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ELMWOOD PHARMACY
RWIIR68509 NEBRASKA DEPT OF HEALTH & HUMAN SERVICES
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Covered Entity Details
Entity Name
NEBRASKA DEPT OF HEALTH & HUMAN SERVICES
Subdivision Name
Division of Public Health Ryan White Part B Program
Type
Ryan White Part B ADAP Rebate Option
340B ID
RWIIR68509
Entity Address
301 CENTENNIAL MALL SOUTH
LINCOLN, NE 68509-5026
Grant Number
X07HA000423401
Participating Start Date
7/1/2010
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
ELMWOOD PHARMACY
Pharmacy Address
KILBORNS INC. DBA ELMWOOD PHARMACY
5203 LEAVENWORTH ST
OMAHA, NE 68106
Pharmacy Comments
Contract Details
Approval Date
4/9/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Sara Morgan, Deputy Director
(402) 450-6683
Contract Pharmacy Representative
Elmwood Pharmacy
Jeff Kilborn, Owner
(402) 551-5200
Signed By Date
4/9/2025
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