community pharmacy roster

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Community Pharmacy Roster Page 1 of 35 Current as of: 3/15/2018 OWNER NAME FULL NAME ISSUE DATE LICENSE NO ADDRESS TELEPHONE NUMBER Community Pharmacy License 07/05/2017 ARJ Infusion Services, Inc ARJ Infusion Services, Inc 3124 3730 S 149th Street, Ste 102 Omaha, NE 68144 (866) 451-8804 09/24/2010 ARRX, Inc. dba Lake Crest Pharmacy ARRX, Inc. 2885 620 Main St, Suite B PO BOX 972 Adams, NE 68301 (402) 988-7145 10/25/2017 Accredo Health Group, Inc Accredo Health Group, Inc 3132 19060 Q Street, Ste 101 Omaha, NE 68135 (877) 315-6140 11/16/1990 Adams Drug Inc Adams Drug Inc 2096 513 Broadway Imperial, NE 69033 (308) 882-4949 04/18/2008 Affinity Biotech, INC Affinity Biotech, INC 2800 1810 North 203rd Street Omaha, NE 680222885 (402) 289-0189 08/30/2004 Alegent Health Memorial Hospital, Schuyler dba CHI Health Schuyler Alegent Health 2608 104 West 17th Street Schuyler, NE 68661 (402) 352-4067 02/22/2017 Alivation Pharmacy, LLC Alivation Pharmacy, LLC 3116 8550 Cuthills Circle Lincoln, NE 68526 (402) 476-5686 02/26/2015 AlixaRx Alixa Rx LLC 3040 11225 Davenport St Ste 104A Omaha, NE 68154 (479) 201-8290 05/18/1989 Allens Discount Pharmacy Allens of Hastings Inc 1190 1115 W 2nd St PO Box 987 Hastings, NE 68901 (402) 463-2240 05/29/2014 Amber Enterprises, Inc dba Amber Pharmacy Amber Acquisition, LLC 3009 10004 S 152nd St Ste A Omaha, NE 68138 (402) 896-5000 06/09/2006 Anderson Pharmacy Michael E. Blaha 2704 1429 M St Ord, NE 68862 (308) 728-5922 09/01/1985 Arapahoe Pharmacy John A. & Ingrid A Tangeman RP 1898 507 Nebraska Ave PO Box 507 Arapahoe, NE 68922 (308) 962-7895

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Page 1: Community Pharmacy Roster

Community Pharmacy Roster Page 1 of 35Current as of: 3/15/2018

OWNER NAMEFULL NAME

ISSUE DATE

LICENSE NO

ADDRESSTELEPHONE NUMBER

Community Pharmacy License

07/05/2017

ARJ Infusion Services, Inc

ARJ Infusion Services, Inc

3124 3730 S 149th Street, Ste 102

Omaha, NE 68144

(866) 451-8804

09/24/2010

ARRX, Inc. dba Lake Crest Pharmacy

ARRX, Inc.

2885 620 Main St, Suite B

PO BOX 972

Adams, NE 68301(402) 988-7145

10/25/2017

Accredo Health Group, Inc

Accredo Health Group, Inc

3132 19060 Q Street, Ste 101

Omaha, NE 68135

(877) 315-6140

11/16/1990

Adams Drug Inc

Adams Drug Inc

2096 513 Broadway

Imperial, NE 69033

(308) 882-4949

04/18/2008

Affinity Biotech, INC

Affinity Biotech, INC

2800 1810 North 203rd Street

Omaha, NE 680222885

(402) 289-0189

08/30/2004

Alegent Health Memorial Hospital, Schuyler dba CHI Health Schuyler

Alegent Health

2608 104 West 17th Street

Schuyler, NE 68661

(402) 352-4067

02/22/2017

Alivation Pharmacy, LLC

Alivation Pharmacy, LLC

3116 8550 Cuthills Circle

Lincoln, NE 68526

(402) 476-5686

02/26/2015

AlixaRx

Alixa Rx LLC

3040 11225 Davenport St Ste 104A

Omaha, NE 68154

(479) 201-8290

05/18/1989

Allens Discount Pharmacy

Allens of Hastings Inc

1190 1115 W 2nd St

PO Box 987

Hastings, NE 68901(402) 463-2240

05/29/2014

Amber Enterprises, Inc dba Amber Pharmacy

Amber Acquisition, LLC

3009 10004 S 152nd St Ste A

Omaha, NE 68138

(402) 896-5000

06/09/2006

Anderson Pharmacy

Michael E. Blaha

2704 1429 M St

Ord, NE 68862

(308) 728-5922

09/01/1985

Arapahoe Pharmacy

John A. & Ingrid A Tangeman RP

1898 507 Nebraska Ave

PO Box 507

Arapahoe, NE 68922(308) 962-7895

Page 2: Community Pharmacy Roster

OWNER NAMEFULL NAME

ISSUE DATE

LICENSE NO

ADDRESSTELEPHONE NUMBER

07/03/2014

Arbor State Pharmacy

Arborpharm, LLC

3015 203 S 7th Ste B

Wymore, NE 68466

(402) 645-3080

03/22/1994

Ashland Pharmacy Inc

Ashland Pharmacy Inc

2193 1401 Silver St

Ashland, NE 68003

(402) 944-3303

04/08/2009

BAART Community Healthcare

BAART Community Healthcare

2837 1941 S 42nd #210

Omaha, NE 68105

(402) 341-6220

01/15/2015

BLPS LLC dba Medicine Man Pharmacy

BLPS LLC

3034 748 N Main Street

North Bend, NE 68649

(402) 652-3217

03/27/2001

Baker's Pharmacy #311

Dillon Co Inc dba Baker's Supermarkets

2468 5555 N 90th St

Omaha, NE 68134

(402) 573-0947

03/27/2001

Baker's Pharmacy #315

Dillon Co Inc dba Baker's Supermarkets

2467 13250 W Maple Rd

Omaha, NE 68164

(402) 965-8339

03/27/2001

Baker's Pharmacy #316

Dillon Co Inc dba Baker's Supermarkets

2463 7312 N 30th St

Omaha, NE 68112

(402) 451-3980

11/26/2001

Baker's Pharmacy #318

Dillon Companies, Inc.

