Walgreens 9709 Silverdale Way,Silverdale, WA 98383 The store and the pharmacy are open 24 hours a day every day.
The Walgreen Company (Walgreens) is the largest drug retailing chain in the United States. As of January 31, 2012, the company operates 8,300 stores in all 50 states, the District of Columbia, Puerto Rico, and Guam. It was founded in Chicago, Illinois in 1901. Walgreens' headquarters are in the Chicago suburb of Deerfield, Illinois.
Walgreens provides access to consumer goods and services, plus pharmacy, health and wellness services in America through its retail drugstores, Walgreens Health Services division, and Walgreens Health and Wellness division. Walgreens had 8,061 drugstores as of December 31, 2012. Walgreens runs several on line stores such as www.Beauty.com, Drugstore.com and www.VisionDirect.com.
Walgreens began in 1901, with a drug store on the corner of Bowen Ave and Cottage Grove in Chicago, owned by Galesburg native Charles R. Walgreen, Sr. By 1913, Walgreens had grown to four stores on Chicago's South Side. It opened its fifth in 1915, and four in 1916. By 1919, there were 20 stores in the chain. The 1920s were successful for Walgreens.
In 1922, the company introduced a malted milkshake, which led to it establishing ice cream manufacturing plants. The next year, Walgreen began opening stores away from residential areas. In the mid-1920s, there were 44 stores with annual sales of $1,200,000. Walgreens had expanded into Minnesota, Missouri, and Wisconsin.
By 1930, it had 397 stores with annual sales of $4,000,000. This expansion partly was attributed to selling alcohol, mainly whiskey, which Walgreen often stocked under the counter, as accounted in Daniel Okrent's Last Call: The Rise and Fall of Prohibition. The stock market crash in October 1929 and the subsequent Great Depression did not greatly affect the company. In 1934, Walgreens was operating in 30 states with 601 stores.
After Charles Walgreen Sr. died in 1939, his son Charles R. Walgreen took over the chain until his retirement. The Charles R. Walgreen years were relatively prosperous, but lacked the massive expansion seen in the early part of the century. Charles "Cork" R. Walgreen III took over after Walgreen Jr.'s retirement in the early 1950s, and modernized the company by switching to barcode scanning. The Walgreen family was not involved in senior management of the company for a short time following Walgreen III's retirement. In 1986, it acquired the MediMart chain from Stop & Shop. In 1995, Kevin P. Walgreen was made a vice-president and promoted to Senior Vice President - Store Operations in 2006.
On July 12, 2006, David Bernauer stepped down as CEO of Walgreens, replaced by company president Jeff Rein. Holding degrees in accounting and pharmacy from the University of Arizona, Rein was a pharmacist, store manager, district manager, and treasurer prior to being named Chief Executive Officer and Chairman of the Board. Greg Wasson, former President of Walgreens Health Services, was named President and Chief Operations Officer.
On October 10, 2008, Rein abruptly quit as CEO, replaced by Alan G. McNally as Chairman and Acting CEO.
On January 26, 2009, Gregory Wasson was named CEO, effective February 1, 2009.
Walgreens claims credit for the popularization of the malted milkshake (or at least its version of the malted milkshake), invented by Ivar "Pop" Coulson in 1922, although milkshakes and malted milk had been around for some time before. This development coincided with the invention of the electric blender in the same year.
Walgreens has its corporate headquarters in Deerfield, Illinois. As of 2009 Walgreens employed 5,200 people at its headquarters.
In 1987 Walgreens employed about 1,100 people at its headquarters, which was at the time in an unincorporated area on the west side of Deerfield. As of 2000, headquarters was still in an unincorporated area in West Deerfield Township.
Walgreens stores were originally connected to local groceries. In Chicago, their flagship market, they teamed up with either Eagle Food Centers or Dominick's Finer Foods, usually with a "walkthru" to the adjoining store and often sharing personnel. This concept was instated to compete with the popular dual store format used by chief competitor Jewel-Osco/Albertsons-Sav-On. They eventually ended the relationship with Eagle and focused primarily on a connection to the Dominick's stores. PharmX-Rexall filled the vacated Walgreen locations joined to Eagle stores.
In its 2009 business model, Walgreens are freestanding corner stores, with the entrance on the street with the most traffic flow, figuratively making it a "corner drugstore" similar to how many independent pharmacies evolved. Some stores have a drive-through pharmacy, while 3000 refill inkjet printer cartridges.
The store management team usually includes a Store Manager (MGR), an Executive Assistant Manager (EXA), and at least one Assistant Manager (MGT). In 2009, Walgreens introduced the Store Team Lead (STL), or "non-management keyholder", position in many of its stores. In 2012, Walgreens announced that they would be phasing out the MGT, EXA, and STL positions for the Assistant Store Manager Trainee (ASM-T), Assistant Store Manager (ASM), and Shift Leader (SFL) positions, respectively. The new management structure will implement a new structure and payscale that will more closely resemble their competitors to reflect the industry standard.
In 2002, Walgreens senior vice president of supply chain and logistics Randy Lewis began a program aimed at providing opportunity to the disabled to work side by side with typical workers. The result was the development and opening of two distribution centers whose staff is approximately 40% disabled. The model was so successful that other companies such as Clarks Companies NA, Glaxo Smith Kline, Best Buy, and Costco have either examined it or placed it under consideration.
Walgreens used to own Sanborns, one of the largest pharmacy and department store chains in Mexico. Walgreens purchased Sanborns from Frank Sanborn in 1946 and sold it to Grupo Carso in 1982.
In the 1980s, Walgreens owned and operated a chain of casual family restaurants/pancake houses called Wag's, an attempt to compete with Woolworth's lunch counters. The Wag's restaurants were very similar in concept to Denny's, IHOP and Golden Bear. At the highpoint, ithad over 100 locations. Walgreens sold most of these to Marriott Corp. in 1988 and by 1991 the chain was out of business.
In 2006, in efforts to clean the environments of the communities in which Walgreen stores operated, Walgreens teamed up with ImaginIt to bring solar power systems to two distribution centers and 100 stores. This has significantly lowered the amount of electricity supplied from outside sources. The distribution centers and stores in California make 20% to 50% of their own electricity from the solar power system.
Walgreens also started testing the prospects of energy saving lighting equipment in its stores. A few of its test stores have used a system of lighting called "dimming/daylight harvesting ballast," created by Axis Technology Group.
The company has also removed arguably harmful air fresheners from its stores, and started selling products made from recycled juice cartons.
In newer stores, Walgreens installed motion sensitive lights in sections of the building. The lights only turn on when someone enters the room. Rooms that have these lights include breakrooms, restrooms, the office, the warehouse/receiving areas, and the pharmacy.
As of June 2008, Walgreens "agreed to stop altering prescriptions without physician approval as part of a multi-state agreement to settle allegations of improper billing," reported the Knoxville News Sentinel:
"The compliance agreement will be in effect for five years. Walgreens did not admit liability, as part of the settlement," reported the Chicago Sun-Times.
The Walgreens web site invited users to write reviews of some OTC products such as vitamins and nutritionals, but did not invite users to write reviews of the corresponding Walgreens-branded products. A recent revision of the Walgreens web site has added the ability to review any product it sells.
In March 2008, Walgreens settled a lawsuit with the Equal Employment Opportunity Commission (EEOC) that alleged the company discriminated against African-Americans for $24 million. The settlement was split between the 10,000 African-American employees of the company. In the agreement, Walgreens avoided any admission of guilt.
Also in 2008, Walgreens "agreed to pay $35 million to the U.S., 42 states and Puerto Rico for overcharging state Medicaid programs by filling prescriptions with more expensive dosage forms of ranitidine, a generic form of Zantac and fluoxetine, which is a generic form of Prozac."
In 2009, Walgreens threatened to leave the Medicaid program, the state and federal partnership to provide health insurance coverage to the poor, in Delaware, over reimbursement rates. Walgreens was the largest pharmacy chain in the state and the only chain to make such a threat. The state of Delaware and Walgreens reached an agreement on payment rates and the crisis was averted.
