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THE NEBRASKA MEDICAL CENTER CLINIC PHARM
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
THE NEBRASKA MEDICAL CENTER CLINIC PHARM
Pharmacy Address
989200 NEBRASKA MEDICAL CTR
OMAHA, NE 68198
Pharmacy Comments
Contract Details
Approval Date
7/2/2010
Contract Begin Date
7/2/2010
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/22/2018
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
STEPHEN G. JACKSON, RW PART B PROGRAM MANAGER
(402) 471-2504
Contract Pharmacy Representative
PAM S. MILLER, PHARMACIST IN CHARGE
(402) 559-5106
Signed By Date
6/24/2010
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