2489 801 Galvin Rd

Bellevue, NE 68005

(402) 292-0331

03/27/2001

Baker's Pharmacy #319

Dillon Co Inc dba Baker's Supermarkets

2465 888 Saddlecreek Rd

Omaha, NE 68106

(402) 556-5600

03/26/2001

Baker's Pharmacy #320

Dillon Co Inc dba Baker's Supermarkets

2461 17370 Lakeside Hills Plz

Omaha, NE 68130

(402) 699-8354

03/26/2001

Baker's Pharmacy #321

Dillon Co Inc dba Baker's Supermarkets

2462 505 N 155th Plz

Omaha, NE 68154

(402) 964-0888

03/27/2001

Baker's Pharmacy #323

Dillon Co Inc dba Baker's Supermarkets

2466 1531 N Bell St

Fremont, NE 68025

(402) 727-1995

10/22/2004

Baker's Pharmacy-#300

Dillon Stores A Division of Dillon Companies, Inc.

2619 3614 Twin Creek Drive

Bellevue, NE 68123

(402) 292-3580

11/10/2004

Baker's Pharmacy-#301

Dillon Stores A Division of Dillon Companies, Inc.

2624 4405 N 72nd Street

Omaha, NE 68134

(402) 571-3122

11/10/2004

Baker's Pharmacy-#302

Dillon Stores A Division of Dillon Companies, Inc.

2625 12025 West Center Road

Omaha, NE 68144

(402) 334-3261

Page 3: Community Pharmacy Roster

OWNER NAMEFULL NAME

ISSUE DATE

LICENSE NO

ADDRESSTELEPHONE NUMBER

12/01/1984

Barnas Drug Inc

Barnas Drug Inc

1866 124 W 3rd St

Wilber, NE 68465

(402) 821-2834

08/27/2015

Baxter Healthcare Corporation

Baxter Healthcare Corporation

3061 4225 S 57th St

Omaha, NE 68117

(402) 734-4117

04/04/2012

Beatrice Community Hospital & Health Center

Beatrice Comm Hosp & Hlth Cntr

2923 4800 Hospital PKWY

PO Box 278

Beatrice, NE 68310(402) 223-7314

08/07/2014

Berts Drug Store

Berts Drug Inc

3025 700 W 2nd St

Hastings, NE 68901

(402) 462-4343

08/07/2014

Berts Pharmacy

Berts Drug Inc

3026 1021 W 14th

Hastings, NE 68901

(402) 462-4466

11/20/2006

Blakes Pharmacy

Louisville Drug Inc dba Blakes Pharmacy

2728 213 Main Street

Louisville, NE 68037

(402) 234-3025

03/23/2010

Bloomfield Pharmacy

John J Nagengast

2865 105 S Broadway, Suite 1

PO Box 9

Bloomfield, NE 68718(402) 373-4411

03/12/2003

Bob's U-Save Pharmacy

BMB RX Enterprises Inc

2521 2759 33rd Ave

Columbus, NE 68601

(402) 564-2883

05/21/2003

Boone County Health Center (nursing support)

Boone County, Owner

2557 723 W Fairview ST

Box 151

Albion, NE 68620(402) 395-2191

03/17/2008

Boys Town Employee Pharmacy

Father Flanagan's Boys' Home DBA Boys Town Research Hospital

2795 14080 Boys Town Hospital Road

Boys Town, NE 68010

(402) 778-6063

06/01/1986

Brehm Drug Inc

Brehm Rexall Drug Inc

1013 608 Howard

Saint Paul, NE 68873

(308) 754-4611

08/01/2016

BriovaRx Infusion Services 302, LLC

AxelaCare Holdings, Inc.

3095 8720 South 114th Street, Ste 106

La Vista, NE 68128

(402) 331-5086

10/14/2016

Brookside RX, LLC

Brookside RX, LLC

3104 11020 Q Street

Omaha, NE 68137

(402) 281-1958

02/22/2016

Bryan Employee Specialty Pharmacy

Bryan Health

3081 1600 S 48th St

Lincoln, NE 68506

(402) 481-8380

05/13/2003

Bryan Medical Center East

Bryan Health

2544 ATTN: Pharmacy

1600 South 48th Street

Lincoln, NE 68506(402) 481-3157

Page 4: Community Pharmacy Roster

OWNER NAMEFULL NAME

ISSUE DATE

LICENSE NO

ADDRESSTELEPHONE NUMBER

05/13/2003

Bryan Medical Center West

Bryan Health

2545 ATTN: Pharmacy

2300 South 16th Street

Lincoln, NE 68502(402) 481-5855

04/01/1976

Burwell Pharmacy

Burwell Pharmacy, LLC

863 PO Box 520 137 Grand St

Burwell, NE 68823

(308) 346-4797

08/12/2005

Butler County Pharmacy

Butler County - County Hospital

2648 372 S 9th Street

David City, NE 68632

(402) 367-1200

11/29/2012

CHI Health Pharmacy - 132nd and Center

CHI Health

2936 13315 W Center Rd Ste 101

Omaha, NE 68144

(402) 717-9410

02/17/2015

CHI Health Pharmacy - 161st and Maple

CHI Health

3038 16101 Evans St Ste 101

Omaha, NE 681162020

(402) 717-9770

02/22/2016

CHI Health Pharmacy - 42nd and L

Alegent Creighton Health

3078 4220 L Street, Ste 101

Omaha, NE 68107

(402) 717-7055

06/03/2008

CHI Health Pharmacy - Bellevue

CHI Health

2807 3308 Samson Way Ste 106

Bellevue, NE 68123

(402) 291-5076

03/01/1988

CHI Health Pharmacy - Bergan Mercy

CHI Health

1472 7710 Mercy Rd Ste 110

Omaha, NE 68124

(402) 398-6781

11/18/1999

CHI Health Pharmacy - Florence

CHI Health

2416 8613 N 30th St

Omaha, NE 68112

(402) 451-2125

03/12/2003

CHI Health Pharmacy - Immanuel

CHI Health

2519 6901 N 72nd St

Omaha, NE 68122

(402) 572-2300

11/26/2012

CHI Health Pharmacy - LaVista

CHI Health

2932 8248 S 96th St Ste 101

La Vista, NE 68128

(402) 717-9500

01/03/2006

CHI Health Pharmacy - Lakeside

CHI Health

2661 16909 Lakeside Hills Ct Ste 107

Omaha, NE 68130

(402) 758-5006

07/27/2009

CHI Health Pharmacy - Midlands

CHI Health

2842 11109 S 84th St Ste 1841

Papillion, NE 68046

(402) 827-4200

04/24/2014

CHI Health Specialty Pharmacy

Catholic Health Initiatives

3000 7710 Mercy Rd Ste 102

Omaha, NE 68124

(402) 398-5503

05/21/2003

CHI Health St Elizabeth

Catholic Health Initiatives

2549 555 S 70th St

Lincoln, NE 68510

(402) 219-7143

Page 5: Community Pharmacy Roster

OWNER NAMEFULL NAME

ISSUE DATE

LICENSE NO

ADDRESSTELEPHONE NUMBER

05/21/2003

CHI Health St Francis

Catholic Health Initiatives

2552 2620 W Faidley Ave

Grand Island, NE 68803

(308) 398-6778

11/01/2013

CHI National Home Care dba CHI Health at Home - HME

CHI National Home Care

2990 5428 F St

Omaha, NE 681172815

(402) 898-8400

04/22/2014

CSR Company, Inc.