In 2010, Walgreens stopped accepting Medicaid in Washington state, leaving its one million Medicaid recipients unable to get their prescriptions filled at these 121 stores.
In March 2011, Walgreens was sued in California by customers for allegedly selling customer's medical information.
In 2011, Walgreens announced it would end its relationship with Express Scripts, a prescription benefits manager. A coalition of minority groups, led by Rev. Al Sharpton’s National Action Network, sent letters urging CEO Gregory Wasson to reconsider. Groups sending letters were National Hispanic Christian Leadership Conference, the Congress of Racial Equality, Hispanic Leadership Fund and others. On July 19, 2012, Walgreens and Express Scripts announced a multi-year pharmacy network agreement that includes rates and terms under which Walgreens would participate in the broadest Express Scripts retail pharmacy network available to new and existing clients as of September 15, 2012.
Walgreens was named in a lawsuit by the Union Food and Commercial Workers Unions and Employers Midwest Health Benefits Fund in the Northern District Court of Illinois in January 2012. The suit alleges Walgreens and Par Pharmaceuticals violated the Racketeer Influenced and Corrupt Organizations Act "at least two widespread schemes to overcharge" for generic drugs."
In September 2012, the U.S. Drug Enforcement Administration (DEA) accused Walgreens of endangering public safety and barred the company from shipping oxycodone and other controlled drugs from its Jupiter, Florida distribution center. The DEA said that Walgreens failed to maintain proper controls to ensure it didn't dispense drugs to addicts and drug dealers. The DEA also said that six of Walgreens' Florida pharmacies ordered in excess of a million oxycodone pills a year. In contrast, in 2011, the average pharmacy in the U.S. ordered 73,000 oxycodone tablets a year according to the DEA. One Walgreens pharmacy located in Fort Myers, Florida, ordered 95,800 pills in 2009, but by 2011 this number had jumped to 2.2 million pills in one year. Another example was a Walgreens pharmacy located in Hudson, FL a town of 34,000 people near Clearwater, that purchased 2.2 million pills in 2011, the DEA said. Immediate suspension orders are an action taken when the DEA believes a registrant, such as a pharmacy or a doctor, is "an imminent danger to the public safety." All DEA licensees "have an obligation to ensure that medications are getting into the hands of legitimate patients," said Mark Trouville, DEA special agent in charge of the Miami Field Division. "When they choose to look the other way, patients suffer and drug dealers prosper."
The Jupiter, Florida distribution center which opened in 2001 is one of 12 such distribution centers owned by Walgreens. Since 2009, Walgreens Jupiter facility has been the single largest distributor of oxycodone in the state of Florida, the DEA said. Over the past three years, its market share has increased, and 52 Walgreens are among the top 100 oxycodone purchasers in the state, the DEA said.
In common with other US pharmacies, Walgreen stocks tobacco products for sale to the public. Some campaigners in the USA advocate the removal of tobacco from pharmacies due to the health risks associated with smoking and the apparent contradiction of selling cigarettes alongside smoking cessation products and asthma medication. Walgreens and other pharmacies who continue to sell tobacco products have been subject to criticism, and attempts have been made to introduce regional bans on the practice, notably by the City and County of San Francisco.
Walgreens defends its tobacco sales policy by reasoning that through selling tobacco in its outlets, it is more readily able to offer to customers advice and products for quitting smoking.
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Silverdale railway station was a railway station that served the village of Silverdale, Staffordshire, England. It was opened by the North Staffordshire Railway in 1863 and closed to passengers in 1964.
In its later years, the station was used by staff operating trains to and from the adjacent colliery. For this purpose, a large rail loader was built.
Today, only the restored platforms are still in place. The station building has been rebuilt at the Apedale Heritage Centre.
On 21st August 2009, work on Silverdale station platforms was observed with brickwork being repaired or repointed and they have now been restored as part of a railway footpath to Newcastle-U-Lyme.
Pharmacy is the health profession that links the health sciences with the chemical sciences and it is charged with ensuring the safe and effective use of pharmaceutical drugs.
The scope of pharmacy practice includes more traditional roles such as compounding and dispensing medications, and it also includes more modern services related to health care, including clinical services, reviewing medications for safety and efficacy, and providing drug information. Pharmacists, therefore, are the experts on drug therapy and are the primary health professionals who optimize medication use to provide patients with positive health outcomes.
An establishment in which pharmacy (in the first sense) is practiced is called a pharmacy, chemist's or drugstore. In the United States and Canada, drug stores commonly sell not only medicines, but also miscellaneous items such as candy (sweets), cosmetics, and magazines, as well as light refreshments or groceries.
The word pharmacy is derived from its root word pharma which was a term used since the 15th–17th centuries. However, the original Greek roots from "Pharmakos" imply sorcery or even poison. In addition to pharma responsibilities, the pharma offered general medical advice and a range of services that are now performed solely by other specialist practitioners, such as surgery and midwifery. The pharma (as it was referred to) often operated through a retail shop which, in addition to ingredients for medicines, sold tobacco and patent medicines. The pharmas also used many other herbs not listed. The Greek word Pharmakeia (Greek: ) derives from Greek: (pharmakon), meaning "drug" or "medicine" (the earliest form of the word is the Mycenaean Greek pa-ma-ko, attested in Linear B syllabic script).
In its investigation of herbal and chemical ingredients, the work of the pharma may be regarded as a precursor of the modern sciences of chemistry and pharmacology, prior to the formulation of the scientific method.
The field of pharmacy can generally be divided into three primary disciplines:
Often, collaborative teams from various disciplines (pharmacists and other scientists) work together toward the introduction of new therapeutics and methods for patient care. However, pharmacy is not a basic or biomedical science in its typical form. It is also distinct from Medicinal Chemistry, which is a branch of synthetic chemistry combining pharmacology, organic chemistry, and chemical biology.
Pharmacology is sometimes confused as a discipline of pharmacy. Both disciplines are distinct. Although pharmacology is essential to the study of pharmacy, it is not specific to pharmacy. Those who wish to practice both pharmacy (patient oriented) and pharmacology (a biomedical science requiring the scientific method) receive separate training and degrees unique to either discipline.
Pharmacoinformatics is considered another new discipline, for systematic drug discovery and development with efficiency and safety.
The World Health Organization estimates that there are at least 2.6 million pharmacists and other pharmaceutical personnel worldwide.
Pharmacists are healthcare professionals with specialised education and training who perform various roles to ensure optimal health outcomes for their patients through proper medication use. Pharmacists may also be small-business proprietors, owning the pharmacy in which they practice. Since pharmacists know about the chemical synthesis mode of action of a particular drug, and its metabolism and physiological effects on the human body in great detail, they play an important role in optimisation of a drug treatment for an individual.
Pharmacists are represented internationally by the International Pharmaceutical Federation (FIP). They are represented at the national level by professional organisations such as the Royal Pharmaceutical Society in the UK, the Pharmacy Guild of Australia (PGA), and the American Pharmacists Association (APhA), See also: List of pharmacy associations.
In some cases, the representative body is also the registering body, which is responsible for the regulation and ethics of the profession.
In the United States, specializations in pharmacy practice recognized by the Board of Pharmaceutical Specialties include: cardiovascular, infectious disease, oncology, pharmacotherapy, nuclear, nutrition, and psychiatry. The Commission for Certification in Geriatric Pharmacy certifies pharmacists in geriatric pharmacy practice. The American Board of Applied Toxicology certifies pharmacists and other medical professionals in applied toxicology.
Pharmacy technicians support the work of pharmacists and other health professionals by performing a variety of pharmacy related functions, including dispensing prescription drugs and other medical devices to patients and instructing on their use. They may also perform administrative duties in pharmaceutical practice, such as reviewing prescription requests with doctor's offices and insurance companies to ensure correct medications are provided and payment is received.
The earliest known compilation of medicinal substances was the Sushruta Samhita, an Indian Ayurvedic treatise attributed to Sushruta in the 6th century BC. However, the earliest text as preserved dates to the 3rd or 4th century AD.
Many Sumerian (late 6th millennium BC - early 2nd millennium BC) cuneiform clay tablets record prescriptions for medicine.
