Contract Pharmacy Details

KOHLL'S RX
CH07817C Bluestem Health

Covered Entity Details

Entity Name

Bluestem Health

Subdivision Name

Thompson Clinic

Type

HRSA-Funded Health Center

340B ID

CH07817C

Entity Address

2222 S 16th Street, Ste. 435
Lincoln, NE 68502

Grant Number

H80CS00236

Participating Start Date

4/1/2017

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

KOHLL'S RX

Pharmacy Address

SAKRX, LLC
808 N 27TH ST
LINCOLN, NE 68503-2523

Pharmacy Comments

Contract Details

Approval Date

10/16/2023

Contract Begin Date

1/1/2024

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Brad Lee Meyer, Chief Executive Officer
(402) 470-5424

Contract Pharmacy Representative

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

Signed By Date

10/16/2023

340B Drug Pricing Program Database