CSR Company, Inc.

2999 11701 Centennial Rd Stes 2 & 3

La Vista, NE 68128

(800) 367-4444

11/01/2013

CVS/Pharmacy #10243

Nebraska CVS Pharmacy, LLC

2986 1710 W 2nd St

Grand Island, NE 68803

(308) 384-2507

04/30/2014

CVS/Pharmacy #10293

Nebraska CVS Pharmacy LLC

3002 1301 West Norfolk Ave

Norfolk, NE 68701

(402) 371-9438

09/08/2015

CVS/Pharmacy #10441

Nebraska CVS Pharmacy, LLC

3062 2307 23rd St

Columbus, NE 68601

(402) 564-5105

02/22/2016

CVS/Pharmacy #16055

Nebraska CVS Pharmacy, LLC

3079 333 N 48th Street

Lincoln, NE 685043505

(402) 464-8066

01/20/2016

CVS/Pharmacy #16146

Nebraska CVS Pharmacy, LLC

3067 4001 N 132nd Street

Omaha, NE 681641839

(402) 431-9161

01/29/2016

CVS/Pharmacy #16148

Nebraska CVS Pharmacy, LLC

3073 718 N Washington Street

Papillion, NE 680463910

(402) 597-9499

02/11/2016

CVS/Pharmacy #16297

Nebraska CVS Pharmacy, LLC

3074 4800 3rd Avenue

Kearney, NE 688452892

(308) 237-2002

01/20/2016

CVS/Pharmacy #16867

Nebraska CVS Pharmacy, LLC

3068 3808 Twin Creek Drive

Bellevue, NE 681234163

(402) 291-6779

01/21/2016

CVS/Pharmacy #16903

NebraskaCVS Pharmacy, LLC

3072 17810 W Center Road

Omaha, NE 681302308

(402) 697-4876

06/09/2016

CVS/Pharmacy #17105

Nebraska CVS Pharmacy, LLC

3088 6636 N 73rd Plaza

Omaha, NE 681221803

(402) 573-2221

01/21/2016

CVS/Pharmacy #17208

Nebraska CVS Pharmacy, LLC

3071 7200 Dodge Street

Omaha, NE 681143673

(402) 390-8881

02/22/2016

CVS/Pharmacy #17371

Nebraska CVS Pharmacy, LLC

3080 8201 S 40th Street

Lincoln, NE 685163005

(402) 420-3541

Page 6: Community Pharmacy Roster

OWNER NAMEFULL NAME

ISSUE DATE

LICENSE NO

ADDRESSTELEPHONE NUMBER

01/20/2016

CVS/Pharmacy #17392

Nebraska CVS Pharmacy, LLC

3070 16959 Evans Plaza

Omaha, NE 681162388

(402) 970-1001

01/20/2016

CVS/Pharmacy #17446

Nebraska CVS Pharmacy, LLC

3069 12500 K Plaza

Omaha, NE 681372207

(402) 334-3436

11/29/2012

CVS/Pharmacy #2741

Nebraska CVS Pharmacy LLC

2938 6901 S 84th St

La Vista, NE 68128

(402) 339-1090

03/18/2011

CVS/Pharmacy #2931

Nebraska CVS Pharmacy, LLC

2901 14303 U St

Omaha, NE 68137

(402) 895-0181

03/09/2011

CVS/Pharmacy #3085

Nebraska CVS Pharmacy, LLC

2899 1701 Galvin Rd South

Bellevue, NE 68005

(402) 292-2685

01/26/2012

CVS/Pharmacy #3478

Nebraska CVS Pharmacy, LLC

2914 2609 S 132nd St

Omaha, NE 68144

(402) 334-6933

01/30/2012

CVS/Pharmacy #4033

Nebraska CVS Pharmacy LLC

2919 5611 S 27th St

Lincoln, NE 68512

(402) 420-0318

11/26/2012

CVS/Pharmacy #473

Nebraska CVS Pharmacy, LLC

2931 1550 South St

Lincoln, NE 68502

(402) 477-0542

11/08/2010

CVS/Pharmacy #4929

Nebraska CVS Pharmacy, LLC

2887 10770 Fort St

Omaha, NE 68134

(402) 493-3257

11/29/2012

CVS/Pharmacy #5634

Nebraska CVS Pharmacy LLC

2937 8315 W Center Rd

Omaha, NE 68124

(402) 393-2557

01/26/2012

CVS/Pharmacy #5714

Nebraska CVS Pharmacy, LLC

2912 4840 Dodge St

Omaha, NE 68132

(402) 558-2000

11/18/2010

CVS/Pharmacy #5863

Nebraska CVS Pharmacy, LLC

2889 14460 W Maple Rd

Omaha, NE 68116

(402) 493-0443

01/26/2012

CVS/Pharmacy #6733

Nebraska CVS Pharmacy LLC

2913 1919 N 90th St

Omaha, NE 68114

(402) 895-0198

11/23/2010

CVS/Pharmacy #8294

Nebraska CVS Pharmacy, LLC

2891 4808 O St

Lincoln, NE 68510

(402) 467-1134

10/11/2006

CVS/Pharmacy #8610

Nebraska CVS Pharmacy LLC

2715 2755 S 48th Street

Lincoln, NE 68506

(402) 484-5777

Page 7: Community Pharmacy Roster

OWNER NAMEFULL NAME

ISSUE DATE

LICENSE NO

ADDRESSTELEPHONE NUMBER

12/12/2013

CVS/Pharmacy #8615

Nebraska CVS Pharmacy LLC

2991 1411 Superior St

Lincoln, NE 68521

(402) 477-9200

09/17/2013

CVS/Pharmacy #8616

Nebraska CVS Pharmacy LLC

2977 5566 S 56th St

Lincoln, NE 68516

(402) 423-3839

04/30/2014

CVS/Pharmacy #8626

Nebraska CVS Pharmacy LLC

3001 7002 O St

Lincoln, NE 68510

(402) 467-5341

04/02/2012

Campbell Drug

AME P.C.

