilmington, MA 01887Tel: (978) 657-3826Fax: (978) 657-5705Contact: Jill DeMarco (978) 806-5261

Woburn

All One Health**600 West Cumming St. Suite 3400Woburn, MA 01801Tel: (781) 935-8581Fax: (781) 938-4686Contact: Mary Ellen McAvoy

Fall River

South Coast Occupational Health*534 Prospect St.Fall River, MA 02721Tel: (508) 679-7044Fax: (508) 679-7098Contact: Philomena Pemental (508) 679-7195

Trumed Inc.528 Newton St.Fall River, MA 02721Tel: (508) 675-1522Fax: (508) 676-5647(Portuguese)Contact: Paula

New Bedford

South Coast Occupational Health*101 Page St.New Bedford, MA 02720Tel: (508) 961-5265Fax: (508) 961-5473Contact: Philomena Pemental (508) 679-7195

Raynham

Tristin Medical Enterprises675 Paramount DriveRaynham, MA 02767Tel: 508-880-0012Contact: Joy Gagliardi

Lowell

Middleton

Wilmington

Southcoast Region

Best Doctors® and the star-in-cross logo are trademarks of Best Doctors, Inc. in the United States and other countries. October 2011

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Primary Occupational Health CentersBDOHI Credentialed Affi liates in BLUE

4*Most languages available through interpreter services.**Spanish only.***No other languages.

Taunton

Tristin Medical Enterprises Occupational Health2005 Bay Rd.Taunton, MA 02780Tel: (508) 824-0243Fax: (508) 828-1810(Spanish, Portuguese)Contact: Donna Chase x316

Tirstin Medical Enterprises Occupational Health75 Stockwell Dr.Avon, MA 02322Tel: (508) 583-1400Fax: (508) 583-3400Contact: Terry Sullivan

Braintree

Center for Occupational Health, Braintree Rehab***100 Baystate DriveBraintree, MA 02184Tel: (781) 356-0520Fax: (781) 356-7065Contact: Dave Coleman (781) 849-0238

Plymouth

Jordan on the Job45 Resnick RoadSuite 201Plymouth, MA 02360Tel: (508) 830-2388Fax: (508) 830-2389Contact: Charlotte Thies (508) 830-2296

Quincy Medical Center Occupational Health*114 Whitewell St.Quincy, MA 02169Tel: (617) 376-5700Fax: (617) 376-1638Contact: Walter Fraser (781) 910-5566

Quincy

Cape Cod Area

Bourne

Cape and Islands Occupational Medicine3119 Cranberry HighwayEast Wareham, MA 02571Tel: (508) 771-5770Fax: (508) 771-5774Contact: Kim Sawyer

Hyannis

Cape and Islands Occupational Medicine700 Attuck Lane, Suite 1-EHyannis, MA 02601Tel: (508) 771-5770Fax: (508) 771-5774Contact: Kim Sawyer

Orleans

Orleans Medical Center204 Main St.Orleans, MA 02653Tel: (508) 255-8825Fax: (508) 240-3117

South Shore Region

Avon

Milton

Milton Hospital Occupational Health*199 Reedsdale RoadBrooksWing 2nd FloorMilton, MA 02186Tel: (617) 313-1681Fax: (617) 313-1566Contact: Pat Griffi n (617) 313-1682

Best Doctors® and the star-in-cross logo are trademarks of Best Doctors, Inc. in the United States and other countries. October 2011

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Primary Occupational Health CentersBDOHI Credentialed Affi liates in BLUE

5*Most languages available through interpreter services.**Spanish only.***No other languages.

DennisCape Cod Medical Center65 Route 134Dennis, MA 02660Tel: (508) 394-7113Fax: (508) 394-5470Contact: Natalie Amorim

Dr. Michael Jacobs Walk-in Care611 A State RoadVineyard Haven, MA 02568Tel: 508-693-4400Fax: 508-693-2098Contact: Carol Fugione NP

Fallon Clinic Occupational Health*35 Millsbury St.Auburn, MA 01501Tel: (508) 853-2854Fax: (508) 832-9025Contact: Mary Beth Colarusso (508) 852-0600 x51352

Worcester

Fallon Clinic Occ. Health*630 Plantation St.Worcester, MA 01605-2097Tel: (508) 853-2854Fax: (508) 853-4354Contact: Mary Beth Colarusso (508) 852-0600 x51352

Nashoba Valley Occupational Health*200 Groton RoadAyer, MA 01432Tel: (978) 784-9328Fax: (978) 784-9666Contact: Marcia Estes

Ayer

South Central Area

Attleboro

Sturdy Occupational Health*211 Park St. 2nd fl oorAttleboro, MA 02703Tel: (508) 236-7500Fax: (508) 236-7509

Southbridge

Comprecare Occupational Health*32 Oakes Ave., 1st FloorSouthbridge, MA 01550Tel: (508) 765-3093Fax: (508) 765-3047Contact: Arlene Smith

Vineyard Haven

Central Region

Auburn

Webster Square Medical**255 Park Ave., Suite 400Worcester, MA 01609Tel: (508) 755-9776Fax: (508) 831-7861Contact: Judy Gedman x228

North Central Area

Leominster

Take Charge at Leominster Hosp.*60 Hospital Road Simmons Bldg., 2nd FloorLeominster, MA 01453Tel: (978) 466-2060Fax: (978) 466-2065Contact: Marianne Pappas

Best Doctors® and the star-in-cross logo are trademarks of Best Doctors, Inc. in the United States and other countries. October 2011

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Primary Occupational Health CentersBDOHI Credentialed Affi liates in BLUE

6*Most languages available through interpreter services.**Spanish only.***No other languages.

Midwest Mass. Area

AEIOU Occupational Health170 University Drive, Suite 102Amherst, MA 01002Tel: (413) 461-3530Fax: (413) 461-3532Contact: Janice Hoffman

Work Connection at Holyoke Hospital*575 Beech St.Holyoke, MA 01040Tel: (413) 534-2546Fax: (413) 534-2663Contact: Leeann Herbert

Pioneer Valley Occupational Health1515 Allen St.Springfi eld, MA 01118Tel: (413) 783-9114Fax: (413) 782-7960

Work Wise @ Mercy Hospital*Weldon Center at 233 Carew St.Springfi eld, MA 01104Tel: (413) 748-6869Fax: (413) 748-6877Contact: Barbara Haswell

East LongmeadowOccu-Health200 North Main St. Suite 5East Longmeadow, MA 01028Tel: (413) 525-6003Fax: (413) 525-9009

AEIOU Occupational Health and Urgent Care489 Bernardston RoadGreenfi eld, MA 01301Tel: (413) 773-1394Fax: (413) 773-1398Contact: Kim DeKoschak

Greenfi eld

BayState Franklin Medical Workplace Health157 High St.Greenfi eld, MA 01301Tel: (413) 773-2182Fax: (413) 773-2165Contact: Laurie Kline

HadleyOccu-Health106 Russell St.Hadley, MA 01035Tel: (413) 584-6104Fax: (413) 586-6513

Pittsfi eldBerkshire Medical Center Occupational Health*610 North St.Pittsfi eld, MA 01201Tel: (413) 447-2684Fax: (413) 447-2805Contact: Pat Brandi at (413) 445-9230

Amherst

Holyoke

Springfi eld

Ware

Business and Health at Mary Lane Hospital*85 South St.Ware, MA 01082Tel: (413) 967-2179Fax: (413) 967-2598Contact: Scott King

Western Mass. Area

Occupational Medical Services**15 Stoddard Ave.Pittsfi eld, MA 01201Tel: (413) 443-7799Fax: (413) 443-7662Contact: Vicki Sommerville

Best Doctors® and the star-in-cross logo are trademarks of Best Doctors, Inc. in the United States and other countries. October 2011

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Primary Occupational Health CentersBDOHI Credentialed Affi liates in BLUE

7*Most languages available through interpreter services.**Spanish only.***No other languages.

New Hampshire

St. Joseph’s Business & Health*Riverside Medical Center17 Riverside St., Ste. 202Nashua, NH 03062Tel: (603) 595-7371Fax: (603) 595-6943Contact: Dianne Annon (603) 848-0177

Salem Occupational Acute Care***13 Red Roof Lane, Suite 2Salem, NH 03079Tel: (603) 898-0961Fax: (603) 898-0964Contact: Dianne Annon (603) 848-0177

Salem

Landmark Medical Occupational Health*116 Eddie Dowling HighwayNorth Smithfi eld, RI 02896Tel: (401) 766-5619Fax: (401) 767-1739Contact: Scott Brodeur

Armistice Urgent Care and Occupational Health209 Armistice Blvd.Pawtucket, RI 02860Tel: (401) 725-4100Fax: (401) 728-5010(Spanish, Portguese)Contact: Cindy Swafford

Pawtucket

Rhode Island

North Smithfi eldNashua

Best Doctors® and the star-in-cross logo are trademarks of Best Doctors, Inc. in the United States and other countries. October 2011

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To the Injured Worker:

On your first visit, please give this notice to any

pharmacy listed on the back side to speed processing

your approved workers’ compensation prescriptions

(based on the guidelines established by your

employer).

Questions or need assistance locating a participating

retail network pharmacy? Call the Express Scripts

Patient Care Contact Center at 800.945.5951.

Atencion Trabajador Lesionado:

Este formulario de identificación para servicios

temporales de prescripción de recetas por

compensación del trabajador DEBERÁ SER

PRESENTADO a su farmacéutico al surtir su(s)

receta(s) inicial(es).

Si tiene cualquier duda o necesita localizar una

farmacia participante, por favor contacte al área de

Atención a Clientes de Express Scripts, en el teléfono

800.945.5951.

To the Pharmacist:

Express Scripts administers this workers’

compensation prescription program. Please follow the

steps below to submit a claim. Standard claim

limitations include quantity exceeding 150 pills or a

day supply exceeding 14 days. This form is valid for

up to 30 days from DOI. Limitations may vary. For

assistance, call Express Scripts at 888.786.9640.

Pharmacy Processing Steps

Step 1: Enter bin number 003858

Step 2: Enter processor control A4

Step 3: Enter the group number as it appears above

Step 4: Enter the injured worker’s nine-digit ID number

Step 5: Enter the injured worker’s first and last name

Step 6: Enter the injured worker’s date of injury

(enter in PA field in the format YYYYMMDD)

To the Supervisor: Please fill in the

information requested for the injured worker.

Thank you for using a participating retail network

pharmacy. Even though there is no direct cost to you, it’s important that we all do our part to help control the rising cost of healthcare.

Please see other side for a list of participating retail

network pharmacies.

AIM WORKS

Page 31: Workers Compensation Claims Folder - Aim Mutual …€¦ ·  · 2017-06-15Workers Compensation Claims Folder 54 Third Avenue * P.O. Box 4070 * Burlington, ... assigned to your case.

A & P

Acme Pharmacy

Albertson’s

Albertson’s/Acme

Albertson’s/Osco

Albertson’s/Sav-On

Amerisource

Bergen

Anchor Pharmacies

Arrow

Aurora

Bartell Drugs

Bigg’s

Bi-Lo

Bi-Mart

BJ’s Wholesale

Club

Brooks

Brookshire Brothers

Brookshire Grocery

Bruno

Carrs

Cash Wise

Coborn’s

Costco

Cub

CVS

D&W

Dahl’s

Dierbergs

Discount Drugmart

Doc’s Drugs

Dominicks

Drug Emporium

Drug Fair

Drug Town

Drug World

Eckerd

Econofoods

EPIC Pharmacy

Network

FamilyMeds

Farm Fresh

Farmer Jack

Food City

Food Lion

Fred’s

Gemmel

Giant

Giant Eagle

Giant Foods

Hannaford

Harris Teeter

H-E-B

Hi-School

Pharmacy

Hy-Vee

Jewel/Osco

Kash n Karry

Keltsch

Kerr

Kmart

Knight Drugs

Kroger

LeaderNet (PSAO)

Longs Drug Store

Major Value

Marsh Drugs

Medic Discount

Medicap

Medistat

Meijer

Minyard

NCS HealthCare

Neighborcare

Network

Pharmaceuticals

Northeast

Pharmacy Services

Osco

P & C Food

Markets

Pamida

Park Nicollet

Pathmark

Pavilions

Price Chopper

Publix

Quality Markets

Raley’s

Randalls

Rite Aid

Rosauers

Rx Express

RXD

Safeway

Sam’s Club

Sav-On

Save Mart

Schnucks

Scolari’s

Sedano

Shaw’s

Shop ‘N Save

Shopko

ShopRite

Snyder

Stop & Shop

Sun Mart

Super Fresh

Super Rx

Target

Texas Oncology

Srvs

The Pharm

Thrifty White

Times

Tom Thumb

Tops

Ukrop’s

United Drugs

United

Supermarkets

Vons

Waldbaums

Walgreens

Wal-Mart

Wegmans

Weis

Winn Dixie

NOTE: This form is not valid in the state of Ohio. For all other states, liability of a workers’ compensation claim is not assumed based on the dispensing of medication(s) to a patient.

Page 32: Workers Compensation Claims Folder - Aim Mutual …€¦ ·  · 2017-06-15Workers Compensation Claims Folder 54 Third Avenue * P.O. Box 4070 * Burlington, ... assigned to your case.

EXPRESS SCRIPTS (WORKERS COMPENSATION)

Pharmacy directory is subject to change without notice. Please contact your local pharmacy for more information. November 2011

Pharmacy is open 24 hours

MASSACHUSETTS

BEMIS DRUG6 BRIGHTON STABINGTON, MA 02351(781)878-0893STOP AND SHOP375 CENTRE AVEABINGTON, MA 02351(781)871-9228TARGET PHARMACY385 CENTRE AVEABINGTON, MA 02351(781)347-9004WAL-MART777 BROCKTON AVEABINGTON, MA 02351(781)857-1280

ACTON PHARMACY563 MASSACHUSETTS AVEACTON, MA 01720(978)263-3901CVS344 GREAT RDACTON, MA 01720(978)264-9130CVS393 MASSACHUSETTS AVEACTON, MA 01720(978)263-3385RITE AID100 POWDER MILL RDACTON, MA 01720(978)897-1600

BIG Y PHARMACY1 MYRTLE STADAMS, MA 01220(413)743-5702RITE AID21 COLUMBIA STADAMS, MA 01220(413)743-4659

CVS287 SPRINGFIELD AVEAGAWAM, MA 01001(413)786-4100CVS163 SILVER STAGAWAM, MA 01001(413)789-3339RITE AID17 SPRINGFIELD STAGAWAM, MA 01001(413)786-6060

CENTRAL PHARMACY BOSTON1304 COMMONWEALTH AVEALLSTON, MA 02134(617)566-2008CVS1266 COMMONWEALTH AVEALLSTON, MA 02134(617)277-6080JOSEPH M SMITH COMMUNITY HLTH287 WESTERN AVEALLSTON, MA 02134(617)783-0500RITE AID181 BRIGHTON AVEALLSTON, MA 02134(617)254-3169

CVS194 MAIN STAMESBURY, MA 01913(978)834-0300RITE AID15 HAVERHILL RDAMESBURY, MA 01913(978)834-0097STOP AND SHOP100 MACY STAMESBURY, MA 01913(978)388-9755

AMHERST PHARMACY381 COLLEGE STAMHERST, MA 01002(413)253-0387CVS76 N PLEASANT STAMHERST, MA 01002(413)253-9307CVS165 UNIVERSITY DRAMHERST, MA 01002(413)256-0421UNIVERSITY HEALTH SRVCS PHCY150 INFIRMARY WAYAMHERST, MA 01003(413)577-5030

CVS68 MAIN STANDOVER, MA 01810(978)470-0542LETOURNEAU'S PHARMACY349 N MAIN STANDOVER, MA 01810(978)475-7779

RITE AID229 N MAIN STANDOVER, MA 01810(978)475-3660

CVS833 MASSACHUSETTS AVEARLINGTON, MA 02476(781)643-4272CVS23 MASSACHUSETTS AVE # 25ARLINGTON, MA 02474(781)648-0557MAIDA PHARMACY121 MASSACHUSETTS AVEARLINGTON, MA 02474(781)643-7840STOP AND SHOP905 MASSACHUSETTS AVEARLINGTON, MA 02476(781)643-3267

ASHBURNHAM FAMILY PHARMACY63 MAIN STASHBURNHAM, MA 01430(978)827-6766FAMILY PHARMACY LTC63A S MAIN STASHBURNHAM, MA 01430(978)827-4190

CVS47 POND STASHLAND, MA 01721(508)872-4860CVS414 UNION STASHLAND, MA 01721(508)881-7606RITE AID399 UNION STASHLAND, MA 01721(508)881-0951RITE AID339 POND STASHLAND, MA 01721(508)881-7311

SEDELL'S PHARMACY63 S MAIN STASSONET, MA 02702(508)644-5455

ATHOL FAMILY PHARMACY321 MAIN STATHOL, MA 01331(978)249-9100CVS1653 MAIN STATHOL, MA 01331(978)249-6715RITE AID1640 S MAIN STATHOL, MA 01331(978)249-9132

COUNTY SQUARE PHARMACY289 COUNTY STATTLEBORO, MA 02703(508)222-7620CVS191 N MAIN STATTLEBORO, MA 02703(508)222-0880CVS486 PLEASANT STATTLEBORO, MA 02703(508)222-6020RITE AID1099 WASHINGTON STATTLEBORO, MA 02703(508)399-7350STOP AND SHOP469 PLEASANT STATTLEBORO, MA 02703(508)226-5888

CVS676 SOUTHBRIDGE STAUBURN, MA 01501(508)832-6257CVS PROCARE35 MILLBURY STAUBURN, MA 01501(508)832-2516

KEYES DRUG2090 COMMONWEALTH AVEAUBURNDALE, MA 02466(617)244-2794

COSTCO120 STOCKWELL DRAVON, MA 02322(508)232-4003WAL-MART30 MEMORIAL DRAVON, MA 02322(508)427-4311

MEDICINE SHOPPE PHARMACY50 MAIN STAYER, MA 01432(978)772-7325

BARRE FAMILY PHARMACY547 SUMMERS STBARRE, MA 01005(978)355-2359

CVS199 GREAT RDBEDFORD, MA 01730(781)275-3606STOP AND SHOP337 GREAT RDBEDFORD, MA 01730(781)271-9403

CVS151 N MAIN STBELCHERTOWN, MA 01007(413)323-9621STOP AND SHOP45 FEDERAL STBELCHERTOWN, MA 01007(413)323-9096

CVS50 PULASKI BLVDBELLINGHAM, MA 02019(508)883-4600WAL-MART250 HARTFORD AVE.BELLINGHAM, MA 02019(508)966-0807

CVS60 LEONARD STBELMONT, MA 02478(617)489-3669CVS264 TRAPELO RDBELMONT, MA 02478(617)489-5528SHAWS PHARMACY535 TRAPELO RDBELMONT, MA 02478(617)489-6542SHORE DRUG297 BELMONT STBELMONT, MA 02478(617)484-7007

ABINGTON

ACTON

ADAMS

AGAWAM

ALLSTON

AMESBURY

AMHERST

ANDOVER

ARLINGTON

ASHBURNHAM

ASHLAND

ASSONET

ATHOL

ATTLEBORO

AUBURN

AUBURNDALE

AVON

AYER

BARRE

BEDFORD

BELCHERTOWN

BELLINGHAM

BELMONT

ABINGTON BELMONT

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EXPRESS SCRIPTS (WORKERS COMPENSATION)

Pharmacy directory is subject to change without notice. Please contact your local pharmacy for more information. November 2011

Pharmacy is open 24 hours

CVS434 RANTOUL STBEVERLY, MA 01915(978)921-0632CVS19 DODGE STBEVERLY, MA 01915(978)927-0060EATON APOTHECARY100 CUMMINGS CTR STE 113ABEVERLY, MA 01915(978)922-2300RITE AID224 CABOT STBEVERLY, MA 01915(978)921-4550

CVS700 BOSTON RD TOWN PLZBILLERICA, MA 01821(978)667-7666RITE AID467 BOSTON POST RDBILLERICA, MA 01821(978)663-8128

CVS22 MAIN STBLACKSTONE, MA 01504(508)883-8800

610 TREMONT DRUG610 TREMONT STBOSTON, MA 02118(617)262-3389BIOSCRIP PHARMACY21 STANHOPE ST # 23BOSTON, MA 02116(617)375-7969BOSTON MED CENTER OP PHARMACY720 HARRISON AVEBOSTON, MA 02118(617)414-5398BOSTON MEDICAL CENTER PHARMACY850 HARRISON AVEBOSTON, MA 02118(617)414-4883BRIGHAM'S WOMAN'S HOSPITAL75 FRANCIS STBOSTON, MA 02115(617)732-9040CVS350 LONGWOOD AVEBOSTON, MA 02215(617)731-5753

CVS240 NEWBURY STBOSTON, MA 02116(617)236-4007CVS587 BOYLSTON STBOSTON, MA 02116(617)437-8414CVS1249 BOYLSTON STBOSTON, MA 02215(617)262-1354CVS101 CANAL STBOSTON, MA 02114(617)227-0720CVS2 CENTER PLZBOSTON, MA 02108(617)523-3653CVS900 COMMONWEALTH AVEBOSTON, MA 02215(617)232-2100CVS236 HANOVER STBOSTON, MA 02113(617)720-4935CVS231 MASSACHUSETTS AVEBOSTON, MA 02115(617)266-6775CVS400 TREMONT STBOSTON, MA 02116(617)542-2107CVS191 CAMBRIDGE STBOSTON, MA 02114(617)367-0441CVS631 WASHINGTON STBOSTON, MA 02111(617)338-0128CVS874 HARRISON AVEBOSTON, MA 02118(617)442-0309CVS155 CHARLES ST STE 157BOSTON, MA 02114(617)523-1028CVS333 WASHINGTON STBOSTON, MA 02108(617)742-0783CVS285 COLUMBUS AVEBOSTON, MA 02116(617)236-8538CVS300 LONGWOOD AVEBOSTON, MA 02115(617)975-3500

CVS55 SUMMER STBOSTON, MA 02110(617)426-2690DANA FARBER CANCER INSTITUTE44 BINNEY ST RM 294BOSTON, MA 02115(617)632-3338FENWAY PHARMACY1340 BOYLSTON STBOSTON, MA 02115(617)927-6330FENWAY PHARMACY142 BERKLEY STBOSTON, MA 02116(617)247-7555GARY DRUG59 CHARLES STBOSTON, MA 02114(617)227-0023GREEN CROSS PHARMACY393 HANOVER STBOSTON, MA 02113(617)227-3728HARVARD VANGUARD MED ASSOC147 MILK STBOSTON, MA 02109(617)654-7070HARVARD VANGUARD MED ASSOC185 DARTMOUTH STREETBOSTON, MA 02116(617)859-5300HARVARD VANGUARD MED ASSOC133 BROOKLINE AVEBOSTON, MA 02215(617)421-5990KORNFIELD DRUG2121 WASHINGTON STBOSTON, MA 02119(617)427-8950MCINNIS HOUSE CLINIC PHARMACY780 ALBANY STBOSTON, MA 02118(857)654-1000MGH OPD PHARMACY55 FRUIT STBOSTON, MA 02114(617)726-1695PHARMACARE SPECIALTY PHARMACY35 KNEELAND STBOSTON, MA 02111(617)542-1885PHARMACARE SPECIALTY PHCY350 LONGWOOD AVE STE BBOSTON, MA 02215(617)731-8665

PLANNED PARENTHOOD LGE OF MA1055 COMMONWEATLH AVEBOSTON, MA 02215(617)616-1613RITE AID710 E BROADWAYBOSTON, MA 02127(617)269-5781RITE AID1150 SARATOGA STBOSTON, MA 02128(617)561-0610RITE AID100 CAMBRIDGE STBOSTON, MA 02114(617)367-4704RITE AID1295 BOYLSTON STBOSTON, MA 02215(617)262-5770SHAWS PHARMACY1065 COMMONWEALTH AVEBOSTON, MA 02215(617)782-4585TAI-TUNG PHARMACY256 HARRISON AVEBOSTON, MA 02111(617)482-7419TUFTS MEDICAL CENTER PHARMACY800 WASHINGTON ST STE 420BOSTON, MA 02111(617)636-8981

CVS6 HEAD OF THE BAY RDBOURNE, MA 02532(508)759-1097STOP AND SHOP1 TROWBRIDGE PLBOURNE, MA 02532(508)743-9563

THE WHITTIER PHARMACIST145 WARD HILL AVEBRADFORD, MA 01835(978)373-8900

CRITICAL CARE SYSTEMS191 BAY STATE DRBRAINTREE, MA 02184(781)843-6688CVS884 WASHINGTON STBRAINTREE, MA 02184(781)843-0648

CVS270 GROVE STBRAINTREE, MA 02184(781)356-0714HARVARD VANGUARD MED ASSOC111 GROSSMAN DRBRAINTREE, MA 02184(781)849-2280RITE AID11 PEARL STBRAINTREE, MA 02184(781)356-3337STOP AND SHOP316 GROVE STBRAINTREE, MA 02184(781)356-8596TARGET PHARMACY250 GRANITE ST STE 121BRAINTREE, MA 02184(781)817-8810

CVS19 SUMMER STBRIDGEWATER, MA 02324(508)697-6946RITE AID233 BROAD STBRIDGEWATER, MA 02324(508)697-2564

CVS427 WASHINGTON STBRIGHTON, MA 02135(617)783-2577CVS207 MARKET STBRIGHTON, MA 02135(617)254-0358CVS1927 BEACON STBRIGHTON, MA 02135(617)738-6820MELVIN PHARMACY1558 COMMONWEALTH AVEBRIGHTON, MA 02135(617)566-2281STAR PHARMACY370 WESTERN AVEBRIGHTON, MA 02135(617)782-1628SUTHERLAND PHARMACY1690 COMMONWEALTH AVEBRIGHTON, MA 02135(617)232-3513

APOTHECARE720 CENTRE STBROCKTON, MA 02302(508)588-6800

BEVERLY

BILLERICA

BLACKSTONE

BOSTON BOURNE

BRADFORD

BRAINTREE

BRIDGEWATER

BRIGHTON

BROCKTON

BEVERLY BROCKTON

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EXPRESS SCRIPTS (WORKERS COMPENSATION)

Pharmacy directory is subject to change without notice. Please contact your local pharmacy for more information. November 2011

Pharmacy is open 24 hours

CVS230 E ASHLAND AVEBROCKTON, MA 02302(508)580-0180CVS1933 MAIN STBROCKTON, MA 02301(508)587-0235CVS355 CENTRE STBROCKTON, MA 02302(508)559-8084CVS316 N PEARL STBROCKTON, MA 02301(508)580-0605CVS755 BELMONT STBROCKTON, MA 02301(508)586-7988CVS240 OAK STBROCKTON, MA 02301(508)588-4610EATON APOTHECARY63 MAIN STBROCKTON, MA 02301(508)580-3000PEARL STREET PHARMACY1 PEARL STBROCKTON, MA 02301(508)588-7455PHARMERICA1123 PEARL STBROCKTON, MA 02301(508)427-5000RITE AID725 CENTRE STBROCKTON, MA 02302(508)584-0940SHAWS/OSCO PHARMACY609 BELMONT STBROCKTON, MA 02301(508)584-8520STOP AND SHOP932 N MONTELLO STBROCKTON, MA 02301(508)427-6582STOP AND SHOP683 BELMONT STBROCKTON, MA 02301(508)427-1777WAL-MART700 OAK STBROCKTON, MA 02301(508)584-5955

CVS294 HARVARD STBROOKLINE, MA 02446(617)731-6860

CVS1322 BEACON STBROOKLINE, MA 02446(617)731-4410CVS400 WASHINGTON STBROOKLINE, MA 02446(617)277-6626J.E. PIERCE APOTHECARY1180 BEACON STREETBROOKLINE, MA 02446(617)566-4080JE PIERCE APOTHECARY COMPOUND1093 BEACON STBROOKLINE, MA 02446(617)608-3022

CRITICAL CARE SYSTEMS1 NORTH AVEBURLINGTON, MA 01803(781)270-5565CVS242 CAMBRIDGE STBURLINGTON, MA 01803(781)272-4146CVS34 CAMBRIDGE STBURLINGTON, MA 01803(781)273-3645HARVARD VANGUARD MED ASSOC20 WALL STBURLINGTON, MA 01803(781)221-2560LAHEY CLINIC MED CTR PHARMACY41 MALL RDBURLINGTON, MA 01805(781)744-8658OSCO PHARMACY180 CAMBRIDGE ST STE ABURLINGTON, MA 01803(781)221-0144

FREEDOM DRUG12 KENT WAYBYFIELD, MA 01922(800)660-4283

CAMBRIDGE HEALTH ALLIANCE1493 CAMBRIDGE STCAMBRIDGE, MA 02139(617)665-1438CIAMPA APOTHECARY425 CAMBRIDGE STCAMBRIDGE, MA 02141(617)547-0322

CVS1426 MASSACHUSETTS AVECAMBRIDGE, MA 02138(617)354-4420CVS624 MASSACHUSETTS AVECAMBRIDGE, MA 02139(617)876-7868CVS211 ALEWIFE BROOK PKWYCAMBRIDGE, MA 02138(617)661-6422CVS36 WHITE STCAMBRIDGE, MA 02140(617)876-5519HARVARD UNIV HELTH SVCS PHCY75 MOUNT AUBURN STCAMBRIDGE, MA 02138(617)496-6664HARVARD VANGUARD MED ASSOC1611 CAMBRIDGE STCAMBRIDGE, MA 02138(617)661-5538INMAN PHARMACY1414 CAMBRIDGE STCAMBRIDGE, MA 02139(617)876-4868MIT MEDICAL DEPT HLTH SVC CNTR77 MASSACHUSETTES AVECAMBRIDGE, MA 02139(617)253-1517RITE AID330 RIVER STCAMBRIDGE, MA 02139(617)492-9030RITE AID1740 MASSACHUSETTS AVECAMBRIDGE, MA 02138(617)876-7662SKENDERIAN APOTHECARY1613 CAMBRIDGE STCAMBRIDGE, MA 02138(617)354-5600STAR/OSCO PHARMACY699 MOUNT AUBURN STCAMBRIDGE, MA 02138(617)661-9337

CVS95 WASHINGTON STCANTON, MA 02021(781)828-5125RITE AID4 WASHINGTON STCANTON, MA 02021(781)821-0515

CVS100D N MAIN STCARVER, MA 02330(508)866-7001SEDELL'S PHARMACY90 MAIN STCARVER, MA 02330(508)866-4524

CVS509 MAIN STCHARLESTOWN, MA 02129(617)242-2950HIGH PHARMACY54 HIGH STCHARLESTOWN, MA 02129(617)242-0415

CVS142 WORCESTER RDCHARLTON, MA 01507(508)248-5473

CVS12 QUEEN ANNE RDCHATHAM, MA 02633(508)945-4340

CVS16 BOSTON RDCHELMSFORD, MA 01842(978)256-2577CVS39 CHELMSFORD STCHELMSFORD, MA 01824(978)256-5349HANNAFORD FOOD AND DRUG66 DRUM HILL RD STE 2CHELMSFORD, MA 01824(978)970-2001HARVARD VANGUARD MED ASSOC228 BILLERICA ROADCHELMSFORD, MA 01824(978)250-6161WAL-MART66-4 PARKHURST RDCHELMSFORD, MA 01824(978)459-6366

CVS1010 REVERE BEACH PKWYCHELSEA, MA 02150(617)884-1095

CVS324 BROADWAYCHELSEA, MA 02150(617)889-1529MARGOLIS PHARMACY447 BROADWAYCHELSEA, MA 02150(617)884-3524

CVS647 VFW PKWYCHESTNUT HILL, MA 02467(617)469-5264CVS1195 BOYLSTON STCHESTNUT HILL, MA 02467(617)731-5228HARVARD VANGUARD MED ASSOC291 INDEPENDENCE DRCHESTNUT HILL, MA 02467(617)541-6300

CHICOPEE HEALTH CENTER PHCY505 FRONT STCHICOPEE, MA 01013(413)420-6222CVS1616 MEMORIAL DRCHICOPEE, MA 01020(413)532-3299CVS235 CENTER STCHICOPEE, MA 01013(413)594-8156CVS1176 GRANBY RDCHICOPEE, MA 01020(413)532-0991LOUIS AND CLARK DRUG1481 MEMORIAL DRCHICOPEE, MA 01020(413)534-5677RITE AID1 SAINT JAMES AVECHICOPEE, MA 01020(413)557-1559RITE AID577 MEADOW STCHICOPEE, MA 01013(413)592-4696STOP AND SHOP672 MEMORIAL DRCHICOPEE, MA 01020(413)593-3999WAL-MART591 MEMORIAL DRCHICOPEE, MA 01020(413)593-6503

BROOKLINE

BURLINGTON

BYFIELD

CAMBRIDGECANTON

CARVER

CHARLESTOWN

CHARLTON

CHATHAM

CHELMSFORD

CHELSEA

CHESTNUT HILL

CHICOPEE

BROCKTON CHICOPEE

Page 35: Workers Compensation Claims Folder - Aim Mutual …€¦ ·  · 2017-06-15Workers Compensation Claims Folder 54 Third Avenue * P.O. Box 4070 * Burlington, ... assigned to your case.

