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KOHLL'S PHARMACY & HOMECARE
URB7944A Nebraska Urban Indian Health Coalition Inc
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Covered Entity Details
Entity Name
Nebraska Urban Indian Health Coalition Inc
Subdivision Name
Nebraska Urban Indian Medical Center
Type
Urban Indian
340B ID
URB7944A
Entity Address
2331 Fairfield Street Suite 1
Lincoln, NE 68521-1348
Grant Number
Participating Start Date
1/1/2015
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
KOHLL'S PHARMACY & HOMECARE
Pharmacy Address
800 N 27TH ST
LINCOLN, NE 68503
Pharmacy Comments
Contract Details
Approval Date
1/15/2015
Contract Begin Date
4/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/6/2019
Ownership change
Contacts
Covered Entity Signing Official
Donna Manstedt, Clinic Manager
(402) 434-7177 Ext: 317
Contract Pharmacy Representative
Kohll's RX
David Kohll, President
(402) 895-6812
Signed By Date
1/15/2015
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