2922 311 Main

Oshkosh, NE 69154

(308) 772-3333

12/16/2016

Cancer Specialty Pharmacy

Luke Nordquist, MD

3108 17545 Gold Plaza

Omaha, NE 68130

(402) 334-6100

09/30/2009

Cardinal Health 414, LLC

Cardinal Health 414, LLC

2850 5840 F Street

Omaha, NE 68117

(402) 553-3776

12/01/1986

Carl T Curtis Health Education Center

Omaha Tribe of Nebraska

1522 100 Indian Hills Dr

Box 250

Macy, NE 68039(402) 837-5381x154

07/30/2010

Chadron Community Hospital and Health Services

Chadron Community Hospital and Health Services Corporation

2882 825 Centennial Dr.

Chadron, NE 69337

(308) 432-0244

05/06/1996

Charles Drew Health Center Pharmacy

Charles Drew Health Center Inc

2283 2915 Grant St

Omaha, NE 68111

(402) 451-3244

01/30/1989

Charlie's U-Save Pharmacy

M.B.C. Pharmacy Inc

2030 2029 N Lincoln Ave

York, NE 68467

(402) 362-4429

10/01/2002

Cherry County Hospital

Cherry County

2501 510 N Green ST

Box 410

Valentine, NE 69201(402) 376-2525

09/13/1991

Chief Drug

Green River Associates Inc

2133 123 S 3rd St PO Box 509

Tecumseh, NE 68450

(402) 335-3375

03/01/2018

Children's Home Healthcare

Children's Hospital and Medical Center

3139 3000 South 84h Street

Omaha, NE 68124

(402) 955-7777

03/09/2011

Clabaugh Pharmacy Inc.

Clabaugh Pharmacy Inc.

2898 501 Court St

Beatrice, NE 68310

(402) 223-3591

04/17/2013

Cody's U-Save Pharmacy

U-Save Pharmacy of Auburn LLC

2946 2220 J Street

Auburn, NE 68305

(402) 274-4186

Page 8: Community Pharmacy Roster

OWNER NAMEFULL NAME

ISSUE DATE

LICENSE NO

ADDRESSTELEPHONE NUMBER

05/21/2003

Columbus Community Hospital

Columbus Community Hospital Inc

2556 4600 38th Street

PO Box 1800

Columbus, NE 68601(402) 564-7118

08/03/2010

Community Pharmacy Services

Community Pharmacy Services Inc

2883 21689 Northstar Drive

Gretna, NE 68028

(402) 289-0431

09/03/1998

Community Pharmacy at Regional West

Regional West Medical Center

2384 3911 Ave B Ste M200

Scottsbluff, NE 69361

(308) 630-1900

06/11/2001

Consultants in Infectious Disease, LLC

Consultants in Infectious Disease, LLC

2471 1500 S 48th St Ste 506

Lincoln, NE 68506

(402) 489-1588

04/16/2013

Coram Alternate Site Services, Inc. dba Coram CVS/Specialty Infusion Services

Coram Specialty Infusion Services, Inc

2943 11111 Mill Valley Rd

Omaha, NE 68154

(402) 330-5482

08/01/1995

Corner Drug

Richard & Susan Mulder

2255 301 N Oakland Ave

Oakland, NE 68045

(402) 685-5883

07/21/2011

Corner Drug

FSTH, Inc

2905 401 G St

Central City, NE 68826

(308) 946-2205

02/13/2018

Costco Pharmacy # 1285

Costco Wholesale Corporation

3138 1620 Pine Lake Road

Lincoln, NE 68512

(425) 313-6275

11/10/2016

Costco Pharmacy #1237

Costco Wholesale Corporation

3106 12515 Portside Pkwy

La Vista, NE 68128

(425) 313-6275

11/16/2007

Costco Wholesale Corporation dba Costco Pharmacy #1012

Costco Wholesale Corporation

2777 12300 West Dodge Road

Omaha, NE 68154

(402) 952-3242

02/03/2017

Creighton University Campus Pharmacy

Creighton University

3115 2412 Cuming Ste 201

Omaha, NE 68131

(402) 449-4560

05/15/2009

Creutz Drug Store

Louderback Drug of Madison, INC Dr. Brett Louderback Pharm D

2838 517 E Broadway

PO BOX 160

Wausa, NE 68786(402) 586-2552

08/12/2005

Crosier Park Pharmacy

Scott A. Kirkegaard

2652 405 East 14th Street

Hastings, NE 68901

(402) 462-4600

09/24/2010

DTAG Pharmacies, Inc dba ABC Drug

DTAG Pharmacies, Inc

2886 2123 Central Ave

Kearney, NE 68847

(308) 237-2178

07/25/2014

Dave's Pharmacy

KeystoneRx Corporation

3016 508 Niobrara Avenue

PO Box 95

Hemingford, NE 69348(308) 487-5212

Page 9: Community Pharmacy Roster

OWNER NAMEFULL NAME

ISSUE DATE

LICENSE NO

ADDRESSTELEPHONE NUMBER

01/20/2016

David City Discount Pharmacy

DC RX Inc

3066 422 5th Street

David City, NE 68632

(402) 367-3068

02/15/1991

Deines Pharmacy

Mitchell E Deines RP Owner

2105 910 E Court St

Beatrice, NE 68310

(402) 223-4779

09/21/2006

Depot Drug

Union Pacific Railroad Employees Health System

2714 1400 Douglas Stop 0050

Omaha, NE 681790050

(402) 544-3740

04/04/2012

Depot Drug

Union Pacific Railroad Employees Health Systems

2925 221 S Jeffers Suite 2

North Platte, NE 69101

(308) 534-8886

02/08/2008

Diabetes Supply Center of the Midlands

Midlands Diabetes Education & Self-Help Center dba Diabetes Supply Center of the Midlands

2790 2910 S 84th St

Omaha, NE 68124

(402) 399-8444

06/01/1978

Douglas County Health Center

Douglas County

1512 ATTN: Pharmacy

4102 Woolworth

Omaha, NE 68105(402) 444-7000

08/01/1985

E Street Discount Pharmacy

Dubs Pharmacy Inc Owner

1897 470 E St

David City, NE 68632

(402) 367-3122

08/11/2017

Eastern Nebraska Veterans Home Pharmacy

State of Nebraska

3126 12505 South 40th Street

Bellevue, NE 68123

(402) 591-4887

06/01/1978

Eds Rexall Drug

Robert M Albers RP Owner

1508 2701 S 10th St

Omaha, NE 68108

(402) 342-1731

10/25/2017

Elgin Pharmacy

Friendly Neighbor Healthcare, LLC

3131 112 South 2nd St.