EXPRESS SCRIPTS (WORKERS COMPENSATION)

Pharmacy directory is subject to change without notice. Please contact your local pharmacy for more information. November 2011

Pharmacy is open 24 hours

CVS792 MAIN STCLINTON, MA 01510(978)368-7631RITE AID1031 MAIN STCLINTON, MA 01510(978)368-8540

CVS790 JUSTICE CUSHING WAYCOHASSET, MA 02025(781)383-1525STOP AND SHOP400 JUSTICE CUSHING HWYCOHASSET, MA 02025(781)383-6614

CVS199 SUDBURY RDCONCORD, MA 01742(978)371-0688RITE AID71 LOWELL RD UNIT 1-BCONCORD, MA 01742(978)369-5802WEST CONCORD PHARMACY1212 MAIN STCONCORD, MA 01742(978)369-3100

O'LAUGHLIN'S PHARMACY403 MAIN STREETDALTON, MA 01226(413)684-0023

COSTCO11 NEWBURY STDANVERS, MA 01923(978)750-4334CVS311 NEWBURY STDANVERS, MA 01923(978)777-5504CVS139 ENDICOTT STDANVERS, MA 01923(978)646-8930CVS1 MAPLE STDANVERS, MA 01923(978)774-7130TARGET PHARMACY240 INDEPENDENCE WAYDANVERS, MA 01923(978)762-4439

WAL-MART55 AVALON VILLAGE WAYDANVERS, MA 01923(978)777-6983

BOSTON HOME INFUSION110 STERGIS WAYDEDHAM, MA 02026(781)326-1986COSTCO200 LEGACY BLVDDEDHAM, MA 02026(781)251-9974CVS947 PROVIDENCE HWYDEDHAM, MA 02026(781)320-8301CVS270 BUSSY STDEDHAM, MA 02026(781)407-0845CVS19 EASTERN AVEDEDHAM, MA 02026(781)326-7186STOP AND SHOP160 PROVIDENCE HWYDEDHAM, MA 02026(781)320-1574WARDLE'S PHARMACY585 HIGH STDEDHAM, MA 02026(781)326-0061

RITE AID711 ROUTE 28DENNIS PORT, MA 02639(508)398-5097

COMPTON DRUG393 COLUMBIA RDDORCHESTER, MA 02125(617)288-1616CRAWFORD DRUG1735 DORCHESTER AVEDORCHESTER, MA 02124(617)436-3400CVS2235 DORCHESTER AVEDORCHESTER, MA 02124(617)296-1025CVS468 BLUE HILL AVEDORCHESTER, MA 02121(617)427-7806CVS715 MORRISSEY BLVDDORCHESTER, MA 02122(617)822-1307

CVS778 DUDLEY STDORCHESTER, MA 02125(617)825-2572DORCHESTER HOUSE MULTI SRVS1353 DORCHESTER AVEDORCHESTER, MA 02122(617)740-2544EATON APOTHECARY950 DORCHESTER AVEDORCHESTER, MA 02125(617)265-3331GEIGER GIBSON COMM HLTH CTR250 MOUNT VERNON STDORCHESTER, MA 02125(617)533-2295HARVARD NEIGHBORHOOD PHARMACY632 BLUE HILL AVEDORCHESTER, MA 02121(617)825-3400KIMMY PHARMACY1435 DORCHESTER AVEDORCHESTER, MA 02122(617)288-8199MAXIM PHARMACY1365 DORCHESTER AVE # 1377DORCHESTER, MA 02122(617)282-9800NEPONSET HEALTH CENTER PHCY398 NEPONSET AVEDORCHESTER, MA 02122(617)533-6190PRIME PHARMACY201 HUMBOLT AVEDORCHESTER, MA 02121(617)427-2222RITE AID1100 DORCHESTER AVEDORCHESTER, MA 02125(617)282-3069RITE AID540 GALLIVAN BLVDDORCHESTER, MA 02124(617)825-3776SAIGON PHARMACY1167 DORCHESTER AVE # ADORCHESTER, MA 02125(617)282-9134STAR PHARMACY45 MORRISSEY BLVDDORCHESTER, MA 02124(617)265-7911STOP AND SHOP8 ALLSTATE RD STE BDORCHESTER, MA 02125(617)541-4300

TARGET PHARMACY7 ALLSTATE RDDORCHESTER, MA 02125(617)602-1922UPHAM'S CORNER HLTH COMM PHCY415 COLUMBIA RDDORCHESTER, MA 02125(617)287-8000

CVS703 GALLIVAN BLVDDORCHESTER CENTER, MA 02124(617)287-8292EATON APOTHECARY637 WASHINGTON ST FL GDORCHESTER CENTER, MA 02124(617)265-7400

ALEXANDER'S PHARMACY505 NASHUA RDDRACUT, MA 01826(978)957-0330CVS4 BROADWAY RDDRACUT, MA 01826(978)937-9995CVS2019 LAKEVIEW AVEDRACUT, MA 01826(978)957-6550HANNAFORD FOOD AND DRUG301 PLEASANT STDRACUT, MA 01826(978)452-5255

RITE AID13 W MAIN STDUDLEY, MA 01571(508)949-0512

RITE AID28 DEPOT STDUXBURY, MA 02331(781)934-0694

CVS1150 SARATOGA STEAST BOSTON, MA 02128(617)569-2638CVS210 BORDER STEAST BOSTON, MA 02128(617)567-5147

E BOSTON NEIGHBORHOOD HLTH CTR10 GOVE STEAST BOSTON, MA 02128(617)568-4000

CVS225 BEDFORD STEAST BRIDGEWATER, MA 02333(508)378-1370DUVAL'S PHARMACY1 COMPASS WAY STE 101EAST BRIDGEWATER, MA 02333(508)350-2900

CVS415 E FALMOUTH HWYEAST FALMOUTH, MA 02536(508)540-8621STOP AND SHOP20 TEATICKET HWYEAST FALMOUTH, MA 02536(508)540-4711

BIG Y PHARMACY441 N MAIN STEAST LONGMEADOW, MA 01028(413)525-6346CVS217 N MAIN STEAST LONGMEADOW, MA 01028(413)525-4510STOP AND SHOP470 N MAIN STEAST LONGMEADOW, MA 01028(413)525-6929

CVS2992 CRANBERRY HWYEAST WAREHAM, MA 02538(508)295-3880WAL-MART3005 CRANBERRY HWY, RT 6 & 28EAST WAREHAM, MA 02538(508)295-8822

CVS118 NORTHAMPTON STEASTHAMPTON, MA 01027(413)527-1562

CLINTON

COHASSET

CONCORD

DALTON

DANVERS

DEDHAM

DENNIS PORT

DORCHESTER

DORCHESTER CENTER

DRACUT

DUDLEY

DUXBURY

EAST BOSTON

EAST BRIDGEWATER

EAST FALMOUTH

EAST LONGMEADOW

EAST WAREHAM

EASTHAMPTON

CLINTON EASTHAMPTON

Page 36: Workers Compensation Claims Folder - Aim Mutual …€¦ ·  · 2017-06-15Workers Compensation Claims Folder 54 Third Avenue * P.O. Box 4070 * Burlington, ... assigned to your case.

EXPRESS SCRIPTS (WORKERS COMPENSATION)

Pharmacy directory is subject to change without notice. Please contact your local pharmacy for more information. November 2011

Pharmacy is open 24 hours

LOUIS AND CLARK DRUG238 NORTHAMPTON STEASTHAMPTON, MA 01027(413)529-1811RITE AID32 UNION STEASTHAMPTON, MA 01027(413)527-7410

CVS555 WASHINGTON STEASTON, MA 02375(508)238-3476HANNAFORD FOOD AND DRUG25 ROBERT DREASTON, MA 02375(508)238-4067TARGET PHARMACY41 ROBERT DREASTON, MA 02375(508)230-0006

STOP AND SHOP245 VINEYARD HAVEN RDEDGARTOWN, MA 02539(508)627-5107

COSTCO2 MYSTIC VIEW RDEVERETT, MA 02149(617)544-4805PRESCRIPTION SHOPPE378 BROADWAYEVERETT, MA 02149(617)389-7440RITE AID405 BROADWAYEVERETT, MA 02149(617)387-0005TARGET PHARMACYONE MYSTIC VIEW RDEVERETT, MA 02149(617)960-0166

CVS10 SARAHS WAY RTE 6FAIRHAVEN, MA 02719(508)999-0790KMART PHARMACY9 PLAZA WAYFAIRHAVEN, MA 02719(508)990-1072RITE AID85 HUTTLESTON AVEFAIRHAVEN, MA 02719(508)999-2970

SHAWS PHARMACY11 BERDON WAYFAIRHAVEN, MA 02719(508)979-8556SOUTHCOAST CLINICAL PHARMACY200 MILL RD STE 120FAIRHAVEN, MA 02719(508)910-0370STOP AND SHOP221 HUTTLETSON AVEFAIRHAVEN, MA 02719(508)990-4700WAL-MART42 FAIRHAVEN COMMONS WAYFAIRHAVEN, MA 02719(508)993-4250

CVS1620 PRESIDENT AVEFALL RIVER, MA 02720(508)672-2403CVS4171 N MAIN STFALL RIVER, MA 02720(508)677-3555CVS245 WILLIAM S CANNING BLVDFALL RIVER, MA 02721(508)678-9031CVS550 PLEASANT STFALL RIVER, MA 02721(508)678-3945DEVILLERS PHARMACY1392 RODMAN STFALL RIVER, MA 02721(508)679-1944HEALTH CARE PHARMACY1030 PRESIDENT AVEFALL RIVER, MA 02720(508)675-5858RITE AID10 STAFFORD RDFALL RIVER, MA 02721(508)679-9600RITE AID1024 S MAIN STFALL RIVER, MA 02724(508)672-0888RITE AID1533 S MAIN STFALL RIVER, MA 02724(508)674-0255RITE AID933 PLEASANT STFALL RIVER, MA 02723(508)679-9130RITE AID323 WM S CANNING BLVDFALL RIVER, MA 02721(508)678-0080

RITE AID233 S MAIN STFALL RIVER, MA 02721(508)679-1838RITE AID870 N MAIN STFALL RIVER, MA 02720(508)677-9555STANDARD PHARMACY246 E MAIN STFALL RIVER, MA 02724(508)672-6911STOP AND SHOP501 RODMAN STFALL RIVER, MA 02721(508)672-2366STOP AND SHOP333 MARIANO BISHOP BLVDFALL RIVER, MA 02720(508)675-0887WAL-MART374 WILLIAM S CANNINA BLVDFALL RIVER, MA 02721(508)730-2978WALSH PHARMACY OF ROCK ST202 ROCK STFALL RIVER, MA 02720(508)679-1300

CAPE COD HOME INFUSION SVCS200 MAIN ST STE 205FALMOUTH, MA 02540(800)457-0096CVS105 DAVIS STRAITSFALMOUTH, MA 02540(508)540-4307HOME SOLUTIONS295 MAIN STFALMOUTH, MA 02540(508)548-4266NORTH FALMOUTH PHARMACY17 ACADEMY LNFALMOUTH, MA 02540(508)564-4459RITE AID520 MAIN STFALMOUTH, MA 02540(508)495-2991SHAWS PHARMACY137 TEA TICKET HWYFALMOUTH, MA 02540(508)457-1185

STOP AND SHOP1282 SPRINGFIELD STFEEDING HILLS, MA 01030(413)789-2226

COMMUNITY HEALTH CONNECTIONS275 NICHOLS RDFITCHBURG, MA 01420(978)878-8465CVS96 WATER STFITCHBURG, MA 01420(978)342-8941CVS57 ROLLSTONE RDFITCHBURG, MA 01420(978)342-8740CVS436 JOHN FITCH HWYFITCHBURG, MA 01420(978)345-7606CVS PROCARE370 LUNENBURG STFITCHBURG, MA 01420(978)343-9687KMART PHARMACY140 WHALON STFITCHBURG, MA 01420(978)345-7540

CVS67 CENTRAL STFOXBORO, MA 02035(508)543-6646STOP AND SHOP141 MAIN STFOXBORO, MA 02035(508)543-6174

CVS145 CONCORD STFRAMINGHAM, MA 01702(508)820-9218CVS776 WATER STFRAMINGHAM, MA 01701(508)877-2600CVS1280 WORCESTER RDFRAMINGHAM, MA 01702(508)872-1432EATON APOTHECARY266 WAVERLY STFRAMINGHAM, MA 01702(508)629-2800STOP AND SHOP235 OLD CONNECTICUT PATHFRAMINGHAM, MA 01701(508)820-0903TARGET PHARMACY400 COCHITUATE RDFRAMINGHAM, MA 01701(508)628-9004

WAL-MART121 WORCESTER RDFRAMINGHAM, MA 01701(508)872-4265

CVS272 E CENTRAL STFRANKLIN, MA 02038(508)528-0597CVS435 W CENTRAL STFRANKLIN, MA 02038(508)520-0253RITE AID265 E CENTRAL STFRANKLIN, MA 02038(508)528-0190SHAWS PHARMACY255 E CENTRAL STFRANKLIN, MA 02038(508)520-7017STOP AND SHOP40 FRANKLIN VILLAGE DRFRANKLIN, MA 02038(508)520-4106

CVS314 MAIN STGARDNER, MA 01440(978)632-1760FAMILY PHARMACY HEYWOOD HOSP250 GREEN ST STE 101GARDNER, MA 01440(978)632-4533RITE AID100 WEST STGARDNER, MA 01440(978)630-2808RITE AID52 PEARSON BLVDGARDNER, MA 01440(978)632-7832STOP AND SHOP384 TIMPANY BLVDGARDNER, MA 01440(978)632-8644WAL-MART677 TIMPANY BLVDGARDNER, MA 01440(978)630-1353

CVS65 CENTRAL STGEORGETOWN, MA 01833(978)352-8540GEORGETOWN PHARMACY50 CENTRAL STGEORGETOWN, MA 01833(978)352-2121

EASTON

EDGARTOWN

EVERETT

FAIRHAVEN

FALL RIVER

FALMOUTH

FEEDING HILLS

FITCHBURG

FOXBORO

FRAMINGHAM

FRANKLIN

GARDNER

GEORGETOWN

EASTHAMPTON GEORGETOWN

Page 37: Workers Compensation Claims Folder - Aim Mutual …€¦ ·  · 2017-06-15Workers Compensation Claims Folder 54 Third Avenue * P.O. Box 4070 * Burlington, ... assigned to your case.

EXPRESS SCRIPTS (WORKERS COMPENSATION)

Pharmacy directory is subject to change without notice. Please contact your local pharmacy for more information. November 2011

Pharmacy is open 24 hours

CONLEYS DRUG STORE7 RAILROAD AVEGLOUCESTER, MA 01930(978)283-3131CVS177 MAIN STGLOUCESTER, MA 01930(978)281-2450CVS6 THATCHER RDGLOUCESTER, MA 01930(978)283-7480RITE AID127 EASTERN AVE STE 8GLOUCESTER, MA 01930(978)281-2720

CENTER PHARMACY242 STATE STGRANBY, MA 01033(413)467-7022

CVS362 MAIN ST STE 2GREAT BARRINGTON, MA 01230(413)528-2860FAIRVIEW HOSPITAL29 LEWIS AVEGREAT BARRINGTON, MA 01230(413)854-9667PRICE CHOPPER PHARMACY300 STOCKBRIDGE RDGREAT BARRINGTON, MA 01230(413)528-2408RITE AID740 S MAIN STGREAT BARRINGTON, MA 01230(413)528-5460RITE AID197 MAIN STGREAT BARRINGTON, MA 01230(413)528-2425

BIG Y PHARMACY237 MOHAWK TRLGREENFIELD, MA 01301(413)772-0435CVS137 FEDERAL STGREENFIELD, MA 01301(413)774-7201

RITE AID107 MAIN STGREENFIELD, MA 01301(413)774-3976STOP AND SHOP89 FRENCH KING HWYGREENFIELD, MA 01301(413)774-6006

CVS106 BOSTON RDGROTON, MA 01450(978)448-5238SHAWS/OSCO PHARMACY760A BOSTON RDGROTON, MA 01450(978)448-2605

STOP AND SHOP440 RUSSELL STHADLEY, MA 01035(413)256-4167TARGET PHARMACY367 RUSSELL STHADLEY, MA 01035(413)586-6681WAL-MART337 RUSSELL STHADLEY, MA 01035(413)586-4265

STOP AND SHOP341 PLYMOUTH STHALIFAX, MA 02338(781)293-5786WAL-MART295 PLYMOUTH STHALIFAX, MA 02338(781)294-7001

CVS207 ROCKLAND STHANOVER, MA 02339(781)826-8381TARGET PHARMACY1167 WASHINGTON STHANOVER, MA 02339(781)499-1962WAL-MART1755 WASHINGTON STHANOVER, MA 02339(781)826-2382

CVS471 LIBERTY STHANSON, MA 02341(781)293-3545

SHAWS PHARMACY476 LIBERTY STHANSON, MA 02341(781)293-0561

CVS148 ROUTE 137HARWICH, MA 02645(508)432-2018STOP AND SHOP11 CHATHAM RDHARWICH, MA 02645(508)432-5001

CVS6 POST OFFICE SQ MAIN STHARWICH PORT, MA 02646(508)430-0660STAR PHARMACY18 SISSON RDHARWICH PORT, MA 02646(508)432-0895

CVS259 MAIN STHAVERHILL, MA 01830(978)374-0719CVS241 LINCOLN AVEHAVERHILL, MA 01830(978)372-0291CVS150 LAFAYETTE SQHAVERHILL, MA 01832(978)556-5076CVS425 LOWELL AVEHAVERHILL, MA 01832(978)373-1234PREFERRED PHARMACY SOLUTIONS35 AVCO RDHAVERHILL, MA 01835(978)374-9100RITE AID68 S MAIN STHAVERHILL, MA 01830(978)373-0292RITE AID2 WATER STHAVERHILL, MA 01830(978)374-0171TARGET PHARMACY35 COMPUTER DRHAVERHILL, MA 01832(978)377-9003

CVS405 LINCOLN STHINGHAM, MA 02043(781)749-1163CVS86 SOUTH STHINGHAM, MA 02043(781)740-8952HINGHAM CENTRE PHARMACY294 MAIN STHINGHAM, MA 02043(781)749-1277NEIGHBORCARE-LINDEN PONDS203 LINDEN PONDS WAYHINGHAM, MA 02043(781)534-7270RITE AID100 DERBY STHINGHAM, MA 02043(781)749-8730RITE AID184 LINCOLN STHINGHAM, MA 02043(781)749-0407STOP AND SHOP400 LINCOLN STHINGHAM, MA 02043(781)749-5856

CVS842 S FRANKLIN STHOLBROOK, MA 02343(781)767-0555CVS480 N FRANKLIN STHOLBROOK, MA 02343(781)963-3029

CVS160 RESERVOIR STHOLDEN, MA 01520(508)829-7631RITE AID5 SHREWSBURY STHOLDEN, MA 01520(508)829-6504

CVS101 CENTRAL STHOLLISTON, MA 01746(508)429-5561

CVS2213B NORTHAMPTON STHOLYOKE, MA 01040(413)532-3216

CVS400 BEECH STHOLYOKE, MA 01040(413)536-1432HOLYOKE HEALTH CENTER PHARMACY230 MAPLE ST STE 1HOLYOKE, MA 01040(413)533-7323KMART PHARMACY2203 NORTH HAMPTON STHOLYOKE, MA 01040(413)538-6908RITE AID1504 N HAMPTON STHOLYOKE, MA 01040(413)533-7985STOP AND SHOP28 LINCOLN STHOLYOKE, MA 01040(413)536-5483STOP AND SHOP2217 N HAMPTON STHOLYOKE, MA 01040(413)536-9101TARGET PHARMACY50 HOLYOKE STHOLYOKE, MA 01041(413)532-9568

HOPKINTON DRUG52 MAIN STHOPKINTON, MA 01748(508)435-4441INTEGRITY PHARMACY45 SOUTH ST STE 2HOPKINTON, MA 01748(508)544-9828

CVS234 WASHINGTON STHUDSON, MA 01749(978)562-2663RITE AID157 WASHINGTON STHUDSON, MA 01749(978)562-5096WAL-MART280 WASHINGTON STHUDSON, MA 01749(978)568-3377

NANTASKET PHARMACY480 NANTASKET AVEHULL, MA 02045(781)925-1270

GLOUCESTER

GRANBY

GREAT BARRINGTON

GREENFIELD

GROTON

HADLEY

HALIFAX

HANOVER

HANSON

HARWICH

HARWICH PORT

HAVERHILL

HINGHAM

HOLBROOK

HOLDEN

HOLLISTON

HOLYOKE

HOPKINTON

HUDSON

HULL

GLOUCESTER HULL

Page 38: Workers Compensation Claims Folder - Aim Mutual …€¦ ·  · 2017-06-15Workers Compensation Claims Folder 54 Third Avenue * P.O. Box 4070 * Burlington, ... assigned to your case.

EXPRESS SCRIPTS (WORKERS COMPENSATION)

Pharmacy directory is subject to change without notice. Please contact your local pharmacy for more information. November 2011

Pharmacy is open 24 hours

APOTHECARE201 MAIN STHYANNIS, MA 02601(508)775-9254CAPE COD HOSP EMPLOYEE PHCY27 PARK STHYANNIS, MA 02601(508)862-5900CVS176 NORTH STHYANNIS, MA 02601(508)775-8346CVS1080 FALMOUTH RDHYANNIS, MA 02601(508)778-4064MEDICINE STORE596 W MAIN STHYANNIS, MA 02601(508)778-5928RITE AID360 BARNSTABLE RDHYANNIS, MA 02601(508)771-6511RITE AID520 W MAIN STHYANNIS, MA 02601(508)775-9211STOP AND SHOP65 INDEPENDENCE DRHYANNIS, MA 02601(508)790-2149

CVS942 HYDE PARKE AVEHYDE PARK, MA 02136(617)364-5141HYDE PARK PHARMACY1461 RIVER STHYDE PARK, MA 02136(617)361-1545RITE AID1329 HYDE PARK AVEHYDE PARK, MA 01236(617)364-2000SHAWS PHARMACY1377 HYDE PARK AVEHYDE PARK, MA 02136(617)364-3161

CONLEY'S DRUG STORE146 HIGH ST UNIT HIPSWICH, MA 01938(978)356-2121RITE AID114 CENTRAL STIPSWICH, MA 01938(978)356-9198

CVS704 CENTER STJAMAICA PLAIN, MA 02130(617)524-4714CVS467 CENTRE STJAMAICA PLAIN, MA 02130(617)522-8062STOP AND SHOP301 CENTRE STJAMAICA PLAIN, MA 02130(617)524-2419

CVS189 SUMMER STKINGSTON, MA 02364(781)585-6581HANNAFORD FOOD AND DRUG182 SUMMER STKINGSTON, MA 02364(781)585-1326STOP AND SHOP160 SUMMER STKINGSTON, MA 02364(781)582-3703TARGET PHARMACY101 INDEPENDENCE MALL WAYKINGSTON, MA 02364(781)585-6337TURA'S PHARMACY85 SUMMER STKINGSTON, MA 02364(781)585-2595

CVS11 MAIN STLAKEVILLE, MA 02347(508)946-8690SEDELL'S PHARMACY290 BEDFORD STLAKEVILLE, MA 02347(508)946-4766

TARGET PHARMACY655 CHESHIRE RDLANESBOROUGH, MA 01237(412)236-4223

CVS205 S BROADWAYLAWRENCE, MA 01840(978)681-9943GREATER LAWRENCE FHC PHARMACY150 PARK STLAWRENCE, MA 01841(978)689-6635

GREATER LAWRENCE FHC PHARMACY34 HAVERHILL STLAWRENCE, MA 01841(978)689-6635GREATER LAWRENCE FHC PHARMACY700 ESSEX STLAWRENCE, MA 01841(978)689-6635PACKARD MEDICAL PHARMACY128 PARKER STLAWRENCE, MA 01841(978)682-5122PERROTTA'S SUPER DRUG292 PROSPECT STLAWRENCE, MA 01841(978)682-2557RITE AID73 WINTHROP AVELAWRENCE, MA 01843(978)687-0445RITE AID365 ESSEX STLAWRENCE, MA 01840(978)682-5986

RITE AID25 PARK STLEE, MA 01238(413)243-2402

WAL-MART1666 MAIN STLEICESTER, MA 01524(508)892-4058

CVSROUTE 7 AND 20LENOX, MA 02140(413)499-3430LENOX VILLAGE PHARMACY5 WALKER STLENOX, MA 01240(413)637-4700

CVS188 CENTRAL STLEOMINSTER, MA 01453(978)537-7940CVS9 NELSON STLEOMINSTER, MA 01453(978)840-8343CVS63 SACK BLVDLEOMINSTER, MA 01453(978)534-5114

CVS PROCARE165 MILL STLEOMINSTER, MA 01453(978)537-7091HANNAFORD FOOD AND DRUG927 MERRIAM AVELEOMINSTER, MA 01453(978)466-7458HANNAFORD FOOD AND DRUG118 LANCASTER STLEOMINSTER, MA 01453(978)840-2737TARGET PHARMACY86 ORCHARD HILL PARK DRLEOMINSTER, MA 01453(978)534-4358WAL-MART11 JUNGLE RDLEOMINSTER, MA 01453(978)466-1221

CVS1735 MASSACHUSETTS AVELEXINGTON, MA 02420(781)862-4080THEATRE PHARMACY1784 MASSACHUSETTS AVELEXINGTON, MA 02420(781)862-4480

CVS10 MEETING HOUSE RDLITTLETON, MA 01460(978)486-9230

BIG Y PHARMACY802 WILLIAMS STLONGMEADOW, MA 01106(413)567-6231CVS720 BLISS RDLONGMEADOW, MA 01106(413)567-8961CVS410 LONGMEADOW STLONGMEADOW, MA 01106(413)567-2033

CVS1815 MIDDLESEX STLOWELL, MA 01851(978)458-4621CVS35 MERRIMACK STLOWELL, MA 01852(978)454-1000

CVS336 BRIDGE STLOWELL, MA 01850(978)452-7165HANNAFORD FOOD AND DRUG777 ROGERS RDLOWELL, MA 01852(978)453-7257LONG TERM PHARMACY SOLUTIONS225 STEDMAN ST STE 27LOWELL, MA 01851(978)458-4000PAWTUCKET PHARMACY OF LOWELL65 SCHOOL STLOWELL, MA 01854(978)458-3366RITE AID25 WOOD STLOWELL, MA 01852(978)458-6397RITE AID121 CHURCH STLOWELL, MA 01852(978)937-0030RITE AID86 DUMMER STLOWELL, MA 01854(978)458-8441TARGET PHARMACY181 PLAIN STLOWELL, MA 01852(978)703-2021

BIG Y PHARMACY433 CENTER ST STE 3LUDLOW, MA 01056(413)583-7910CVS451 CENTER STLUDLOW, MA 01056(413)589-9559

CVS454 ELECTRIC AVELUNENBURG, MA 01462(978)345-1064HANNAFORD FOOD AND DRUG333 MASS AVELUNENBURG, MA 01462(978)582-7013WAL-MART301 MASSACHUSETTS AVELUNENBURG, MA 01462(978)582-6499

HYANNIS

HYDE PARK

IPSWICH

JAMAICA PLAIN

KINGSTON

LAKEVILLE

LANESBOROUGH

LAWRENCE

LEE

LEICESTER

LENOX

LEOMINSTER

LEXINGTON

LITTLETON

LONGMEADOW

LOWELL

LUDLOW

LUNENBURG

HYANNIS LUNENBURG

Page 39: Workers Compensation Claims Folder - Aim Mutual …€¦ ·  · 2017-06-15Workers Compensation Claims Folder 54 Third Avenue * P.O. Box 4070 * Burlington, ... assigned to your case.

EXPRESS SCRIPTS (WORKERS COMPENSATION)

Pharmacy directory is subject to change without notice. Please contact your local pharmacy for more information. November 2011

Pharmacy is open 24 hours

CROWN DRUG232 LEWIS STLYNN, MA 01902(781)598-9400CVS200 S COMMON STLYNN, MA 01905(781)592-1470CVS509 EASTERN AVELYNN, MA 01902(781)599-4482CVS102 BOSTON STLYNN, MA 01904(781)595-5997EATON APOTHECARY298 UNION STLYNN, MA 01901(781)593-4805EATON PHARMACY12 MARKET SQLYNN, MA 01905(781)598-3535FLAG PHARMACY7 WILLOW STLYNN, MA 01901(781)599-5900LYNN COMMUNITY HLTH CTR PHCY298 UNION STLYNN, MA 01901(781)593-4805OSBORNE PHARMACY59 ESSEX STLYNN, MA 01902(781)598-3500RICHMOND PHARMACY499 EASTERN AVENUELYNN, MA 01902(781)592-4172RITE AID52 BOSTON STLYNN, MA 01904(781)581-1681RITE AID156 LEWIS STLYNN, MA 01902(781)592-5868SHAWS PHARMACY43 STATE STLYNN, MA 01901(781)596-9625SPECTOR DRUG289 ESSEX STLYNN, MA 01902(781)592-3179STOP AND SHOP35 WASHINGTON STLYNN, MA 01901(781)596-3277

WAL-MART780 LYNNWAYLYNN, MA 01905(781)592-4330

VILLAGE PHARMACY590 MAIN STLYNNFIELD, MA 01940(781)334-3133

AUCELLA DRUG705 SALEM STMALDEN, MA 02148(781)324-7060CVS36 PLEASANT STMALDEN, MA 02148(781)324-1101CVS60 BROADWAYMALDEN, MA 02148(781)322-5890CVS575 BROADWAYMALDEN, MA 02148(781)321-1017ELMWOOD PHARMACY299 PLEASANT STMALDEN, MA 02148(781)322-2117STOP AND SHOP99 CHARLES STMALDEN, MA 02148(781)397-0050

ALLEN'S PHARMACY40 BEACH STMANCHESTER, MA 01944(978)526-1321

CVS261 CHAUNCY STMANSFIELD, MA 02048(508)339-6711RITE AID243 CHAUNCY STMANSFIELD, MA 02048(508)337-8800STOP AND SHOP377 CHAUNCY STMANSFIELD, MA 02048(508)337-9455

CVS45 ATLANTIC AVEMARBLEHEAD, MA 01945(781)639-1466

VILLAGE PHARMACY1 VILLAGE PLZMARBLEHEAD, MA 01945(781)631-8100

ACCREDO THERAPEUTICS261 CEDAR HILL STMARLBOROUGH, MA 01752(508)460-9813BOUVIER PHARMACY515 LINCOLN STMARLBOROUGH, MA 01752(508)485-0432CVS264 E MAIN STMARLBOROUGH, MA 01752(508)485-6119HANNAFORD FOOD AND DRUG193 BOSTON POST RD WMARLBOROUGH, MA 01752(508)229-0647MEDICINE STORE164 PLEASANT STMARLBOROUGH, MA 01752(508)481-5916PARTNERS PHARMACY OF MA181 CEDAR HILLMARLBOROUGH, MA 01752(508)624-8880RITE AID75 S BOLTON STMARLBOROUGH, MA 01752(508)229-2924TARGET PHARMACY605 BOSTON POST RD EMARLBOROUGH, MA 01752(508)251-6958TARGET PHARMACY423 DONALD LYNCH BLVDMARLBOROUGH, MA 01752(508)573-1005WEST RIVER PHARM140 LOCKE DRMARLBOROUGH, MA 01752(508)573-5200

CVS1880 OCEAN RDMARSHFIELD, MA 02050(781)837-5381RITE AID1900 OCEAN STMARSHFIELD, MA 02050(781)319-0012STAR PHARMACY16 WEBSTER SQMARSHFIELD, MA 02050(781)837-5163

CVS1030 PUTNAM AVEMARSTONS MILLS, MA 02648(508)428-9638RITE AID3858 FALMOUTH RDMARSTONS MILLS, MA 02648(508)428-3525

CVS11 MARKET STMASHPEE, MA 02649(508)477-1535STOP AND SHOP39 NATHAN ELLIS HWYMASHPEE, MA 02649(508)539-1803

RITE AID90 RIVER ST STE 7MATTAPAN, MA 02126(617)298-4940

CVS105 MAIN STMAYNARD, MA 01754(978)897-2939

CVS555 MAIN STMEDFIELD, MA 02052(508)359-7783SHAWS PHARMACY230 MAIN STMEDFIELD, MA 02052(508)359-6855

CVS85 HIGH STMEDFORD, MA 02155(781)396-4770CVS55 RIVERSIDE AVEMEDFORD, MA 02155(781)395-1515CVS590 FELLSWAYMEDFORD, MA 02155(781)391-2668HARVARD VANGUARD MED ASSOC26 CITY HALL MALLMEDFORD, MA 02155(781)306-5240RITE AID491 HIGH ST STE 497MEDFORD, MA 02155(781)646-9622

RITE AID467 SALEM STMEDFORD, MA 02155(781)396-8352SHAWS PHARMACY61 LOCUST STMEDFORD, MA 02155(781)395-3233STOP AND SHOP760 FELLSWAYMEDFORD, MA 02155(781)396-2940

CVS67 D MAIN STMEDWAY, MA 02053(508)533-6771

CVS516 MAIN ST # 522MELROSE, MA 02176(781)665-7107GREEN STREET PHARMACY35 GREEN STMELROSE, MA 02176(781)665-0022MELROSE DRUG CENTER462 MAIN STMELROSE, MA 02176(781)665-7400RITE AID882 MAIN STMELROSE, MA 02176(781)665-1719

CONLIN'S PHARMACY30 LAWRENCE STMETHUEN, MA 01844(978)552-1700CVS76 SWAN STMETHUEN, MA 01844(978)688-9002CVS233 BROADWAY STMETHUEN, MA 01844(978)685-6311RESIDENT CARE PHARMACY213 BROADWAYMETHUEN, MA 01844(978)327-6551RITE AID256 PLEASANT STMETHUEN, MA 01844(978)683-5690RITE AID176 HAVERHILL STMETHUEN, MA 01844(978)686-3058

LYNN

LYNNFIELD

MALDEN

MANCHESTER

MANSFIELD

MARBLEHEAD

MARLBOROUGH

MARSHFIELD

MARSTONS MILLS

MASHPEE

MATTAPAN

MAYNARD

MEDFIELD

MEDFORD

MEDWAY

MELROSE

METHUEN

LYNN METHUEN

Page 40: Workers Compensation Claims Folder - Aim Mutual …€¦ ·  · 2017-06-15Workers Compensation Claims Folder 54 Third Avenue * P.O. Box 4070 * Burlington, ... assigned to your case.

