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WAGEY DRUG CO
CH078170 Bluestem Health
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Covered Entity Details
Entity Name
Bluestem Health
Subdivision Name
Bluestem Health
Type
HRSA-Funded Health Center
340B ID
CH078170
Entity Address
1021 N 27th St
Lincoln, NE 68503-1803
Grant Number
H80CS00236
Participating Start Date
1/1/2004
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WAGEY DRUG CO
Pharmacy Address
800 NO 27TH ST
LINCOLN, NE 68503
Pharmacy Comments
Contract Details
Approval Date
1/1/2004
Contract Begin Date
1/1/2004
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/1/2016
Ownership change
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
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