Elgin, NE 68636

(402) 843-5555

07/10/2007

Elmwood Pharmacy

Kilborn's Inc dba Elmwood Pharmacy

2761 808 S 52nd Street

Omaha, NE 68106

(402) 551-5200

07/25/2011

Employer's Health Care Pharmacy

Walgreen Co.

2906 808 N Diers Ave

Grand Island, NE 68803

(308) 398-0857

01/20/2010

Essential Pharmacy Compounding

Kohll's Pharmacy & Homecare, Inc.

2858 620 N 114th St

Omaha, NE 68154

(402) 408-0015

03/12/1998

FAMCare Pharmacy - Fremont Health

Dodge County

2361 450 E 23rd St

Fremont, NE 68025

(402) 727-3626

05/21/2003

Faith Reg Health Services dba The Pill Box

Faith Regional Health Services

2553 2700 W Norfolk Ave

PO Box 869

Norfolk, NE 687020867(402) 644-7523

Page 10: Community Pharmacy Roster

OWNER NAMEFULL NAME

ISSUE DATE

LICENSE NO

ADDRESSTELEPHONE NUMBER

11/26/2012

Family Fare Pharmacy #3811

U Save Foods, Inc. (a subsidiary of Nash Finch Company)

2933 1221 S 203rd St

Omaha, NE 68130

(402) 896-1450

02/01/2009

Family Fresh Market Pharmacy

Nash Finch Company

2829 3920 2nd Ave

Kearney, NE 688472485

(308) 234-6086

05/01/1984

Farrell's Pharmacy

Farrell's Pharmacy Inc Owner

1024 120 West B St PO Box 667

McCook, NE 69001

(308) 345-1781

09/01/2017

Fremont Drugstore

Fremont Drugstore LLC

3127 1900 E Military Ave Ste 220

Fremont, NE 68025

(402) 816-4554

01/30/2012

Fulmer Pharmacy

KAPS, Inc

2920 1317 Hill St

Holdrege, NE 68949

(308) 995-4401

10/26/2016

Geneva Pharmacy, LLC

Geneva Rx Holdings, LLC

3105 20513 Nicholas Circle Ste 3

Elkhorn, NE 68022

(402) 281-1956

10/24/2012

Genoa Community Pharmacy LLC

Genoa Community Pharmacy LLC

2928 508 Willard Ave

Genoa, NE 68640

(402) 993-2400

08/26/2016

Genoa Healthcare, LLC

Genoa Healthcare, LLC

3099 4001 Leavenworth St Ste 150A

Omaha, NE 681051026

(402) 979-8011

06/15/2016

Genoa Healthcare, LLC

Genoa Healthcare, LLC

3091 2301 O Street

Lincoln, NE 68510

(402) 342-7038

04/05/2017

Genoa Healthcare, LLC

Genoa Healthcare, LLC

3120 4321 41st Ave., Ste 1

Columbus, NE 686012131

(253) 218-0830

05/30/1989

Gerimed Inc

Gerimed Inc

2038 7915 N 30th St

Omaha, NE 68112

(402) 827-6080

07/07/2008

Gering U-Save Pharmacy

CS Bosche, Inc

2812 1400 10th Street

Gering, NE 69341

(308) 436-2181

10/01/1969

Globe Rexall Drug Inc

ROBERT ATKINS

1022 424 E St

Fairbury, NE 68352

(402) 729-2620

03/26/2001

Good Life Discount Pharmacy

Good Life Health Services, Inc

2457 124 S 4th St

Albion, NE 68620

(402) 395-3353

02/09/1996

Good Life Discount Pharmacy

Good Life Health Services Inc

2274 125 S 16th St

Ord, NE 68862

(308) 728-3295

Page 11: Community Pharmacy Roster

OWNER NAMEFULL NAME

ISSUE DATE

LICENSE NO

ADDRESSTELEPHONE NUMBER

11/03/1997

Good Life Discount Pharmacy

Good Life Health Services Inc

2344 727 O St PO Box 508

Loup City, NE 68853

(308) 745-1614

09/03/1997

Good Life Long Term Care

Good Life Health Services

2334 127 S 16th St

Ord, NE 68862

(308) 728-3295

09/27/2002

Good Samaritan Hospital Pharmacy

Good Samaritan Health System Catholic Health Initiatives

2500 10 E 31st St

Kearney, NE 688472926

(308) 865-7021

08/19/2015

Gothenburg Discount Pharmacy

Gothenburg Discount Pharmacy, Inc.