EXPRESS SCRIPTS (WORKERS COMPENSATION)

Pharmacy directory is subject to change without notice. Please contact your local pharmacy for more information. November 2011

Pharmacy is open 24 hours

STOP AND SHOP90 PLEASANT VALLEY STMETHUEN, MA 01844(978)837-6644TARGET PHARMACY67 PLEASANT VALLEY STMETHUEN, MA 01844(978)983-2021WAL-MART70 PLEASANT VALLEY STMETHUEN, MA 01844(978)686-3359

CVS438 W GROVE ST STE BMIDDLEBORO, MA 02346(508)946-0080HANNAFORD FOOD AND DRUG8 MERCHANTS WAYMIDDLEBORO, MA 02346(508)923-2989RITE AID131 MAIN ST # 133MIDDLEBORO, MA 02346(508)946-0149

CVS220 MAPLE STMIDDLETON, MA 01949(978)774-1061

CVS137 S MAIN STMILFORD, MA 01757(508)478-0331CVS50 MEDWAY RDMILFORD, MA 01757(508)634-3095CVS PROCARE176 WEST STMILFORD, MA 01757(508)634-8800RITE AID5 MEDWAY RDMILFORD, MA 01757(508)478-7514RITE AID98 PROSPECT STMILFORD, MA 01757(508)478-3918STOP AND SHOP196 E MAIN STMILFORD, MA 01757(508)478-5748TARGET PHARMACY250 FORTUNE BLVDMILFORD, MA 01757(508)478-5276

CVS65 CANAL STMILLBURY, MA 01527(508)865-8805CVS PROCARE110 ELM STMILLBURY, MA 01527(508)865-1136RITE AID25 MAIN STMILLBURY, MA 01527(508)865-0544TARGET PHARMACY70 WORCESTER PROVIDN TPKEMILLBURY, MA 01527(508)865-7454

CVS2 MILLISTON RDMILLIS, MA 02054(508)376-2975

CVS10 BASSETT STMILTON, MA 02186(617)698-2805

RITE AID117 MAIN STMONSON, MA 01057(413)267-4021

DAN'S PHARMACY100 PLEASANT STNANTUCKET, MA 02554(508)825-9100ISLAND VALUE PHARMACY122 PLEASANT STNANTUCKET, MA 02554(508)228-6400NANTUCKET PHARMACY45 MAIN STNANTUCKET, MA 02554(508)228-0180

CVS137 W CENTRAL STNATICK, MA 01760(508)655-2271JONES DRUG7 MAIN STNATICK, MA 01760(508)653-1820

STOP AND SHOP829 WORCESTER STNATICK, MA 01760(508)653-3504

BIRDS HILL PHARMACY401 GREAT PLAIN AVENEEDHAM, MA 02492(781)449-0550CVS936 HIGHLAND AVENEEDHAM, MA 02492(781)453-0550CVS980 GREAT PLAIN AVENEEDHAM, MA 02492(781)449-2270

CVS2100 ACUSHNET AVENEW BEDFORD, MA 02745(508)995-2653CVS1145 KEMPTON STNEW BEDFORD, MA 02740(508)999-3241CVS786 ASHLEY BLVDNEW BEDFORD, MA 02745(508)998-3831CVS136 ASHLEY BLVDNEW BEDFORD, MA 02746(508)996-2094PHARMAHEALTH PHARMACY2206 ACUSHNET AVENEW BEDFORD, MA 02745(508)998-8000PHARMAHEALTH PHARMACY458 DARTMOUTH STNEW BEDFORD, MA 02740(508)996-3778RITE AID1383 COVE RDNEW BEDFORD, MA 02744(508)991-3368RITE AID824 PURCHASE STNEW BEDFORD, MA 02740(508)992-2422RITE AID1245 ACUSHNET AVENEW BEDFORD, MA 02745(508)984-5402RITE AID565 MILL STNEW BEDFORD, MA 02740(508)996-5781

RITE AID2170 ACUSHNET AVENEW BEDFORD, MA 02745(508)995-6408SILVA PHARMACY133 COUNTY STNEW BEDFORD, MA 02744(508)992-4741ST LUKE'S RETAIL PHARMACY101 PAGE STNEW BEDFORD, MA 02740(508)961-5449STOP AND SHOP1001 KINGS HWYNEW BEDFORD, MA 02745(508)998-0999STOP AND SHOP438 DARTMOUTH STNEW BEDFORD, MA 02742(508)996-5090

CVS13 1/2 POND STNEWBURYPORT, MA 01950(978)462-5339DANIEL L. LYNCH PHARMACY173 HIGH STNEWBURYPORT, MA 01950(978)462-2232RITE AIDSTOREY AVENEWBURYPORT, MA 01950(978)462-8530

AMERICA'S COMPOUNDING CENTER153 CALIFORNIA STNEWTON, MA 02458(617)527-1563CVS978 BOYLSTON STNEWTON, MA 02464(617)244-0821

CVS1199 CENTER STNEWTON CENTER, MA 02459(617)332-4900

CVS304 WALNUT STNEWTONVILLE, MA 02460(617)527-0120

CVSBIG Y SHOPPING CTRNORTH ADAMS, MA 01247(413)664-8712LITTLES PHARMACY109 EAGLE STNORTH ADAMS, MA 01247(413)663-6450RITE AID60 LINCOLN STNORTH ADAMS, MA 01247(413)663-5270STOP AND SHOP876 STATE RDNORTH ADAMS, MA 01247(413)664-8550WAL-MART830 CURRAN MEMORIAL HWYNORTH ADAMS, MA 01247(413)664-4040

CVS110 TURNPIKE STNORTH ANDOVER, MA 01845(978)686-3854CVS115 MAIN STNORTH ANDOVER, MA 01845(978)682-0941RITE AID525 TURNPIKE STNORTH ANDOVER, MA 01845(978)794-8720STOP AND SHOP757 TURNPIKE STNORTH ANDOVER, MA 01845(978)683-4925

CVS8 E WASHINGTON STNORTH ATTLEBORO, MA 02760(508)695-1481RITE AID11 ROBERT TONER BLVDNORTH ATTLEBORO, MA 02763(508)695-1895SHAWS PHARMACY125 TONER BLVDNORTH ATTLEBORO, MA 02760(508)643-0312STOP AND SHOP260 E WASHINGTON STNORTH ATTLEBORO, MA 02763(508)695-6111

MIDDLEBORO

MIDDLETON

MILFORD

MILLBURY

MILLIS

MILTON

MONSON

NANTUCKET

NATICK

NEEDHAM

NEW BEDFORD

NEWBURYPORT

NEWTON

NEWTON CENTER

NEWTONVILLE

NORTH ADAMS

NORTH ANDOVER

NORTH ATTLEBORO

METHUEN NORTH ATTLEBORO

Page 41: Workers Compensation Claims Folder - Aim Mutual …€¦ ·  · 2017-06-15Workers Compensation Claims Folder 54 Third Avenue * P.O. Box 4070 * Burlington, ... assigned to your case.

EXPRESS SCRIPTS (WORKERS COMPENSATION)

Pharmacy directory is subject to change without notice. Please contact your local pharmacy for more information. November 2011

Pharmacy is open 24 hours

TARGET PHARMACY1205 S WASHINGTON STNORTH ATTLEBORO, MA 02760(508)669-2748WAL-MART1470 S WASHINGTON STNORTH ATTLEBORO, MA 02760(508)699-2007

CVS210 BOSTON RDNORTH BILLERICA, MA 01862(978)663-6616MEDICAL CENTER PHARMACY221 BOSTON RDNORTH BILLERICA, MA 01862(978)663-6583

HANNAFORD FOOD AND DRUG5 GILBERT STNORTH BROOKFIELD, MA 01535(508)867-4891

PHARMAHEALTH PHARMACY535 FAUNCE CORNER RDNORTH DARTMOUTH, MA 02747(508)998-7888STOP AND SHOP25 FAUNCE CORNER MALL RDNORTH DARTMOUTH, MA 02747(508)999-7300TARGET PHARMACY479 STATE RDNORTH DARTMOUTH, MA 02747(508)979-7531WAL-MART506 STATE RDNORTH DARTMOUTH, MA 02747(508)984-7774

CVS2 ROCHE BROTHERS WAYNORTH EASTON, MA 02356(508)230-0259CVS689 DEPOT STNORTH EASTON, MA 02356(508)238-0604

RITE AID690 DEPOT STNORTH EASTON, MA 02356(508)238-6929

CVS100 WORCESTER STNORTH GRAFTON, MA 01536(508)839-2240RITE AID217 WORCESTER RDNORTH GRAFTON, MA 01536(508)839-6134STAT-CARE PHARMACY198 WORCHESTER STNORTH GRAFTON, MA 01536(508)839-1221

WAL-MART742 MAIN STNORTH OXFORD, MA 01537(508)987-1111

CVS22 MAIN STNORTH READING, MA 01864(978)664-4621WAL-MART72 MAIN STNORTH READING, MA 01864(978)664-3207

BIG Y PHARMACY136 N KING ST RTE 5NORTHAMPTON, MA 01060(413)586-5145CVS366 KING STNORTHAMPTON, MA 01060(413)586-8315CVS90 MAIN STNORTHAMPTON, MA 01060(413)584-2580SERIO'S PHARMACY63 STATE STNORTHAMPTON, MA 01060(413)584-8980STOP AND SHOP228 KING STNORTHAMPTON, MA 01060(413)584-9700WAL-MART180 N KING STNORTHAMPTON, MA 01060(413)587-9555

CVS14 W MAIN STNORTHBOROUGH, MA 01532(508)393-6027SHATTUCK PHARMACY17 W MAIN STNORTHBOROUGH, MA 01532(508)393-2670WAL-MART200 OTIS STNORTHBOROUGH, MA 01532(508)393-1745WEGMANS PHARMACY9102 SHOPS WAYNORTHBOROUGH, MA 01532(508)936-1900

CVS35 W MAIN STNORTON, MA 02766(508)285-4032HASKINS PHARMACY4 SCOTT DRNORTON, MA 02766(508)285-4481ROCHE BROS PHARMACY175 MANSFIELD AVENORTON, MA 02766(508)285-5293

CVS104 WASHINGTON STNORWELL, MA 02061(781)871-0183HANNAFORD FOOD AND DRUG10 WASHINGTON STNORWELL, MA 02061(781)878-7063PROFESSIONAL PHARMACY75 WASHINGTON STNORWELL, MA 02061(781)878-3234RITE AID119 WASHINGTON ST STE 2NORWELL, MA 02061(781)878-6063STOP AND SHOP468 WASHINGTON STNORWELL, MA 02061(781)982-2946

CVS136 NAHATAN STNORWOOD, MA 02062(781)769-2422

MEDI-SON SOLUTIONS898 WASHINGTON STNORWOOD, MA 02062(781)352-2606RITE AID420 WALPOLE STNORWOOD, MA 02062(781)769-5400RITE AID991 PROVIDENCE HWYNORWOOD, MA 02062(781)762-4979

CONROY APOTHECARY OB82 PENNACOOK AVEOAK BLUFFS, MA 02557(508)696-0700

WAL-MART555 E MAIN STORANGE, MA 01364(978)544-6405

CVS110 RTE 6AORLEANS, MA 02653(508)240-2759CVS9 WEST RD SKAKET CORSORLEANS, MA 02653(508)255-0570RITE AIDORLEANS S/C, RT 6AORLEANS, MA 02653(508)255-5931STOP AND SHOPRTE 6 A CRANBERRY COVE PLZORLEANS, MA 02653(508)255-3851

CVS302 MAIN STOXFORD, MA 01540(508)987-1327RITE AID175 MAIN STOXFORD, MA 01540(508)987-5386

BIG Y PHARMACY1180 THORNDIKE STPALMER, MA 01069(413)283-4827CVS1001 THORNDYKE STPALMER, MA 01069(413)283-2546

RITE AID1047 THORNDIKE STPALMER, MA 01069(413)283-3658

CVS637 LOWELL STPEABODY, MA 01960(978)535-5465CVS85 LYNNFIELD STPEABODY, MA 01960(978)531-6953CVS535 LOWELL STPEABODY, MA 01960(978)535-2062CVS174 MAIN STPEABODY, MA 01960(978)977-4844EATON APOTHECARY23 CENTENNIAL DRPEABODY, MA 01960(978)532-3732HARVARD VANGUARD MED ASSOC2 ESSEX CENTER DRPEABODY, MA 01960(978)977-4100LAHEY CLINIC NORTH PHARMACY1 ESSEX CENTER DRPEABODY, MA 01960(978)538-4150NEIGHBORCARE-BROOKSBY VILLAGE100 BROOKSBY VILLAGE DRPEABODY, MA 01960(978)326-2350STOP AND SHOP19 HOWLEY STPEABODY, MA 01960(978)977-3946TREMONT DRUG COMPANY86 TREMONT STPEABODY, MA 01960(978)531-1853

CVS44 MATTAKEESETT STPEMBROKE, MA 02359(781)293-3113STOP AND SHOP125 CHURCH STPEMBROKE, MA 02359(781)826-8315

NORTH BILLERICA

NORTH BROOKFIELD

NORTH DARTMOUTH

NORTH EASTON

NORTH GRAFTON

NORTH OXFORD

NORTH READING

NORTHAMPTON

NORTHBOROUGH

NORTON

NORWELL

NORWOOD

OAK BLUFFS

ORANGE

ORLEANS

OXFORD

PALMER

PEABODY

PEMBROKE

NORTH ATTLEBORO PEMBROKE

Page 42: Workers Compensation Claims Folder - Aim Mutual …€¦ ·  · 2017-06-15Workers Compensation Claims Folder 54 Third Avenue * P.O. Box 4070 * Burlington, ... assigned to your case.

EXPRESS SCRIPTS (WORKERS COMPENSATION)

Pharmacy directory is subject to change without notice. Please contact your local pharmacy for more information. November 2011

Pharmacy is open 24 hours

PEPPERELL FAMILY PHARMACY74 MAIN STPEPPERELL, MA 01463(978)433-6130RITE AID6062 GROTON STPEPPERELL, MA 01463(978)433-2711

BERKSHIRE MEDICAL CENTER725 NORTH STPITTSFIELD, MA 01201(413)395-7610BIG Y PHARMACY200 WEST STPITTSFIELD, MA 01201(413)447-9844CVS107 WEST STPITTSFIELD, MA 01201(413)499-4624FLYNN'S PHARMACY173 ELM STPITTSFIELD, MA 01201(413)445-5567PRICE CHOPPER PHARMACY555 HUBBARD AVEPITTSFIELD, MA 01201(413)496-9332RITE AID37 CHESHIRE RDPITTSFIELD, MA 01201(413)443-4486RITE AID180 ELM STPITTSFIELD, MA 01201(413)499-1640RITE AID163 SOUTH STPITTSFIELD, MA 01201(413)445-5030RITE AID501 NORTH STPITTSFIELD, MA 01201(413)499-5411STOP AND SHOP1 DAN FOX DRPITTSFIELD, MA 01201(413)442-8898STOP AND SHOP660 MERRILL RDPITTSFIELD, MA 01201(413)443-0064WAL-MART555 HUBBARD AVE STE 12PITTSFIELD, MA 01201(413)442-2241

PLAINVILLE PRESCRIPTION CENTER122 SOUTH STPLAINVILLE, MA 02762(508)695-5091RITE AID13 TAUNTON STPLAINVILLE, MA 02762(508)695-9493TARGET PHARMACY103 TAUNTON STPLAINVILLE, MA 02762(508)643-9221

APOTHECARE OF PLYMOUTH121-3 CAMELOT DRPLYMOUTH, MA 02360(508)732-9700BALBONI'S DRUG289 COURT STPLYMOUTH, MA 02360(508)746-1251CVS8 PILGRIM HILL RDPLYMOUTH, MA 02360(508)747-1465CVS517 STATE RDPLYMOUTH, MA 02360(508)224-3312CVS2253 STATE RDPLYMOUTH, MA 02360(508)833-3875HIGH POINT PHARMACY1233 STATE RDPLYMOUTH, MA 02360(508)503-2402RITE AID179 COURT ST STE 5PLYMOUTH, MA 02360(508)746-2227SHAWS - OSCO PHARMACY2260 STATE RDPLYMOUTH, MA 02360(508)833-8819STOP AND SHOP127 SAMOSET STPLYMOUTH, MA 02360(508)746-7114WAL-MART300 COLONY PLACEPLYMOUTH, MA 02360(508)830-6766

STOP AND SHOP56 SHANK PAINTER RDPROVINCETOWN, MA 02657(508)487-3738

BAXTER PHARMACY464 WASHINGTON STQUINCY, MA 02169(617)773-7733BLACKWOOD PHARMACY181 PARKING WAYQUINCY, MA 02169(617)471-3300CVS321 QUINCY SHORE DRQUINCY, MA 02171(617)471-0041CVS22 INDEPENDENCE AVEQUINCY, MA 02169(617)773-0558CVS600 SOUTHERN ARTERYQUINCY, MA 02169(617)472-7534HARVARD VANGUARD MED ASSOC1250 HANCOCK STQUINCY, MA 02169(617)774-0742RITE AID475 HANCOCK STQUINCY, MA 02171(617)328-6002RITE AID132 GRANITE STQUINCY, MA 02169(617)479-3220STOP AND SHOP495 SOUTHERN ARTERYQUINCY, MA 02169(617)471-6707STOP AND SHOP65 NEWPORT AVEQUINCY, MA 02171(617)328-6622WAL-MART301 FALLS BLVDQUINCY, MA 02169(617)745-4393

CVS171 N MAIN STRANDOLPH, MA 02368(781)963-3906RITE AID47 MEMORIAL PKWYRANDOLPH, MA 02368(781)961-1244

CVS266 ROUTE 44RAYNHAM, MA 02767(508)824-1361

CVS252 BROADWAYRAYNHAM, MA 02767(508)824-8621STOP AND SHOP36 NEW STATE HWYRAYNHAM, MA 02767(508)824-2845WAL-MART36 PARAMOUNT DRRAYNHAM, MA 02767(508)822-7122

CVS650 MAIN STREADING, MA 01867(781)944-0432RITE AID15 BOLTON STREADING, MA 01867(781)942-5810RITE AID25 HAVEN STREADING, MA 01867(781)944-9625

CVS61 SQUIRE RDREVERE, MA 02151(781)289-6099REVERE HLTH CTR PHARMACY300 OCEAN AVEREVERE, MA 02151(781)485-6098RITE AID653 SQUIRE RDREVERE, MA 02151(781)289-5743RITE AID467 BROADWAYREVERE, MA 02151(781)289-8656STOP AND SHOP540 SQUIRE RDREVERE, MA 02151(781)289-6879STOP AND SHOP151 VFW HWYREVERE, MA 02151(781)485-0080TARGET PHARMACY36 FURLONG DRREVERE, MA 02151(781)922-6031

CVS80 MARKET STROCKLAND, MA 02370(781)878-4225

RITE AID201 MARKET STROCKLAND, MA 02370(781)871-2990

RITE AID33 WHISTLESTOP MALLROCKPORT, MA 01966(978)546-7521

CVS4600 WASHINGTON STROSLINDALE, MA 02131(617)469-6302ROSLINDALE PHARMACY452 HYDE PARK AVEROSLINDALE, MA 02131(617)325-0300SULLIVAN'S HEALTH CARE30 BELGRADE AVEROSLINDALE, MA 02131(617)327-0210SULLIVAN'S PHARMACY1 CORINTH STROSLINDALE, MA 02131(617)323-6544

CVSMARKET BASKET CTR RTE 1ROWLEY, MA 01969(978)948-2575ROWLEY PHARMACY169 MAIN STROWLEY, MA 01969(978)948-2208

DIMOCK CENTER PHARMACY55 DIMOCK STROXBURY, MA 02119(617)427-9800

WHITTIER HEALTH PHARMACY1123 TREMONT STROXBURY CROSSING, MA 02120(617)536-1890

RUTLAND PHARMACY18 MAPLE AVERUTLAND, MA 01543(508)886-6261

PEPPERELL

PITTSFIELD

PLAINVILLE

PLYMOUTH

PROVINCETOWN

QUINCY

RANDOLPH

RAYNHAM

READING

REVERE

ROCKLAND

ROCKPORT

ROSLINDALE

ROWLEY

ROXBURY

ROXBURY CROSSING

RUTLAND

PEPPERELL RUTLAND

Page 43: Workers Compensation Claims Folder - Aim Mutual …€¦ ·  · 2017-06-15Workers Compensation Claims Folder 54 Third Avenue * P.O. Box 4070 * Burlington, ... assigned to your case.

EXPRESS SCRIPTS (WORKERS COMPENSATION)

Pharmacy directory is subject to change without notice. Please contact your local pharmacy for more information. November 2011

Pharmacy is open 24 hours

CVS272 HIGHLAND AVESALEM, MA 01970(978)745-4943CVS426B ESSEX STSALEM, MA 01970(978)741-0484CVS200 ESSEX STSALEM, MA 01970(978)744-2224TARGET PHARMACY227 HIGHLAND AVESALEM, MA 01970(978)224-4001WAL-MART450 HIGHLAND AVESALEM, MA 01970(978)825-0845

CVS2 LAFAYETTE RDSALISBURY, MA 01952(978)462-1303

CVS65 TUPPER RD PURITY PLZSANDWICH, MA 02563(508)888-4333CVS77 QUAKER MEETING HOUSE RDSANDWICH, MA 02563(508)477-2655STOP AND SHOP65 ROUTE 6ASANDWICH, MA 02563(508)833-3288

CVS1075 BROADWAYSAUGUS, MA 01906(781)233-2643RITE AID359 BROADWAYSAUGUS, MA 01906(781)233-4991STOP AND SHOP164 MAIN STSAUGUS, MA 01906(781)231-5775TARGET PHARMACY400 LYNN FELLS PKWYSAUGUS, MA 01906(781)307-0001

CVSHARBOR MALL 100 FRONT STSCITUATE, MA 02066(781)545-0240SCITUATE PHARMACY384 GANNETT RDSCITUATE, MA 02066(781)545-1020

CVS1475 NEWMAN AVESEEKONK, MA 02771(508)399-8801SAM'S CLUB1110 FALL RIVER AVESEEKONK, MA 02771(508)336-4052STOP AND SHOP125 HIGHLAND AVESEEKONK, MA 02771(508)336-4453TARGET PHARMACY79 COMMERCE WAYSEEKONK, MA 02771(508)336-1107WAL-MART1180 FALL RIVER AVESEEKONK, MA 02771(508)336-5308

CVS66 S MAIN STSHARON, MA 02067(781)784-6714RITE AID800 S MAIN STSHARON, MA 02067(781)784-1235

BAKER PHARMACY52 BRIDGE STSHELBURNE FALLS, MA 01370(413)625-6324

CRITICAL CARE SYSTEMS246 BOSTON TPKESHREWSBURY, MA 01545(508)363-3665CVS197 BOSTON TPKESHREWSBURY, MA 01545(508)752-0439PRICE CHOPPER PHARMACY731 BOSTON TPKESHREWSBURY, MA 01545(000)000-0000

RITE AID557 MAIN STSHREWSBURY, MA 01545(508)842-8400SHAWS PHARMACY50 BOSTON TPKE RDSHREWSBURY, MA 01545(508)363-0057STOP AND SHOP539 BOSTON TPKE # 571SHREWSBURY, MA 01545(508)842-2771

CVS1587 BRAYTON POINT RDSOMERSET, MA 02725(508)673-9663RITE AID985 COUNTY STSOMERSET, MA 02726(508)676-3370STOP AND SHOP815 GRAND ARMY HWYSOMERSET, MA 02725(508)324-9693

CVS532 MEDFORD STSOMERVILLE, MA 02145(617)628-1401CVS1 DAVIS SQSOMERVILLE, MA 02144(617)629-4156HARVARD VANGUARD MED ASSOC40 HOLLAND STSOMERVILLE, MA 02144(617)629-6200RITE AID530 SOMERVILLE AVESOMERVILLE, MA 02143(617)776-9320RITE AID14 MCGRATH HWYSOMERVILLE, MA 02143(617)776-3000RITE AID393 HIGHLAND AVESOMERVILLE, MA 02144(617)776-7730RITE AID299 BROADWAYSOMERVILLE, MA 02145(617)628-1014STOP AND SHOP779 MCGRATH HWYSOMERVILLE, MA 02145(617)666-1404

TARGET PHARMACY180 SOMERVILLE AVESOMERVILLE, MA 02143(617)776-4036

CVS366 WASHINGTON STSOUTH ATTLEBORO, MA 02703(508)761-7392

CVS423 W BROADWAYSOUTH BOSTON, MA 02127(617)269-7656

CVS548 DARTMOUTH STSOUTH DARTMOUTH, MA 02748(508)991-7934RITE AID676 DARTMOUTH STSOUTH DARTMOUTH, MA 02748(508)990-3875

DEERFIELD PHARMACY45 MAIN STSOUTH DEERFIELD, MA 01373(413)665-8143

CVSRTE 134 PATRIOT SQ SCSOUTH DENNIS, MA 02660(508)398-0133

BIG Y PHARMACY44 WILLIMANSETT STSOUTH HADLEY, MA 01075(413)538-6178BIG Y PHARMACY501 NEWTON STSOUTH HADLEY, MA 01075(413)534-1766

CONNOLLYS44 BAY RDSOUTH HAMILTON, MA 01982(978)468-3711CVS15 WALNUT RDSOUTH HAMILTON, MA 01982(978)468-4522

CVSPLEASANT ST RTE 18SOUTH WEYMOUTH, MA 02190(781)337-6338OLDENS PHARMACY101 PLEASANT STSOUTH WEYMOUTH, MA 02190(781)337-0187

CVS976 ROUTE 28SOUTH YARMOUTH, MA 02664(508)398-8800CVS453 STATION AVESOUTH YARMOUTH, MA 02664(508)394-0926STOP AND SHOP55 LONG POND DRSOUTH YARMOUTH, MA 02664(508)394-8909

RITE AID14 COLLEGE HWYSOUTHAMPTON, MA 01073(413)527-1811

EATON APOTHECARY162 CORDAVILLE RDSOUTHBOROUGH, MA 01772(508)357-8970

CVS399 MAIN STSOUTHBRIDGE, MA 01550(508)765-0646RITE AID455 MAIN STSOUTHBRIDGE, MA 01550(508)765-5924

BIG Y PHARMACY195 COLLEGE HWYSOUTHWICK, MA 01077(413)569-6163CVS215 COLLEGE HWYSOUTHWICK, MA 01077(413)569-4174RITE AID519 COLLEGE HWYSOUTHWICK, MA 01077(413)569-1251

SALEM

SALISBURY

SANDWICH

SAUGUS

SCITUATE

SEEKONK

SHARON

SHELBURNE FALLS

SHREWSBURY

SOMERSET

SOMERVILLE

SOUTH ATTLEBORO

SOUTH BOSTON

SOUTH DARTMOUTH

SOUTH DEERFIELD

SOUTH DENNIS

SOUTH HADLEY

SOUTH HAMILTON

SOUTH WEYMOUTH

SOUTH YARMOUTH

SOUTHAMPTON

SOUTHBOROUGH

SOUTHBRIDGE

SOUTHWICK

SALEM SOUTHWICK

Page 44: Workers Compensation Claims Folder - Aim Mutual …€¦ ·  · 2017-06-15Workers Compensation Claims Folder 54 Third Avenue * P.O. Box 4070 * Burlington, ... assigned to your case.

EXPRESS SCRIPTS (WORKERS COMPENSATION)

Pharmacy directory is subject to change without notice. Please contact your local pharmacy for more information. November 2011

Pharmacy is open 24 hours

BIG Y PHARMACY62 W MAIN STSPENCER, MA 01562(508)885-9073CVS131 MAIN STSPENCER, MA 01562(508)885-3838

BAYSTATE PHARMACY3300 MAIN STSPRINGFIELD, MA 01107(413)794-7016BAYSTATE PHARMACY140 HIGH STSPRINGFIELD, MA 01199(413)794-9960BAYSTATE PHARMACY380 PLAINFIELD STSPRINGFIELD, MA 01107(413)794-9442BAYSTATE PHARMACY759 CHESTNUT STSPRINGFIELD, MA 01199(413)794-2197BIG Y PHARMACY300 COOLEY STSPRINGFIELD, MA 01128(413)783-0105CARING PHARMACY377 BELMONT AVESPRINGFIELD, MA 01108(413)342-4238COMMUNITY PHCY AT MERCY MED299 CAREW STSPRINGFIELD, MA 01104(413)452-6337CVS970 SAINT JAMES AVESPRINGFIELD, MA 01104(413)737-6346CVS770 BOSTON RDSPRINGFIELD, MA 01119(413)783-0125CVS1500 MAIN STSPRINGFIELD, MA 01103(413)827-7143CVS615 BELMONT AVE STE 621SPRINGFIELD, MA 01108(413)732-2998CVS1242 PARKER STSPRINGFIELD, MA 01129(413)796-5501LOUIS & CLARK DRUG490 PAGE BLVDSPRINGFIELD, MA 01104(413)781-2996

LOUIS & CLARK DRUG471 BRECKWOOD BLVDSPRINGFIELD, MA 01109(413)783-1209LOUIS & CLARK DRUG1295 STATE STSPRINGFIELD, MA 01111(413)744-0461LOUIS AND CLARK PHARMACY300 BIRNIE AVESPRINGFIELD, MA 01107(413)736-5649RITE AID126 ISLAND POND RDSPRINGFIELD, MA 01118(413)737-6294RITE AID381 COOLEY STSPRINGFIELD, MA 01128(413)783-4451SPRING STREET DRUGS600 STATE STSPRINGFIELD, MA 01109(413)736-0351STOP AND SHOP1277 LIBERTY STSPRINGFIELD, MA 01104(413)732-7040STOP AND SHOP1530 BOSTON RDSPRINGFIELD, MA 01129(413)543-5428THE APOTHECARY CENTER1985 MAIN STSPRINGFIELD, MA 01103(413)734-2080WAL-MART1105 BOSTON RDSPRINGFIELD, MA 01119(413)782-6897

CVS107 MAIN STSTONEHAM, MA 02180(781)438-3170

CVS1025 CENTRAL STSTOUGHTON, MA 02072(781)341-6114MEDICAL PHARMACY769 WASHINGTON STSTOUGHTON, MA 02072(781)344-2311RITE AID638 WASHINGTON STSTOUGHTON, MA 02072(781)344-9436

STOP AND SHOP278 WASHINGTON STSTOUGHTON, MA 02072(781)341-2640TARGET PHARMACY1 HAWES WAYSTOUGHTON, MA 02072(781)847-4003

SHAWS/OSCO PHARMACY155 GREAT RD # 117STOW, MA 01775(978)897-1736

RITE AID182 MAIN STSTURBRIDGE, MA 01566(508)347-7874WAL-MART100 CHARLTON RDSTURBRIDGE, MA 01566(508)347-6344

CVS501 BOSTON POST RDSUDBURY, MA 01776(978)443-7141RITE AID423 BOSTON POST RDSUDBURY, MA 01776(978)443-0410SUDBURY PHARMACY447 BOSTON POST RDSUDBURY, MA 01776(978)443-6311

CVS413 PARADISE RDSWAMPSCOTT, MA 01907(781)595-8588STOP AND SHOP450 PARADISE RDSWAMPSCOTT, MA 01907(781)596-0224

CVS2340 GAR HWYSWANSEA, MA 02777(508)379-9080LIFELINE PRESCRIPTION CENTER1211 GAR HIGHWAYSWANSEA, MA 02777(508)646-6400RITE AID510 WILBUR AVESWANSEA, MA 02777(508)678-9066

TARGET PHARMACY579 GAR HWY STE 5SWANSEA, MA 02777(774)488-3685WAL-MART626 SWANSEA MALL DRSWANSEA, MA 02777(508)677-2493

CVS675 COUNTY STTAUNTON, MA 02780(508)823-5376CVS284 WINTHROP STTAUNTON, MA 02780(508)822-3658CVS7 WASHINGTON STTAUNTON, MA 02780(508)821-5605HANNAFORD FOOD AND DRUG255 JOSEPH E WARREN BLVDTAUNTON, MA 02780(508)824-1057RITE AID175 DEAN STTAUNTON, MA 02780(508)823-7120RITE AID51 TREMONT STTAUNTON, MA 02780(508)823-1755RITE AID237 BROADWAYTAUNTON, MA 02780(508)880-3237SHAWS PHARMACY260 WINTHROP STTAUNTON, MA 02780(508)824-7781TARGET PHARMACY801 TAUNTON DEPOT DRTAUNTON, MA 02780(508)824-5848

WAL-MART137 TEATICKET HWYTEATICKET, MA 02536(508)540-9196

CVS1900 MAIN STTEWKSBURY, MA 01876(978)851-6856CVS10 MAIN ST STADIUM PLZTEWKSBURY, MA 01876(978)851-8446

KMART PHARMACY10 MAIN STTEWKSBURY, MA 01876(978)858-0750RITE AID953 ANDOVER STTEWKSBURY, MA 01876(978)851-6331TEWKSBURY HOSPITAL365 EAST STTEWKSBURY, MA 01876(978)858-2102WAL-MART333 MAIN STTEWKSBURY, MA 01876(978)851-7047

MCNABB PHARMACY233 MAIN STTOWNSEND, MA 01469(978)597-2392RITE AID18 MAIN STTOWNSEND, MA 01469(978)597-5897

RITE AID206 AVENUE ATURNERS FALLS, MA 01376(413)863-3109

CVS323 N MAIN STUXBRIDGE, MA 01569(508)278-2456HANNAFORD FOOD AND DRUG158 N MAIN STUXBRIDGE, MA 01569(508)278-2341

CONROY APOTHECARY459 STATE RDVINEYARD HAVEN, MA 02568(508)693-7070F E LESLIE DRUGGIST65 MAIN STVINEYARD HAVEN, MA 02568(508)693-1010VINEYARD SCRIPTS117 BEACH RDVINEYARD HAVEN, MA 02568(508)693-7979

CVS376 MAIN STWAKEFIELD, MA 01880(781)245-2270

SPENCER

SPRINGFIELD

STONEHAM

STOUGHTON

STOW

STURBRIDGE

SUDBURY

SWAMPSCOTT

SWANSEA

TAUNTON

TEATICKET

TEWKSBURY

TOWNSEND

TURNERS FALLS

UXBRIDGE

VINEYARD HAVEN

WAKEFIELD

SPENCER WAKEFIELD

Page 45: Workers Compensation Claims Folder - Aim Mutual …€¦ ·  · 2017-06-15Workers Compensation Claims Folder 54 Third Avenue * P.O. Box 4070 * Burlington, ... assigned to your case.

