340B Drug Pricing Program Database

Pharmacy Name

KOHLL'S PHARMACY & HOMECARE

Pharmacy Address

800 N 27TH ST
LINCOLN, NE 68503

Pharmacy Comments

Approval Date

1/14/2015

Contract Begin Date

4/1/2015

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

3/25/2019
Ownership change

Covered Entity Signing Official

Mary Bundy, Chief Financial Officer
(402) 470-5421

Contract Pharmacy Representative

Kohll's RX
David Kohll, President
(402) 895-6812

Signed By Date

1/14/2015