Ancient Egyptian pharmacological knowledge was recorded in various papyri such as the Ebers Papyrus of 1550 BC, and the Edwin Smith Papyrus of the 16th century BC.
In Ancient Greece, according to Edward Kremers and Glenn Sonnedecker, "before, during and after the time of Hippocrates there was a group of experts in medicinal plants. Probably the most important representative of these rhizotomoi was Diocles of Carystus (4th century BC). He is considered to be the source for all Greek pharmacotherapeutic treatises between the time of Theophrastus and Dioscorides." The Greek physician Pedanius Dioscorides is famous for writing a five volume book in his native Greek Περί ύλης ιατρικής in the 1st century AD. The Latin translation De Materia Medica (Concerning medical substances) was used a basis for many medieval texts, and was built upon by many middle eastern scientists during the Islamic Golden Age. The title coined the term materia medica.
The earliest known Chinese manual on materia medica is the Shennong Bencao Jing (The Divine Farmer's Herb-Root Classic), dating back to the 1st century AD. It was compiled during the Han dynasty and was attributed to the mythical Shennong. Earlier literature included lists of prescriptions for specific ailments, exemplified by a manuscript "Recipes for 52 Ailments", found in the Mawangdui tomb, sealed in 168 BC. Further details on Chinese pharmacy can be found in the Pharmacy in China article.
In Japan, at the end of the Asuka period (538-710) and the early Nara period (710-794), the men who fulfilled roles similar to those of modern pharmacists were highly respected. The place of pharmacists in society was expressly defined in the Taihō Code (701) and re-stated in the Yōrō Code (718). Ranked positions in the pre-Heian Imperial court were established; and this organizational structure remained largely intact until the Meiji Restoration (1868). In this highly stable hierarchy, the pharmacists—and even pharmacist assistants—were assigned status superior to all others in health-related fields such as physicians and acupuncturists. In the Imperial household, the pharmacist was even ranked above the two personal physicians of the Emperor.
There is a stone sign for a pharmacy with a tripod, a mortar, and a pestle opposite one for a doctor in the Arcadian Way in Ephesus near Kusadasi in Turkey. The current Ephesus dates back to 400BC and was the site of the Temple of Artemis one of the seven wonders of the world, the home of Mark Anthony and Cleopatra, Mary Magdalen and where St Paul read his letter to the Ephesians.
In Baghdad the first pharmacies, or drug stores, were established in 754, under the Abbasid Caliphate during the Islamic Golden Age. By the 9th century, these pharmacies were state-regulated.][
The advances made in the Middle East in botany and chemistry led medicine in medieval Islam substantially to develop pharmacology. Muhammad ibn Zakarīya Rāzi (Rhazes) (865-915), for instance, acted to promote the medical uses of chemical compounds. Abu al-Qasim al-Zahrawi (Abulcasis) (936-1013) pioneered the preparation of medicines by sublimation and distillation. His Liber servitoris is of particular interest, as it provides the reader with recipes and explains how to prepare the `simples’ from which were compounded the complex drugs then generally used. Sabur Ibn Sahl (d 869), was, however, the first physician to initiate pharmacopoedia, describing a large variety of drugs and remedies for ailments. Al-Biruni (973-1050) wrote one of the most valuable Islamic works on pharmacology entitled Kitab al-Saydalah (The Book of Drugs), where he gave detailed knowledge of the properties of drugs and outlined the role of pharmacy and the functions and duties of the pharmacist. Avicenna, too, described no less than 700 preparations, their properties, mode of action and their indications. He devoted in fact a whole volume to simple drugs in The Canon of Medicine. Of great impact were also the works by al-Maridini of Baghdad and Cairo, and Ibn al-Wafid (1008–1074), both of which were printed in Latin more than fifty times, appearing as De Medicinis universalibus et particularibus by `Mesue' the younger, and the Medicamentis simplicibus by `Abenguefit'. Peter of Abano (1250–1316) translated and added a supplement to the work of al-Maridini under the title De Veneris. Al-Muwaffaq’s contributions in the field are also pioneering. Living in the 10th century, he wrote The foundations of the true properties of Remedies, amongst others describing arsenious oxide, and being acquainted with silicic acid. He made clear distinction between sodium carbonate and potassium carbonate, and drew attention to the poisonous nature of copper compounds, especially copper vitriol, and also lead compounds. He also describes the distillation of sea-water for drinking.][
In Europe pharmacy-like shops began to appear during the 12th century. In 1240 emperor Frederic II issued a decree by which the physician's and the apothecary's professions were separated. The first pharmacy in Europe (still working) was opened in 1241 in Trier, Germany.][
In Europe there are old pharmacies still operating in Dubrovnik, Croatia located inside the Franciscan monastery, opened in 1317 ; and one in the Town Hall Square of Tallinn, Estonia dating from at least 1422. The oldest is claimed to be set up in 1221 in the Church of Santa Maria Novella in Florence, Italy, which now houses a perfume museum. The medieval Esteve Pharmacy, located in Llívia, a Catalan enclave close to Puigcerdà, is also now a museum dating back to the 15th century, keeping albarellos from the 16th and 17th centuries, old prescription books and antique drugs.
Pharmacists practice in a variety of areas including community pharmacies, hospitals, clinics, extended care facilities, psychiatric hospitals, and regulatory agencies. Pharmacists can specialize in various areas of practice including but not limited to: hematology/oncology, infectious diseases, ambulatory care, nutrition support, drug information, critical care, pediatrics, etc.
A pharmacy (commonly the chemist in Australia, New Zealand and the UK; or drugstore in North America; retail pharmacy in industry terminology; or Apothecary, historically) is the place where most pharmacists practice the profession of pharmacy. It is the community pharmacy where the dichotomy of the profession exists—health professionals who are also retailers.
Community pharmacies usually consist of a retail storefront with a dispensary where medications are stored and dispensed. According to Sharif Kaf al-Ghazal, the opening of the first drugstores are recorded by Muslim pharmacists in Baghdad in 754.
In most countries, the dispensary is subject to pharmacy legislation; with requirements for storage conditions, compulsory texts, equipment, etc., specified in legislation. Where it was once the case that pharmacists stayed within the dispensary compounding/dispensing medications, there has been an increasing trend towards the use of trained pharmacy technicians while the pharmacist spends more time communicating with patients. Pharmacy technicians are now more dependent upon automation to assist them in their new role dealing with patients' prescriptions and patient safety issues.
Pharmacies are typically required to have a pharmacist on-duty at all times when open. It is also often a requirement that the owner of a pharmacy must be a registered pharmacist, although this is not the case in all jurisdictions, such that many retailers (including supermarkets and mass merchandisers) now include a pharmacy as a department of their store.
Likewise, many pharmacies are now rather grocery store-like in their design. In addition to medicines and prescriptions, many now sell a diverse arrangement of additional items such as cosmetics, shampoo, office supplies, confections, snack foods, durable medical equipment, greeting cards, and provide photo processing services.
Pharmacies within hospitals differ considerably from community pharmacies. Some pharmacists in hospital pharmacies may have more complex clinical medication management issues whereas pharmacists in community pharmacies often have more complex business and customer relations issues.
Because of the complexity of medications including specific indications, effectiveness of treatment regimens, safety of medications (i.e., drug interactions) and patient compliance issues (in the hospital and at home) many pharmacists practicing in hospitals gain more education and training after pharmacy school through a pharmacy practice residency and sometimes followed by another residency in a specific area. Those pharmacists are often referred to as clinical pharmacists and they often specialize in various disciplines of pharmacy. For example, there are pharmacists who specialize in hematology/oncology, HIV/AIDS, infectious disease, critical care, emergency medicine, toxicology, nuclear pharmacy, pain management, psychiatry, anti-coagulation clinics, herbal medicine, neurology/epilepsy management, pediatrics, neonatal pharmacists and more.