EXPRESS SCRIPTS (WORKERS COMPENSATION)

Pharmacy directory is subject to change without notice. Please contact your local pharmacy for more information. November 2011

Pharmacy is open 24 hours

NORTH SHORE PHARMACY SERVICES360 AUDUBON RDWAKEFIELD, MA 01880(800)552-4449SMITH DRUG390 MAIN STWAKEFIELD, MA 01880(781)245-0380THE MEDICINE STORE409 LOWELL STWAKEFIELD, MA 01880(781)246-3527

BETRO PHARMACY965 MAIN STWALPOLE, MA 02081(508)668-0048BIG Y PHARMACY999 PROVIDENCE HWYWALPOLE, MA 02081(508)660-9710CVS929 MAIN STWALPOLE, MA 02081(508)660-1190STOP AND SHOP547 MAIN STWALPOLE, MA 02081(508)660-9879WAL-MART550 PROVIDENCE HWYWALPOLE, MA 02081(508)668-5959

CLINICAL CARE AMERICA69 HICKORY DRWALTHAM, MA 02451(781)250-1500COSTCO71 SECOND AVEWALTHAM, MA 02451(781)622-3894CVS800 LEXINGTON STWALTHAM, MA 02452(781)893-2070CVS51 LINDEN STWALTHAM, MA 02452(781)894-4522CVS12 HARVARD STWALTHAM, MA 02453(781)894-1600HANNAFORD FOOD AND DRUG55 RUSSELL STWALTHAM, MA 02453(781)642-7416

JOHNSON COMPOUND AND WELL CTR577 MAIN STWALTHAM, MA 02452(781)893-3870MASS GENERAL OPD PHARMACY40 SECOND AVEWALTHAM, MA 02451(781)487-4390ONCOMED PHARMACY150 BEAR HILL RDWALTHAM, MA 02451(516)869-0920PELHAM COMMUNITY PHARMACY196 BEAR HILL RDWALTHAM, MA 02451(617)739-2266RITE AID80 RIVER STWALTHAM, MA 02454(781)891-5902ROGERS PHARMACY923 MAIN STWALTHAM, MA 02451(781)894-1800STAR/OSCO PHARMACY1070 LEXINGTON STWALTHAM, MA 02452(781)899-3332

CVS104 WEST STWARE, MA 01082(413)967-5997RITE AID139 WEST STWARE, MA 01082(413)967-5371WAL-MART352 PALMER RDWARE, MA 01082(413)967-0044

CVS419 MAIN ST STE CWAREHAM, MA 02571(508)291-6289RITE AID133 MARION RDWAREHAM, MA 02571(508)295-5772TARGET PHARMACY2421 CRANBERRY HWY STE 110WAREHAM, MA 02571(508)273-0437

CVS189 WATERTOWN STWATERTOWN, MA 02472(617)332-5528CVS27 MAIN ST # 43WATERTOWN, MA 02472(617)926-6662HARVARD VANGUARD MED ASSOC485 ARSENAL STWATERTOWN, MA 02472(617)972-5300TARGET PHARMACY550 ARSENAL STWATERTOWN, MA 02472(617)924-5987

CVS325 BOSTON POST RDWAYLAND, MA 01778(508)358-2381RITE AID35 MAIN STWAYLAND, MA 01778(508)655-8085

CVS112 E MAIN STWEBSTER, MA 01570(508)949-0641CVS PROCARE344 THOMPSON RDWEBSTER, MA 01570(508)949-0358PRICE CHOPPER PHARMACY118 E MAIN ST STE 1WEBSTER, MA 01570(508)949-8804RITE AID80 E MAIN STWEBSTER, MA 01570(508)943-5394ROYAL PALM SPECIALTY PHARMACY118 MAIN STWEBSTER, MA 01570(508)461-4045

ANDREWS PHARMACY324 WESTON RDWELLESLEY, MA 02482(781)235-1001CVS65 CENTRAL STWELLESLEY, MA 02482(781)237-2520

CVS188 LINDEN STWELLESLEY, MA 02482(781)235-0219HARVARD VANGUARD MED ASSOC230 WORCESTER STWELLESLEY, MA 02481(781)431-5405

OUTER CAPE HEALTH SERIVCES2700 STATE HWY RTE 6 UNIT 3WELLFLEET, MA 02667(508)214-0187

CVS264 W BOYLSTON STWEST BOYLSTON, MA 01583(508)835-3157WAL-MART137 W BOYLSTON RDWEST BOYLSTON, MA 01583(508)835-3999

CVS999 WATERTOWN STWEST NEWTON, MA 02465(617)964-7736

HANNAFORD FOOD AND DRUG637 LOWELL STWEST PEABODY, MA 01961(978)536-3222

CVS1921 CENTER ST # 1943WEST ROXBURY, MA 02132(617)469-2222GREATER BOSTON LONG TERM CARE1864 CENTRE STWEST ROXBURY, MA 02132(617)325-7744SHAWS/OSCO PHARMACY75 SPRING STWEST ROXBURY, MA 02132(617)327-9360WEST ROXBURY PHARMACY1868 CENTRE STWEST ROXBURY, MA 02132(617)325-0017

COSTCO119 DAGGETT DRWEST SPRINGFIELD, MA 01089(413)747-5524CVS239B MEMORIAL AVEWEST SPRINGFIELD, MA 01089(413)732-3119CVS152 ELM STWEST SPRINGFIELD, MA 01089(413)827-0734CVS928 RIVERDALE STWEST SPRINGFIELD, MA 01089(413)733-6490INTEGRISCRIPT95 ASHLEY AVE STE BWEST SPRINGFIELD, MA 01089(413)750-7000MCCLELLAND HOME HEALTH PHCY85 INTERSTATE DRWEST SPRINGFIELD, MA 01089(413)733-8600RITE AID99 WESTFIELD STWEST SPRINGFIELD, MA 01089(413)737-6523STOP AND SHOP935 RIVERDALE STWEST SPRINGFIELD, MA 01089(413)733-8511WESTERN MASS COMPOUNDING CNTR138 MEMORIAL AVEWEST SPRINGFIELD, MA 01089(413)737-2600

CVS438 ROUTE 28WEST YARMOUTH, MA 02673(508)771-4429

CVS74 E MAIN STWESTBOROUGH, MA 01581(508)366-0670CVS PROCARE106 E MAIN STWESTBOROUGH, MA 01581(508)366-2850

WALPOLE

WALTHAM

WARE

WAREHAM

WATERTOWN

WAYLAND

WEBSTER

WELLESLEY

WELLFLEET

WEST BOYLSTON

WEST NEWTON

WEST PEABODY

WEST ROXBURY

WEST SPRINGFIELD

WEST YARMOUTH

WESTBOROUGH

WAKEFIELD WESTBOROUGH

Page 46: Workers Compensation Claims Folder - Aim Mutual …€¦ ·  · 2017-06-15Workers Compensation Claims Folder 54 Third Avenue * P.O. Box 4070 * Burlington, ... assigned to your case.

EXPRESS SCRIPTS (WORKERS COMPENSATION)

Pharmacy directory is subject to change without notice. Please contact your local pharmacy for more information. November 2011

Pharmacy is open 24 hours

STOP AND SHOP32 LYMAN STWESTBOROUGH, MA 01581(508)389-1673TARGET PHARMACY330 TURNPIKE RDWESTBOROUGH, MA 01581(508)366-4475

ARROW PRESCRIPTION CENTER427 N ELM STWESTFIELD, MA 01085(413)568-8911BIG Y PHARMACY475 E MAIN STWESTFIELD, MA 01085(413)562-4141CVS427 E MAIN STWESTFIELD, MA 01085(413)562-5181CVS208 ELM STWESTFIELD, MA 01085(413)568-4149RITE AID7 E SILVER STWESTFIELD, MA 01085(413)568-5116STOP AND SHOP57 MAIN STWESTFIELD, MA 01085(413)568-9660WAL-MART141 SPRINGFIELD RDWESTFIELD, MA 01085(413)572-0800

CVS174 LITTLETON RDWESTFORD, MA 01886(978)692-2111RITE AID1 CARLISLE RDWESTFORD, MA 01886(978)392-6995

WESTMINSTER PHARMACY128 MAIN STWESTMINSTER, MA 01473(978)874-5812

CVS599 STATE RDWESTPORT, MA 02790(508)673-3072

WESTPORT APOTHECARY784 MAIN RDWESTPORT, MA 02790(508)636-5957

CVS278 WASHINGTON STWESTWOOD, MA 02090(781)326-1906

CVS474 WASHINGTON STWEYMOUTH, MA 02188(781)335-0404CVS1504 MAIN STWEYMOUTH, MA 02189(781)331-2580CVS1515 COMMERCIAL STWEYMOUTH, MA 02189(781)340-1124CVS737 BRIDGE STWEYMOUTH, MA 02191(781)335-3331RITE AID316 WASHINGTON STWEYMOUTH, MA 02188(781)331-5100STOP AND SHOP700 MIDDLE STWEYMOUTH, MA 02188(781)331-1902WAL-MART740 MIDDLE STWEYMOUTH, MA 02188(781)331-0588

CVS1163 PROVIDENCE RDWHITINSVILLE, MA 01588(508)234-7341WAL-MART100 VALLEY PKWYWHITINSVILLE, MA 01588(508)234-9196

CVS351 BEDFORD STWHITMAN, MA 02382(781)447-0003DUVAL'S PHARMACY571 WASHINGTON STWHITMAN, MA 02382(781)447-0606

BIG Y PHARMACY2035 BOSTON RDWILBRAHAM, MA 01095(413)543-9912CVS1990 BOSTON RDWILBRAHAM, MA 01095(413)543-8256LOUIS & CLARK DRUG459 MAIN STWILBRAHAM, MA 01095(413)596-6121

WILLIAMSBURG PHARMACY49 MAIN STWILLIAMSBURG, MA 01096(413)268-3387

RITE AID212 MAIN STWILLIAMSTOWN, MA 01267(413)458-4034

CVS222 MAIN STWILMINGTON, MA 01887(978)658-3377RITE AID208 MAIN STWILMINGTON, MA 01887(978)988-0232

RITE AID250 CENTRAL STWINCHENDON, MA 01475(978)297-3248WINCHENDON FAMILY PHARMACY117 CENTRAL STWINCHENDON, MA 01475(978)297-5100

CVS539 MAIN ST STE 545WINCHESTER, MA 01890(781)721-5163WINCHESTER DRUG568 MAIN STWINCHESTER, MA 01890(781)729-2700

BROWN'S REXALL DRUG214 WINTHROP STWINTHROP, MA 02152(617)846-1500

CVS3 WOODSIDE AVEWINTHROP, MA 02152(617)846-9155E BOS NEIGHBOR HLTH CTR26 STURGIS STWINTHROP, MA 02152(617)568-4602SAMUELS PHARMACY46 WOODSIDE AVEWINTHROP, MA 02152(617)846-2200

CVS300 MISHAWAM RDWOBURN, MA 01801(781)935-3221CVS415 MAIN STWOBURN, MA 01801(781)935-5530NEIGHBORHOOD PHARMACY15 COMMONWEALTH AVEWOBURN, MA 01801(781)486-0000NEW ENGLAND LIFE CARE4 CONSTITUTION WAYWOBURN, MA 01801(781)933-6352PALLIMED PHARMACY400 W CUMMINGS PARKWOBURN, MA 01801(781)937-3344RITE AID350 CAMBRIDGE STWOBURN, MA 01801(781)933-4411STOP AND SHOP2 ELM STWOBURN, MA 01801(781)932-8660TARGET PHARMACY101 COMMERCE WAYWOBURN, MA 01801(781)904-0003

CVS42 BEALE STWOLLASTON, MA 02170(617)471-7451

BEACON PHARMACY810 MAIN STWORCESTER, MA 01610(508)757-1005BIG Y PHARMACY100 MAYFIELD STWORCESTER, MA 01604(508)890-8589

CARE PLUS CVS PHARMACY123 SUMMER ST STE 360WORCESTER, MA 01608(508)799-3829COMPARE QUALITY PHARMACY664 MAIN STWORCESTER, MA 01610(508)755-3000CVS400 PARK AVEWORCESTER, MA 01610(508)792-3866CVS256 LINCOLN STWORCESTER, MA 01605(508)791-2579CVS44 W BOYLSTON STWORCESTER, MA 01605(508)852-0238CVS500 GRAFTON STWORCESTER, MA 01604(508)798-8743CVS115 STAFFORD STWORCESTER, MA 01603(508)753-3297CVS638 CHANDLER STWORCESTER, MA 01602(508)798-0221CVS481 LINCOLN STWORCESTER, MA 01605(508)852-3578CVS110 FRONT ST STE 102WORCESTER, MA 01608(508)752-6001CVS50 SW CUTOFFWORCESTER, MA 01604(508)793-1903CVS PROCARE630 PLANTATION STWORCESTER, MA 01605(508)852-2866CVS PROCARE135 GOLDSTAR BLVDWORCESTER, MA 01606(508)856-9257EDWARD M KENNEDY COMM HLTH CTR19 TACOMA STWORCESTER, MA 01605(508)854-2128FAMILY HEALTH CENTER PHARMACY26 QUEEN STWORCESTER, MA 01610(508)860-7730

WESTFIELD

WESTFORD

WESTMINSTER

WESTPORT

WESTWOOD

WEYMOUTH

WHITINSVILLE

WHITMAN

WILBRAHAM

WILLIAMSBURG

WILLIAMSTOWN

WILMINGTON

WINCHENDON

WINCHESTER

WINTHROP

WOBURN

WOLLASTON

WORCESTER

WESTBOROUGH WORCESTER

Page 47: Workers Compensation Claims Folder - Aim Mutual …€¦ ·  · 2017-06-15Workers Compensation Claims Folder 54 Third Avenue * P.O. Box 4070 * Burlington, ... assigned to your case.

EXPRESS SCRIPTS (WORKERS COMPENSATION)

Pharmacy directory is subject to change without notice. Please contact your local pharmacy for more information. November 2011

Pharmacy is open 24 hours

HAIG & HAIG DRUG550 W BOYLSTON STWORCESTER, MA 01606(508)853-0360PARK AVENUE PHARMACY414 PARK AVEWORCESTER, MA 01610(508)757-3805PRICE CHOPPER PHARMACY50 CAMBRIDGE STWORCESTER, MA 01610(508)363-4570PRICE CHOPPER PHARMACY72 PULLMAN STWORCESTER, MA 01606(508)854-8318RITE AID725 GRAFTON STWORCESTER, MA 01604(508)798-9394RITE AID25 ABRAMSON LANEWORCESTER, MA 01607(508)752-1911RITE AID393 CHANDLER STWORCESTER, MA 01602(508)754-5348SHAWS/OSCO PHARMACY14 W BOYLSTON STWORCESTER, MA 01605(508)852-5344STOP ABD SHOP949 GRAFTON STWORCESTER, MA 01613(508)791-0070STOP AND SHOP940 W BOYLSTON STWORCESTER, MA 01605(508)852-2202TARGET PHARMACY529 LINCOLN STWORCESTER, MA 01605(508)852-5790TRANG PHARMACY456 PARK AVEWORCESTER, MA 01610(508)799-7979UMASS MEMORIAL MED CTR PHCY55 LAKE AVE NWORCESTER, MA 01655(508)421-1900UMASS MEMORIAL MED CTR PHCY281 LINCOLN STWORCESTER, MA 01605(508)421-1990WAL-MART25 TOBIAS BOLAND WAYWORCESTER, MA 01607(774)314-3162

WINTHROP APOTHECARY10 WINTHROP STWORCESTER, MA 01604(508)755-2551WORCESTER FAMILY PHARMACY108 GROVE ST STE 12WORCESTER, MA 01605(508)791-1100

RITE AID918 MAIN STYARMOUTH PORT, MA 02675(508)362-2114

YARMOUTH PORT

WORCESTER YARMOUTH PORT

Page 48: Workers Compensation Claims Folder - Aim Mutual …€¦ ·  · 2017-06-15Workers Compensation Claims Folder 54 Third Avenue * P.O. Box 4070 * Burlington, ... assigned to your case.

EXPRESS SCRIPTS (WORKERS COMPENSATION)

Pharmacy directory is subject to change without notice. Please contact your local pharmacy for more information. November 2011

Pharmacy is open 24 hours

NEW HAMPSHIRE03031

WAL-MART85 RTE 101-AAMHERST, NH 03031(603)672-202103038

CVS48 E BROADWAYDERRY, NH 03038(603)434-2600HANNAFORD FOOD AND DRUG35 MANCHESTER RDDERRY, NH 03038(603)421-2596QOL MEDS10 TSIENNETO RDDERRY, NH 03038(603)965-0255RITE AID20 CRYSTAL AVEDERRY, NH 03038(603)437-9799RITE AID59 ROCKINGHAM STDERRY, NH 03038(603)432-2505SHAWS PHARMACY55 CRYSTAL AVEDERRY, NH 03038(603)437-9654WAL-MART30 MANCHESTER RDDERRY, NH 03038(603)434-489803042

CVS26 CALEF HWYEPPING, NH 03042(603)679-2419WAL-MART75 CALES HWYEPPING, NH 03042(603)679-594203045

HOWE'S PHARMACY39 MAIN STGOFFSTOWN, NH 03045(603)497-4771

RITE AID553 MAST RDGOFFSTOWN, NH 03045(603)623-3290SHAWS PHARMACY533 MAST RDGOFFSTOWN, NH 03045(603)668-676103049

HOLLIS PHARMACY6 ASH STHOLLIS, NH 03049(603)465-710003051

CVS77 DERRY RDHUDSON, NH 03051(603)882-2301RITE AID71 LOWELL RDHUDSON, NH 03051(603)882-5684RITE AID212 LOWELL RDHUDSON, NH 03051(603)880-1744SAM'S CLUB7 WAL-MART BLVDHUDSON, NH 03051(603)598-6533WAL-MART254 LOWELL RDHUDSON, NH 03051(603)598-463803053

CVS117 MAMMOUTH RDLONDONDERRY, NH 03053(603)432-2657HANNAFORD FOOD AND DRUG6 HAMPTON DRLONDONDERRY, NH 03053(603)421-0076NEIGHBORCARE - PEMBROKE13 COMMERCE AVELONDONDERRY, NH 03053(603)625-6406RITE AID123 NASHUA RDLONDONDERRY, NH 03053(603)437-8100

SHAWS PHARMACYRT 102 OLD ORCHARD VIEW DRLONDONDERRY, NH 03053(603)437-492703054

CVS456 DANIEL WEBSTER HWYMERRIMACK, NH 03054(603)424-1120RITE AID416 DANIEL WEBSTER HWYMERRIMACK, NH 03054(603)424-4833SHAWS PHARMACY7 CONTINENTAL BLVDMERRIMACK, NH 03054(603)429-0759SHAWS PHARMACY570 DANIEL WEBSTER HWYMERRIMACK, NH 03054(603)424-451903055

RITE AID15 MT VERNON STMILFORD, NH 03055(603)673-0224RITE AID614 NASHUA STMILFORD, NH 03055(603)672-7602RITE AID86 ELM STMILFORD, NH 03055(603)249-990103060

COSTCO311 DANIEL WEBSTER HWYNASHUA, NH 03060(603)888-0514CVS214 DANIEL WEBSTER HWYNASHUA, NH 03060(603)888-4354CVS240 MAIN ST # 242NASHUA, NH 03060(603)886-1786RITE AID331 MAIN STNASHUA, NH 03060(603)886-9210S NEW HAMPSHIRE MEDICAL CTR8 PROSPECT STNASHUA, NH 03060(603)577-2115

SHAWS PHARMACY300 MAIN STNASHUA, NH 03060(603)579-5445ST JOSEPH HEALTHCARE RET PHCY172 KINSELY STNASHUA, NH 03060(603)595-3090TARGET PHARMACY310 DANIEL WEBSTER HWYNASHUA, NH 03060(603)891-4869WINGATE'S PHARMACY129 MAIN STNASHUA, NH 03060(603)882-973303062

MEDICINE WORLD262 MAIN DUNSTABLE RD.NASHUA, NH 03062(603)881-950003063

CVS633 AMHERST STNASHUA, NH 03063(603)880-6861HANNAFORD FOOD AND DRUG175 COLISEUM AVENASHUA, NH 03063(603)889-6663KMART PHARMACY375 AMHERST ST BLDG 1NASHUA, NH 03063(603)579-0615RITE AID145 AMHERST STNASHUA, NH 03063(603)598-9450TARGET PHARMACY600 AMHERST STNASHUA, NH 03063(603)324-004003064

RICE'S PHARMACY59 MAIN STNASHUA, NH 03064(603)882-515303076

RITE AID48 ATWOOD RDPELHAM, NH 03076(603)635-7996

03077

HANNAFORD FOOD AND DRUG2 FREETOWN RDRAYMOND, NH 03077(603)895-0011RITE AID3 FREETOWN RDRAYMOND, NH 03077(603)895-065703079

CVS510 S BROADWAY # 512SALEM, NH 03079(603)898-5983RITE AID53 S BROADWAYSALEM, NH 03079(603)870-9494RITE AID142 MAIN STSALEM, NH 03079(603)894-4693TARGET PHARMACY203-219 S BROADWAYSALEM, NH 03079(603)870-0083WAL-MART300-344 N BROADWAYSALEM, NH 03079(603)894-612803087

CVS1 WALL STWINDHAM, NH 03087(603)425-6189SHAWS PHARMACY43 INDIAN ROCK RDWINDHAM, NH 03087(603)437-348103101

CVS788 S WILLOW STMANCHESTER, NH 03101(603)668-4637KEN'S PHARMACY36 ELM STMANCHESTER, NH 03101(603)623-2813RITE AID1631 ELM STMANCHESTER, NH 03101(603)623-4393

AMHERST

DERRY

EPPING

GOFFSTOWN

HOLLIS

HUDSON

LONDONDERRY

MERRIMACK

MILFORD

NASHUA

NASHUA

NASHUA

NASHUA

PELHAM

RAYMOND

SALEM

WINDHAM

MANCHESTER

AMHERST MANCHESTER

Page 49: Workers Compensation Claims Folder - Aim Mutual …€¦ ·  · 2017-06-15Workers Compensation Claims Folder 54 Third Avenue * P.O. Box 4070 * Burlington, ... assigned to your case.

EXPRESS SCRIPTS (WORKERS COMPENSATION)

Pharmacy directory is subject to change without notice. Please contact your local pharmacy for more information. November 2011

Pharmacy is open 24 hours

03102

CVS432 S MAIN STMANCHESTER, NH 03102(603)623-3532HANNAFORD FOOD AND DRUG605 MAST RDMANCHESTER, NH 03102(603)626-4366RITE AID122 MCGREGOR STMANCHESTER, NH 03102(603)627-382203103

HANNAFORD FOOD AND DRUG201 JOHN DEVINE DRMANCHESTER, NH 03103(603)626-1233MANCHESTER METRO TREATMENT CTR5 A DRIVING PARK RDMANCHESTER, NH 03103(603)622-5005RITE AID1 WILLOW STMANCHESTER, NH 03103(603)623-5773SHAWS PHARMACY375 S WILLOW STMANCHESTER, NH 03103(603)627-2564WAL-MART300 KELLER STMANCHESTER, NH 03103(603)621-992203104

CVS271 MAMMOUTH RDMANCHESTER, NH 03104(603)623-3995HANNAFORD FOOD AND DRUG79 BICENTENNIAL DRMANCHESTER, NH 03104(603)644-2204HANNAFORD FOOD AND DRUG859 HANOVER STMANCHESTER, NH 03104(603)627-4354RITE AID53 HOOKSETT RDMANCHESTER, NH 03104(603)623-1135

03106

CVS10 WHITEHALL RDHOOKSETT, NH 03106(603)627-2496RITE AID1285 HOOKSETT RDHOOKSETT, NH 03106(603)668-4705TARGET PHARMACY100 QUALITY DRHOOKSETT, NH 03106(603)621-0672WAL-MART3 COMMERCE DRHOOKSETT, NH 03106(603)621-063103109

RITE AID270 MAMMOTH RDMANCHESTER, NH 03109(603)645-114603110

BEDFORD PHARMACY209 ROUTE 101BEDFORD, NH 03110(603)472-3919CRITICAL CARE SYSTEMS10 COMMERCE PARK NORTHBEDFORD, NH 03110(603)625-8880CVS66 S RIVER RDBEDFORD, NH 03110(603)669-6187HANNAFORD FOOD AND DRUG4 JENKINS RDBEDFORD, NH 03110(603)472-2501HANNAFORD FOOD AND DRUG5 COLBY CTBEDFORD, NH 03110(603)622-2320RITE AID1 SOUTH RIVER RDBEDFORD, NH 03110(603)644-1275TARGET PHARMACY220 S RIVER RDBEDFORD, NH 03110(603)563-0062WAL-MART17 COLBY CTBEDFORD, NH 03110(603)626-9799

03220

CVS96 DANIEL WEBSTER HWY UNIT 17BELMONT, NH 03220(603)528-111303222

RITE AID360 SUMMER STBRISTOL, NH 03222(603)744-265203229

COLONIAL VILLAGE PHARMACY54 PARK AVENUE PLZCONTOOCOOK, NH 03229(603)746-460003234

CARE PHARMACY1912 DOVER RDEPSOM, NH 03234(603)736-930803235

CVS861 CENTRAL STFRANKLIN, NH 03235(603)934-0225HANNAFORD FOOD AND DRUG952 CENTRAL STFRANKLIN, NH 03235(603)934-2832RITE AID951 CENTRAL STFRANKLIN, NH 03235(603)934-686203242

HENNIKER PHARMACY4 BRIDGE STHENNIKER, NH 03242(603)428-345603244

OSCO PHARMACY276 W MAIN STHILLSBORO, NH 03244(603)464-4133

RITE AID315 W MAIN STHILLSBORO, NH 03244(603)464-567803246

CVS220 UNION AVELACONIA, NH 03246(603)527-0173RITE AID288 UNION AVELACONIA, NH 03246(603)528-1700SHAWS PHARMACY1400 LAKE SHORE DRLACONIA, NH 03246(603)524-5240WAL-MART1458 LAKE SHORE RDLACONIA, NH 03246(603)528-805503249

CVS1371 LAKE SHORE DRGILFORD, NH 03249(603)524-246003251

RITE AID50 MAIN STLINCOLN, NH 03251(603)745-566003253

RITE AID38 NH ROUTE 25 STE 4MEREDITH, NH 03253(603)279-455103257

COLONIAL PHARMACY247 NEWPORT RDNEW LONDON, NH 03257(603)526-223303261

HANNAFORD FOOD AND DRUG174 FIRST NH TPKENORTHWOOD, NH 03261(603)942-8891

03263

RITE AID41 CARROLL STPITTSFIELD, NH 03263(603)435-835303264

HANNAFORD FOOD AND DRUGRTE 25 HATCH SHOPPING PLAZAPLYMOUTH, NH 03264(603)536-3233OLIVER DRUG19 AVERY ST STE 7PLYMOUTH, NH 03264(603)536-1086RITE AID6 S MAIN STPLYMOUTH, NH 03264(603)536-4377WAL-MART683 TENNEY MTN HWYPLYMOUTH, NH 03264(603)536-535003275

PHARMACY EXPRESS68 SCHOOL STALLENSTOWN, NH 03275(603)485-4000RITE AID46 ALLENSTOWN RDALLENSTOWN, NH 03275(603)485-361203276

SHAWS PHARMACY75 LACONIA RDTILTON, NH 03276(603)286-7305WAL-MART39 E MAINTILTON, NH 03276(603)286-348003278

WARNER PHARMACY11 E MAIN STWARNER, NH 03278(603)456-3556

MANCHESTER

MANCHESTER

MANCHESTER

HOOKSETT

MANCHESTER

BEDFORD

BELMONT

BRISTOL

CONTOOCOOK

EPSOM

FRANKLIN

HENNIKER

HILLSBORO

LACONIA

GILFORD

LINCOLN

MEREDITH

NEW LONDON

NORTHWOOD

PITTSFIELD

PLYMOUTH

ALLENSTOWN

TILTON

WARNER

MANCHESTER WARNER

Page 50: Workers Compensation Claims Folder - Aim Mutual …€¦ ·  · 2017-06-15Workers Compensation Claims Folder 54 Third Avenue * P.O. Box 4070 * Burlington, ... assigned to your case.

