Contract Pharmacy Details

WALGREEN CO.
CH07817B Bluestem Health

Covered Entity Details

Entity Name

Bluestem Health

Subdivision Name

Health 360

Type

HRSA-Funded Health Center

340B ID

CH07817B

Entity Address

2301 O St. Ste 2
LINCOLN, NE 68510

Grant Number

H80CS00236

Participating Start Date

1/1/2016

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

340B Drug Pricing Program Database