Hospital pharmacies can often be found within the premises of the hospital. Hospital pharmacies usually stock a larger range of medications, including more specialized medications, than would be feasible in the community setting. Most hospital medications are unit-dose, or a single dose of medicine. Hospital pharmacists and trained pharmacy technicians compound sterile products for patients including total parenteral nutrition (TPN), and other medications given intravenously. This is a complex process that requires adequate training of personnel, quality assurance of products, and adequate facilities. Several hospital pharmacies have decided to outsource high risk preparations and some other compounding functions to companies who specialize in compounding. The high cost of medications and drug-related technology, combined with the potential impact of medications and pharmacy services on patient-care outcomes and patient safety, make it imperative that hospital pharmacies perform at the highest level possible.
Pharmacists provide direct patient care services that optimizes the use of medication and promotes health, wellness, and disease prevention. Clinical pharmacists care for patients in all health care settings, but the clinical pharmacy movement initially began inside hospitals and clinics. Clinical pharmacists often collaborate with physicians and other healthcare professionals to improve pharmaceutical care. Clinical pharmacists are now an integral part of the interdisciplinary approach to patient care. They often participate in patient care rounds and drug product selection.
The clinical pharmacist's role involves creating a comprehensive drug therapy plan for patient-specific problems, identifying goals of therapy, and reviewing all prescribed medications prior to dispensing and administration to the patient. The review process often involves an evaluation of the appropriateness of the drug therapy (e.g., drug choice, dose, route, frequency, and duration of therapy) and its efficacy. The pharmacist must also monitor for potential drug interactions, adverse drug reactions, and assess patient drug allergies while designing and initiating a drug therapy plan.
Since the emergence of modern clinical pharmacy, ambulatory care pharmacy practice has emerged as a unique pharmacy practice setting. In 2011 the board of Pharmaceutical Specialties approved ambulatory care pharmacy practice as a separate board certification. The official designation for pharmacists who pass the ambulatory care pharmacy specialty certification exam will be Board Certified Ambulatory Care Pharmacist and these pharmacists will carry the initials BCACP.
Ambulatory care pharmacy is based primarily on pharmacotherapy services that a pharmacist provides in a clinic. Pharmacists in this setting often do not dispense drugs, but rather see patients in office visits to manage chronic disease states. In the federal health care system (including the VA, the Indian Health Service, and NIH) ambulatory care pharmacists are given full independent prescribing authority. In some states such North Carolina and New Mexico these pharmacist clinicians are given collaborative prescriptive and diagnostic authority.
Compounding is the practice of preparing drugs in new forms. For example, if a drug manufacturer only provides a drug as a tablet, a compounding pharmacist might make a medicated lollipop that contains the drug. Patients who have difficulty swallowing the tablet may prefer to suck the medicated lollipop instead.
Another form of compounding is by mixing different strengths (g,mg,mcg) of capsules or tablets to yield the desired amount of medication indicated by the physician, physician assistant, Nurse Practitioner, or clinical pharmacist practitioner. This form of compounding is found at community or hospital pharmacies or in-home administration therapy.
Compounding pharmacies specialize in compounding, although many also dispense the same non-compounded drugs that patients can obtain from community pharmacies.
Consultant pharmacy practice focuses more on medication regimen review (i.e. "cognitive services") than on actual dispensing of drugs. Consultant pharmacists most typically work in nursing homes, but are increasingly branching into other institutions and non-institutional settings. Traditionally consultant pharmacists were usually independent business owners, though in the United States many now work for several large pharmacy management companies (primarily Omnicare, Kindred Healthcare and PharMerica). This trend may be gradually reversing as consultant pharmacists begin to work directly with patients, primarily because many elderly people are now taking numerous medications but continue to live outside of institutional settings. Some community pharmacies employ consultant pharmacists and/or provide consulting services.
The main principle of consultant pharmacy is developed by Hepler and Strand in 1990.
Since about the year 2000, a growing number of Internet pharmacies have been established worldwide. Many of these pharmacies are similar to community pharmacies, and in fact, many of them are actually operated by brick-and-mortar community pharmacies that serve consumers online and those that walk in their door. The primary difference is the method by which the medications are requested and received. Some customers consider this to be more convenient and private method rather than traveling to a community drugstore where another customer might overhear about the drugs that they take. Internet pharmacies (also known as online pharmacies) are also recommended to some patients by their physicians if they are homebound.
While most Internet pharmacies sell prescription drugs and require a valid prescription, some Internet pharmacies sell prescription drugs without requiring a prescription. Many customers order drugs from such pharmacies to avoid the "inconvenience" of visiting a doctor or to obtain medications which their doctors were unwilling to prescribe. However, this practice has been criticized as potentially dangerous, especially by those who feel that only doctors can reliably assess contraindications, risk/benefit ratios, and an individual's overall suitability for use of a medication. There also have been reports of such pharmacies dispensing substandard products.][
Of particular concern with Internet pharmacies is the ease with which people, youth in particular, can obtain controlled substances (e.g., Vicodin, generically known as hydrocodone) via the Internet without a prescription issued by a doctor/practitioner who has an established doctor-patient relationship. There are many instances where a practitioner issues a prescription, brokered by an Internet server, for a controlled substance to a "patient" s/he has never met.][ In the United States, in order for a prescription for a controlled substance to be valid, it must be issued for a legitimate medical purpose by a licensed practitioner acting in the course of legitimate doctor-patient relationship. The filling pharmacy has a corresponding responsibility to ensure that the prescription is valid. Often, individual state laws outline what defines a valid patient-doctor relationship.
Canada is home to dozens of licensed Internet pharmacies, many of which sell their lower-cost prescription drugs to U.S. consumers, who pay one of the world's highest drug prices. In recent years, many consumers in the US and in other countries with high drug costs, have turned to licensed Internet pharmacies in India, Israel and the UK, which often have even lower prices than in Canada.
In the United States, there has been a push to legalize importation of medications from Canada and other countries, in order to reduce consumer costs. While in most cases importation of prescription medications violates Food and Drug Administration (FDA) regulations and federal laws, enforcement is generally targeted at international drug suppliers, rather than consumers. There is no known case of any U.S. citizens buying Canadian drugs for personal use with a prescription, who has ever been charged by authorities.
Recently developed online services which promote generic drug alternatives by offering comparative information on price and effectiveness.
Veterinary pharmacies, sometimes called animal pharmacies, may fall in the category of hospital pharmacy, retail pharmacy or mail-order pharmacy. Veterinary pharmacies stock different varieties and different strengths of medications to fulfill the pharmaceutical needs of animals. Because the needs of animals, as well as the regulations on veterinary medicine, are often very different from those related to people, veterinary pharmacy is often kept separate from regular pharmacies.
Nuclear pharmacy focuses on preparing radioactive materials for diagnostic tests and for treating certain diseases. Nuclear pharmacists undergo additional training specific to handling radioactive materials, and unlike in community and hospital pharmacies, nuclear pharmacists typically do not interact directly with patients.
Military pharmacy is an entirely different working environment due to the fact that technicians perform most duties that in a civilian sector would be illegal. State laws of Technician patient counseling and medication checking by a pharmacist do not apply.][
Pharmacy informatics is the combination of pharmacy practice science and applied information science. Pharmacy informaticists work in many practice areas of pharmacy, however, they may also work in information technology departments or for healthcare information technology vendor companies. As a practice area and specialist domain, pharmacy informatics is growing quickly to meet the needs of major national and international patient information projects and health system interoperability goals. Pharmacists in this area are trained to participate in medication management system development, deployment and optimization.
In most jurisdictions (such as the United States), pharmacists are regulated separately from physicians. These jurisdictions also usually specify that only pharmacists may supply scheduled pharmaceuticals to the public, and that pharmacists cannot form business partnerships with physicians or give them "kickback" payments. However, the American Medical Association (AMA) Code of Ethics provides that physicians may dispense drugs within their office practices as long as there is no patient exploitation and patients have the right to a written prescription that can be filled elsewhere. 7 to 10 percent of American physicians practices reportedly dispense drugs on their own.
In some rural areas in the United Kingdom, there are dispensing doctors who are allowed to both prescribe and dispense prescription-only medicines to their patients from within their practices. The law requires that the GP practice be located in a designated rural area and that there is also a specified, minimum distance (currently 1.6 kilometres) between a patient's home and the nearest retail pharmacy. This law also exists in Austria for general physicans if the next pharmacy is more than 4 kilometers away and there no one is regitered in the city.