EXPRESS SCRIPTS (WORKERS COMPENSATION)

Pharmacy directory is subject to change without notice. Please contact your local pharmacy for more information. November 2011

Pharmacy is open 24 hours

03301

CONCORD METRO TREATMENT CENTER8 LOUDON RDCONCORD, NH 03301(603)229-4260CVS4 HALL STCONCORD, NH 03301(603)224-3189CVS46 N MAIN STCONCORD, NH 03301(603)225-9300HANNAFORD FOOD AND DRUG73 FORT EDDY RDCONCORD, NH 03301(603)228-2121MODERN PHARMACY5 CLINTON STCONCORD, NH 03301(603)224-3715NORTHEAST PHARMACY SERVICES125 N MAIN STCONCORD, NH 03301(603)226-8686PHARMERICA38 LOCKE RD UNIT 3CONCORD, NH 03301(603)223-0380RITE AID24 FORT EDDY RDCONCORD, NH 03301(603)224-7784RITE AID92 SOUTH STCONCORD, NH 03301(603)228-8400RITE AID165 NORTH STCONCORD, NH 03301(603)223-6713SAM'S CLUB304 SHEEP DAVIS RDCONCORD, NH 03301(603)224-8637SHAWS PHARMACY246 LOUDON RDCONCORD, NH 03301(603)228-2279TARGET PHARMACY80 D'AMANTE DRCONCORD, NH 03301(603)227-0816THE PRESCRIPTION CENTER246 PLEASANT ST STE 100CONCORD, NH 03301(603)226-4848

THE PRESCRIPTION CENTER18 FOUNDRY STCONCORD, NH 03301(603)224-2111THE PRESCRIPTION CENTER125 N MAIN STCONCORD, NH 03301(603)224-9591WAL-MART344 LOUDON RDCONCORD, NH 03301(603)226-932703303

PENACOOK PHARMACY305 VILLAGE STCONCORD, NH 03303(603)753-6391

FISHERVILLE PHARMACY219 FISHERVILLE RDPENACOOK, NH 03303(603)565-021003431

CVS268 W STKEENE, NH 03431(603)357-2840HANNAFORD FOOD AND DRUG481 WEST STKEENE, NH 03431(603)357-0423PRICE CHOPPER PHARMACY16 ASHBROOK RDKEENE, NH 03431(603)352-2469RITE AID352 WINCHESTER STKEENE, NH 03431(603)352-6969TARGET PHARMACY46 ASH BROOK RDKEENE, NH 03431(603)354-216503451

WAL-MART724 BRATTLEBORO RDHINSDALE, NH 03451(603)336-5548

03452

RITE AID14 PETERBOROUGH STJAFFREY, NH 03452(603)532-695503458

CVS125 DUBLIN RDPETERBOROUGH, NH 03458(603)924-6397RITE AID19 WILTON RDPETERBOROUGH, NH 03458(603)924-363203461

HANNAFORD FOOD AND DRUG752 US ROUTE 202RINDGE, NH 03461(603)899-2115WAL-MART249 RT 202RINDGE, NH 03461(603)899-696503469

KEENE METRO TREATMENT CENTER1076 OLD SWANZEY RDWEST SWANZEY, NH 03469(603)358-005003470

RITE AID10 W MAIN STWINCHESTER, NH 03470(603)239-600003561

AMMONOOSUC COMMMUNITY HEALTH25 MOUNT EUSTIS RDLITTLETON, NH 03561(603)444-7979RITE AID118 MEADOW ST STE 136LITTLETON, NH 03561(603)444-2244SHAWS PHARMACY625 MEADOW STLITTLETON, NH 03561(603)444-6673

WAL-MART615 MEADOW STLITTLETON, NH 03561(603)444-640003570

RITE AID200 PLEASANT STBERLIN, NH 03570(603)752-395203576

RITE AID91 MAIN STCOLEBROOK, NH 03576(603)237-838803581

WAL-MART561 MAIN STGORHAM, NH 03581(603)752-733003584

RITE AID177 MAIN STLANCASTER, NH 03584(603)788-243303743

BANNON PHARMACY109 PLEASANT STCLAREMONT, NH 03743(603)542-7722CVS1 WALL STCLAREMONT, NH 03743(000)000-0000RITE AID71-73 PLEASANT STCLAREMONT, NH 03743(603)543-0153WAL-MART14 BOWEN STCLAREMONT, NH 03743(603)542-332503748

FAMILY PHARMACYBROOKSIDE PLZ RTE 4ENFIELD, NH 03748(603)632-5720

03755

CVS79 S MAIN STHANOVER, NH 03755(603)643-3178DICK'S HOUSE PHARMACY5 ROPE FERRY RDHANOVER, NH 03755(603)646-9447EASTMAN'S DRUG STORE PHARMACY22 S MAIN STHANOVER, NH 03755(603)643-411203756

DARTMOUTH HITCHCOCK PHARMACY1 MEDICAL CENTER DRLEBANON, NH 03756(603)653-378803766

PRICE CHOPPER PHARMACY370 MIRACLE MILE RDLEBANON, NH 03766(603)448-375303773

RITE AID51 S MAIN STNEWPORT, NH 03773(603)863-5766SUGAR RIVER PHARMACY46 JOHN STARK HWYNEWPORT, NH 03773(603)863-4111Z PHARMACY239 SUNAPEE STNEWPORT, NH 03773(603)865-180003784

CVS250 PLAINFIELD RDWEST LEBANON, NH 03784(603)298-8350HANNAFORD FOOD AND DRUG8 MARKET STWEST LEBANON, NH 03784(603)298-6671

CONCORD

CONCORD

PENACOOK

KEENE

HINSDALE

JAFFREY

PETERBOROUGH

RINDGE

WEST SWANZEY

WINCHESTER

LITTLETON

BERLIN

COLEBROOK

GORHAM

LANCASTER

CLAREMONT

ENFIELD

HANOVER

LEBANON

LEBANON

NEWPORT

WEST LEBANON

CONCORD WEST LEBANON

Page 51: Workers Compensation Claims Folder - Aim Mutual …€¦ ·  · 2017-06-15Workers Compensation Claims Folder 54 Third Avenue * P.O. Box 4070 * Burlington, ... assigned to your case.

EXPRESS SCRIPTS (WORKERS COMPENSATION)

Pharmacy directory is subject to change without notice. Please contact your local pharmacy for more information. November 2011

Pharmacy is open 24 hours

KMART PHARMACYROUTE 12 AWEST LEBANON, NH 03784(603)298-8086PRICE CHOPPER PHARMACY285 PLAINFIELD RDWEST LEBANON, NH 03784(877)525-1696RITE AID10 BENNING STWEST LEBANON, NH 03784(603)298-7828WAL-MART285 PLAINFIELD RDWEST LEBANON, NH 03784(603)298-506003785

RITE AID4976 DARTMOUTH COLLEGE HWYWOODSVILLE, NH 03785(603)747-3300WAL-MART4901 DARTMOUTH COLLEGE HWYWOODSVILLE, NH 03785(603)747-335503801

WAL-MART2200 WOODBURY AVENEWINGTON, NH 03801(603)430-4427

CVS674 ISLINGTON STPORTSMOUTH, NH 03801(603)431-0234MARTIN'S POINT PORTSMOUTH PHCY161 CORPORATE DRPORTSMOUTH, NH 03801(603)436-0562RITE AID800 ISLINGTON ST UNIT 1PORTSMOUTH, NH 03801(603)436-2214RITE AID1500 LAFAYETTE RD STE 3PORTSMOUTH, NH 03801(603)430-7595RITE AID1303 WOODBURY AVEPORTSMOUTH, NH 03801(603)431-1580WAL-MART2460 LAFAYETTE RDPORTSMOUTH, NH 03801(603)433-6129

03809

HANNAFORD FOOD AND DRUG80 WOLFBORO HWYALTON, NH 03809(603)875-530003813

SHAWS PHARMACY1150 EASTMAN RDCENTER CONWAY, NH 03813(603)356-588803820

CARE PHARMACY118 CENTRAL AVEDOVER, NH 03820(603)742-3995HANNAFORD FOOD AND DRUG833 CENTRAL AVEDOVER, NH 03820(603)749-9361HANNAFORD FOOD AND DRUG30 GRAPEVINE DRDOVER, NH 03820(603)749-2374RITE AID679 CENTRAL AVEDOVER, NH 03820(603)742-5313RITE AID865 CENTRAL AVEDOVER, NH 03820(603)749-611203824

RITE AID5 MILL RDDURHAM, NH 03824(603)868-522103826

HANNAFORD FOOD AND DRUG305 SANDOWN RDEAST HAMPSTEAD, NH 03826(603)329-018703833

RITE AID69 PORTSMOUTH AVEEXETER, NH 03833(603)778-0553

03835

RITE AID829 NH ROUTE 11FARMINGTON, NH 03835(603)755-244003840

TARGET PHARMACY1450 GREENLAND RD STE 1GREENLAND, NH 03840(603)501-147103842

CVS321 A LAFAYETTE RDHAMPTON, NH 03842(603)926-2885HANNAFORD FOOD AND DRUG630 LAFAYETTE RDHAMPTON, NH 03842(603)926-3344RITE AID356 LAFAYETTE RDHAMPTON, NH 03842(603)929-016803848

RITE AID53 CHURCH STKINGSTON, NH 03848(603)642-319103857

RITE AID73 EXETER STNEWMARKET, NH 03857(603)659-785203860

CVS1351 WHITE MOUNTAIN HWYNORTH CONWAY, NH 03860(603)356-6916HANNAFORD FOOD AND DRUGROUTE 16 MTN VALLEY MALLNORTH CONWAY, NH 03860(603)356-6361RITE AID1623 WHITE MOUNTAIN HWYNORTH CONWAY, NH 03860(603)356-5512

WAL-MART225 MOUNTAIN VALLEY BLVDNORTH CONWAY, NH 03860(603)356-317003861

RITE AID58 CALEF HWYLEE, NH 03861(603)868-640403862

RITE AID72 LAFAYETTE RDNORTH HAMPTON, NH 03862(603)964-510503864

HANNAFORD FOOD AND DRUGRTE 16 AMES PLAZAOSSIPEE, NH 03864(603)539-3898RITE AID910 ROUTE 16OSSIPEE, NH 03864(603)539-482203865

CVS4 PLAISTOW RDPLAISTOW, NH 03865(603)382-5885RITE AID34 PLAISTOW RDPLAISTOW, NH 03865(603)382-9217WAL-MART58 PLAISTOW RD.PLAISTOW, NH 03865(603)382-284403867

CARE PHARMACY OF ROCHESTER161 S MAIN STROCHESTER, NH 03867(603)332-4281HANNAFORD FOOD AND DRUG26 LILAC MALL # 2ROCHESTER, NH 03867(603)332-9401

HANNAFORD FOOD AND DRUG290 N MAIN STROCHESTER, NH 03867(603)332-9264RITE AID60 WAKEFIELD STROCHESTER, NH 03867(603)332-3800WAL-MART116 FARMINGTON RDROCHESTER, NH 03867(603)332-554003868

RITE AID104 MILTON RDROCHESTER, NH 03868(603)335-785103874

CVS628 LAFAYETTE RDSEABROOK, NH 03874(603)474-9511SAM'S CLUB11 BATCHELDER RDSEABROOK, NH 03874(603)474-9827WAL-MART270 LAFAYETTE RDSEABROOK, NH 03874(603)474-251403878

CVS338 HIGH STSOMERSWORTH, NH 03878(603)692-6636RITE AID341 HIGH STSOMERSWORTH, NH 03878(603)692-3161TARGET PHARMACY11 ANDREWS RDSOMERSWORTH, NH 03878(603)692-6751WAL-MART430 HIGH STSOMERSWORTH, NH 03878(603)692-725803882

LAKEVIEW PHARMACY244 HIGHWATCH RDEFFINGHAM, NH 03882(603)539-8780

WOODSVILLE

NEWINGTON

PORTSMOUTH

ALTON

CENTER CONWAY

DOVER

DURHAM

EAST HAMPSTEAD

EXETER

FARMINGTON

GREENLAND

HAMPTON

KINGSTON

NEWMARKET

NORTH CONWAY

LEE

NORTH HAMPTON

OSSIPEE

PLAISTOW

ROCHESTER

ROCHESTER

SEABROOK

SOMERSWORTH

EFFINGHAM

WEST LEBANON EFFINGHAM

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EXPRESS SCRIPTS (WORKERS COMPENSATION)

Pharmacy directory is subject to change without notice. Please contact your local pharmacy for more information. November 2011

Pharmacy is open 24 hours

03885

CVS1 WEST RDSTRATHAM, NH 03885(603)772-3768RITE AID28 PORTSMOUTH AVESTRATHAM, NH 03885(603)772-0749SHAWS PHARMACY100 SHAW'S LNSTRATHAM, NH 03885(603)773-599203894

RITE AID50 S MAIN STWOLFEBORO, NH 03894(603)569-334803896

CARE PHARMACY36 CENTER STWOLFEBORO FALLS, NH 03896(603)515-1213

STRATHAM

WOLFEBORO

WOLFEBORO FALLS

STRATHAM WOLFEBORO FALLS

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EXPRESS SCRIPTS (WORKERS COMPENSATION)

December 2011

Pharmacy is open 24 hours

Pharmacy directory is subject to change without notice. Please contact your local pharmacy for more information.

RHODE ISLAND

CVS180 COUNTY RDBARRINGTON, RI 02806(401)245-0464GENOA HEALTHCARE OF RI2 OLD COUNTY RDBARRINGTON, RI 02806(401)237-4125RITE AID236 COUNTY RDBARRINGTON, RI 02806(401)245-8855

CVS173 STATE STBRISTOL, RI 02809(401)253-8808CVS400 METACOM AVEBRISTOL, RI 02809(401)253-2050RITE AID580 METACOM AVEBRISTOL, RI 02809(401)253-2723

CVS309 BROAD STCENTRAL FALLS, RI 02863(401)721-9880RITE AID1114 BROAD STCENTRAL FALLS, RI 02863(401)722-5801

OCEAN HEALTH MART PHARMACY3986 OLD POST RDCHARLESTOWN, RI 02813(401)364-0900

CVS1068 PUTNAM PIKECHEPACHET, RI 02814(401)568-6043

APOTHECARE COMP SOLUTION85 SANDY BOTTOM RDCOVENTRY, RI 02816(401)821-5000

CVS763 TIOGUE AVECOVENTRY, RI 02816(401)821-2060NEW ENGLAND HOME INFUSION85 SANDY BOTTOM RDCOVENTRY, RI 02816(401)821-0600OMNICARE OF RHODE ISLAND30 CENTER OF NEW ENGLANDCOVENTRY, RI 02816(401)823-8575RITE AID719 TIOGUE AVECOVENTRY, RI 02816(401)822-4800STOP AND SHOP900 TIOGUE AVECOVENTRY, RI 02816(401)823-4343WAL-MART650 CTR OF NEW ENGLAND BLVDCOVENTRY, RI 02816(401)823-7060

CVS681 RESERVOIR AVECRANSTON, RI 02910(401)943-7186CVS205 ATWOOD AVECRANSTON, RI 02920(401)942-4100CVS1188 PONTIAC AVECRANSTON, RI 02920(401)736-5701CVS1776 BROAD STCRANSTON, RI 02905(401)780-8902CVS1195 OAKLAWN AVECRANSTON, RI 02920(401)463-1971PHRED'S DRUG1300 OAKLAWN AVECRANSTON, RI 02920(401)463-6300RITE AID570 PONTIAC AVECRANSTON, RI 02910(401)781-6360RITE AID1285 RESERVOIR AVECRANSTON, RI 02920(401)464-6155

RITE AID250 ATWOOD AVECRANSTON, RI 02920(401)944-7172RITE AID1011 CRANSTON STCRANSTON, RI 02920(401)275-0849RITE AID548 DYER AVECRANSTON, RI 02920(401)942-4703STOP AND SHOP200 ATWOOD AVECRANSTON, RI 02920(401)944-2669STOP AND SHOP204 GARFIELD AVECRANSTON, RI 02920(401)943-7601WAL-MART1776 PLAINFIELD PIKECRANSTON, RI 02921(401)946-2040WE CARE RX678 PARK AVE UNIT 2CRANSTON, RI 02910(401)623-9246

CHAPEL PHARMACY2081 DIAMOND HILL RDCUMBERLAND, RI 02864(401)333-5858CVS1998 MENDON RDCUMBERLAND, RI 02864(401)333-1225CVS2125 DIAMOND HILL RDCUMBERLAND, RI 02864(401)335-4563CVS315 BROAD STCUMBERLAND, RI 02864(401)726-8110RITE AID2136 MENDON RDCUMBERLAND, RI 02864(401)333-1220STOP AND SHOP70 MENDON RDCUMBERLAND, RI 02864(401)722-3401

CVS2250 NEW LONDON TPKEEAST GREENWICH, RI 02818(401)821-3145CVS527 MAIN STEAST GREENWICH, RI 02818(401)884-7045

CVS1285 S COUNTY TRLEAST GREENWICH, RI 02818(404)886-0902

CRITICAL CARE SYSTEMS70 CATAMORE BLVDEAST PROVIDENCE, RI 02914(401)435-4030CVS583 TAUNTON AVEEAST PROVIDENCE, RI 02914(401)434-2993CVS640 WARREN AVEEAST PROVIDENCE, RI 02914(401)438-2272RITE AID655 WARREN AVEEAST PROVIDENCE, RI 02914(401)434-5700STOP AND SHOP1925 PAWTUCKET AVEEAST PROVIDENCE, RI 02914(401)431-0476

CVS445 PUTNAM PIKEGREENVILLE, RI 02828(401)231-5320STOP AND SHOP446 PUTNAM PIKEGREENVILLE, RI 02828(401)949-1848

BAKER'S HEALTH MART PHARMACY53 NARRAGANSETT AVEJAMESTOWN, RI 02835(401)423-2800

ATWOOD PRESCRIPTION CTR1524 ATWOOD AVEJOHNSTON, RI 02919(401)831-0100CVS1993 PLAINFIELD PIKEJOHNSTON, RI 02919(401)942-3286CVS1400 HARTFORD AVEJOHNSTON, RI 02919(401)861-0310JB HEALTH MART PHARMACY113 PUTNAM PIKEJOHNSTON, RI 02919(401)232-1194

RITE AID1459 ATWOOD AVEJOHNSTON, RI 02919(401)273-4470STOP AND SHOP11 COMMERCE WAYJOHNSTON, RI 02919(401)861-3150

RHODE ISLAND VILLAGE PHARMACY1 COMMERCE ST STE BLINCOLN, RI 02865(401)312-4087STOP AND SHOP6220 GEORGE WASHINGTON HWYLINCOLN, RI 02865(401)334-0754TARGET PHARMACY620 GEORGE WASHINGTON HWYLINCOLN, RI 02865(401)642-0081

CVS99 E MAIN RDMIDDLETOWN, RI 02842(401)847-0254STOP AND SHOP1360 W MAIN RDMIDDLETOWN, RI 02842(401)849-9640

CVS1123 BOSTON NECK RDNARRAGANSETT, RI 02882(401)783-1753RITE AID20 WOODRUFF AVENARRAGANSETT, RI 02882(401)792-7179RITE AID1193 BOSTON NECK RDNARRAGANSETT, RI 02882(401)789-5037STOP AND SHOP91 POINT JUDITH RD STE 24NARRAGANSETT, RI 02882(401)783-7768

CVS181 BELLEVUE AVENEWPORT, RI 02840(401)846-7800NEWPORT PRESCRIPTION CENTER HM289 BROADWAYNEWPORT, RI 02840(401)847-6762

BARRINGTON

BRISTOL

CENTRAL FALLS

CHARLESTOWN

CHEPACHET

COVENTRY

CRANSTONCUMBERLAND

EAST GREENWICH

EAST PROVIDENCE

GREENVILLE

JAMESTOWN

JOHNSTON

LINCOLN

MIDDLETOWN

NARRAGANSETT

NEWPORT

BARRINGTON NEWPORT

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EXPRESS SCRIPTS (WORKERS COMPENSATION)

December 2011

Pharmacy is open 24 hours

Pharmacy directory is subject to change without notice. Please contact your local pharmacy for more information.

RITE AID7 E MAIN RDNEWPORT, RI 02840(401)849-4600WAL-MART199 CONNELL HWYNEWPORT, RI 02840(401)848-5861

CVS6495 POST RDNORTH KINGSTOWN, RI 02852(401)885-4920RITE AID5945 POST RDNORTH KINGSTOWN, RI 02852(401)885-5100RITE AID7691 POST RDNORTH KINGSTOWN, RI 02852(401)295-8811RITE AID63 BROWN STNORTH KINGSTOWN, RI 02852(401)294-6387WAL-MART1031 TEN ROD RDNORTH KINGSTOWN, RI 02852(401)294-3455

RITE AID1510 SMITH STNORTH PROVIDENCE, RI 02911(401)353-3500

RITE AID47 VILLAGE PLAZA WAYNORTH SCITUATE, RI 02857(401)934-2480

CVS120 EDDIE DOWLING HWYNORTH SMITHFIELD, RI 02896(401)762-3172STOP AND SHOP595 SMITHFIELD RDNORTH SMITHFIELD, RI 02896(401)765-6722WAL-MART7 DOWLING VILLAGE BLVDNORTH SMITHFIELD, RI 02896(401)769-1695

CVS20 HIGH STPASCOAG, RI 02859(401)568-5190

BLACKSTONE HEALTH MART PHCY465 LONSDALE AVE UNIT BPAWTUCKET, RI 02860(401)475-5655CVS835 NEWPORT AVEPAWTUCKET, RI 02861(401)726-0724CVS601 SMITHFIELD AVEPAWTUCKET, RI 02860(401)727-1866CVS425 E AVEPAWTUCKET, RI 02860(401)722-8704HOWELL SMITH DRUGGISTS749 CENTRAL AVEPAWTUCKET, RI 02861(401)725-7711QOL MEDS101 BACON STPAWTUCKET, RI 02860(401)722-0299RITE AID342 POWER RDPAWTUCKET, RI 02860(401)724-3274RITE AID150 MINERAL SPRING AVEPAWTUCKET, RI 02860(401)726-0547RITE AID727 EAST AVEPAWTUCKET, RI 02860(401)724-6800SIMPSON'S PHARMACY10 NEWPORT AVEPAWTUCKET, RI 02861(401)722-7600STOP AND SHOP640 BROADWAYPAWTUCKET, RI 02860(401)722-6537

CVS10 TURNPIKE AVEPORTSMOUTH, RI 02871(401)682-2098RITE AID2456 E MAIN STPORTSMOUTH, RI 02871(401)683-3062

RITE AID3034 E MAIN RDPORTSMOUTH, RI 02871(401)683-1270

ANTHONY'S HM DRUG STORE219 MANTON AVEPROVIDENCE, RI 02909(401)351-9495BROWN UNIVERSITY PHARMACY13 BROWN STPROVIDENCE, RI 02912(401)863-7882CVS799 HOPE STPROVIDENCE, RI 02906(401)331-5240CVS935 MANTON AVEPROVIDENCE, RI 02909(401)453-5612CVS400 ADMIRAL STPROVIDENCE, RI 02908(401)351-5030CVS960 BROAD STPROVIDENCE, RI 02905(401)461-3699CVS131 WEBSTER AVEPROVIDENCE, RI 02909(401)944-6060CVS100 FRANCIS STPROVIDENCE, RI 02903(401)270-4440CVS1919 MINERAL SPRING AVEPROVIDENCE, RI 02904(401)353-2501CVS481 ANGELL STPROVIDENCE, RI 02906(401)521-4340CVS PROCARE2 DUDLEY ST STE 170PROVIDENCE, RI 02905(401)421-1555EAST SIDE PRESCRIPTION CENTER632 HOPE STPROVIDENCE, RI 02906(401)751-1430GENOA HEALTHCARE530 N MAIN ST STE 124PROVIDENCE, RI 02904(401)276-6377JB PHARMACY1001 SMITH STPROVIDENCE, RI 02908(401)861-1194

N D S PHARMACY866 BROAD STPROVIDENCE, RI 02907(401)941-5698PROVIDENCE METRO TREATMENT CTR160 NARRAGANSETT AVEPROVIDENCE, RI 02914(401)941-4488RITE AID135 PITMAN STPROVIDENCE, RI 02906(401)861-4846RITE AID1665 MINERAL SPRING RDPROVIDENCE, RI 02904(401)353-3113RITE AID200 ACADEMY AVEPROVIDENCE, RI 02908(401)521-4941RITE AID456 BRANCH STPROVIDENCE, RI 02904(401)331-3554RITE AID1200 N MAIN STPROVIDENCE, RI 02904(401)272-3048RITE AID711 BROAD STPROVIDENCE, RI 02907(401)331-9550SHAWS PHARMACY15 SMITHFIELD RDPROVIDENCE, RI 02904(401)353-4075STOP AND SHOP1128 MINERAL SPRING AVEPROVIDENCE, RI 02904(401)727-3900STOP AND SHOP850 MANTON AVEPROVIDENCE, RI 02909(401)453-0288VIDASCRIP PHARMACY500 BROAD ST STE 6PROVIDENCE, RI 02907(401)868-9070WAL-MART51 SILVER SPRING STPROVIDENCE, RI 02904(401)272-5340WHITE CROSS PHARMACY1 RANDALL SQPROVIDENCE, RI 02904(401)351-5900

RITE AID21 KINGSTOWN RDRICHMOND, RI 02898(401)539-6001

CVS444 WILLETT AVERIVERSIDE, RI 02915(401)433-1120INFUSION RESOURCE2 HEMINGWAY DRRIVERSIDE, RI 02915(401)431-0200RITE AID1086 WILLETT AVERIVERSIDE, RI 02915(401)433-5710

CVS63 NEWPORT AVERUMFORD, RI 02916(401)431-0461RITE AID220 NEWPORT AVERUMFORD, RI 02916(401)434-1333

BAYVIEW PHARMACY3045 TOWERHILL RD UNIT 3SAUNDERSTOWN, RI 02874(401)284-4505

RITE AID900 VICTORY HWYSLATERSVILLE, RI 02876(401)766-4603

MILLENNIUM PHARMACY33 APPIAN WAY STE BSMITHFIELD, RI 02917(724)940-2490RITE AID400 PUTNAM PIKESMITHFIELD, RI 02917(401)949-6212TARGET PHARMACY371 PUTMAN PIKESMITHFIELD, RI 02917(401)232-2854

CVS500 MAIN RDTIVERTON, RI 02878(401)624-8421RITE AID677 MAIN RDTIVERTON, RI 02878(401)624-8411

NORTH KINGSTOWN

NORTH PROVIDENCE

NORTH SCITUATE

NORTH SMITHFIELD

PASCOAG

PAWTUCKET

PORTSMOUTH

PROVIDENCE

RICHMOND

RIVERSIDE

RUMFORD

SAUNDERSTOWN

SLATERSVILLE

SMITHFIELD

TIVERTON

NEWPORT TIVERTON

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EXPRESS SCRIPTS (WORKERS COMPENSATION)

December 2011

Pharmacy is open 24 hours

Pharmacy directory is subject to change without notice. Please contact your local pharmacy for more information.

CVS11 MAIN STWAKEFIELD, RI 02879(401)783-3384QOL MEDS55 CHERRY LNWAKEFIELD, RI 02879(401)482-3511RITE AID604 KINGSTOWN RDWAKEFIELD, RI 02879(401)783-8630WAKEFIELD PRESCRIPTION CENTER580 KINGSTOWN RDWAKEFIELD, RI 02879(401)789-9791

CVS615 METACOM AVEWARREN, RI 02885(401)245-0400DELEKTA PHARMACY496 MAIN STWARREN, RI 02885(401)245-6767

CVS2400 WARWICK AVEWARWICK, RI 02889(401)737-2305CVS767 WARWICK AVEWARWICK, RI 02888(401)467-7788CVS2790 POST RDWARWICK, RI 02886(401)739-3173OXNARD HEALTH MART PHARMACY198 BUTTONWOOD AVEWARWICK, RI 02886(401)739-4330PHARMERICA83 VERMONT AVE UNIT 2WARWICK, RI 02888(401)737-4165RITE AID2055 WARWICK AVEWARWICK, RI 02889(401)738-6300RITE AID2595 W SHORE RDWARWICK, RI 02886(401)737-4771RITE AID1201 WARWICK AVEWARWICK, RI 02888(401)463-6010

RITE AID1080 BALD HILL RDWARWICK, RI 02886(401)822-0002STOP AND SHOP300 QUAKER LNWARWICK, RI 02886(401)828-0533STOP AND SHOP2470 WARWICK AVEWARWICK, RI 02889(401)732-4060SUBURBAN PHARMACY242 PAWTUXET AVEWARWICK, RI 02888(401)781-2110TARGET PHARMACY400 BALD HILL RD STE 200WARWICK, RI 02886(401)244-1973TARGET PHARMACY1245 BALD HILL RDWARWICK, RI 02888(401)821-8283WAL-MART650 BALD HILL RDWARWICK, RI 02886(401)821-7844WAL-MART840 POST RDWARWICK, RI 02888(401)781-8340

CVS1734 MAIN STWEST WARWICK, RI 02893(401)821-7428CVS834 PROVIDENCE STWEST WARWICK, RI 02893(401)821-3563CVS1125 MAIN STWEST WARWICK, RI 02893(401)822-2762RITE AID1193 MAIN STWEST WARWICK, RI 02893(401)828-9793UROLOGIC SPECIALISTS207 QUAKER LNWEST WARWICK, RI 02893(401)275-8110

CVS151 FRANKLIN STWESTERLY, RI 02891(401)596-8182CVS150 GRANITE STWESTERLY, RI 02891(401)348-2070

MCQUADES MARKETPLACE PHARMACY106 MAIN STWESTERLY, RI 02891(401)596-0277RITE AID170 GRANITE STWESTERLY, RI 02891(401)596-2734WAL-MART258 POST RDWESTERLY, RI 02891(401)322-0793

CVS1516 DIAMOND HILL RDWOONSOCKET, RI 02895(401)765-7133CVS166 CASS AVEWOONSOCKET, RI 02895(401)767-3600CVS PROCARE450 CLINTON STWOONSOCKET, RI 02895(401)767-2120RITE AID200 SOCIAL STWOONSOCKET, RI 02895(401)762-9200

CVS1187 MAIN STWYOMING, RI 02898(401)539-4000

WAKEFIELD

WARREN

WARWICK

WEST WARWICK

WESTERLY

WOONSOCKET

WYOMING

WAKEFIELD WYOMING

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EXPRESS SCRIPTS (WORKERS COMPENSATION)

Pharmacy directory is subject to change without notice. Please contact your local pharmacy for more information. December 2011

Pharmacy is open 24 hours

CONNECTICUT

CVS24 PERSHING DRANSONIA, CT 06401(203)735-7837HANCOCK PHARMACY VI95 WAKELEE AVEANSONIA, CT 06401(203)734-8900LEAR PHARMACY198 WAKELEE AVEANSONIA, CT 06401(203)735-7433RITE AID404 MAIN STANSONIA, CT 06401(203)734-3152STOP AND SHOP100 DIVISION STANSONIA, CT 06401(203)732-3907TARGET PHARMACY20 W MAIN STANSONIA, CT 06401(203)278-5056

CVS358 W MAIN STAVON, CT 06001(860)678-8605RITE AIDRT 44 & DALE RDAVON, CT 06001(860)674-0353WAL-MART255 W MAIN STAVON, CT 06001(860)409-0406

BEACON FALLS PHARMACY20 N MAIN STBEACON FALLS, CT 06403(203)729-4567

CVS1055 FARMINGTON AVEBERLIN, CT 06037(860)828-6584CVS308 WILBUR CROSS HWYBERLIN, CT 06037(860)829-0800PHARMERICA77 OLD BRICKYARD LN STE 1BERLIN, CT 06037(860)829-6575

STOP AND SHOP1135 FARMINGTON AVEBERLIN, CT 06037(860)828-0772

BIG Y PHARMACY81 STONY HILL RDBETHEL, CT 06801(203)791-9820CVS7 DURANT AVEBETHEL, CT 06801(203)794-9500ENGLISH APOTHECARY140 GREENWOOD AVEBETHEL, CT 06801(860)927-3725RITE AID289 GREENWOOD AVEBETHEL, CT 06801(203)792-6190TARGET PHARMACY7 STONY HILL RDBETHEL, CT 06801(203)448-1030

TOWNE APOTHECARY95 MAIN ST SBETHLEHEM, CT 06751(203)266-7801

CVS341 COTTAGE GROVE RDBLOOMFIELD, CT 06002(860)243-8351CVS799-824 PARK AVEBLOOMFIELD, CT 06002(860)243-1704RELIANCE PHARMACY699 COTTAGE GROVE RDBLOOMFIELD, CT 06002(860)242-3332RITE AID774 PARK AVEBLOOMFIELD, CT 06002(860)242-5551

BOLTON PHARMACY667 BOSTON TPKEBOLTON, CT 06043(860)643-0165

CVS2-6 SHORT BEACH RDBRANFORD, CT 06405(203)488-9485

STOP AND SHOP22 LEETES ISLAND RDBRANFORD, CT 06405(203)481-3392TOWNE PHARMACY1012 MAIN STBRANFORD, CT 06405(203)488-1631WAL-MART120 COMMERCIAL PKWYBRANFORD, CT 06405(203)488-3914

ARROW PRESCRIPTION CENTER2660 MAIN STBRIDGEPORT, CT 06606(203)367-7979BRIDGEPORT PHARMACY978 E MAIN STBRIDGEPORT, CT 06608(203)367-9000CVS3710 MAIN STBRIDGEPORT, CT 06606(203)371-1280CVS2610 E MAIN STBRIDGEPORT, CT 06610(203)368-0944CVS1875 BOSTON AVEBRIDGEPORT, CT 06610(203)330-8278HANCOCK PHARMACY1557 FAIRFIELD AVEBRIDGEPORT, CT 06605(203)367-4571HANCOCK PHARMACY1020 FAIRFIELD AVEBRIDGEPORT, CT 06605(203)576-9000HANCOCK PHARMACY IV500 SYLVAN AVEBRIDGEPORT, CT 06606(203)416-9000LUPE'S DRUG STORE3129 MAIN STBRIDGEPORT, CT 06606(203)374-0610MAIN STREET PHARMACY2117 BOSTON AVEBRIDGEPORT, CT 06610(203)870-9901MAIN STREET PHARMACY1001 MAIN ST STE 7BRIDGEPORT, CT 06604(203)870-9901RITE AID1060 E MAIN STBRIDGEPORT, CT 06608(203)382-0009

STOP AND SHOP2600 MADISON AVEBRIDGEPORT, CT 06606(203)372-7150STOP AND SHOP4531 N MAIN STBRIDGEPORT, CT 06602(203)372-6538

BEACON MEDICATION SERVICES25 MELLEN STBRISTOL, CT 06010(860)582-4847BEACON PRESCRIPTION SOUTH ST57 SOUTH STBRISTOL, CT 06010(860)583-1006BEACON PRESCRIPTIONS25 COLLINS RDBRISTOL, CT 06010(860)589-5587CVS59 N MAIN STBRISTOL, CT 06010(860)584-8998CVS60 MIDDLE STBRISTOL, CT 06010(860)585-0122CVS839 FARMINGTON AVEBRISTOL, CT 06010(860)582-8167PRICE CHOPPER PHARMACY121 FARMINGTON AVEBRISTOL, CT 06010(860)582-3702RITE AID430 N MAIN ST STE ABRISTOL, CT 06010(860)582-3491SHOPRITE1200 FARMINGTON AVEBRISTOL, CT 06010(860)584-5733STOP AND SHOP597 FARMINGTON AVEBRISTOL, CT 06010(860)582-4080STOP AND SHOP747 PINE STBRISTOL, CT 06010(860)583-9213WAL-MART1400 FARMINGTON AVEBRISTOL, CT 06010(860)585-1103

BROOKFIELD PHARMACY31 OLD ROUTE 7BROOKFIELD, CT 06804(203)775-0463BROOKFIELD PHARMACY60 OLD NEW MILFORD RDBROOKFIELD, CT 06804(203)775-9040COSTCO200 FEDERAL RDBROOKFIELD, CT 06804(203)740-7965CVS14 CANDLEWOOD LAKE RDBROOKFIELD, CT 06804(203)775-9593RITE AID215 FEDERAL RDBROOKFIELD, CT 06804(203)740-1005

CVS542 PROVIDENCE RDBROOKLYN, CT 06234(860)779-0523

CVS292 SPEILMAN HWYBURLINGTON, CT 06013(860)673-8006

CANAAN APOTHECARY91 MAIN STCANAAN, CT 06018(860)824-8000GEER PHARMACY99 S CANAAN RDCANAAN, CT 06018(860)824-3822RITE AID76 MAIN STCANAAN, CT 06018(860)824-5481

RITE AID200 WESTMINSTER RDCANTERBURY, CT 06331(860)546-6766

CVS581 HIGHLAND AVECHESHIRE, CT 06410(203)250-2251CVS905 S MAIN STCHESHIRE, CT 06410(203)272-3255

ANSONIA

AVON

BEACON FALLS

BERLIN

BETHEL

BETHLEHEM

BLOOMFIELD

BOLTON

BRANFORD

BRIDGEPORT

BRISTOL

BROOKFIELD

BROOKLYN

BURLINGTON

CANAAN

CANTERBURY

CHESHIRE

ANSONIA CHESHIRE

Page 57: Workers Compensation Claims Folder - Aim Mutual …€¦ ·  · 2017-06-15Workers Compensation Claims Folder 54 Third Avenue * P.O. Box 4070 * Burlington, ... assigned to your case.

