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GENOA HEALTHCARE LLC
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
GENOA HEALTHCARE LLC
Pharmacy Address
2301 O STREET
LINCOLN, NE 68510
Pharmacy Comments
Contract Details
Approval Date
1/6/2015
Contract Begin Date
4/1/2015
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Mary Bundy, Chief Financial Officer
(402) 470-5421
Contract Pharmacy Representative
Genoa healthcare, LLC
Larry Hart, Director New Business
(412) 613-4434
Signed By Date
1/6/2015
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