In other jurisdictions (particularly in Asian countries such as China, Malaysia, and Singapore), doctors are allowed to dispense drugs themselves and the practice of pharmacy is sometimes integrated with that of the physician, particularly in traditional Chinese medicine.
In Canada it is common for a medical clinic and a pharmacy to be located together and for the ownership in both enterprises to be common, but licensed separately.
The reason for the majority rule is the high risk of a conflict of interest and/or the avoidance of absolute powers. Otherwise, the physician has a financial self-interest in "diagnosing" as many conditions as possible, and in exaggerating their seriousness, because he or she can then sell more medications to the patient. Such self-interest directly conflicts with the patient's interest in obtaining cost-effective medication and avoiding the unnecessary use of medication that may have side-effects. This system reflects much similarity to the checks and balances system of the U.S. and many other governments.][
A campaign for separation has begun in many countries and has already been successful (like in Korea). As many of the remaining nations move towards separation, resistance and lobbying from dispensing doctors who have pecuniary interests may prove a major stumbling block (e.g. in Malaysia).][
In the coming decades, pharmacists are expected to become more integral within the health care system. Rather than simply dispensing medication, pharmacists are increasingly expected to be compensated for their patient care skills. In particular, Medication Therapy Management (MTM) includes the clinical services that pharmacists can provide for their patients. Such services include the thorough analysis of all medication (prescription, non-prescription, and herbals) currently being taken by an individual. The result is a reconciliation of medication and patient education resulting in increased patient health outcomes and decreased costs to the health care system.
This shift has already commenced in some countries; for instance, pharmacists in Australia receive remuneration from the Australian Government for conducting comprehensive Home Medicines Reviews. In Canada, pharmacists in certain provinces have limited prescribing rights (as in Alberta and British Columbia) or are remunerated by their provincial government for expanded services such as medications reviews (Medschecks in Ontario). In the United Kingdom, pharmacists who undertake additional training are obtaining prescribing rights and this is because of pharmacy education. They are also being paid for by the government for medicine use reviews. In Scotland the pharmacist can write prescriptions for Scottish registered patients of their regular medications, for the majority of drugs, except for controlled drugs, when the patient is unable to see their doctor, as could happen if they are away from home or the doctor is unavailable. In the United States, pharmaceutical care or clinical pharmacy has had an evolving influence on the practice of pharmacy. Moreover, the Doctor of Pharmacy (Pharm. D.) degree is now required before entering practice and some pharmacists now complete one or two years of residency or fellowship training following graduation. In addition, consultant pharmacists, who traditionally operated primarily in nursing homes are now expanding into direct consultation with patients, under the banner of "senior care pharmacy."
The two symbols most commonly associated with pharmacy are the mortar and pestle and the (recipere) character, which is often written as "Rx" in typed text. The show globe was also used in English-speaking countries until the early 20th century. Pharmacy organizations often use other symbols, such as the Bowl of Hygieia which is often used in the Netherlands, conical measures, and caduceuses in their logos. Other symbols are common in different countries: the green Greek cross in France, Argentina, the United Kingdom, Belgium, Ireland, Italy, Spain, and India, the increasingly rare Gaper in the Netherlands, and a red stylized letter A in Germany and Austria (from Apotheke, the German word for pharmacy, from the same Greek root as the English word 'apothecary').
Bowl of Hygieia, the internationally-recognised symbol of pharmacy (the profession)
Rod of Asclepius, the internationally-recognised symbol of medicine
Green cross and Bowl of Hygieia used in Europe (with the exception of Germany and Austria) and India
Simple green cross, also used in Europe and India
Red "A" (Apotheke) sign, used in Germany
Similar red "A" sign, used in Austria
The mortar and pestle, used in the United States and Canada
A hanging show-globe, formerly used in the United States
The Gaper, formerly used in the Netherlands
The symbol used on medical prescriptions, from the Latin Recipe
Charles Rudolph Walgreen (October 9, 1873 – December 11, 1939) was an American businessman who founded Walgreens.
He was born in Knoxville, Illinois before moving to Galesburg, Illinois at a young age. He is the son of Swedish immigrants. When his father, Carl Magnus Olofsson, came to America from Sweden, the family name was changed to Walgreen. When he was still quite young he and his family relocated to Dixon, Illinois in 1887. He attended Dixon High School, Dixon, IL (1889) and Dixon Business College. He was a member of the international fraternity Tau Kappa Epsilon.
As a young adult, he lost part of a finger in an accident at a shoe factory. The doctor who treated him persuaded him to become an apprentice for a local druggist. His interest in pharmacy dated from the time he was employed by D.S. Horton, a druggist in Dixon where he was apprenticed as a pharmacist. In 1893, Walgreen went to Chicago and became a registered pharmacist. At the start of the Spanish-American War, Walgreen enlisted with the 1st Illinois Volunteer Cavalry. While serving in Cuba, he contracted malaria and yellow fever, which continued to plague him for the rest of his life.
After his discharge, Walgreen returned to Chicago and worked as a pharmacist for Isaac Blood. In 1901, when Blood retired, Walgreen bought the store from him. He opened a second store in 1909, and by 1916 owned nine drug stores, which he incorporated as Walgreen Co. Walgreens was one of the first chains to carry non-pharmaceuticals as a mainstay of the store's retail selection. Walgreens offered low-priced lunch counters, built its own ice cream factory, and introduced the malted milk shake in 1922. By 1927, Walgreen had established 110 stores.
His son Charles Rudolph Walgreen, Jr. (March 4, 1906 – February 10, 2007) and grandson Charles R. Walgreen III both shared his name and played prominent roles in the company he founded. His daughter, Ruth Walgreen, married Justin Whitlock Dart, Sr.. Dart left the Walgreens company after they divorced, and went on to control rival Rexall Drug Stores in 1943. Ruth, in her adult years a published poet, eventually remarried and began spending winters in Tucson, Arizona, where in the early 1960s she was instrumental in establishing the Poetry Center at the University of Arizona.
CVS Pharmacy (styled as CVS/pharmacy or simply CVS) is the second largest pharmacy chain in the United States, with more than 7,000 stores, and is the largest US pharmacy based on total prescription revenue. As the retail pharmacy division of CVS Caremark, it sells prescription drugs and a wide assortment of general merchandise, including over-the-counter drugs, beauty products and cosmetics, film and photo finishing services, seasonal merchandise, greeting cards and convenience foods through their CVS Pharmacy and Longs Drugs retail stores and online through CVS.com. It also provides healthcare services through its more than 600 MinuteClinic medical clinics as well as their Diabetes Care Centers. Most of these clinics are located within CVS stores.
CVS is incorporated in Delaware, and is based in Woonsocket, Rhode Island. As of 2008, CVS Caremark was the largest for-profit employer in Rhode Island. It was founded on Merrimack Street in Lowell, Massachusetts in 1963, under the name Consumer Value Store. It was founded by Sid Goldstein, Stanley Goldstein, and Ralph Hoagland, as a discount health and beauty aid store. The first customers were required to bag their own purchases.
CVS Pharmacy used to be a subsidiary of Melville Corporation, where its full name was initially Consumer Value Stores. Melville later changed its name to CVS Corporation in 1996 after Melville sold off many of its non-pharmacy stores. The last of its non-drugstore operations were sold in 1997.
Former CEO Tom Ryan has said he now considers "CVS" to stand for "Customer, Value, and Service".
During the company's days as a regional chain in the Northeast, many CVS stores did not include pharmacies. Today the company seldom builds new stores without pharmacies and outside of New England is gradually phasing out any such shops. Any new non-pharmacy store is usually built in a more urban setting where another CVS with a pharmacy exists within walking distance such as downtown Boston or Providence. These stores usually lack a pharmacy and a photo center but carry most of the general merchandise items that a normal CVS Pharmacy carries such as health and beauty items, sundries, and food items.