EXPRESS SCRIPTS (WORKERS COMPENSATION)

Pharmacy directory is subject to change without notice. Please contact your local pharmacy for more information. December 2011

Pharmacy is open 24 hours

RITE AID922 S MAIN STCHESHIRE, CT 06410(203)271-0282RITE AID180 MAIN STCHESHIRE, CT 06410(203)272-3543STOP AND SHOP275 HIGHLAND AVECHESHIRE, CT 06410(203)272-3697VALUE HEALTHCARE SERVICES525 KNOTTER DRCHESHIRE, CT 06410(203)272-3856

CVS14 E MAIN STCLINTON, CT 06413(860)664-9337SHOPRITE266 E MAIN STCLINTON, CT 06413(860)669-6619STOP AND SHOP215 E MAIN STCLINTON, CT 06413(860)669-6636

CVS119 S MAIN STCOLCHESTER, CT 06415(860)537-0711RITE AID27 BROADWAY STCOLCHESTER, CT 06415(860)537-9034STOP AND SHOP99 LINWOOD AVECOLCHESTER, CT 06415(860)537-2570

CVS122 E PUTNAM AVECOS COB, CT 06807(203)422-2129

CVS3514 MAIN STCOVENTRY, CT 06238(860)742-3543

CVS72 BERLIN RDCROMWELL, CT 06416(860)613-0499

PROFESSIONAL HOME CARE SVCS104 SEBETHE DRCROMWELL, CT 06416(860)632-3611STOP AND SHOP35 SHUNPIKE RDCROMWELL, CT 06416(860)635-6303WAL-MART161 BERLIN RDCROMWELL, CT 06416(860)635-1507XPECT PHARMACY47 SHUNPIKE RDCROMWELL, CT 06416(860)632-9092

A AND P SUPER FOODMART35 MAIN STDANBURY, CT 06810(203)748-9122A AND P SUPER FOODMART1 PANDANARAM RDDANBURY, CT 06811(203)791-2356CVS35 PADANARAM RDDANBURY, CT 06811(203)730-4870CVS47 LAKE AVENUE EXT # 49DANBURY, CT 06811(203)778-7471CVS146 SOUTH STDANBURY, CT 06810(203)797-8919CVS303 WHITE STDANBURY, CT 06810(203)790-9485DANBURY PHARMACY95 LOCUST AVEDANBURY, CT 06810(203)792-2044MAIN STREET PHARMACY151 MAIN STDANBURY, CT 06810(203)297-6132RITE AID113 MILL PLAIN RDDANBURY, CT 06810(203)798-7520RITE AID30 GERMANTOWN RDDANBURY, CT 06810(203)797-0223RITE AID1-A PADANARUM RDDANBURY, CT 06810(203)748-4134

STOP AND SHOP72 NEW TOWN RDDANBURY, CT 06810(203)798-0735STOP AND SHOP44 LAKE AVENUE EXTDANBURY, CT 06810(203)797-8476WAL-MART67 NEWTOWN RDDANBURY, CT 06810(203)791-8178

BIG Y PHARMACY70 WAUREGAN RDDANIELSON, CT 06239(860)774-7437BONNEVILLE PHARMACY77 WESTCOTT RDDANIELSON, CT 06239(860)774-9362

CVS964 POST RDDARIEN, CT 06820(203)655-6335GRIEB'S PHARMACY1021 POST RDDARIEN, CT 06820(203)655-1000

GENOA HEALTHCARE1007 N MAIN STDAYVILLE, CT 06241(860)457-4690STOP AND SHOP1046 N MAIN STDAYVILLE, CT 06241(860)774-5301TARGET PHARMACY2177 KILLINGLY CMNSDAYVILLE, CT 06241(860)412-1284

CVS656 NEW HAVEN AVEDERBY, CT 06418(203)732-4495GRIFFIN PHARMACY AND GIFT130 DIVISION STDERBY, CT 06418(203)732-1490SHOPRITE49 PERSHING DRDERBY, CT 06418(203)736-1055

WAL-MART656 NEW HAVEN AVEDERBY, CT 06418(203)736-2667

DURHAM PHARMACY321 MAIN STDURHAM, CT 06422(860)349-3478

CAP PHARMACY80 CLARK DREAST BERLIN, CT 06023(866)632-1551

CVS54 E HIGH STEAST HAMPTON, CT 06424(860)267-6853RITE AID25 E HIGH STEAST HAMPTON, CT 06424(860)267-0732STOP AND SHOP11 E HIGH STEAST HAMPTON, CT 06424(860)267-2771

CVS20 BURNSIDE AVEEAST HARTFORD, CT 06118(860)290-2091CVS16 MAIN STEAST HARTFORD, CT 06118(860)568-1700RITE AID271 ELLINGTON RDEAST HARTFORD, CT 06108(860)528-6115SHOPRITE31 MAIN STEAST HARTFORD, CT 06118(860)895-8106STOP AND SHOP940 SILVER LNEAST HARTFORD, CT 06108(860)569-7135

BEACON PRESCRIPTIONS875 FOXON RDEAST HAVEN, CT 06513(203)467-2600CVS369 MAIN STEAST HAVEN, CT 06512(203)468-6594

CVS660 FOXON RDEAST HAVEN, CT 06513(203)467-8876RITE AID588 MAIN STEAST HAVEN, CT 06512(203)469-7648RITE AID10 HEMINGWAY AVEEAST HAVEN, CT 06512(203)469-4609RITE AID645 FOXON RDEAST HAVEN, CT 06513(203)468-1039STOP AND SHOP370 HEMINGWAY AVEEAST HAVEN, CT 06512(203)468-1113

CVS15 CHESTERFIELD RDEAST LYME, CT 06333(860)739-0276RITE AID324 FLANDERS AVEEAST LYME, CT 06333(860)739-9007STOP AND SHOP248 FLANDERS RDEAST LYME, CT 06333(860)739-5957

BIG Y PHARMACY67 PROSPECT HILL RDEAST WINDSOR, CT 06028(860)623-1407RITE AID74 BRIDGE STEAST WINDSOR, CT 06088(860)623-3327WAL-MART69 PROSPECT HILL RDEAST WINDSOR, CT 06088(860)292-1573

BIG Y PHARMACY135 WEST RDELLINGTON, CT 06029(860)896-0264

ABLE CARE PHCY AND MED SPPLY15 PALOMBA DRENFIELD, CT 06082(860)745-0183

CLINTON

COLCHESTER

COS COB

COVENTRY

CROMWELL

DANBURY

DANIELSON

DARIEN

DAYVILLE

DERBY

DURHAM

EAST BERLIN

EAST HAMPTON

EAST HARTFORD

EAST HAVEN

EAST LYME

EAST WINDSOR

ELLINGTON

ENFIELD

CHESHIRE ENFIELD

Page 58: Workers Compensation Claims Folder - Aim Mutual …€¦ ·  · 2017-06-15Workers Compensation Claims Folder 54 Third Avenue * P.O. Box 4070 * Burlington, ... assigned to your case.

EXPRESS SCRIPTS (WORKERS COMPENSATION)

Pharmacy directory is subject to change without notice. Please contact your local pharmacy for more information. December 2011

Pharmacy is open 24 hours

COSTCO75 FRESHWATER BLVDENFIELD, CT 06082(860)394-2028CVS47 HAZARD AVEENFIELD, CT 06082(860)741-0751CVS872 ENFIELD STENFIELD, CT 06082(860)741-3014RITE AID71 PALOMBA DRENFIELD, CT 06082(860)749-4184SOUTHWOOD PHARMACY89 RAFFIA RDENFIELD, CT 06082(860)749-8334STOP AND SHOP54 HAZARD AVEENFIELD, CT 06082(860)741-2230TARGET PHARMACY90 ELM STENFIELD, CT 06083(860)741-8054

RITE AID125 WESTBROOK RDESSEX, CT 06426(860)767-2181

CVS330 GRASMERE AVEFAIRFIELD, CT 06824(203)255-0060CVS961 BLACK ROCK TPKEFAIRFIELD, CT 06825(203)331-4743CVS1968 BLACK ROCK TPKEFAIRFIELD, CT 06825(203)366-8070CVS698 POST RDFAIRFIELD, CT 06824(203)255-1089LUPE'S DRUG STORE2035 BLACK ROCK TPKEFAIRFIELD, CT 06825(203)368-1955RITE AID1619 POST RDFAIRFIELD, CT 06824(203)259-2353

STOP AND SHOP1160 KINGS HIGHWAY CUTOFFFAIRFIELD, CT 06824(203)254-8538

ARROW PHARM AND NUTRITION CTR838 FARMINGTON AVEFARMINGTON, CT 06032(888)787-2800CVS188 MAIN ST RTE 10FARMINGTON, CT 06032(860)677-5047

REDDING PHARMACY73 REDDING RDGEORGETOWN, CT 06829(203)544-8306

CVS766 NEW LONDON TPKEGLASTONBURY, CT 06033(860)633-4668CVS2639 MAIN STGLASTONBURY, CT 06033(860)659-1329STOP AND SHOP215 GLASTONBURY BLVDGLASTONBURY, CT 06033(860)659-5844STOP AND SHOP55 OAK STGLASTONBURY, CT 06033(860)652-9208

CVS20 BANK STGRANBY, CT 06035(860)653-4221GRANBY PHARMACY9 HARTFORD AVEGRANBY, CT 06035(860)653-2517STOP AND SHOP120 SALMON BROOK STGRANBY, CT 06035(860)844-8346

CVS99 GREENWICH AVEGREENWICH, CT 06830(203)862-9320FINCH PHARMACY3 RIVERSVILLE RDGREENWICH, CT 06831(203)531-8494

GRANNICK'S PHARMACY277 GREENWICH AVEGREENWICH, CT 06830(203)869-3492GREENVIEW PHARMACY13 N WATER STGREENWICH, CT 06830(203)531-3323GREENWICH PHARMACY116 GREENWICH AVEGREENWICH, CT 06830(203)661-2721HARMONY PHARMACY & HEALTH CTR84 E PUTNAM AVEGREENWICH, CT 06830(917)574-5335NORTH STREET PHARMACY1043 NORTH STGREENWICH, CT 06831(203)869-2130PALMERS PROFESSIONAL PHARMACY49 LAKE AVEGREENWICH, CT 06830(203)869-5700

BIG Y PHARMACY995 POQUONNOCK RDGROTON, CT 06340(860)445-7719CVS915 POQUONNOCK RDGROTON, CT 06340(860)446-0912FORT HILL PHARMACY116 FORT HILL RDGROTON, CT 06340(860)445-6431STOP AND SHOP220 ROUTE 12GROTON, CT 06340(860)445-8807WAL-MART150 GOLD STAR HWYGROTON, CT 06340(860)449-6902

BIG Y PHARMACY830 BOSTON POST RDGUILFORD, CT 06437(203)453-7446CVS1057 BOSTON POST RD STE 2GUILFORD, CT 06437(203)458-1444

ANNEX PHARMACY2380 A DIXWELL AVEHAMDEN, CT 06514(203)287-3127APEX PHARMACY AND HOME CARE2380 DIXWELL AVEHAMDEN, CT 06514(203)281-6571CVS2045 DIXWELL AVEHAMDEN, CT 06514(203)287-0835RITE AID2175 DIXWELL AVEHAMDEN, CT 06514(203)288-3895SHOPRITE2100 DIXWELL AVEHAMDEN, CT 06514(203)230-8019STOP AND SHOP1245 DIXWELL AVEHAMDEN, CT 06514(203)281-4235STOP AND SHOP2335 DIXWELL AVEHAMDEN, CT 06514(203)248-9631WAL-MART2300 DIXWELL AVEHAMDEN, CT 06514(203)230-2841

ARROW PRESCRIPTION CENTER100 WOODLAND STHARTFORD, CT 06105(860)527-2800ARROW PRESCRIPTION CENTER85 SEYMOUR STHARTFORD, CT 06106(860)727-1123ARROW PRESCRIPTION CENTER500 ALBANY AVEHARTFORD, CT 06120(860)524-5304ARROW PRESCRIPTION CENTER500 FARMINGTON AVEHARTFORD, CT 06105(860)522-9289ARROW PRESCRIPTION CENTER131 COVENTRY STHARTFORD, CT 06112(860)286-2766

CVS690 WETHERSFIELD AVEHARTFORD, CT 06114(860)296-1155CVS566 FARMINGTON AVEHARTFORD, CT 06105(860)233-9673CVS750 MAIN STHARTFORD, CT 06103(860)244-9424CVS479 BLUE HILLS AVEHARTFORD, CT 06112(860)769-6870CVS908 910 MAPLE AVEHARTFORD, CT 06114(860)956-7107ONCOLOGY ASSOCIATES85 RETREAT AVEHARTFORD, CT 06106(860)249-6291RITE AID1291 ALBANY AVEHARTFORD, CT 06112(860)560-1881RITE AID315 FRANKLIN AVEHARTFORD, CT 06114(860)296-3478RITE AID10 SCHOOL STHARTFORD, CT 06108(860)289-8289STOP AND SHOP150 NEW PARK AVEHARTFORD, CT 06106(860)232-8848WAL-MART495 FLATBUSH AVEHARTFORD, CT 06106(860)953-0725

HEBRON PHARMACY117 MAIN STHEBRON, CT 06248(860)228-3888

HIGGANUM PHARMACY3 CANDLEWOOD HILL RD STE AHIGGANUM, CT 06441(860)345-3607

JEWETT CITY PHARMACY78 MAIN STJEWETT CITY, CT 06351(860)376-4468

ESSEX

FAIRFIELD

FARMINGTON

GEORGETOWN

GLASTONBURY

GRANBY

GREENWICH

GROTON

GUILFORD

HAMDEN

HARTFORD

HEBRON

HIGGANUM

JEWETT CITY

ENFIELD JEWETT CITY

Page 59: Workers Compensation Claims Folder - Aim Mutual …€¦ ·  · 2017-06-15Workers Compensation Claims Folder 54 Third Avenue * P.O. Box 4070 * Burlington, ... assigned to your case.

EXPRESS SCRIPTS (WORKERS COMPENSATION)

Pharmacy directory is subject to change without notice. Please contact your local pharmacy for more information. December 2011

Pharmacy is open 24 hours

RITE AID27 MAIN STJEWETT CITY, CT 06351(860)376-1206

BEACON PRESCRIPTIONS59 CHAMBERLAIN HWYKENSINGTON, CT 06037(860)828-4161RITE AID900 FARMINGTON AVEKENSINGTON, CT 06037(860)829-0742

KENT APOTHECARY3 MAPLE STKENT, CT 06757(860)927-3725

KILLINGWORTH FAMILY PHARMACY183 ROUTE 81 STE 3KILLINGWORTH, CT 06419(860)452-4275

TARGET PHARMACY195 RIVER RDLISBON, CT 06351(860)823-2961WAL-MART180 RIVER RDLISBON, CT 06351(860)376-0132

CVS266 WEST STLITCHFIELD, CT 06759(860)567-0856MURPHY'S PHARMACY59 WEST STLITCHFIELD, CT 06759(860)567-8325RITE AID331 WEST STLITCHFIELD, CT 06759(860)567-7064

CVS613 BOSTON POST RDMADISON, CT 06443(203)245-3165STOP AND SHOP136 SAMSON ROCK DRMADISON, CT 06443(203)245-7467

BIG Y PHARMACY234 TOLLAND TPKEMANCHESTER, CT 06042(860)646-4832CVS260 N MAIN STMANCHESTER, CT 06040(860)646-4510CVS241 MIDDLE TPKE WMANCHESTER, CT 06040(860)533-1156GENOA HEALTHCARE587 MIDDLE TPKE EMANCHESTER, CT 06040(860)288-2119LENOX PHARMACY299 E CENTER STMANCHESTER, CT 06040(860)649-0896MANCHESTER PHARMACY348 MAIN STMANCHESTER, CT 06040(860)649-1025RITE AID335 CENTER STMANCHESTER, CT 06040(860)649-9110SAM'S CLUB69 PAVILIONS DRMANCHESTER, CT 06040(860)644-5807SHOPRITE214 SPENCER STMANCHESTER, CT 06040(860)645-3244STOP AND SHOP286 BROAD STMANCHESTER, CT 06040(860)647-0325TARGET PHARMACY125 BUCKLAND HILLS DRMANCHESTER, CT 06040(860)327-0083WAL-MART420 BUCKLAND HILLS DRMANCHESTER, CT 06040(860)644-5105WESTOWN PHARMACY455 HARTFORD RDMANCHESTER, CT 06040(860)649-9946

BIG Y PHARMACY141 B STORRS RDMANSFIELD, CT 06250(860)456-1358

BIG Y PHARMACY533 S BROAD STMERIDEN, CT 06450(203)237-5280CVS540 W MAIN STMERIDEN, CT 06450(203)237-8984CVS839 E MAIN STMERIDEN, CT 06450(203)235-8285CVS679 E MAIN STMERIDEN, CT 06450(203)237-8997GENOA HEALTHCARE883 PADDOCK AVEMERIDEN, CT 06450(203)599-0187GRAEBER'S PHARMACY172 W MAIN STMERIDEN, CT 06450(203)235-4463HANCOCKS PHARMACY840 E MAIN STMERIDEN, CT 06450(203)235-6323STOP AND SHOP485 BROAD STMERIDEN, CT 06540(203)238-1261TARGET PHARMACY474 CHAMBERLAIN HWYMERIDEN, CT 06451(203)634-6060

CONNECTICUT ONCOLOGY GROUP536 SAYBROOK RDMIDDLETOWN, CT 06457(860)358-2220CVS308 MAIN STREET EXTMIDDLETOWN, CT 06457(860)344-1857CVS675 WASHINGTON STMIDDLETOWN, CT 06457(860)344-1320HANCOCK PHARMACY V644 MAIN STMIDDLETOWN, CT 06457(860)346-9700PRICE CHOPPER PHARMACY855 WASHINGTON STMIDDLETOWN, CT 06457(860)740-7707

RITE AID100 MAIN STMIDDLETOWN, CT 06457(860)346-8601STOP AND SHOP416 MAIN STMIDDLETOWN, CT 06457(860)346-1779

COSTCO1718 BOSTON POST RDMILFORD, CT 06460(203)701-3051CVS989 BOSTON POST RDMILFORD, CT 06460(203)783-9058CVS233 BROAD STMILFORD, CT 06460(203)877-8127HOWES DRUG78 BROAD STMILFORD, CT 06460(203)878-2441RITE AID1387 NEW HAVEN AVEMILFORD, CT 06460(203)874-0845RITE AID1360 BOSTON POST RDMILFORD, CT 06460(203)877-6774STOP AND SHOP42 W TOWN STMILFORD, CT 06460(203)877-1912STOP AND SHOP855 BRIDGEPORT AVEMILFORD, CT 06460(203)876-0654TARGET PHARMACY1191 BOSTON POST RDMILFORD, CT 06460(203)306-5064WAL-MART1365 BOSTON POST RDMILFORD, CT 06460(203)301-0570XPECT PHARMACY480 BOSTON POST RDMILFORD, CT 06460(203)877-7828

CVS535 MONROE TPKEMONROE, CT 06468(203)261-1185RITE AID508 MONROE TPKEMONROE, CT 06468(203)268-5471

RITE AID435 MAIN STMONROE, CT 06468(203)268-1098

NATHAN HALE PHARMACY26 FALLS RDMOODUS, CT 06469(860)873-1481

RITE AID20 PROSPECT STMOOSUP, CT 06354(860)564-5871

BIG Y PHARMACY179 STONINGTON RDMYSTIC, CT 06355(860)536-5835CVS25 BROADWAY AVEMYSTIC, CT 06355(860)536-5635MCQUADES PHARMACY10 CLARA DRMYSTIC, CT 06355(860)536-4606MCQUADES SPECIALTY PHARMACY10 CLARA DRMYSTIC, CT 06355(860)536-3349

BIG Y PHARMACY85 BRIDGE STNAUGATUCK, CT 06770(203)723-0364CVS98 BRIDGE STNAUGATUCK, CT 06770(203)723-1172FORD PHARMACY2 CHURCH STNAUGATUCK, CT 06770(203)729-2680NELSON'S PHARMACY153 MAPLE STNAUGATUCK, CT 06770(203)729-2297RITE AID56 RUBBER AVENAUGATUCK, CT 06770(203)723-7745STOP AND SHOP727 RUBBER AVENAUGATUCK, CT 06770(203)723-6939

KENSINGTON

KENT

KILLINGWORTH

LISBON

LITCHFIELD

MADISON

MANCHESTER

MANSFIELD

MERIDEN

MIDDLETOWN

MILFORD

MONROE

MOODUS

MOOSUP

MYSTIC

NAUGATUCK

JEWETT CITY NAUGATUCK

Page 60: Workers Compensation Claims Folder - Aim Mutual …€¦ ·  · 2017-06-15Workers Compensation Claims Folder 54 Third Avenue * P.O. Box 4070 * Burlington, ... assigned to your case.

EXPRESS SCRIPTS (WORKERS COMPENSATION)

Pharmacy directory is subject to change without notice. Please contact your local pharmacy for more information. December 2011

Pharmacy is open 24 hours

WAL-MART1100 NEW HAVEN RDNAUGATUCK, CT 06770(203)729-2288

BEACON PRESCRIPTIONS543 W MAIN STNEW BRITAIN, CT 06053(860)225-6487CVS713 W MAIN STNEW BRITAIN, CT 06053(860)224-3494CVS177 COLUMBUS BLVDNEW BRITAIN, CT 06050(860)229-3757RITE AID1350 STANLEY STNEW BRITAIN, CT 06053(860)224-7798STOP AND SHOP1309 CORBIN AVENEW BRITAIN, CT 06053(860)348-9830TARGET PHARMACY475 HARTFORD RDNEW BRITAIN, CT 06051(860)348-9163

CVS94 PARK STNEW CANAAN, CT 06840(203)966-6758LANGS PHARMACY136 ELM STNEW CANAAN, CT 06840(203)966-9593VARNUM'S PHARMACY91 MAIN STNEW CANAAN, CT 06840(203)966-4575

CANDLEWOOD DRUGS11 STATE ROUTE 37NEW FAIRFIELD, CT 06812(203)312-9999STOP AND SHOP25 STATE ROUTE 39NEW FAIRFIELD, CT 06812(203)312-9818

BELLA VISTA HLTH MART PHCY321 EASTERN ST BLDG ANEW HAVEN, CT 06513(203)467-1683

BERNEYS PHARMACY615 HOWARD AVENEW HAVEN, CT 06519(203)562-4447CVS215 WHALLEY AVENEW HAVEN, CT 06511(203)401-4660CVS1168 WHALLEY AVENEW HAVEN, CT 06515(203)389-4714EAST ROCK PHARMACY767 ORANGE STNEW HAVEN, CT 06511(203)691-5405HANCOCK PHARMACY1 LONG WHARF DR STE 116NEW HAVEN, CT 06511(203)787-9908HANCOCK PHARMACY VII306 GRAND AVENEW HAVEN, CT 06513(203)776-7100HOSP OF ST RAPHAEL APOTHECARY1450 CHAPEL STNEW HAVEN, CT 06511(203)789-4076MEDICAL CENTER PHARMACY50 YORK STNEW HAVEN, CT 06511(203)688-7064RITE AID900 CHAPEL SQUARE STNEW HAVEN, CT 06510(203)777-7248RITE AID60 WHALLEY AVENEW HAVEN, CT 06511(203)777-3080RITE AID325 FERRY STNEW HAVEN, CT 06513(203)777-0695STOP AND SHOP112 AMITY RDNEW HAVEN, CT 06525(203)389-8863VISEL'S DRUG STORE714 DIXWELL AVENEW HAVEN, CT 06511(203)562-6878WAL-MART315 FOXON BLVDNEW HAVEN, CT 06513(203)467-7637

CVS817 BANK STNEW LONDON, CT 06320(860)443-5359

GENOA HEALTHCARE165 STATE ST FLOOR 2NEW LONDON, CT 06320(860)447-9145MEDICINE SHOPPE PHARMACY613 BROAD STNEW LONDON, CT 06320(860)442-0669RITE AID280 BROAD STNEW LONDON, CT 06320(860)447-0661SHOPRITE351 N FRONTAGE RDNEW LONDON, CT 06320(860)447-1194

BIG Y PHARMACY2 BANK STNEW MILFORD, CT 06776(860)354-5554CVS40 EAST STNEW MILFORD, CT 06776(860)354-4455RITE AID173 DANBURY RDNEW MILFORD, CT 06776(860)354-6313STOP AND SHOP180 DANBURY RDNEW MILFORD, CT 06776(860)355-3763WAL-MART164 DANBURY RDNEW MILFORD, CT 06776(860)350-4815

CVS1181 MAIN STNEWINGTON, CT 06111(860)667-1888PRICE CHOPPER PHARMACY2985 BERLIN TPKENEWINGTON, CT 06111(860)667-7603RITE AID40 CEDAR STNEWINGTON, CT 06111(860)666-4079SAM'S CLUB3465 BERLIN TPKENEWINGTON, CT 06111(860)665-7813STOP AND SHOP206 KITTS LNNEWINGTON, CT 06111(860)594-7123

STOP AND SHOP44 FENN RDNEWINGTON, CT 06111(860)667-9292TARGET PHARMACY3265 BERLIN TPKENEWINGTON, CT 06111(860)616-0023WAL-MART3164 BERLIN TPKENEWINGTON, CT 06111(860)667-0152

CVS6 QUEENS STNEWTOWN, CT 06470(203)426-2595DRUG CENTER OF NEWTOWN61 CHURCH HILL RDNEWTOWN, CT 06470(203)426-4505STOP AND SHOP228 S MAIN STNEWTOWN, CT 06470(203)270-0827

CVS58 PENNSYLVANIA AVENIANTIC, CT 06357(860)691-0380

BIG Y PHARMACY1289 FOXON RDNORTH BRANFORD, CT 06471(203)484-9681RITE AID280 BRANFORD RDNORTH BRANFORD, CT 06471(203)488-8703

CVS162 WASHINGTON AVENORTH HAVEN, CT 06473(203)239-4071NORTH HAVEN PHARMACY278 MAPLE AVENORTH HAVEN, CT 06473(203)239-2086PHARMACY EXPRESS262 STATE STNORTH HAVEN, CT 06473(203)287-7375RITE AID85 MIDDLETOWN AVENORTH HAVEN, CT 06473(203)865-3179

STOP AND SHOP79 WASHINGTON AVENORTH HAVEN, CT 06473(203)234-1757TARGET PHARMACY2 UNIVERSAL DR NNORTH HAVEN, CT 06473(203)859-3491

WAL-MART474 BOSTON POST RDNORTH WINDHAM, CT 06256(860)456-2126

RITE AID1395 MIDDLETOWN AVENORTHFORD, CT 06472(203)484-0431

ARCHFOOT CARE761 MAIN AVENORWALK, CT 06851(203)838-0442COSTCO779 CONNECTICUT AVENORWALK, CT 06854(203)822-2002CVS6 WILLARD RDNORWALK, CT 06851(203)750-6901CVS696 WEST AVENORWALK, CT 06850(203)866-0949CVS327 MAIN AVENORWALK, CT 06851(203)847-2351NORWALK PHARMACY250 WESTPORT AVENORWALK, CT 06851(203)956-0526RITE AID190 EAST AVENORWALK, CT 06855(203)838-6141RITE AID120 NEW CANAAN AVENORWALK, CT 06850(203)846-2398SHOPRITE360 CONNECTICUT AVENORWALK, CT 06854(203)838-5553STOP AND SHOP385 CONNECTICUT AVENORWALK, CT 06856(203)299-1718

NEW BRITAIN

NEW CANAAN

NEW FAIRFIELD

NEW HAVEN

NEW LONDON

NEW MILFORD

NEWINGTON

NEWTOWN

NIANTIC

NORTH BRANFORD

NORTH HAVEN

NORTH WINDHAM

NORTHFORD

NORWALK

NAUGATUCK NORWALK

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EXPRESS SCRIPTS (WORKERS COMPENSATION)

Pharmacy directory is subject to change without notice. Please contact your local pharmacy for more information. December 2011

Pharmacy is open 24 hours

STOP AND SHOP380 MAIN STNORWALK, CT 06850(203)849-8735SWC PHARMACY120 CONNECTICUT AVENORWALK, CT 06854(203)899-0708SWC PHARMACY24 STEVENS STNORWALK, CT 06850(203)852-2690VITAL CARE OF CONNECTICUT189 MAIN STNORWALK, CT 06851(203)845-0616WAL-MART650 MAIN AVENORWALK, CT 06851(203)846-8365WAL-MART680 CONNECTICUT AVENORWALK, CT 06854(203)854-8519

BIG Y PHARMACY224 SALEM TPKENORWICH, CT 06360(860)886-1301CVS313 W MAIN STNORWICH, CT 06360(860)887-5970GREENVILLE DRUG STORE213 CENTRAL AVENORWICH, CT 06360(860)889-9857RITE AID624 W MAIN STNORWICH, CT 06360(860)886-1417STOP AND SHOP42 TOWN STNORWICH, CT 06360(860)887-1615UMCAS PHARMACY20 TOWN STNORWICH, CT 06360(860)889-8413UTLEY AND JONES PHARMACY112 LAFAYETTE STNORWICH, CT 06360(860)887-2538WAL-MART220 SALEM TPKENORWICH, CT 06360(860)889-7530

CVS225 SOUND BEACH AVEOLD GREENWICH, CT 06870(203)698-1457

RITE AID90 HALLS RDOLD LYME, CT 06371(860)434-8111

CVS519 BOSTON POST RDOLD SAYBROOK, CT 06475(860)388-1045STOP AND SHOP105 ELM STOLD SAYBROOK, CT 06475(860)388-6461WAL-MART665 BOSTON POST RDOLD SAYBROOK, CT 06475(860)388-0560

CVS279 BOSTON POST RDORANGE, CT 06477(203)795-4704SAM'S CLUB2 BOSTON POST RDORANGE, CT 06477(203)799-2355STOP AND SHOP259 BULL HILL LNORANGE, CT 06477(203)795-3514TARGET PHARMACY25 BOSTON POST RDORANGE, CT 06477(203)859-3695

OXFORD PHARMACY260 OXFORD RDOXFORD, CT 06478(203)888-4567

RITE AID37 S BROAD STPAWCATUCK, CT 06379(860)599-4030

CVS10 LATHROP RDPLAINFIELD, CT 06374(860)564-2111

CVS14 FARMINGTON AVEPLAINVILLE, CT 06062(860)793-9248DISCOVER RX25 ROBERT JACKSON WAYPLAINVILLE, CT 06062(860)793-2800MEDSTAT PHARMACY41 NORTHWEST DRPLAINVILLE, CT 06062(860)351-5093RITE AID52 EAST STPLAINVILLE, CT 06062(860)747-5787

PLANTSVILLE PHARMACY1 W MAIN STPLANTSVILLE, CT 06479(860)628-2385

BORDONARO PHARMACY283 MAIN STPORTLAND, CT 06480(860)342-3390MEDICINE CENTRE-SENIOR CARE283 MAIN STPORTLAND, CT 06480(800)788-5266RITE AID227 MAIN STPORTLAND, CT 06480(860)342-2121

CVS73 WATERBURY RDPROSPECT, CT 06712(203)758-3316

CVS57 PROVIDENCE PIKEPUTNAM, CT 06260(860)963-2548PRICE CHOPPER PHARMACY251 KENNEDY DR STE APUTNAM, CT 06260(860)928-1533RITE AID203 KENNEDY DRPUTNAM, CT 06260(860)963-7230STOP AND SHOP60 PROVIDENCE PIKEPUTNAM, CT 06260(860)963-2642

WAL-MART625 SCHOOL STPUTNAM, CT 06260(860)928-4199

BISSELL PHARMACY23 GOVERNOR STRIDGEFIELD, CT 06877(203)438-6600CVS467 MAIN STRIDGEFIELD, CT 06877(203)431-8481RITE AID125 DANBURY RDRIDGEFIELD, CT 06877(203)438-7378STOP AND SHOP125 DANBURY RDRIDGEFIELD, CT 06877(203)438-0340

CVS1239 E PUTNAM AVERIVERSIDE, CT 06878(203)698-4006

BIG Y PHARMACY1040 ELM STROCKY HILL, CT 06067(860)721-0580CVS2427 MAIN STROCKY HILL, CT 06067(860)258-4963CVS323 CROMWELL AVEROCKY HILL, CT 06067(860)563-9393RX HEALTH70 INWOOD RD STE 5ROCKY HILL, CT 06067(860)727-4064WAL-MART80 TOWN LINE RDROCKY HILL, CT 06067(860)563-4322

SALISBURY PHARMACY20 MAIN STSALISBURY, CT 06068(860)435-9388

CVS215 WEST STSEYMOUR, CT 06483(203)888-9068

SEYBRIDGE PHARMACY37 NEW HAVEN RDSEYMOUR, CT 06483(203)888-0073STOP AND SHOP15 FRANKLIN STSEYMOUR, CT 06483(203)881-2756

SHARON PHARMACY8 GAY STREETSHARON, CT 06069(860)364-5272

MEDICINE SHOPPE PHARMACY202 LEAVENWORTH RDSHELTON, CT 06484(203)929-8668SHOPRITE875 BRIDGEPORT AVESHELTON, CT 06484(203)929-4597STOP AND SHOP898 BRIDGEPORT AVESHELTON, CT 06484(203)929-3887WAL-MART465 BRIDGEPORT AVESHELTON, CT 06484(203)929-1144

CVS714 HOPMEADOW ST SIMSBURY PLZSIMSBURY, CT 06070(860)651-1440HOPMEADOW APOTH AND MED EQUIP1300 HOPMEADOW STSIMSBURY, CT 06070(860)651-3331SIMSBURY PHARMACY1418 HOPMEADOW STSIMSBURY, CT 06070(860)658-4489STOP AND SHOP498 BUSHY HILL RDSIMSBURY, CT 06070(860)651-9843

SOMERS PHARMACY629 MAIN STSOMERS, CT 06071(860)749-3433

NORWICH

OLD GREENWICH

OLD LYME

OLD SAYBROOK

ORANGE

OXFORD

PAWCATUCK

PLAINFIELD

PLAINVILLE

PLANTSVILLE

PORTLAND

PROSPECT

PUTNAM

RIDGEFIELD

RIVERSIDE

ROCKY HILL

SALISBURY

SEYMOUR

SHARON

SHELTON

SIMSBURY

SOMERS

NORWALK SOMERS

Page 62: Workers Compensation Claims Folder - Aim Mutual …€¦ ·  · 2017-06-15Workers Compensation Claims Folder 54 Third Avenue * P.O. Box 4070 * Burlington, ... assigned to your case.