3060 902 Avenue D

PO Box 159

Gothenburg, NE 69138(308) 537-7155

09/01/1985

Grand Island Veterans Home Pharmacy

State of Nebraska

1531 2300 W Capital Ave

Grand Island, NE 68803

(308) 385-6252ext331

08/21/2013

Grant Pharmacy

J & J Pharmacies, LLC

2965 218 Central Ave

Grant, NE 69140

(308) 352-4511

10/25/2017

Greater Nebraska Home Infusion

Mark R. & Cindy J. Lobeda

3129 2604 St Patrick Ave Ste 2

Grand Island, NE 68803

(308) 398-4663

05/29/2014

HYVACS, LLC dba Hy-Vee Pharmacy Solutions

Hy-Vee, Inc

3010 10004 S 152nd St Ste C

Omaha, NE 68138

(402) 861-4938

08/27/2009

Haeberle's Grand Central Pharmacy

B&R Stores, Inc

2846 7 W 25th St

Kearney, NE 68847

(308) 237-2545

06/28/1996

Hasselbalch Pharmacy

Michael M Wendt

2289 143 S 3rd St

Tecumseh, NE 68450

(402) 335-3303

06/01/1986

Hays Pharmacy Inc

Hays Pharmacy Inc

1884 PO Box 29

706 W Main St

Alma, NE 68920(308) 928-2022

02/07/2018

Healing Gift Free Clinic

Healing Gift Free Clinic

3137 2665 Douglas St Rm 234

Omaha, NE 68131

(402) 341-7761

01/14/2014

Healing Gift Free Clinic Pharmacy

Kountze Memorial Evangelical Lutheran Church of Omaha

2994 2650 Farnam St Rm 213

Omaha, NE 68131

(402) 341-7761

03/31/2010

Health Mart Pharmacy - 15817

No Frills Pharmacy, LLC

2866 15817 CW Hadan Drive

Bennington, NE 68007

(402) 932-5556

08/07/2001

Healthmart Pharmacy - 238

No Frills Pharmacy, LLC

2480 238 S 8th St

Blair, NE 68008

(402) 426-9066

Page 12: Community Pharmacy Roster

OWNER NAMEFULL NAME

ISSUE DATE

LICENSE NO

ADDRESSTELEPHONE NUMBER

01/03/2017

Heart City Drug

One2One Valentine LLC

3112 265 N Main Street

Valentine, NE 69201

(308) 360-0873

03/19/2015

Heartland Veterinary Pharmacy

Heartland Veterinary Pharmacy LLC

3043 401 W 33rd Street

Hastings, NE 68901

(402) 463-2090

09/09/2014

Hematology & Oncology Consultants Pharmacy

Hematology & Oncology Consultants, PC

3029 6901 North 72nd Street Ste 2244

Omaha, NE 68122

(402) 572-3535

03/28/1991

Henderson Pharmacy

Donald Norris RP

2110 1060 N Main St

PO Box 711

Henderson, NE 683710711(402) 723-4475

01/07/2009

Hilltop Drugs Etc, Inc

Jami L Schmidt and Koryn E Koinzan

2821 108 W 11th St

Neligh, NE 68756

(402) 887-5551

10/02/2007

Hofmann Pharmacy

Nagengast Pharmacies, Inc.

2770 103 E 2nd St

PO Box 190

Tilden, NE 687810190(402) 368-5385

10/15/2008

Holcomb Pharmacy, PC

Mike Holcomb

2819 540 South 8th Ave

Broken Bow, NE 68822

(308) 872-5231

04/15/2008

Holdrege Pharmacy

OURS, Inc.

2796 516 W 14th Ave

PO Box 804

Holdrege, NE 68949(308) 995-5414

02/01/1994

Hy Vee Pharmacy No. 8

Hy Vee Food Store Inc

2017 747 N 132nd St

Omaha, NE 68154

(402) 493-3110

05/05/2008

Hy-Vee #2

Hy-Vee, Inc

2804 1601 N 84th St

Lincoln, NE 68505

(402) 467-5146

02/07/2008

Hy-Vee Drugstore Pharmacy (7062)

Hy-Vee, Inc.

2789 8404 N. 30th St

Omaha, NE 68112

(402) 451-8842

06/01/1985

Hy-Vee Food and Drug Center 4

Hy-Vee Food Stores Inc

1891 6001 Village Dr

Lincoln, NE 68516

05/01/1988

Hy-Vee Pharmacy #1

Hy Vee Food Stores Inc

1662 5150 Center

Omaha, NE 68106

(402) 553-4143

07/07/1997

Hy-Vee Pharmacy #1 (1460)

Hy-Vee Inc

2327 120 E Norfolk Ave

Norfolk, NE 68701

(402) 371-0610

09/26/1996

Hy-Vee Pharmacy #1387

Hy-Vee Inc

2305 5020 N 27th St

Lincoln, NE 68521

(402) 477-5099

Page 13: Community Pharmacy Roster

OWNER NAMEFULL NAME

ISSUE DATE

LICENSE NO

ADDRESSTELEPHONE NUMBER

07/12/2010

Hy-Vee Pharmacy #2

Hy-Vee, Inc

2873 14591 Stony Brook Blvd

Omaha, NE 68137

(402) 697-0928

07/02/1997

Hy-Vee Pharmacy #2 (1461)

Hy-Vee Inc

2325 2107 Taylor Ave

Norfolk, NE 68701

(402) 371-1300

06/29/1999

Hy-Vee Pharmacy #3 (1469)

Hy-Vee, Inc.

2403 8809 W Center St

Omaha, NE 68124

(402) 384-9085

05/20/1991

Hy-Vee Pharmacy #4

Hy Vee Food Stores Inc

2117 10808 Fort St

Omaha, NE 68164

(402) 493-2323

09/01/1998

Hy-Vee Pharmacy #5 (1390)

Hy-Vee, Inc.

2383 7151 Stacy Ln

Lincoln, NE 68516

(402) 489-0588

09/12/1997

Hy-Vee Pharmacy #5 (1470)

Hy-Vee Inc

2336 7910 Cass St

Omaha, NE 68114

(402) 384-8767

08/18/1989

Hy-Vee Pharmacy #6

Hy-Vee Food Stores Inc

2049 9707 Q St

Omaha, NE 68127

(402) 339-3054

01/12/2011

Hy-Vee Pharmacy #7062 (LTC)

Hy-Vee, Inc.

2895 8404 N 30th St, Suite 100

Omaha, NE 68112

(402) 451-8843

05/16/2006

Hy-Vee Pharmacy (1078)

Hy-Vee, Inc., Owner

2702 3010 23rd Street

Columbus, NE 68601

(402) 563-4524

03/18/2005

Hy-Vee Pharmacy (1474)

Hy-Vee, Inc.

2635 3410 N 156th Street

Omaha, NE 681162020

(402) 445-6109

05/23/2007

Hy-Vee Pharmacy (1514)

Hy-Vee, Inc.

2755 11650 South 73rd Street

Papillion, NE 68046

(402) 597-5056

03/12/2003

Hy-Vee Pharmacy (1620)

Hy-Vee, Inc.

2520 2501 Cornhusker Plz

South Sioux City, NE 68776

(402) 494-3021

12/30/2003

Hy-Vee Pharmacy-#1472

Hy-Vee, Inc.

2588 17810 Welch Plaza

Omaha, NE 68135

(402) 896-4168

01/24/2005

Hy-Vee Pharmacy-1185

Hy-Vee, Inc.

2631 840 E 23rd St

Fremont, NE 68025

(402) 753-2460

01/07/2009

Hy-Vee, Inc dba Hy-Vee #1385

Hy-Vee, Inc

2824 5010 O Street

Lincoln, NE 68510

(402) 483-7707

Page 14: Community Pharmacy Roster

OWNER NAMEFULL NAME

ISSUE DATE

LICENSE NO

ADDRESSTELEPHONE NUMBER

01/26/2012

Hy-Vee, Inc dba Hy-Vee Pharmacy #1478

Hy-Vee, Inc

2916 1000 S 178th St

Omaha, NE 68118

(402) 334-4922

07/03/2014

Hy-Vee, Inc. dba Hy-Vee Pharmacy #1323

Hy-Vee, Inc.