The CVS name was used for the first time in 1964. That year, they had 17 retail locations, and 40 stores only five years later.
In 1967, CVS began operation of its first stores with pharmacy departments, opening locations in Warwick and Cumberland, Rhode Island. CVS was acquired by the now-defunct Melville Corporation in 1969, boosting its growth.
In 1972, CVS acquired 84 Clinton Drug and Discount stores, which introduced CVS to Indiana and the Midwest. By 1974, CVS had 232 stores and sales of $100 million. In 1977, CVS acquired the 36-store New Jersey-based Mack Drug chain.
By 1970, CVS operated 100 stores in New England and the Northeast.
The chain had more than 400 stores by 1981. Sales reached $1 billion in 1985, partly due to the pharmacies being added to many of CVS's older stores.
In 1980, CVS became the 15th largest pharmacy chain in the U.S. with 408 stores and $414 million in sales. In 1988, CVS celebrated its 25th anniversary, finishing the year with nearly 750 stores and sales of about $1.6 billion.
In 1990, CVS acquired the 490-store Peoples Drug chain from Imsco, which established the company in new mid-Atlantic markets including Washington, D.C., Pennsylvania, Maryland, and Virginia. In 1994, CVS started PharmaCare Management Services. The parent company decided to focus on CVS in 1995, selling off Marshalls and This End Up. The following year, they let go of Footaction/Footstar, Meldisco, Linens 'n' Things, and Kay-Bee Toys, and the company changed its name from Melville Corporation to CVS Corporation. In 1997, Bob's Stores were also sold, and CVS nearly tripled its 1,400 stores after purchasing the 2,500-store Revco chain. CVS bought 200 Arbor Drugs locations in 1998, opened approximately 180 new stores, closed about 160 stores, and relocated nearly 200 existing stores from strip malls to freestanding locations. In 1999, CVS acquired Soma.com, the first online pharmacy, and renamed it CVS.com. The same year, CVS launched their CVS ProCare Pharmacy for complex drug therapies.
In 1990, CVS bought the 23-store Rix Dunnington chain. In 1993, CVS withdrew from the southern California market. Formerly traded as MVL on the New York Stock Exchange, the company now trades as CVS.
CVS bought Stadtlander Pharmacy of Pittsburgh from Bergen Brunswig/AmerisourceBergen in 2000. As of December 2009, CVS Caremark had over 7,000 locations.
In 2012, CVS Caremark received 59 percent of Rhode Island's tax credits.
The domain cvs.com attracted at least 26 million visitors annually by 2008 according to a Compete.com survey.
CVS no longer owns the soma.com domain name, which it acquired with the purchase of online drugstore pioneer Soma. The domain name now belongs to a lingerie retailer.
CVS uses online training methods to train most of their employees and uses the website cvslearnet.cvs.com.
By 2004, all CVS stores were able to receive electronic prescriptions.
In 2005, CVS participated in a program to reduce the pollution of Maine's waterways. CVS agreed to accept drugs for disposal, so that people would not dispose of them in ways that reach rivers and other bodies of waters.
In 2013, CVS agreed to pay Connecticut $800,000 due to alleged mismanagement of hazardous waste. The Connecticut Department of Energy and Environmental Protection agency found that CVS had improperly identified, managed, and disposed of hazardous materials.
CVS was required to pay the United States government $2.25 million in 2009 for violations of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy Rule. The U.S. Department of Health and Human Services Office for Civil Rights (OCR) and the Federal Trade Commission (FTC) found that CVS did not appropriately dispose of sensitive patient information or provide the necessary training on disposal to their employees.
Former CVS executives John R. Kramer and Carlos Ortiz were charged with bribery, conspiracy, and fraud (including mail fraud) by a federal grand jury for allegedly paying State Senator John A. Celona (D-RI) to act as a "consultant" for the company. Between February 2000 and September 2003, CVS paid Celona $1,000 a month, and he received tickets to golf outings and sporting events and compensation for travel to Florida and California. In August 2005, he pleaded guilty to mail fraud charges, and in January 2007, he was fined a record $130,000 by the Rhode Island Ethics Committee. The investigation was led by the FBI and the Rhode Island State Police, and the case was prosecuted by Assistant U.S. Attorneys Gerard B. Sullivan and Dulce Donovan. Additional information is available in a press release from the FBI's Boston field office.
During 2005, a rash of prescription mistakes came to light in some of CVS Corporation's Boston-area stores. An investigation confirmed 62 errors or quality problems going back to 2002. In February 2006, the state Board of Pharmacy announced that the non-profit Institute of Safe Medication Practices (ISMP) would monitor all Massachusetts stores for the next two years. Later, a 2007 segment on 20/20 accused CVS, Walgreens and Rite Aid among other pharmacies, of making various prescription dispensing errors. This segment aired in March 2007 and was called "ABC News '20/20' Undercover Pharmacy Investigation". CVS responded by claiming they have designed and invested millions of dollars in a comprehensive quality assurance program.
Texas Attorney General Greg Abbott sued CVS in April 2007, for illegally dumping confidential patient information while closing an acquired Eckerd store in Liberty, Texas. CVS is accused of breaking the 2005 Identity Theft Enforcement and Protection Act. There are also other possible violations under the violations under Chapter 35 of the Business and Commerce Code. CVS settled by paying $315,000 to the state and agreeing to overhaul its information security system.
In common with other US pharmacies, CVS stocks cigarettes for sale to the public. Some campaigners in the USA advocate the removal of tobacco from pharmacies due to the health risks associated with smoking and the apparent contradiction of selling cigarettes alongside smoking cessation products and asthma medication. CVS and other pharmacies who continue to sell tobacco products have been subject to criticism, and attempts have been made to introduce regional bans on the practice, notably by the City and County of San Francisco.
In 2007, CEO Thomas Ryan stated that the company was considering halting the sale of cigarettes within its pharmacies, acknowledging that the issue was problematic for the company, but has not done so, citing internal market research that discovered ceasing cigarette sales will not change consumer behaviour (of buying cigarettes).
In February 2008, CVS settled a large civil lawsuit for deceptive business practices. The Kaiser Family Foundation reported:
CVS Caremark has agreed to a $38.5 million settlement in a multi-state civil deceptive-practices lawsuit against pharmacy benefit manager Caremark filed by 28 attorneys general, the Chicago Tribune reports. The attorneys general, led by Lisa Madigan (D) of Illinois and Douglas Ganslar (D) of Maryland, allege that Caremark "engaged in deceptive business practices" by informing physicians that patients or health plans could save money if patients were switched to certain brand-name prescription drugs (Miller, Chicago Tribune, 2/14).
However, the switch often saved patients and health plans only small amounts or increased their costs, while increasing Caremark's profits, Connecticut Attorney General Richard Blumenthal (D) said (Levick, Hartford Courant, 2/15). Pennsylvania Attorney General Tom Corbett (R) said the PBM kept discounts and rebates that should have been passed on to employers and patients (Levy, AP/San Francisco Chronicle, 2/14). In addition, Caremark did not "adequately inform doctors" of the full financial effect of the switch and did not disclose that the switch would increase Caremark's profits, the lawsuit alleges (Chicago Tribune, 2/14).
...The settlement prohibits Caremark from requesting prescription drug switches in certain cases, such as when the cost to the patient would be higher with the new prescription drug; when the original prescription drug's patent will expire within six months; and when patients were switched from a similar prescription drug within the previous two years (Hartford Courant, 2/15). Patients also have the ability to decline a switch from the prescribed treatment to the prescription offered by the pharmacy under the settlement, Madigan said (Bloomberg News/Philadelphia Inquirer, 2/15).