EXPRESS SCRIPTS (WORKERS COMPENSATION)

Pharmacy directory is subject to change without notice. Please contact your local pharmacy for more information. December 2011

Pharmacy is open 24 hours

CVS525 BUCKLAND RDSOUTH WINDSOR, CT 06074(860)644-4241

CVS22 DEPOT HILL RDSOUTHBURY, CT 06488(203)262-1831ODIN DE LOS REYES DPM1 POMPERAUG OFFICE PARKSOUTHBURY, CT 06488(203)262-6100RELIANT PHARMACY200 MAIN ST SSOUTHBURY, CT 06488(203)262-8000SHOPRITE775 MAIN ST SSOUTHBURY, CT 06488(203)267-7422STOP AND SHOP100 MAIN ST NSOUTHBURY, CT 06488(203)262-4559

BEACON PRESCRIPTIONS609 N MAIN STSOUTHINGTON, CT 06489(860)628-3972CVS326 MAIN STSOUTHINGTON, CT 06489(860)621-1996CVS724 QUEENS STSOUTHINGTON, CT 06489(860)621-7371PRICE CHOPPER PHARMACY410 QUEEN STSOUTHINGTON, CT 06489(860)621-5369RITE AID500 QUEEN STSOUTHINGTON, CT 06489(860)276-8511RITE AID167 MAIN STSOUTHINGTON, CT 06489(860)628-2444SERAFINO PHARMACY36 N MAIN STSOUTHINGTON, CT 06489(860)628-7979STOP AND SHOP505 N MAIN STSOUTHINGTON, CT 06489(860)620-9060

TARGET PHARMACY600 EXECUTIVE BLVDSOUTHINGTON, CT 06489(860)406-6755WAL-MART235 QUEEN STSOUTHINGTON, CT 06489(860)621-9830

SWITZER PHARMACY322 PEQUOT AVESOUTHPORT, CT 06890(203)259-7891

BIG Y PHARMACY87 W STAFFORD RD STE CSTAFFORD SPRINGS, CT 06076(860)684-4597RITE AID88 W STAFFORD RDSTAFFORD SPRINGS, CT 06076(860)684-9555

CVS11 FOREST STSTAMFORD, CT 06901(203)363-0627CVS229 HOPE STSTAMFORD, CT 06906(203)921-1313CVS1058 HOPE STSTAMFORD, CT 06907(203)325-5172CVS593 NEWFIELD AVESTAMFORD, CT 06905(203)967-4600CVS66 HIGH RIDGE RDSTAMFORD, CT 06905(203)541-3972HOPE STREET PHARMACY221 HOPE STSTAMFORD, CT 06906(203)348-5366MAIN STREET PHARMACY166 W BROAD ST STE G1STAMFORD, CT 06902(203)870-9902MEDICINE SHOPPE PHARMACY296 BEDFORD STSTAMFORD, CT 06901(203)327-4479

PHARMACY HEALTHCARE SOLUTIONS68 ELMCROFT RDSTAMFORD, CT 06902(203)921-4332PROFESSIONAL PHARMACY32 STRAWBERRY HILL CTSTAMFORD, CT 06902(203)323-9988RITE AID82 HOYT STSTAMFORD, CT 06905(203)325-8190SHOPRITE1990 W MAIN STSTAMFORD, CT 06902(203)978-0546SHOPRITE200 SHIPPAN AVESTAMFORD, CT 06902(203)323-3491SLAVIN'S PROFESSIONAL PHARMACY922 WASHINGTON BLVDSTAMFORD, CT 06901(203)323-2161STAMFORD PHARMACY1055 HIGH RIDGE RDSTAMFORD, CT 06905(203)883-8484STOP AND SHOP1937 W MAIN STSTAMFORD, CT 06902(203)358-9626STOP AND SHOP2200 BEDFORD STSTAMFORD, CT 06905(203)356-0126TARGET PHARMACY21 BROAD STSTAMFORD, CT 06901(203)388-0038

CVS632 MIDDLE TPKESTORRS, CT 06268(860)487-2034UCONN STDNT HLTH SVC PHARMACY234 GLENBROOK RD UNIT 2011STORRS, CT 06269(860)486-0736

STORRS DRUG1232 STORRS RD STE 6STORRS MANSFIELD, CT 06268(860)429-9365

BIG Y PHARMACY355 HAWLEY LNSTRATFORD, CT 06614(203)386-1489CVS1 HAWLEY LNSTRATFORD, CT 06614(203)383-7735CVS1425 BARNUM AVESTRATFORD, CT 06614(203)383-7741ORONOQUE PHARMACY7365 MAIN STSTRATFORD, CT 06614(203)378-1111RITE AID3680 MAIN STSTRATFORD, CT 06614(203)377-8065ROTARY DRUG1030 BARNUM AVESTRATFORD, CT 06614(203)378-9394SHOPRITE250 BARNUM AVENUE CUTOFFSTRATFORD, CT 06614(203)386-0550STOP AND SHOP200 E MAIN STSTRATFORD, CT 06614(203)375-5717WAL-MART150 BARNUM AVENUE CUTOFFSTRATFORD, CT 06614(203)502-7629

CVS152 MOUNTAIN RDSUFFIELD, CT 06078(860)668-5115

BEACON PRESCRIPTIONS241 MAIN STTERRYVILLE, CT 06786(860)585-5158CVS311 MAIN ST VILLAGE PLZTERRYVILLE, CT 06786(860)314-2891RITE AID8 S MAIN ST STE ATERRYVILLE, CT 06786(860)589-7713

PHOENIX INTERNAL MEDICINE130 S MAINTHOMASTON, CT 06787(860)283-0286RITE AID455 S MAIN STTHOMASTON, CT 06787(860)283-8541

BIG Y PHARMACY33 FIELDSTONE CMNSTOLLAND, CT 06084(860)872-0369

BIG Y PHARMACY504 WINSTED RDTORRINGTON, CT 06790(860)489-2970CVS661 MAIN STTORRINGTON, CT 06790(860)482-8298PRICE CHOPPER PHARMACY990 TORRINGFORD STTORRINGTON, CT 06790(860)496-5058RITE AID92 WILLOW STTORRINGTON, CT 06790(860)482-5522STOP AND SHOP211 HIGH STTORRINGTON, CT 06790(860)489-2433TARGET PHARMACY1922 E MAIN STTORRINGTON, CT 06790(860)618-4008TORRINGTON PHCY PETRICONE'S110 E MAIN STTORRINGTON, CT 06790(860)489-5511WAL-MART970 TORRINGFORD STTORRINGTON, CT 06790(860)496-9193

MACKENZIE'S PHARMACY930 WHITE PLAINS RDTRUMBULL, CT 06611(203)261-2541STOP AND SHOP100 QUALITY STTRUMBULL, CT 06611(203)261-3691

SOUTH WINDSOR

SOUTHBURY

SOUTHINGTON

SOUTHPORT

STAFFORD SPRINGS

STAMFORD

STORRS

STORRS MANSFIELD

STRATFORD

SUFFIELD

TERRYVILLE

THOMASTON

TOLLAND

TORRINGTON

TRUMBULL

SOUTH WINDSOR TRUMBULL

Page 63: Workers Compensation Claims Folder - Aim Mutual …€¦ ·  · 2017-06-15Workers Compensation Claims Folder 54 Third Avenue * P.O. Box 4070 * Burlington, ... assigned to your case.

EXPRESS SCRIPTS (WORKERS COMPENSATION)

Pharmacy directory is subject to change without notice. Please contact your local pharmacy for more information. December 2011

Pharmacy is open 24 hours

TARGET PHARMACY5065 MAIN STTRUMBULL, CT 06611(203)873-2014TARGET PHARMACY120 HAWLEY LNTRUMBULL, CT 06611(203)455-0103

CVS2005 NORWICH NEW LNDN TPKEUNCASVILLE, CT 06382(860)848-3202RITE AID601 ROUTE 32 STE FUNCASVILLE, CT 06382(860)848-7979

CVS45 S MAIN STUNIONVILLE, CT 06085(860)675-9212THE RYAN PHARMACY30 MILL STUNIONVILLE, CT 06085(860)673-3219

CRITICAL CARE SYSTEMS176 BOLTON RDVERNON, CT 06066(866)878-3264PIONEER HLTH COMPOUNDING PHCY520 HARTFORD TPKE STE DVERNON, CT 06066(860)979-0089PRICE CHOPPER PHARMACY35 TALCOTTVILLE RDVERNON, CT 06066(860)872-8961STOP AND SHOP50 WINDSORVILLE RDVERNON, CT 06066(860)870-6255

BEACON PRESCRIPTIONS40 W MAIN STVERNON ROCKVILLE, CT 06066(860)875-9263CVS22 WINDSOR AVEVERNON ROCKVILLE, CT 06066(860)870-6765

CVS142 TALCOTTVILLE RDVERNON ROCKVILLE, CT 06066(860)871-1661MEDICINE SHOPPE PHARMACY79 EAST STVERNON ROCKVILLE, CT 06066(860)875-2507STOP AND SHOP10 PITKIN RDVERNON ROCKVILLE, CT 06066(860)871-1053

MASONIC HEALTHCARE CTR PHCY22 MASONIC AVEWALLINGFORD, CT 06492(203)679-6266RITE AID605 N COLONY RDWALLINGFORD, CT 06492(203)265-3600SHOPRITE846 N COLONY RDWALLINGFORD, CT 06492(203)626-7765STOP AND SHOP930 N COLONY RDWALLINGFORD, CT 06492(203)265-3942WAL-MART844 N COLONY RDWALLINGFORD, CT 06492(203)269-6633

WASHINGTON HLTH CTR AND PHCY5 BRYAN HALL PLZWASHINGTON DEPOT, CT 06794(860)619-0251

BUNKER HILL PHARMACY256 BUNKER HILL AVEWATERBURY, CT 06708(203)574-7825COSTCO3600 E MAIN STWATERBURY, CT 06705(203)757-9115CVS464 REIDVILLE DRWATERBURY, CT 06705(203)596-0909CVS2000 N MAIN STWATERBURY, CT 06704(203)591-3081

CVS526 MERIDEN RDWATERBURY, CT 06705(203)465-7055CVS1650 WATERTOWN AVEWATERBURY, CT 06708(203)754-9399CVS1279 W MAIN STWATERBURY, CT 06708(203)755-5490DELLA PIETRA PHARMACY792 HIGHLAND AVEWATERBURY, CT 06708(203)754-0181EAST MAIN PHARMACY2152 E MAIN STWATERBURY, CT 06705(203)755-7200HEALTH COMPLEX PHARMACY84 PROGRESS LANEWATERBURY, CT 06705(203)753-7778PHOENIX INTERNAL MEDICINE500 CHASE PKWY DEPT 700WATERBURY, CT 06708(203)754-5504PICKETT DRUG675 N MAIN STWATERBURY, CT 06704(203)753-5158RITE AID141 MERIDEN RDWATERBURY, CT 06705(203)573-0378RITE AID277 FAIRFIELD AVEWATERBURY, CT 06708(203)596-8192RITE AID1030 WOLCOTT STWATERBURY, CT 06705(203)754-3636SHOPRITE943 WOLCOTT STWATERBURY, CT 06705(203)753-1718STOLL'S PHARMACY185 GROVE STWATERBURY, CT 06710(203)575-0199STOP AND SHOP410 READVILLE DRWATERBURY, CT 06705(203)755-5814STOP AND SHOP920 WOLCOTT STWATERBURY, CT 06705(203)755-9538

STOP AND SHOP240 CHASE AVEWATERBURY, CT 06704(203)597-1498TARGET PHARMACY300 CHASE AVEWATERBURY, CT 06704(203)437-3674WAL-MART910 WOLCOTT STWATERBURY, CT 06705(203)759-1637WATERBURY PHARMACY197 E MAIN STWATERBURY, CT 06702(203)757-2000

CVS106 BOSTON POST RDWATERFORD, CT 06385(860)443-1244RITE AID75 BOSTON POST RDWATERFORD, CT 06385(860)437-8880STOP AND SHOP117 BOSTON POST RDWATERFORD, CT 06385(860)442-6698TARGET PHARMACY900 HARTFORD TPKEWATERFORD, CT 06385(860)443-3171WAL-MART155 WATERFORD PKWY NWATERFORD, CT 06385(860)447-3747

HEALTH COMPLEX PHARMACY55 DEFOREST STWATERTOWN, CT 06795(860)274-8816RITE AID620 MAIN STWATERTOWN, CT 06795(860)274-7550RITE AID1271 MAIN STWATERTOWN, CT 06795(860)274-9191STOP AND SHOP763 STRAITS TPKEWATERTOWN, CT 06795(860)274-7461

BIG Y PHARMACY772 N MAIN STWEST HARTFORD, CT 06117(860)232-5964

CVS976 FARMINGTON AVEWEST HARTFORD, CT 06107(860)521-5844CVS1099 NEW BRITTAIN AVEWEST HARTFORD, CT 06110(860)236-6181CVS150 S MAIN STWEST HARTFORD, CT 06110(860)561-6164CVS1044 BLVDWEST HARTFORD, CT 06119(860)236-9348CVS1240 FARMINGTON AVEWEST HARTFORD, CT 06107(860)521-9877SHOPRITE46 KANE STWEST HARTFORD, CT 06119(860)233-9622SUBURBAN PHARMACY344 N MAIN STWEST HARTFORD, CT 06117(860)236-3564SUBURBAN PHARMACY LTC344 N MAIN STWEST HARTFORD, CT 06117(860)882-1808

CVS252 ORANGE AVEWEST HAVEN, CT 06516(203)931-4541CVS844 JONES HILL RDWEST HAVEN, CT 06516(203)933-5499RITE AID70 ELM STWEST HAVEN, CT 06516(203)933-5260STOP AND SHOP460 ELM STWEST HAVEN, CT 06516(203)931-9478WAL-MART515 SAWMILL RDWEST HAVEN, CT 06516(203)931-2221

LANGS PHARMACY190 WESTON RDWESTON, CT 06883(203)226-7800

UNCASVILLE

UNIONVILLE

VERNON

VERNON ROCKVILLE

WALLINGFORD

WASHINGTON DEPOT

WATERBURY

WATERFORD

WATERTOWN

WEST HARTFORD

WEST HAVEN

WESTON

TRUMBULL WESTON

Page 64: Workers Compensation Claims Folder - Aim Mutual …€¦ ·  · 2017-06-15Workers Compensation Claims Folder 54 Third Avenue * P.O. Box 4070 * Burlington, ... assigned to your case.

EXPRESS SCRIPTS (WORKERS COMPENSATION)

Pharmacy directory is subject to change without notice. Please contact your local pharmacy for more information. December 2011

Pharmacy is open 24 hours

ACHORN'S PHARMACY166 MAIN STWESTPORT, CT 06880(203)226-0741COLONIAL DRUGGISTS611 POST RD EWESTPORT, CT 06880(203)227-9538CVS397 POST RD EWESTPORT, CT 06880(203)227-7343STOP AND SHOP1790 POST RD EWESTPORT, CT 06880(203)254-9461

CVS1078 SILAS DEAN HWYWETHERSFIELD, CT 06109(860)529-2535RITE AID657 SILAS DEANE HWYWETHERSFIELD, CT 06109(860)257-8000STOP AND SHOP680 SILAS DEANE HWYWETHERSFIELD, CT 06109(860)563-4462STOP AND SHOP1380 BERLIN TPKEWETHERSFIELD, CT 06109(860)956-3740

BEACON PRESCRIPTIONS972 MAIN STWILLIMANTIC, CT 06226(860)423-1410CVS1200 MAIN STWILLIMANTIC, CT 06226(860)456-5931MEDICAL PHARMACY1213 MAIN STWILLIMANTIC, CT 06226(860)423-1661STOP AND SHOP1391 MAIN STWILLIMANTIC, CT 06226(860)456-7240

CVS93 OLD RIDGEFIELD RDWILTON, CT 06897(203)762-5020STOP AND SHOP5 RIVER RDWILTON, CT 06897(203)834-2204

CVS219 BROAD STWINDSOR, CT 06095(860)298-5925CVS484 WINDSOR AVEWINDSOR, CT 06095(860)947-5078PRICE CHOPPER PHARMACY675 POQUONOCK AVEWINDSOR, CT 06095(860)687-1910STOP AND SHOP1095 KENNEDY RDWINDSOR, CT 06095(860)688-1744TARGET PHARMACY1075 KENNEDY RDWINDSOR, CT 06095(860)907-3069

CVS90 MAIN STWINDSOR LOCKS, CT 06096(860)623-2407

BEACON PRESCRIPTION294 MAIN STWINSTED, CT 06098(860)738-2506CVS47 MAIN STWINSTED, CT 06098(860)738-6250RITE AID200 NEW HARTFORD RDWINSTED, CT 06098(860)379-5436STOP AND SHOP200 NEW HARTFORD RDWINSTED, CT 06098(860)738-2707

RITE AID744 WOLCOTT RDWOLCOTT, CT 06716(203)879-5853

CANFIELD CORNER PHARMACY2 MAIN ST NWOODBURY, CT 06798(203)263-2595WOODBURY DRUG238 MAIN ST SWOODBURY, CT 06798(203)263-2282

WESTPORT

WETHERSFIELD

WILLIMANTIC

WILTON

WINDSOR

WINDSOR LOCKS

WINSTED

WOLCOTT

WOODBURY

WESTPORT WOODBURY

Page 65: Workers Compensation Claims Folder - Aim Mutual …€¦ ·  · 2017-06-15Workers Compensation Claims Folder 54 Third Avenue * P.O. Box 4070 * Burlington, ... assigned to your case.

EXPRESS SCRIPTS (WORKERS COMPENSATION)

December 2011

Pharmacy is open 24 hours

Pharmacy directory is subject to change without notice. Please contact your local pharmacy for more information.

MAINE

CENTRAL MAINE PHARMACY18 CHINA RDALBION, ME 04910(207)437-7777

BEDARD PHARMACY359 MINOT AVE STE BAUBURN, ME 04210(207)783-1410CVS8 UNION STAUBURN, ME 04210(207)784-9101HANNAFORD FOOD AND DRUG95 SPRING STAUBURN, ME 04210(207)783-0661KMART PHARMACY603 CENTER STAUBURN, ME 04210(207)784-3901RITE AID698 MINOT AVEAUBURN, ME 04210(207)786-5330RITE AID61 UNION STAUBURN, ME 04210(207)753-0506SHAWS/OSCO PHARMACY600 CENTER STAUBURN, ME 04210(207)784-6971WAL-MART100 MT AUBURN AVEAUBURN, ME 04210(207)784-1244

CVS2 STONE STAUGUSTA, ME 04330(207)623-4181CVS165 CAPITOL STAUGUSTA, ME 04330(207)623-1170HANNAFORD FOOD AND DRUG29 WHITTEN RDAUGUSTA, ME 04330(207)622-3148

HANNAFORD FOOD AND DRUG118 CONY STAUGUSTA, ME 04330(207)621-2574KENNEBEC PHCY AND HOMECARE43 LEIGHTON RDAUGUSTA, ME 04330(207)626-2726MVH PHARMACY5 COMMUNITY DR STE 3AUGUSTA, ME 04330(207)622-0075RITE AID83 HOSPITAL STAUGUSTA, ME 04330(207)623-1414RITE AID7 N BELFAST AVEAUGUSTA, ME 04330(207)622-2626SHAWS/OSCO PHARMACY150 WESTERN AVEAUGUSTA, ME 04330(207)626-0364TARGET PHARMACY119 CROSSING WAYAUGUSTA, ME 04330(207)622-8001WAL-MART201 CIVIC CENTER DRAUGUSTA, ME 04330(207)623-5144

HANNAFORD FOOD AND DRUG1133 UNION STBANGOR, ME 04401(207)945-3772HANNAFORD FOOD AND DRUG653 BROADWAYBANGOR, ME 04401(207)947-3680MILLER DRUG LTC208 STATE STBANGOR, ME 04401(207)992-4458MILLER DRUG RIVERSIDE431 STATE STBANGOR, ME 04401(207)973-8888MILLER DRUG STATE STREET210 STATE STBANGOR, ME 04401(207)947-8369MILLER DRUG WESTGATE915 UNION ST STE 7BANGOR, ME 04401(207)973-6788

PENOBSCOT COMM HLTH CTR PHCY1012 UNION ST STE 3BANGOR, ME 04401(207)992-4100PENOBSCOT CTY METRO TRTMNT CTR659 HOGAN RDBANGOR, ME 04401(207)973-0400RITE AID226 UNION STBANGOR, ME 04401(207)942-0515RITE AID713 BROADWAYBANGOR, ME 04401(207)942-5521RITE AID566 UNION STBANGOR, ME 04401(207)262-5885SAM'S CLUB47 HASKELL RDBANGOR, ME 04401(207)945-9723SHAWS/OSCO PHARMACY353 MAIN STBANGOR, ME 04001(207)945-6550TARGET PHARMACY60 LONGVIEW DRBANGOR, ME 04401(207)945-9977WAL-MART900 STILLWATER AVEBANGOR, ME 04401(207)947-5811

HANNAFORD FOOD AND DRUG86 COTTAGE STBAR HARBOR, ME 04609(207)288-0421RITE AID34 COTTAGE STBAR HARBOR, ME 04609(207)288-2222WEST END DRUG CO105 MAIN STBAR HARBOR, ME 04609(207)288-3318

CVS1 CHANDLER DR STE 27BATH, ME 04530(207)443-3307WILSON'S DRUG114 FRONT STBATH, ME 04530(207)442-8786

HANNAFORD FOOD AND DRUG93 LINCOLNVILLE AVEBELFAST, ME 04915(207)338-1918RITE AID254 MAIN STBELFAST, ME 04915(207)338-4411

YORK HOSPITAL BERWICK PHARMACY4 DANA LNBERWICK, ME 03901(207)698-6740

RITE AID26 MAYVILLE RDBETHEL, ME 04217(207)824-8085

CVS384 ELM STBIDDEFORD, ME 04005(207)282-3187HANNAFORD FOOD AND DRUG299 ELM STBIDDEFORD, ME 04005(207)283-0409RITE AID335 ALFRED STBIDDEFORD, ME 04005(207)282-1577SHAWS/OSCO PHARMACY510 ALFRED STBIDDEFORD, ME 04005(207)286-9315SOUTHERN MAINE MED CTR PHCY1 MEDICAL CTR DRBIDDEFORD, ME 04005(207)283-7875TARGET PHARMACY430 MARINER WAYBIDDEFORD, ME 04005(207)284-2511WAL-MART517 ALFRED RDBIDDEFORD, ME 04005(207)286-9562

E W MOORE AND SON PHARMACY337 MAIN STBINGHAM, ME 04920(207)672-3312

COMMUNITY PHARMACY BLUE HILL15 SOUTH STBLUE HILL, ME 04614(207)374-3707RITE AID17 SOUTH STBLUE HILL, ME 04614(207)374-3565

RITE AID223 TOWNSEND AVEBOOTHBAY HARBOR, ME 04538(207)633-7023

AIRLINE PHARMACY405 N MAIN STBREWER, ME 04412(207)989-2424BREWER MEDICAL CENTER PHCY735 WILSON STBREWER, ME 04412(207)992-4100HANNAFORD FOOD AND DRUG383 WILSON STBREWER, ME 04412(207)989-8290MILLER DRUG WHITING HILL33 WHITING HILL RD STE 4BREWER, ME 04412(207)973-9444RITE AID422 WILSON STBREWER, ME 04412(207)989-6238WAL-MART24 WALTON DRBREWER, ME 04412(207)989-6174

HANNAFORD FOOD AND DRUG109 PORTLAND RDBRIDGTON, ME 04009(207)647-5795RITE AID19 PORTLAND RDBRIDGTON, ME 04009(207)647-3445

CVS147 BATH RDBRUNSWICK, ME 04011(207)729-8587

ALBION

AUBURN

AUGUSTA

BANGOR

BAR HARBOR

BATH

BELFAST

BERWICK

BETHEL

BIDDEFORD

BINGHAM

BLUE HILL

BOOTHBAY HARBOR

BREWER

BRIDGTON

BRUNSWICK

ALBION BRUNSWICK

Page 66: Workers Compensation Claims Folder - Aim Mutual …€¦ ·  · 2017-06-15Workers Compensation Claims Folder 54 Third Avenue * P.O. Box 4070 * Burlington, ... assigned to your case.

EXPRESS SCRIPTS (WORKERS COMPENSATION)

December 2011

Pharmacy is open 24 hours

Pharmacy directory is subject to change without notice. Please contact your local pharmacy for more information.

HANNAFORD FOOD AND DRUG35 ELM STBRUNSWICK, ME 04011(207)729-1604MEDICAL CENTER PHARMACY121 MEDICAL CENTER DRBRUNSWICK, ME 04011(207)729-3642MEDICAL CENTER PHARMACY56 BARIBEAU DRBRUNSWICK, ME 04011(207)725-8100MEDICAL CENTER PHARMACY329 MAIN STBRUNSWICK, ME 04011(207)798-4535RITE AID156 MAINE STBRUNSWICK, ME 04011(207)729-8100SHAWS/OSCO PHARMACY147 BATH RDBRUNSWICK, ME 04011(207)721-0900WAL-MART328 BATH RDBRUNSWICK, ME 04011(207)725-1176

COMMUNITY PHARMACY BUCKSPORT75 MAIN STBUCKSPORT, ME 04416(207)469-7030RITE AID220 US ROUTE 1 STE 1BUCKSPORT, ME 04416(207)469-2201

HANNAFORD FOOD AND DRUG24 PORTLAND RDBUXTON, ME 04093(207)929-3152RITE AID226 PARKER FARM RDBUXTON, ME 04093(207)727-5139

RITE AID223 & 233 NORTH STCALAIS, ME 04619(207)454-2262TREWORGY PHARMACY333 MAIN STCALAIS, ME 04619(207)454-3100

WAL-MART379 SOUTH STCALAIS, ME 04619(207)454-8326

RITE AID35 ELM STCAMDEN, ME 04843(207)236-4546WALTZ PHARMACY157 MAIN STCAMDEN, ME 04847(207)563-3128

CVS335 OCEAN HOUSE RDCAPE ELIZABETH, ME 04107(207)799-1113

PARADIS SHOP N SAVE114 HIGH STCARIBOU, ME 04736(207)498-3545RITE AID112 BENNETT DRCARIBOU, ME 04736(207)498-8735

HANNAFORD FOOD AND DRUG33 HANNAFORD DRCHINA, ME 04358(207)445-3389

COMMUNITY PHARMACY OF CORINTH689 MAIN STCORINTH, ME 04427(207)285-7289

COMMUNITY PHARMACY OF CORNISH200 MAPLE ST STE 3CORNISH, ME 04020(207)625-8050RITE AIDMAPLE STCORNISH, ME 04020(207)625-8494

HANNAFORD FOOD AND DRUG469 MAIN STDAMARISCOTTA, ME 04543(207)563-1974

RITE AID365 MAIN STDAMARISCOTTA, ME 04543(207)563-3506

COMMUNITY PHARMACY OF DEXTER37 CHURCH STDEXTER, ME 04930(207)924-6259RITE AID188 SPRING STDEXTER, ME 04930(207)924-7000

RITE AID151 E MAIN STDOVER FOXCROFT, ME 04426(207)564-9011SHAWS - OSCO PHARMACY1073 W MAIN ST STE 9DOVER FOXCROFT, ME 04426(207)564-2857

DAVIS PHARMACY59 MAIN STEAST MILLINOCKET, ME 04430(207)746-3721

GOOD FOR ALL PHARMACY10 GOODALL WAY STE 800EAST WATERBORO, ME 04030(207)247-4000HANNAFORD FOOD AND DRUG20 SOKOKIS TRLEAST WATERBORO, ME 04030(207)247-8200

HANNAFORD FOOD AND DRUG225 HIGH ST STE 1ELLSWORTH, ME 04605(207)667-3732RITE AID260 HIGH STELLSWORTH, ME 04605(207)667-4644SHAWS/OSCO PHARMACY175 HIGH STELLSWORTH, ME 04605(207)669-3005

WAL-MART461 HIGH STELLSWORTH, ME 04605(207)667-2644

FAIRFIELD PHARMACY66 WESTERN AVEFAIRFIELD, ME 04937(207)453-4411RITE AID123 MAIN STFAIRFIELD, ME 04937(207)453-2233

HANNAFORD FOOD AND DRUG65 GRAY RDFALMOUTH, ME 04105(207)878-0017RITE AID33 DEPOT RDFALMOUTH, ME 04105(207)781-4414WAL-MART206 US ROUTE 1FALMOUTH, ME 04105(207)781-3754

HANNAFORD FOOD AND DRUG131 HANNAFORD DRFARMINGTON, ME 04938(207)778-0644MT BLUE DRUG624 WILTON RDFARMINGTON, ME 04938(207)778-5419RITE AID131 WILTON RDFARMINGTON, ME 04938(207)778-3919WAL-MART615 WILTON RDFARMINGTON, ME 04938(207)778-5615

I CARE PHARMACY227 MAIN STFORT FAIRFIELD, ME 04742(888)422-7319RITE AID355 MAIN STFORT FAIRFIELD, ME 04742(207)472-1191

PARADIS SHOP N SAVE62 W MAIN ST STE 101FORT KENT, ME 04743(207)834-4204

RITE AID84 E MAIN STFORT KENT, ME 04743(207)834-5444ST JOHNS VALLEY PHARMACY182 MARKET ST STE 2FORT KENT, ME 04743(207)834-2880

CVS10 MIDDLE STFREEPORT, ME 04032(207)865-6324SHAWS/OSCO PHARMACY200 LOWER MAIN STFREEPORT, ME 04032(207)865-0205

RITE AID119 BRIDGTON RD STE 302FRYEBURG, ME 04037(207)935-2045

HANNAFORD FOOD AND DRUG100 MAIN STGARDINER, ME 04345(207)582-3771RITE AID9 SPRING STGARDINER, ME 04345(207)582-3051

COMMUNITY PHARMACY OF GORHAM365 MAIN STGORHAM, ME 04038(207)839-7892HANNAFORD FOOD AND DRUG99 MAIN STGORHAM, ME 04038(207)839-6551RITE AID120 MAIN STGORHAM, ME 04038(207)839-3160

HANNAFORD FOOD AND DRUG130 SHAKER RDGRAY, ME 04039(207)657-5832RITE AID62 W GRAY RDGRAY, ME 04039(207)657-2333

BUCKSPORT

BUXTON

CALAIS

CAMDEN

CAPE ELIZABETH

CARIBOU

CHINA

CORINTH

CORNISH

DAMARISCOTTA

DEXTER

DOVER FOXCROFT

EAST MILLINOCKET

EAST WATERBORO

ELLSWORTH

FAIRFIELD

FALMOUTH

FARMINGTON

FORT FAIRFIELD

FORT KENT

FREEPORT

FRYEBURG

GARDINER

GORHAM

GRAY

BRUNSWICK GRAY

Page 67: Workers Compensation Claims Folder - Aim Mutual …€¦ ·  · 2017-06-15Workers Compensation Claims Folder 54 Third Avenue * P.O. Box 4070 * Burlington, ... assigned to your case.

