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WALGREEN CO.
CH078170 Bluestem Health
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Covered Entity Details
Entity Name
Bluestem Health
Subdivision Name
Bluestem Health
Type
HRSA-Funded Health Center
340B ID
CH078170
Entity Address
1021 N 27th St
Lincoln, NE 68503-1803
Grant Number
H80CS00236
Participating Start Date
1/1/2004
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 01162
8300 NORTHERN LIGHTS DR.
LINCOLN, NE 68505
Pharmacy Comments
Contract Details
Approval Date
1/8/2018
Contract Begin Date
4/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Brad Lee Meyer, Chief Executive Officer
(402) 470-5424
Contract Pharmacy Representative
Walgreens Co
Herman Ratliff, 340B Client Relationship Analyst
(847) 964-8372
Signed By Date
1/8/2018
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