3014 5212 3rd Ave

Kearney, NE 68845

(308) 236-0022

01/14/2014

Hy-Vee, Inc. dba Hy-Vee Pharmacy #1527

Hy-Vee, Inc.

2995 16418 Westside Dr

Plattsmouth, NE 68048

(402) 296-6900

04/18/2008

Hy-vee, Inc. dba Hy-Vee 1221

Hy-vee, Inc.

2801 115 Wilmar Ave

Grand Island, NE 68803

(308) 381-0328

07/05/2016

Hyrum's Family Value Pharmacy

Hyrum Wilson

3093 2115 14th Street Ste 201

Auburn, NE 68305

(402) 274-2552

03/29/2007

Infusion Therapy Specialists Inc dba BioScrip Infusion Services

InfuScience

2743 8710 F St Ste 118

Omaha, NE 68127

(402) 397-8330

12/07/2017

Integrated HMO Pharmacy

Pharmaceutical Technologies, Inc (legal name) Diplomat Pharmacy, Inc (Parent Company)

3136 13660 California St

Omaha, NE 68154

(402) 965-8035

11/02/2007

Integrated HMO Pharmacy Services

Pharmaceutical Technologies Inc

2773 13660 California Street

Omaha, NE 68154

(402) 965-8035

10/01/2002

Jefferson Comm Health Ctr Pharmacy

Jefferson Co Mem Hospital Inc Owner

2505 2200 H St

Box 277

Fairbury, NE 68352(402) 729-3351

12/01/1969

Johnson Pharmacy

Johnson Pharmacy Inc.

1043 151 Maple

Friend, NE 68359

(402) 947-2341

05/06/1992

Keith's Drive-In Drug

Keith's Drive-In Drugs Inc

2152 500 N Hastings

Hastings, NE 68901

(402) 462-2517

05/06/1992

Keith's Medical Park Pharmacy

Keith's Drive-In Drugs, Inc

2153 2115 N Kansas Ave

Suite 101

Hastings, NE 68901(402) 463-0515

05/01/1984

Keller Pharmacy

Virginia Keller Owner

1433 119 E 3rd St

PO Box 365

Ponca, NE 68770(402) 755-2216

08/17/2006

Ken's U-Save Pharmacy

BKM, Inc

2709 1302 Linden Ave

Crete, NE 68333

(402) 826-3784

07/03/2014

Kex Rx Pharmacy & Home Care

Kex Rx Falls City, LLC dba Kex Rx Pharmacy & Home Care

3012 120 E 18th St

Falls City, NE 68355

(402) 245-2029

Page 15: Community Pharmacy Roster

OWNER NAMEFULL NAME

ISSUE DATE

LICENSE NO

ADDRESSTELEPHONE NUMBER

01/26/2010

Kohll's Pharmacy & Homecare

Kohll's Pharmacy & Homecare Inc

2860 622 N 114th St

Omaha, NE 68154

(402) 408-0012

01/09/1995

Kohll's Pharmacy & Homecare

Kohll's Pharmacy & Homecare Inc Own

2232 1413 S Washington St

Suite 110

Papillion, NE 68046(402) 331-8632

02/17/2015

Kohll's Pharmacy & Homecare

Kohll's Pharmacy & Homecare, Inc.

3037 800 N 27th St

Lincoln, NE 68503

(402) 476-3341

01/09/1995

Kohll's Pharmacy & Homecare

Kohll's Pharmacy & Homecare Inc

2234 2923 Leavenworth St

Omaha, NE 68105

(402) 342-6547

09/18/2003

Kohll's Pharmacy & Homecare

Kohll's Pharmacy & Homecare, Inc.

2574 12739 Q Street

Omaha, NE 68137

(402) 895-3101

05/01/1997

Kohll's Pharmacy & Homecare

Kohll's Pharmacy & Homecare Inc

2317 5000 Dodge St

Omaha, NE 68132

(402) 553-8900

05/18/2007

Kohll's/RxMPSS

Kohll's Pharmacy & Homecare

2750 5110 L Street

Omaha, NE 68117

(402) 733-2000

11/14/1995

Korbel Drug Inc

Maria Campos Burkley

2261 405 Fifth St

Fairbury, NE 68352

(402) 729-3104

06/11/1997

Kubat Custom Health Care Inc

Kubat Custom Health Care Inc

2323 4924 Center St Ste A1

Omaha, NE 68106

(402) 558-2474

01/04/2007

Kubat Pharmacy

Matthew and Michael Kubat

2738 2401 N Street

Omaha, NE 68107

(402) 731-4333

01/31/2008

Kubat Pharmacy

Matthew and Michael Kubat

2785 350 W 23rd St Ste E

Fremont, NE 68025

(402) 727-4044

10/13/2009

Kubat Pharmacy, Inc.

Matthew R & Michael A Kubat

2851 4924 Center Street

Omaha, NE 68106

(402) 558-8888

01/04/1999

LT Pedley Drug

Innovative Pharmacists, Inc.

2394 419 N Colorado

Minden, NE 68959

(308) 832-2815

07/05/2017

Lambert's Family Pharmacy

Lambert's Family Pharmacy, LLC

3123 814 N 1st Street

P O Box 909

Gibbon, NE 68840(308) 227-1784

03/10/2003

Lincoln Regional Center Pharmacy

Lincoln Regional Center

2517 801 W Prospector Pl

Lincoln, NE 68522

(402) 479-5343

Page 16: Community Pharmacy Roster

OWNER NAMEFULL NAME

ISSUE DATE

LICENSE NO

ADDRESSTELEPHONE NUMBER

07/30/2007

Lincoln Treatment Center, LLC

Riverwood Group, LLC

2764 4305 O Street

Lincoln, NE 68510

(402) 488-2122

02/03/2006

Louderback Drug

Louderback Drug of Madison, Inc.

2671 201 S Main St PO Box 389

Madison, NE 68748

(402) 454-2525

07/25/2014

Loup City Rx Shoppe

Michael Blaha, Michelle Weber, Kasi Bodyfield

3020 133 S 7th St

Loup City, NE 68853

(308) 745-2109

05/21/2003

Madonna Rehabilitation Hospital

Madonna Rehabilitation Hosp

2547 5401 South St

Lincoln, NE 68506

(402) 483-9575

02/15/2011

Magdol, P.C. dba Seven Valleys Health Mart

Magdol, P.C.

2897 200 E Pacific

PO BOX 220

Callaway, NE 68825(308) 836-2219

01/09/2006

Main Street Apothecary

Patefield Enterprises Inc.