On October 14, 2010, CVS was ordered to pay 77.6 million dollars in fines and returned profits stemming from a lawsuit alleging improper control in the sale of an ingredient used to make methamphetamine. CVS will forfeit 2.6 million in profits from the illegal sale of pseudoephedrine as well as have to pay a fine of 75 million dollars, the largest civil penalty ever paid under the Controlled Substances Act.][
According to the US Justice Department, last year][ CVS pharmacies in Sanford, Florida ordered enough painkillers to supply a population eight times its size. Sanford has a population of 53,000 but the supply would support 400,000. According to the Drug Enforcement Administration, in 2010 a single CVS pharmacy in Sanford ordered 1.8 million Oxycodone pills, an average of 137,994 pills a month. Other pharmacy customers in Florida averaged 5,364 oxycodone pills a month. DEA investigators serving a warrant to a CVS pharmacy in Sanford on Oct. 18 2011 noted that "approximately every third car that came through the drive-thru lane had prescriptions for oxycodone or hydrocodone." According to the DEA, a pharmacist at that location stated to investigators that "her customers often requested certain brands of oxycodone using street slang," an indicator that the drugs were being diverted and not used for legitimate pain management. In response, CVS in a statement issued Feb. 17 in response to opioid trafficking questions from USATODAY said the company is committed to working with the DEA and had taken "significant actions to ensure appropriate dispensing of painkillers in Florida."
On May 8, 2010, a homeless man named Anthony Kyser was strangled to death by a CVS store manager after allegedly stealing toothpaste and crayons. Surveillance footage from an alleyway near the store was captured which shows the alleged shoplifter being forced to the ground and killed by the store manager, Pedro Villanova. Though the death was ruled a homicide by the Cook County Medical Examiner's office, no charges were filed against the manager, the authorities having ruled the incident an "accident." No investigation was made into the off-duty county officer who was on scene, but did nothing to stop the attack. U.S. Rep. Bobby Rush, who spoke out in 2010 against the way Kyser's death was handled, stated "...we have video that shows emphatically that he was lying on the ground and some people strangled him, kicked him and choked him and at the end of that episode he lay still, he was killed, right there on the spot." The video shows a police officer arrived on the scene moments after the incident occurred, however, no first aid was given to the victim. Kyser's parents filed a lawsuit claiming that the CVS manager assaulted and battered their son and that the store is responsible for that manager's actions. The lawsuit, seeking $400,000 in damages, remains pending in Cook County Circuit Court.
In 2013, a Korean customer, Hyun Lee, was identified as "Ching Chong Lee" on her receipt from a CVS in New Jersey. Lee contacted CVS and received an email response saying that the employee would be "counseled and trained". According to Lee's attorney, "[The employee] should have been terminated immediately. She never got an apology. She never got anything further after she complained." On April 16, 2013, Lee filed a federal discrimination lawsuit against CVS and is seeking $1 million.
On April 1, 2011, the James Randi Educational Foundation awarded CVS Pharmacy the tongue-in-cheek Pigasus Award for selling homeopathic remedies alongside medicines recognized by science.
Rite Aid is a drugstore chain in the United States and a Fortune 500 company headquartered in East Pennsboro Township, Pennsylvania, near Camp Hill. Rite Aid is the largest drugstore chain on the East Coast and the third largest drugstore chain in the U.S.
Rite Aid began in 1962 as a single store opened in Scranton, Pennsylvania called Thrif D Discount Center. After several years of growth, Rite Aid adopted its current name and debuted as a public company in 1968. Today, Rite Aid is publicly traded on the New York Stock Exchange under the ticker RAD. Rite Aid reported total sales of USD $24.3 billion in fiscal year 2008. In 2008, its market capitalization dropped to under $500 million. As of 23 February 2012[update], the market capitalization of Rite Aid was about $1.4 billion.
Its major competitors are CVS and Walgreens.
Alex Grass founded the Rite Aid chain in Scranton, Pennsylvania in September 1962. The first store was called Thrif D Discount Center, a health and beauty aids store, without a pharmacy. It was an offshoot of Rack Rite Distributors a subsidiary of his father-in law’s Lehrman & Sons which Alex Grass launched in 1958, that rented and stocked racks with health and beauty aids in grocery stores. In 1965 their 23rd store added a pharmacy and the company name was changed to Rite Aid. Through acquisitions and new stores, Rite Aid quickly expanded into 5 northeast states by 1965. The chain was officially named Rite Aid Corporation in 1968 and made its debut on the American Stock Exchange. It moved to the New York Stock Exchange in 1970. In 2011, Rite Aid was ranked #100 on Fortune 500 Largest U.S. Corporations.
Just ten years after its first store opened, Rite Aid operated 267 locations in 10 states. It was named the third largest drugstore in the United States by 1981; shortly thereafter, 1983 marked a sales milestone of $1 billion. A 420-store acquisition along the east coast expanded Rite Aid's holdings beyond 2,000 locations, as did the acquisition of Gray Drug in 1987. Among the companies acquired was Baltimore, Maryland's Read's Drug Store. On April 10, 1989, Peoples Drug's 114 unit Lane Drug of Ohio was purchased by Rite Aid.
Rite Aid acquired twenty-four Hooks Drug stores from Revco in 1994, selling nine of those stores to Perry Drug Stores, a Michigan-based pharmacy chain. One year later, the 224-store Perry chain itself was acquired by Rite Aid. The 1,000-store West Coast chain Thrifty PayLess was later acquired in 1996. The acquisition of Thrifty PayLess included the Northwest-based Bi-Mart membership discount stores, which was sold off in 1998. Acquisitions of Harco, Inc. and K & B Inc. brought Rite Aid into the Gulf Coast area.
In the 1990s, Rite-Aid partnered with Carl Paladino's Ellicott Development Company to expand the company's presence in upstate New York.
General Nutrition Companies (GNC) and Rite Aid formed a partnership in January 1999, bringing GNC mini-stores within the Rite Aid pharmacies. A partnership with drugstore.com in June 1999 allowed customers of Rite Aid to place medical prescription orders online for same-day, in-store pickup.
Rite Aid had a major accounting scandal that led to the departure (and subsequent jail time) of several top ranking executives, including the CEO, Martin Grass, son of company founder Alex Grass. Former Rite Aid vice chairman Franklin C. Brown is serving a 10-year sentence in a medium-security facility at Butner Federal Correctional Complex near Raleigh, North Carolina. After serving six years in prison, Grass was released on January 18, 2010.
Founder Alex Grass died of cancer August 27, 2009.
At the time, Rite Aid had just acquired Thrifty PayLess and was integrating those into the company. As a result, Leonard Green, who ran the investment firm that had sold those stores to Rite Aid, took control of the company and placed Mary Sammons from Fred Meyer in as CEO.
In July 2001, Rite Aid agreed to improve their pharmacy complaint process by implementing a new program to respond to consumer complaints.
On July 25, 2004, Rite Aid agreed to pay $7 million to settle allegations that the company had submitted false prescription claims to United States government health insurance programs.
In August 2007, Rite Aid acquired approximately 1,850 Brooks/Eckerd Stores throughout the United States in hopes of improving their accessibility to a wider range of consumers. On December 21, 2007, The New York Times reported that Rite Aid had record-breaking losses that year, despite the acquisition of the Brooks and Eckerd chains. The following fiscal quarter saw an increase in revenue but a sharp fall in net income as Rite Aid began the integration process. Rite Aid shares fell over 75% between September 2007 and September 2008, closing at a low of $0.98 on September 11, 2008. Rite Aid shares subsequently dropped to $0.20 on March 6, 2009, the all-time low as of 8 December 2011[update].
Scott Cole & Associates, APC filed a class action lawsuit against Rite Aid Corporation on behalf of its salaried California Store Managers. It was alleged that Rite Aid failed to pay overtime to these workers and denied them their meal and rest periods. In 2009, the action settled for $6.9 million. Scott Cole & Associates - Rite Aid Class Action
In June, 2010 John Standley was promoted from Chief Operating Officer to Chief Executive Officer, with former CEO Mary Sammons retaining her position as Chairman; Ken Martindale, previously co-President of Pathmark, was named Chief Operating Officer.
The Wellness Plus card (officially rendered as wellness+) is Rite Aid's shopping rewards card that started nationwide on April 18, 2010. Membership is free, and benefits include free health and wellness benefits as well as shopping and prescription drug discounts and special prices. Earlier, in March 2005, Rite Aid had introduced Living More, a seniors' loyalty program which offered similar discounts and benefits. This program was very similar to the former Revco program which was called "Senior Shoppers" (Rite Aid had attempted to purchase Revco in 1996). The Living More program was being discontinued as of October 31, 2010, having been essentially superseded by the Wellness Plus card.