EXPRESS SCRIPTS (WORKERS COMPENSATION)

December 2011

Pharmacy is open 24 hours

Pharmacy directory is subject to change without notice. Please contact your local pharmacy for more information.

HARRIS DRUG10 PRITHAM AVEGREENVILLE, ME 04441(207)695-2921

RITE AID3 HUDSON AVEGUILFORD, ME 04443(207)876-2788

HANNAFORD FOOD AND DRUG77 WESTERN AVEHAMPDEN, ME 04444(207)862-5280RITE AID65 WESTERN AVEHAMPDEN, ME 04444(207)862-4900

PARADIS SHOP N SAVE33 LUDLOW STHOULTON, ME 04730(207)532-2500RITE AID137 NORTH STHOULTON, ME 04730(207)532-6876WAL-MARTRR #3HOULTON, ME 04730(207)532-2213

HANNAFORD FOOD AND DRUG15 JAY PLAZA LNJAY, ME 04239(207)897-7033SPRUCE MOUNTAIN PHARMACY3 TWEEDIE STJAY, ME 04239(207)897-9080

CVS48 PORTLAND RDKENNEBUNK, ME 04043(207)467-8299HANNAFORD FOOD AND DRUG65 PORTLAND RD STE 9KENNEBUNK, ME 04043(207)985-9177KENNEBUNK GOOD FOR ALL PHCY2 LIVEWELL DR STE 101KENNEBUNK, ME 04043(207)985-9400

KENNEBUNK VILLAGE HM PHARMACY18 BLUE WAVE PRO CTRKENNEBUNK, ME 04043(207)985-1755RITE AID37 PORTLAND RDKENNEBUNK, ME 04043(207)985-7144

COLONIAL PHARMACY40 DOCK SQKENNEBUNKPORT, ME 04046(207)967-4442

WESTERN MAINE PHARMACY238 MAIN STKINGFIELD, ME 04947(207)265-8020

RITE AID15 SHAPELEIGH RDKITTERY, ME 03904(207)439-3000

BEDARD PHARMACY61 COLLEGE STLEWISTON, ME 04240(207)786-0138CVS10 EAST AVELEWISTON, ME 04240(207)783-9134CVS446 SABATTUS STLEWISTON, ME 04240(207)783-3784HANNAFORD FOOD AND DRUG692 SABATTUS STLEWISTON, ME 04240(207)786-0122MEDICINE SHOPPE PHARMACY373 SABATTUS STLEWISTON, ME 04240(207)783-3539RITE AID430 SABATTUS STLEWISTON, ME 04240(207)783-2013RITE AID315 MAIN STLEWISTON, ME 04240(207)783-2011RITE AID987 LISBON STLEWISTON, ME 04240(207)784-9588

SHAWS/OSCO PHARMACY27 EAST AVELEWISTON, ME 04240(207)784-6666

HANNAFORD FOOD AND DRUG22 GODING AVELINCOLN, ME 04457(207)794-6513RITE AID2 W BROADWAYLINCOLN, ME 04457(207)794-3344WAL-MART1000 OUTER W BROADWAYLINCOLN, ME 04457(207)794-2055

RITE AID575 LISBON STLISBON FALLS, ME 04252(207)353-4843

RITE AID81 MAIN STLIVERMORE FALLS, ME 04254(207)897-6781

RITE AID144 DUBLIN STMACHIAS, ME 04654(207)255-3458

MADAWASKA PHARMACY104 MAIN ST STE 101MADAWASKA, ME 04756(207)728-7200RITE AID429 MAIN STMADAWASKA, ME 04756(207)728-3815

TAYLOR'S DRUG STORE2 OLD POINT AVEMADISON, ME 04950(207)696-3935

RITE AID943 WESTERN AVEMANCHESTER, ME 04351(207)622-6598

MARS HILL PHARMACY106 MAIN STMARS HILL, ME 04758(207)425-4431

MACHIAS FRIENDLY PHARMACY8 OLD COUNTY RDMARSHFIELD, ME 04654(207)255-6400

WAL-MART258 RIVER EDMEXICO, ME 04257(207)364-2993

MILBRIDGE PHARMACY11 MAIN STMILBRIDGE, ME 04658(207)546-2304

HANNAFORD FOOD AND DRUG843 CENTRAL STMILLINOCKET, ME 04462(207)723-8148RITE AID720 CENTRAL STMILLINOCKET, ME 04462(207)723-9850

RITE AID35 PARK STMILO, ME 04463(207)943-8750

RITE AID665 ROOSEVELT TRLNAPLES, ME 04055(207)693-3937

COMMUNITY PHARMACY OF NEWPORT44 MOOSEHEAD TRLNEWPORT, ME 04953(207)368-5230RITE AID36 MOOSEHEAD TRLNEWPORT, ME 04953(207)368-5754

OAKLAND PHARMACY54 MAIN STOAKLAND, ME 04963(207)465-4440

RITE AID19 MAIN STOAKLAND, ME 04963(207)465-2757

RITE AID15 SACO AVEOLD ORCHARD BEACH, ME 04064(207)934-1000

HANNAFORD FOOD AND DRUG500 STILLWATER AVEOLD TOWN, ME 04468(207)827-3950HELEN HUNT HEALTH CTR PHCY242 BRUNSWICK STOLD TOWN, ME 04468(207)945-5247RITE AID302 MAIN STOLD TOWN, ME 04468(207)827-8021

ORONO PHARMACY16 MILL STORONO, ME 04473(207)866-3800

HANNAFORD FOOD AND DRUG1603 MAIN STOXFORD, ME 04270(207)743-7982WAL-MART1240 MAIN ST/RT 26OXFORD, ME 04270(207)743-5466

WAL-MART1573 MAIN STPALMYRA, ME 04965(207)368-4401

PATTEN DRUG20 MAIN STPATTEN, ME 04765(207)528-2244

COMMUNITY PHARMACY PITTSFIELD101 SOMERSET PLZPITTSFIELD, ME 04967(207)487-2411

GREENVILLE

GUILFORD

HAMPDEN

HOULTON

JAY

KENNEBUNK

KENNEBUNKPORT

KINGFIELD

KITTERY

LEWISTON

LINCOLN

LISBON FALLS

LIVERMORE FALLS

MACHIAS

MADAWASKA

MADISON

MANCHESTER

MARS HILL

MARSHFIELD

MEXICO

MILBRIDGE

MILLINOCKET

MILO

NAPLES

NEWPORT

OAKLAND

OLD ORCHARD BEACH

OLD TOWN

ORONO

OXFORD

PALMYRA

PATTEN

PITTSFIELD

GREENVILLE PITTSFIELD

Page 68: Workers Compensation Claims Folder - Aim Mutual …€¦ ·  · 2017-06-15Workers Compensation Claims Folder 54 Third Avenue * P.O. Box 4070 * Burlington, ... assigned to your case.

EXPRESS SCRIPTS (WORKERS COMPENSATION)

December 2011

Pharmacy is open 24 hours

Pharmacy directory is subject to change without notice. Please contact your local pharmacy for more information.

RITE AID108 SOMERSET AVEPITTSFIELD, ME 04967(207)487-5467

APOTHECARY BY DESIGN84 MARGINAL WAY STE 100PORTLAND, ME 04101(207)774-5220CVS1096 BRIGHTON AVEPORTLAND, ME 04102(207)772-6201CVS510 CONGRESS STPORTLAND, ME 04101(207)774-4525CVS111 AUBURN STPORTLAND, ME 04103(207)797-3393CVS1406 CONGRESS STPORTLAND, ME 04102(207)774-3636CVS449 FOREST AVEPORTLAND, ME 04101(207)772-1928HANNAFORD FOOD AND DRUG295 FOREST AVEPORTLAND, ME 04101(207)761-5967HANNAFORD FOOD AND DRUG787 RIVERSIDE STPORTLAND, ME 04103(207)878-1106NEW ENGLAND LIFE CARE108A INDUSTRIAL WAYPORTLAND, ME 04103(207)878-1288PHARMERICA97 MCALISTER FARM RDPORTLAND, ME 04103(207)775-0631PORTLAND PHARMACY I331 VERANDA STPORTLAND, ME 04103(888)408-8281PORTLAND PHARMACY II901 WASHINGTON AVEPORTLAND, ME 04103(800)707-9853RITE AID713 CONGRESS ST WPORTLAND, ME 04102(207)774-8456RITE AID701 FOREST AVEPORTLAND, ME 04103(207)780-8144

RITE AID290 CONGRESS STPORTLAND, ME 04101(207)774-0344RITE AID383 ALLEN AVEPORTLAND, ME 04103(207)797-4351SHAWS/OSCO PHARMACY91 AUBURN STPORTLAND, ME 04103(207)797-0536

CITY DRUG STORE172 ACADEMY STPRESQUE ISLE, ME 04769(207)764-4424PRESQUE ISLE PHARMACY797 MAIN STPRESQUE ISLE, ME 04769(207)760-9100RITE AID320 MAIN STPRESQUE ISLE, ME 04769(207)764-5221WAL-MART781 MAIN ST.PRESQUE ISLE, ME 04769(207)764-6935

COMMUNITY PHARMACY OF RANDOLPH268 WATER STRANDOLPH, ME 04346(207)588-2482

GOOD NOW'S PHARMACY58 PARK STROCKLAND, ME 04841(207)594-5131HANNAFORD FOOD AND DRUG75 MAVERICK STROCKLAND, ME 04841(207)596-6389JENSEN'S PHARMACY91 CAMDEN ST STE 105ROCKLAND, ME 04841(207)593-7922RITE AID28 PARK STROCKLAND, ME 04841(207)596-0036SHAWS/OSCO PHARMACY235 CAMDEN STROCKLAND, ME 04841(207)594-8070

WAL-MART265 CAMDEN STROCKLAND, ME 04841(207)596-1060

KENNEBEC PHARMACY AND HOMECARE839 COMMERCIAL STROCKPORT, ME 04856(207)594-0888PENOBSCOT BAY MED CTR PHCY6 GLEN COVE DRROCKPORT, ME 04856(207)596-8585

HANNAFORD FOOD AND DRUG520 WALDO STRUMFORD, ME 04276(207)364-3711RITE AID7 PORTLAND STRUMFORD, ME 04276(207)364-2969

COMMUNITY PHARMACY OF SACO244 MAIN STSACO, ME 04072(207)283-2792HANNAFORD FOOD AND DRUG532 MAIN STSACO, ME 04072(207)282-4131RITE AID461 MAIN STSACO, ME 04072(207)284-4363SHAWS/OSCO PHARMACY4 SCAMMON ST STE 12SACO, ME 04072(207)284-9955

CVS797 MAIN ST STE DSANFORD, ME 04073(207)324-3110HANNAFORD FOOD AND DRUG800 MAIN STSANFORD, ME 04073(207)324-3450JUNE STREET PHARMACY25A JUNE ST STE 13SANFORD, ME 04073(207)490-7947

SHAWS/OSCO PHARMACY1364 MAIN STSANFORD, ME 04073(207)490-3562WAL-MART1930 MAIN STSANFORD, ME 04073(207)490-2069

HANNAFORD FOOD AND DRUG31 HANNAFORD DRSCARBOROUGH, ME 04074(207)883-7674MAINE CENTER FOR CANCER MED100 CAMPUS DR UNIT 108SCARBOROUGH, ME 04074(207)396-7600RITE AID600 US ROUTE 1SCARBOROUGH, ME 04074(207)885-1515SAM'S CLUB440 PAYNE RDSCARBOROUGH, ME 04074(207)883-5553SHAWS PHARMACY417 PAYNE RDSCARBOROUGH, ME 04074(207)510-3005WAL-MART500 GALLERY RDSCARBOROUGH, ME 04074(207)885-5191

HANNAFORD FOOD AND DRUG100 FAIRGROUND MKT PLSKOWHEGAN, ME 04976(207)858-0076RITE AID225 MADISON AVESKOWHEGAN, ME 04976(207)474-2525VARIETY DRUG78 WATER STSKOWHEGAN, ME 04976(207)474-8594WAL-MART60 FAIRGROUNDS MARKET PLACESKOWHEGAN, ME 04976(207)474-3013

SOUTH BERWICK PHARMACY289 MAIN STSOUTH BERWICK, ME 03908(207)384-2772

RITE AID259 MAIN STSOUTH PARIS, ME 04281(207)743-5177

CRITICAL CARE SYSTEMS10 DONALD B DEAN DRSOUTH PORTLAND, ME 04106(207)775-3600CVS199 OCEAN STSOUTH PORTLAND, ME 04106(207)799-8166HANNAFORD FOOD AND DRUG50 COTTAGE RDSOUTH PORTLAND, ME 04106(207)799-4023HANNAFORD FOOD AND DRUG415 PHILBROOK AVESOUTH PORTLAND, ME 04106(207)772-0758MOBY RX225 WATERMAN DRSOUTH PORTLAND, ME 04106(207)899-4600RITE AID279 MAIN STSOUTH PORTLAND, ME 04106(207)741-2260TARGET PHARMACY200 RUNNING HILL RDSOUTH PORTLAND, ME 04106(207)871-0911

CARROLL DRUG STORE3 VILLAGE GREEN WAYSOUTHWEST HARBOR, ME 04679(207)244-5588

RITE AID464 MAIN STSPRINGVALE, ME 04083(207)324-1222

HANNAFORD FOOD AND DRUG71 COLONIAL DRSTANDISH, ME 04084(207)642-5544

PORTLAND

PRESQUE ISLE

RANDOLPH

ROCKLAND

ROCKPORT

RUMFORD

SACO

SANFORD

SCARBOROUGH

SKOWHEGAN

SOUTH BERWICK

SOUTH PARIS

SOUTH PORTLAND

SOUTHWEST HARBOR

SPRINGVALE

STANDISH

PITTSFIELD STANDISH

Page 69: Workers Compensation Claims Folder - Aim Mutual …€¦ ·  · 2017-06-15Workers Compensation Claims Folder 54 Third Avenue * P.O. Box 4070 * Burlington, ... assigned to your case.

EXPRESS SCRIPTS (WORKERS COMPENSATION)

December 2011

Pharmacy is open 24 hours

Pharmacy directory is subject to change without notice. Please contact your local pharmacy for more information.

V AND S PHARMACY3 BURNT COVE RDSTONINGTON, ME 04681(207)367-5107

HANNAFORD FOOD AND DRUG49 TOPSHAM FAIR MALL RDTOPSHAM, ME 04086(207)729-3800RITE AID77 MALLETT DRTOPSHAM, ME 04086(207)729-0806TARGET PHARMACY125 TOPSHAM FAIR MALL RDTOPSHAM, ME 04086(207)504-5051WALTZ LTC PHARMACY605 LEWISTON RDTOPSHAM, ME 04086(207)373-9077

UNITY PHARMACY33 PLAZA DRUNITY, ME 04988(207)948-3950

HERBERT REXALL PHARMACY74 MAIN STVAN BUREN, ME 04785(207)868-2242RITE AID21 MAIN STVAN BUREN, ME 04785(207)868-2626

WALTZ PHARMACY5 FRIENDSHIP STWALDOBORO, ME 04572(207)832-5511

CVS1 KENNEDY MEMORIAL DRWATERVILLE, ME 04901(207)873-7161HANNAFORD FOOD AND DRUG140 ELM PLZWATERVILLE, ME 04901(207)877-7552HANNAFORD FOOD AND DRUG190 JFK PLZ KENNEDY DRWATERVILLE, ME 04901(207)872-2182

RITE AID211 MAIN STWATERVILLE, ME 04901(207)877-9004SHAWS/OSCO PHARMACY251 KENNEDY MEMORIAL DRWATERVILLE, ME 04901(207)680-3001WAL-MART80 WATERVILLE COMMONS DRWATERVILLE, ME 04901(207)877-9161

CVS11 STEEPLE WAYWELLS, ME 04090(207)641-0860HANNAFORD FOOD AND DRUG107 WELLS PLZWELLS, ME 04090(207)646-2622RITE AID1036 POST RDWELLS, ME 04090(207)646-6894

CVS870 MAIN STWESTBROOK, ME 04092(207)854-8443HANNAFORD FOOD AND DRUG7 HANNAFORD DRWESTBROOK, ME 04092(207)854-1294OMNICARE OF ME WESTBROOK39 EISENHOWER DRWESTBROOK, ME 04092(207)854-6463RITE AID465 MAIN STWESTBROOK, ME 04092(207)854-9103SHAWS PHARMACY47 MAIN STWESTBROOK, ME 04092(207)857-9298

CVS770 ROOSEVELT TRLWINDHAM, ME 04062(207)892-2541HANNAFORD FOOD AND DRUG797 ROOSEVELT TRLWINDHAM, ME 04062(207)892-8571

WAL-MART30 LANDING RDWINDHAM, ME 04062(207)893-0654

RITE AID2 CHINA RDWINSLOW, ME 04901(207)872-2727WINSLOW PHARMACY20 GARLAND RDWINSLOW, ME 04901(207)872-7979

HANNAFORD FOOD AND DRUG399 MAIN STWINTHROP, ME 04364(207)377-3162RITE AID16 PECK FARM RDWINTHROP, ME 04364(207)377-2279

HANNAFORD FOOD AND DRUG756 ROUTE 1YARMOUTH, ME 04096(207)846-5251RITE AID478 ROUTE 1YARMOUTH, ME 04096(207)846-1222

HANNAFORD FOOD AND DRUG440 US ROUTE 1YORK, ME 03909(207)363-5928RITE AID400 US ROUTE 1YORK, ME 03909(207)363-4312YORK HOSPITAL APOTHECARY15 HOSPITAL DRYORK, ME 03909(207)351-2150

STONINGTON

TOPSHAM

UNITY

VAN BUREN

WALDOBORO

WATERVILLE

WELLS

WESTBROOK

WINDHAM

WINSLOW

WINTHROP

YARMOUTH

YORK

STONINGTON YORK

Page 70: Workers Compensation Claims Folder - Aim Mutual …€¦ ·  · 2017-06-15Workers Compensation Claims Folder 54 Third Avenue * P.O. Box 4070 * Burlington, ... assigned to your case.

EXPRESS SCRIPTS (WORKERS COMPENSATION)

December 2011

Pharmacy is open 24 hours

Pharmacy directory is subject to change without notice. Please contact your local pharmacy for more information.

VERMONT

HANNAFORD FOOD AND DRUG456 S BARRE RDBARRE, VT 05641(802)479-0432HARRY'S DISCOUNT PHARMACY921 US ROUTE 302 STE 1BARRE, VT 05641(802)479-2521KINNEY DRUGS800 US ROUTE 302BARRE, VT 05641(802)476-6659MEDICINE SHOPPE PHARMACY20 S MAIN STBARRE, VT 05641(802)479-3381RITE AID355 N MAIN STBARRE, VT 05641(802)476-4311

KINNEY DRUGS16 CHURCH STBARTON, VT 05822(802)525-4098

GREATER FALLS PHARMACY78 ATKINSON STBELLOWS FALLS, VT 05101(802)460-2634RITE AID112 ROCKINGHAM STBELLOWS FALLS, VT 05101(802)463-9910

CVS8 KOCHER DRBENNINGTON, VT 05201(802)442-8369EXTENDED CARE PHARMACY207 NORTH STBENNINGTON, VT 05201(802)442-4600HANNAFORD FOOD AND DRUG141 HANNAFORD SQBENNINGTON, VT 05201(802)442-3642

PRICE CHOPPER PHARMACY214 NORTHSIDE DRBENNINGTON, VT 05201(802)447-9951RITE AID194 NORTH STBENNINGTON, VT 05201(802)442-2240THE PHARMACY205 NORTH STBENNINGTON, VT 05201(802)442-5602WAL-MART210 NORTHSIDE DRBENNINGTON, VT 05201(802)442-6822

OSCO PHARMACY160 PAINE TPKE NBERLIN, VT 05602(802)223-8599WAL-MART282 BERLIN MALL RD STE 1BERLIN, VT 05602(802)229-8049

RITE AID1823 VERMONT ROUTE 107BETHEL, VT 05032(802)234-5289

CASTLETON HEALTH CENTER PHCY275 ROUTE 30 NBOMOSEEN, VT 05732(802)468-5800KINNEY DRUGSROUTE 30BOMOSEEN, VT 05732(802)468-5777

KINNEY DRUGS901 LOWER PLNBRADFORD, VT 05033(802)222-9292

BRANDON COMMUNITY PHARMACY420 GROVE STBRANDON, VT 05733(802)465-0011RITE AID1 CARVER STBRANDON, VT 05733(802)247-8050

BRATTLEBORO PHARMACY413 CANAL STBRATTLEBORO, VT 05301(802)254-7777RITE AID896 PUTNEY RD UNIT 6BRATTLEBORO, VT 05301(802)257-5592RITE AID499 CANAL STBRATTLEBORO, VT 05301(802)257-4204THE HOTEL PHARMACY20 ELLIOT ST STE 1BRATTLEBORO, VT 05301(802)254-2303

RITE AID1 PRINCE LNBRISTOL, VT 05443(802)453-2367

FLETCHER ALLEN OP PHARMACY111 COLCHESTER AVEBURLINGTON, VT 05401(802)847-2821FLETCHER ALLEN OP PHARMACY1 S PROSPECT STBURLINGTON, VT 05401(802)847-3784HANNAFORD FOOD AND DRUG1127 NORTH AVE STE 11BURLINGTON, VT 05408(802)862-7752KINNEY DRUGS789 PINE STBURLINGTON, VT 05401(802)864-8154LAKESIDE PHARMACY242 PEARL STBURLINGTON, VT 05401(802)862-1491PRICE CHOPPER PHARMACY595 SHELBURNE RDBURLINGTON, VT 05401(802)651-9835RITE AID1177 NORTH AVE STE 33BURLINGTON, VT 05401(802)658-0435RITE AID1024 NORTH AVEBURLINGTON, VT 05401(802)865-7822

RITE AID PHARMACY158 CHERRY STBURLINGTON, VT 05401(802)862-1562VERMONT FAMILY PHARMACY1219 NORTH AVEBURLINGTON, VT 05408(802)658-9664

KINNEY DRUGS155 S MAIN STCAMBRIDGE, VT 05444(802)644-8811

COMMUNITY HEALTH PHARMACY158 BRENTWOOD DRCOLCHESTER, VT 05446(802)893-1120COSTCO50 MOUNTAIN VIEW DRCOLCHESTER, VT 05446(802)655-3156FLETCHER ALLEN OP PHARMACY792 COLLEGE PKWYCOLCHESTER, VT 05446(802)847-7461RITE AID1184 PRIM RD STE 2COLCHESTER, VT 05446(802)863-2048SHAWS PHARMACY66 MOUNTAIN VIEW DRCOLCHESTER, VT 05446(802)655-2536

RITE AID4408 US RTE 5DERBY, VT 05829(802)334-2313

BROWNS DRUG STORE40 MAIN STDERBY LINE, VT 05830(802)873-3122

ENOSBURG HM PHARMACY366 MAIN ST SOUTHENOSBURG FALLS, VT 05450(802)933-9200RITE AIDMAIN STENOSBURG FALLS, VT 05450(802)933-7756

CVS7 ESSEX WAYESSEX JUNCTION, VT 05452(802)879-7438HANNAFORD FOOD AND DRUG21A ESSEX WAYESSEX JUNCTION, VT 05452(802)878-0119KINNEY DRUGS82 PEARL STESSEX JUNCTION, VT 05452(802)878-5351PRICE CHOPPER PHARMACY90 CENTER RDESSEX JUNCTION, VT 05452(802)879-4155RITE AID9 SUSIE WILSON RDESSEX JUNCTION, VT 05452(802)872-1800RITE AID75 PEARL STESSEX JUNCTION, VT 05452(802)878-3369

RITE AID62 WASHINGTON STFAIR HAVEN, VT 05743(802)265-3760

RITE AID82 ROUTE 15 WESTHARDWICK, VT 05843(802)472-6961

KINNEY DRUGS10212 ROUTE 116HINESBURG, VT 05461(802)482-4886

GREEN MOUNTAIN PHARMACY5700 RTE 100 UNIT C-10LONDONDERRY, VT 05148(802)824-3344

LUDLOW PHARMACY57 POND ST STE 3LUDLOW, VT 05149(802)228-2500RITE AID213 MAIN STLUDLOW, VT 05149(802)228-8477

BARRE

BARTON

BELLOWS FALLS

BENNINGTON

BERLIN

BETHEL

BOMOSEEN

BRADFORD

BRANDON

BRATTLEBORO

BRISTOL

BURLINGTON

CAMBRIDGE

COLCHESTER

DERBY

DERBY LINE

ENOSBURG FALLS

ESSEX JUNCTION

FAIR HAVEN

HARDWICK

HINESBURG

LONDONDERRY

LUDLOW

BARRE LUDLOW

Page 71: Workers Compensation Claims Folder - Aim Mutual …€¦ ·  · 2017-06-15Workers Compensation Claims Folder 54 Third Avenue * P.O. Box 4070 * Burlington, ... assigned to your case.

EXPRESS SCRIPTS (WORKERS COMPENSATION)

December 2011

Pharmacy is open 24 hours

Pharmacy directory is subject to change without notice. Please contact your local pharmacy for more information.

KINNEY DRUGSRTE 5 MEMORIAL DRLYNDONVILLE, VT 05851(802)626-3779RITE AID412 BROAD STLYNDONVILLE, VT 05851(802)626-4365

EQUINOX COMPOUNDING PHARMACY34 WAYS LNMANCHESTER, VT 05255(802)367-1096

MANCHESTER PHARMACY1009 DEPOT STMANCHESTER CENTER, VT 05255(802)366-1414RITE AID4993 MAIN ST STE AMANCHESTER CENTER, VT 05255(802)362-2230

HANNAFORD FOOD AND DRUG260 COURT ST UNIT 6MIDDLEBURY, VT 05753(802)388-6349KINNEY DRUGS40 COURT STMIDDLEBURY, VT 05753(802)388-0973MARBLE WORKS PHARMACY99 MAPLE ST STE 19MIDDLEBURY, VT 05753(802)388-3784RITE AID263 COURT STMIDDLEBURY, VT 05753(802)388-9573

KINNEY DRUGS3 CENTRE DRMILTON, VT 05468(802)893-7459RITE AID201 ROUTE 7 SMILTON, VT 05468(802)893-2717

MONTPELIER PHARMACY69 MAIN STMONTPELIER, VT 05602(802)223-4633RITE AID29 MAIN STMONTPELIER, VT 05602(802)223-4787

HANNAFORD FOOD AND DRUG80 FAIRGROUNDS PLZMORRISVILLE, VT 05661(802)888-9894KINNEY DRUGS97 MORRISVILLE PLZMORRISVILLE, VT 05661(802)888-5244RITE AID48 CONGRESS STMORRISVILLE, VT 05661(802)888-2226

KINNEY DRUGS55 SHATTUCK HILL RDNEWPORT, VT 05855(802)334-1600RITE AID59 WATERFRONT PLZ STE 2NEWPORT, VT 05855(802)334-6785

NORTHFIELD PHARMACY14 DEPOT SQNORTHFIELD, VT 05653(802)485-4771

KINNEY DRUGS151 VERMONT ROUTE 12 SRANDOLPH, VT 05060(802)728-6284RITE AID12 N MAIN STRANDOLPH, VT 05060(802)728-3722

NOTCH PHARMACY44 MAIN ST STE 201RICHFORD, VT 05476(802)255-5530

BEAUCHAMP AND O'ROURKE PHCY62 WOODSTOCK AVERUTLAND, VT 05701(802)775-4321

CVS31 MAIN STRUTLAND, VT 05701(802)775-6736HANNAFORD FOOD AND DRUG318 S MAIN STRUTLAND, VT 05701(802)775-5858PRICE CHOPPER PHARMACY38 RUTLAND SHOPPING PLZRUTLAND, VT 05701(802)747-7887RITE AID7 WEST STRUTLAND, VT 05701(802)775-0131RUTLAND PHARMACY75 ALLEN STRUTLAND, VT 05701(802)775-2545WAL-MART1 RUTLAND PLZRUTLAND, VT 05701(802)773-1600WILCOX HOME INFUSION250 STRATTON RDRUTLAND, VT 05701(802)775-2808WILCOX PHARMACY252 STRATTON RDRUTLAND, VT 05701(802)775-3351WILCOX PHARMACY LTC252 STRATTON RDRUTLAND, VT 05701(802)747-1994

HANNAFORD FOOD AND DRUG277 SWANTON RDSAINT ALBANS, VT 05478(802)524-2217JACK RIXON PHARMACY40 N MAIN STSAINT ALBANS, VT 05478(802)524-2020KINNEY DRUGS164 SWANTON RDSAINT ALBANS, VT 05478(802)524-6543PRICE CHOPPER PHARMACY170 SWANTON RDSAINT ALBANS, VT 05478(802)524-2918RITE AID153 N MAIN STSAINT ALBANS, VT 05478(802)524-2141

KINNEY DRUGS957 MEMORIAL DRSAINT JOHNSBURY, VT 05819(802)748-2778RITE AID502 RAILROAD STSAINT JOHNSBURY, VT 05819(802)748-5210

RITE AID30 SHELBURNE SHOPPING PARKSHELBURNE, VT 05482(802)985-2610

HANNAFORD FOOD AND DRUG217 DORSET STSOUTH BURLINGTON, VT 05403(802)863-1378HANNAFORD FOOD AND DRUG218 HANNAFORD DRSOUTH BURLINGTON, VT 05403(802)863-1842KINNEY DRUGS1653 WILLISTON RDSOUTH BURLINGTON, VT 05403(802)860-0714RITE AID39 HINESBURG RDSOUTH BURLINGTON, VT 05403(802)862-5722SHAWS PHARMACY570 SHELBURNE RDSOUTH BURLINGTON, VT 05407(802)860-3311

MCGREGORS SOUTH HERO PHARMACY334 ROUTE 2SOUTH HERO, VT 05486(802)372-5377

PETE'S PHARMACY242 RIVER ST STE 9SPRINGFIELD, VT 05156(802)885-4222RITE AID2 CHESTER RD STE 2SPRINGFIELD, VT 05156(802)885-5311

SPRINGFIELD PHARMACY264 RIVER STSPRINGFIELD, VT 05156(802)885-6400

SWANTON REXALL DRUGS44 MERCHANTS ROWSWANTON, VT 05488(802)868-3338

MESSENGER VALLEY PHARMACY170 GRAFTON RDTOWNSHEND, VT 05353(802)365-4117

KINNEY DRUGS115B MONKTON RDVERGENNES, VT 05491(802)877-3148MARBLE WORKS PHARMACY187 MAIN STVERGENNES, VT 05491(802)877-1190

THE DRUG STORE7 VILLAGE SQWAITSFIELD, VT 05673(802)496-2345

KINNEY DRUGS80 S MAIN STWATERBURY, VT 05676(802)244-8458SHAWS/OSCO PHARMACY820 WATERBURY STOWE RDWATERBURY, VT 05676(802)241-4115

WELLS RIVER PHARMACY41 MAIN ST NWELLS RIVER, VT 05081(802)757-2244

RITE AID294 MAIN STWEST RUTLAND, VT 05777(802)438-6186

CORNER DRUG STORE213 MAPLE STWHITE RIVER JCT, VT 05001(802)295-2501

LYNDONVILLE

MANCHESTER

MANCHESTER CENTER

MIDDLEBURY

MILTON

MONTPELIER

MORRISVILLE

NEWPORT

NORTHFIELD

RANDOLPH

RICHFORD

RUTLAND

SAINT ALBANS

SAINT JOHNSBURY

SHELBURNE

SOUTH BURLINGTON

SOUTH HERO

SPRINGFIELD

SWANTON

TOWNSHEND

VERGENNES

WAITSFIELD

WATERBURY

WELLS RIVER

WEST RUTLAND

WHITE RIVER JCT

LYNDONVILLE WHITE RIVER JCT

Page 72: Workers Compensation Claims Folder - Aim Mutual …€¦ ·  · 2017-06-15Workers Compensation Claims Folder 54 Third Avenue * P.O. Box 4070 * Burlington, ... assigned to your case.

EXPRESS SCRIPTS (WORKERS COMPENSATION)

December 2011

Pharmacy is open 24 hours

Pharmacy directory is subject to change without notice. Please contact your local pharmacy for more information.

HANNAFORD FOOD AND DRUG78 MARSHALL AVEWILLISTON, VT 05495(802)878-0388KINNEY DRUGS600 BLAIR PARK RD STE 195WILLISTON, VT 05495(802)878-9116RITE AID108 CORNERSTONE DRWILLISTON, VT 05495(802)878-1118SHAWS PHARMACY71 BOXWOOD STWILLISTON, VT 05495(802)878-9056WAL-MART863 HARVEST LNWILLISTON, VT 05495(802)878-5533

RITE AID1 E MAIN STWILMINGTON, VT 05363(802)464-7575

RITE AID52 MAIN STWINDSOR, VT 05089(802)674-2334

MCGREGORS MEDICINE ON TIME321 MAIN ST STE BWINOOSKI, VT 05404(802)655-3544RITE AID321 MAIN STWINOOSKI, VT 05404(802)655-2444

SHIRE APOTHECARY13 ELM STWOODSTOCK, VT 05091(802)457-2707WOODSTOCK PHARMACY19 CENTRAL STWOODSTOCK, VT 05091(802)457-1306

WILLISTON

WILMINGTON

WINDSOR

WINOOSKI

WOODSTOCK

WILLISTON WOODSTOCK