On August 23, 2006 the Wall Street Journal announced that Rite Aid would be buying the Eckerd Pharmacy and Brooks Pharmacy chains (Brooks Eckerd Pharmacy) from the Quebec-based Jean Coutu Group for US$3.4 billion, and merging the two chains into one dominant pharmacy system. The company's shareholders overwhelmingly approved the merger on January 18, 2007. After some store closures and the conversion of the two chains to Rite Aid is complete, the deal will make Rite Aid the dominating drug store retailer in the Eastern U.S., and secures its place as the third largest drug retailer nationwide (behind the faster growing Walgreens and CVS chains).
Similar to what CVS has gone through in the Chicago metropolitan area after its purchase of Albertson's drug store chains, the deal had left Rite Aid with some locations close to each other. (Only 23 store locations nationally were sold off to Walgreens, The Medicine Shoppe, or independent owners in order to meet federal regulations.) In many situations, especially Pennsylvania where both chains were dominant and had roots in those states (Rite Aid originated in Scranton, while Eckerd has roots in Western Pennsylvania via Erie for itself and Pittsburgh for converted Thrift Drug locations), there were now two Rite Aids as close as right next door to each other. However, in March 2008 some of these overlapping stores were closed, with the locations saying that they "moved" to a new address, when in fact they "moved" to the other Rite Aid that was nearby. Most of these stores that closed were pre-existing Rite Aids from before the Eckerd deal, since Eckerd had built newer, more modern locations with drive-thru pharmacies and larger space under ownership of both J. C. Penney and Jean Coutu Group, and the "moved to" sites were converted Eckerds. Employees at the closed stores were transferred to the nearby locations, so no layoffs were necessary.
Rite Aid had sold some locations to J. C. Penney's Thrift Drug chain in the mid-1990s shortly before J.C. Penney's acquisition of Eckerd, and had also sold all of their Massachusetts stores to Brooks in 1995, bringing some existing Eckerd and Brooks stores that were once Rite Aids full circle.
Because Eckerd was previously owned by J.C. Penney, Eckerd stores accepted J.C. Penney charge cards. Since the merger, all Rite Aids accept J.C. Penney charge cards, a policy also followed by competitor CVS Pharmacy, which had earlier acquired most of the Eckerd chain in the southeastern United States.
Today, New York with 640 stores is home to the largest number of Rite Aids, followed by California and Pennsylvania with more than 550 stores each.
On January 4, 2008, Rite Aid Corporation announced that it would terminate its operation of the 28 Rite Aid stores in the Las Vegas, Nevada area and has signed an agreement to sell patient prescription files of the 27 stores in the Las Vegas metro market to Walgreens. Terms of the transaction were not disclosed.
Rite Aid said it will continue to operate its remaining store in Nevada in Gardnerville, which is close to the border of California where Rite Aid has more than 600 stores. Rite Aid said Las Vegas was a non-core market for the company that has not been contributing to overall results. The company hasn't opened a new store in the Las Vegas area since 1999.
On February 5, 2009, Rite Aid Corporation announced that it will terminate its operations of 12 Rite Aid stores in the San Francisco, California and Eastern Idaho areas through a sale to Walgreens. 
Happy Harry's was an American drugstore chain that was merged into Walgreens starting in 2006. Happy Harry's operated 76 locations in Delaware, Pennsylvania, Maryland and New Jersey. It was founded in 1962 by entrepreneur Harry Levin. It was announced on June 5, 2006 that the chain had agreed to be acquired by Walgreens.
In 1962, Harry Levin opened his first store in Wilmington, Delaware simply called "Discount Center". He quickly gained a reputation for his always-cheerful disposition, and customers soon simply referred to his store as "Happy's". In 1965, upon opening his third store, the name of the chain was changed to "Happy Harry's Discount Drugs". Just before the company's 25th anniversary in 1987, "Happy Harry" died and his son, Alan Levin, took over the growing company. At the time, Happy Harry's was the largest drugstore chain in Delaware and soon grew to 76 stores.
On June 5, 2006 Happy Harry's announced that it would be acquired by Walgreens. The announcement of the acquisition was surprising for Walgreens, whose approach differs most notably from its competitors when it comes to growth. Walgreens expansion is fueled primarily by opening new, freestanding, locations with drive-thru pharmacies, and occasionally by quiet acquisitions of small pharmacies. Rather than expanding through mergers and public acquisitions. However, with little presence in Happy Harry's primary market, the addition of Happy Harry's was a valuable new resource for Walgreens to leverage in its continuing expansion.
Initially, Walgreens decided to keep the Happy Harry's name on its existing stores. However, the eight stores in Pennsylvania were revamped as standard stores due to Walgreens stronger branding there. The store's original logo was still used in Delaware, but was modified to read "Happy Harry's, a Walgreens Pharmacy." These stores went through significant interior and exterior modifications to conform to Walgreens standards for product display, store arrangement, and pharmacy design. Task forces from various Walgreens districts around the country were mobilized to convert the various store systems to the Walgreens equivalents. The most important conversion was for the pharmacy, whose computer system was changed to Walgreens homegrown Intercom Plus pharmacy computer software, along with the installation of satellite equipment, which linked each pharmacy with over 7,000 other Walgreens pharmacies in the continental United States, Hawaii, and Puerto Rico. This enabled Happy Harry's customers to have prescriptions refilled and records retrieved at any Walgreens pharmacy nationwide.
In April 2011, Walgreens began converting Wilmington-area pharmacies to the Walgreens name, with no mention of Happy Harry's on the renamed locations.
Counties of England are areas used for the purposes of administrative, geographical and political demarcation. For administrative purposes, England outside Greater London and the Isles of Scilly is divided into 83 counties. The counties may consist of a single district or be divided into several districts. As of April 2009, 27 of these counties are divided into districts and have a county council. Six of the counties, covering the major conurbations, are known as metropolitan counties, which do not have county councils, although some functions are organised on a county-wide basis by the lower-tier districts (or metropolitan boroughs) acting jointly.
All of England (including Greater London and the Isles of Scilly) is also divided into 48 ceremonial counties, which are also known as geographic counties. Most ceremonial counties correspond to a metropolitan or non-metropolitan county of the same name but often with reduced boundaries.
England comprises most of the central and southern two-thirds of the island of Great Britain, in addition to a number of small islands of which the largest is the Isle of Wight. England is bordered to the north by Scotland and to the west by Wales. It is closer to continental Europe than any other part of mainland Britain, divided from France only by a 33 km (21 mi) sea gap, the English Channel. The 50 km (31 mi) Channel Tunnel, near Folkestone, directly links England to mainland Europe. The English/French border is halfway along the tunnel.
Much of England consists of rolling hills, but it is generally more mountainous in the north with a chain of mountains, the Pennines, dividing east and west. Other hilly areas in the north and Midlands are the Lake District, the North York Moors, and the Peak District. The approximate dividing line between terrain types is often indicated by the Tees-Exe line. To the south of that line, there are larger areas of flatter land, including East Anglia and the Fens, although hilly areas include the Cotswolds, the Chilterns, and the North and South Downs.
Coordinates: 54.167°N 2.827°W / 54°10′01″N 2°49′37″W
Silverdale is a village and civil parish within the City of Lancaster in Lancashire, England. The village stands on Morecambe Bay, near the border with Cumbria, 4.5 miles (7 km) north west of Carnforth and 8.5 miles (14 km) north of Lancaster. The parish had a population of 1,545 recorded in the 2001 census.
Silverdale Estate, Wilford, Nottingham, England
Constructed by George Wimpey in the late 1950s on land from the former Wilwell Farm. Bounded by the Clifton Estate, Fairham Brook, Compton Acres (formerly the Wilford Brick Works) and the former Great Central Railway then after the 1923 re-grouping London, Midland and Scottish Railway and London and North Eastern Railway Manchester to Marylebone Station rail line, Wilford Village and Ruddington Village. Hospitality Recreation