2666 201 East 2nd Street Box 515

Laurel, NE 68745

(402) 256-3511

11/29/2012

Manion's Drug Store

Steffen Drug, Inc.

2940 719 Main St

PO BOX 85

Creighton, NE 68729(402) 358-3535

12/11/2003

Mark's Pharmacy-Cambridge

Poniday, LLC

2586 624 Patterson

PO Box 117

Cambridge, NE 69022(308) 697-3400

10/01/2002

Mary Lanning Memorial Hospital (nursing support)

Mary Lanning Mem Hospital Assn

2504 715 N St Joseph

Hastings, NE 68901

(402) 461-5138

02/02/2004

Medicap Pharmacy

Jammal Pharms, Inc

2591 2706 2nd Ave Ste A

Kearney, NE 68847

(308) 234-8056

04/08/2005

Medicap Pharmacy

D & S Pharmacy Inc.

2636 2555 Kensington Dr

Lincoln, NE 68521

(402) 435-4800

08/08/1989

Medicine Man Pharmacy

BP Inc

2047 715 N 132nd St

Omaha, NE 68154

(402) 496-9757

02/19/2016

Meds & More, Inc.

Meds & More, Inc.

3077 1226 West Pasewalk Ave

Norfolk, NE 68701

(402) 371-6673

02/28/2008

Methodist Estabrook Cancer Center Pharmacy

Nebraska Methodist Hospital

2793 8303 Dodge Street

Omaha, NE 68114

(402) 354-4492

03/13/2003

Methodist Home Health

Nebraska Methodist Hospital

2522 8303 Dodge St

Omaha, NE 68114

(402) 354-3200

Page 17: Community Pharmacy Roster

OWNER NAMEFULL NAME

ISSUE DATE

LICENSE NO

ADDRESSTELEPHONE NUMBER

09/24/2013

Midland Vet Services Pharmacy

Jeff Kenkel

2980 11722 Stonegate Cir

Omaha, NE 68164

(402) 330-9483

09/24/2008

Midwest LTC Pharmacy

Bens' Drug Store, Inc

2817 3003 Frontage Road, Suite #2

Grand Island, NE 68803

(308) 398-0538

08/30/2013

Midwest Surgical Hospital Pharmacy

Midwest Surgical Hospital, LLC

2970 7915 Farnam Dr

Omaha, NE 68114

(402) 399-1975

03/15/2001

Milford Valu-Rite Pharmacy

Wyola, Inc.

2456 610 1st St

PO Box 706

Milford, NE 68405(402) 761-2222

04/21/2015

Miller Pharmacy Specialties

Miller Pharmacy Inc

3046 1900 E Military Ave Ste 216

Fremont, NE 68025

(402) 721-1177

07/01/1999

Moore Compounding Pharmacy

C.M. Pharmacy, LLC

2406 2029 N Lincoln Ave

York, NE 68467

(402) 362-4603

08/07/2014

Moser's U-Save Pharmacy

Robert Moser, INC

3022 1821 S 11th Street

Nebraska City, NE 68410

(402) 873-3397

11/06/2012

Mueri Drug

Michael J Mueri

2929 544 Seward St

Seward, NE 68434

(402) 643-3332

09/04/2014

NCS Outpatient Pharmacy

Oncology Hematology West PC

3027 17201 Wright Street Suite 200

Omaha, NE 68130

(402) 691-5102

08/28/2003

Nebraska Department of Correctional Services Pharmacy

State of Nebraska

2572 2620 W Van Dorn Street

Lincoln, NE 68522

(402) 471-7805

11/01/2013

Nebraska LTC Pharmacy

Nebraska LTC Pharmacy Inc

2989 4300 S 48th St Suite 5

Lincoln, NE 68516

(402) 328-0231

08/30/2004

Nebraska Long Term Care LLC

Deines Pharmacy, Inc

2607 910 Court St

Suite D

Beatrice, NE 68310(402) 223-4779

01/11/2017

Nebraska Medicine Pharmacy at Lauritzen Outpatient Center

The Nebraska Medical Center

3114 4014 Leavenworth Street

Omaha, NE 68198

(402) 552-7999

04/02/2003

Nebraska Methodist Hospital

Nebraska Methodist Hospital Owner

2527 8303 Dodge St

Omaha, NE 68114

(402) 354-4334

07/05/2017

Nebraska Orthopaedic Hospital Retail Pharmacy

Outlook, LLC & Nebraska Medicine

3122 2808 S 143rd Plz

Omaha, NE 68144

(402) 609-3344

Page 18: Community Pharmacy Roster

OWNER NAMEFULL NAME

ISSUE DATE

LICENSE NO

ADDRESSTELEPHONE NUMBER

10/16/2015

Neighborhood LTC Pharmacy

Neighborhood LTC Pharmacy Inc

3063 5115 S 111th St

Omaha, NE 68137

(402) -98-3-9600

07/25/2014

Neighborhood LTC Pharmacy

Neighborhood LTC Pharmacy Inc

3019 5625 O Street Ste 101

Lincoln, NE 68510

(402) 488-1184

07/20/2010

Nein Pharmacy

J & J Nein, LLC

2880 1012 Main Street

PO Box 141

Bridgeport, NE 69336(308) 262-1070

10/28/1988

Norfolk Regional Center Pharmacy

Norfolk Reg Center/St Of NE Owner

1298 1700 N Victory Rd PO Box 1209

Norfolk, NE 68702

(402) 370-3318

11/15/2001

Norfolk Veterans Home Pharmacy

State of Nebraska

2488 600 E Benjamin Ave

Norfolk, NE 687020409

(402) 370-4465

10/01/2002

North Platte NE Hosp Corp DBA Great Plains Health

North Platte NE Hosp Corp Inc

2503 601 W Leota

Box 1167

North Platte, NE 69103(308) 535-7445

07/13/2015

Northeast Nebraska LTC

Vital Care Pharmacy of Norfolk, Inc.

3050 120 N 27th St Ste 200

Norfolk, NE 68701

(402) 371-0172

01/03/2017

O'Neill Family Pharmacy

O'Neill Family Pharmacy Inc

3111 317 E Douglas Street

Oneill, NE 68763

(402) 336-2660

07/02/2007

Omaha Treatment Center

Riverwood Group, LLC

2759 11215 John Galt Blvd

Omaha, NE 68137

(402) 592-5900

05/17/2013

Omnicare of Nebraska

Omnicare of Nebraska, LLC

2955 8402 S 117th St Ste 300 & 400

La Vista, NE 68128

(800) 362-6237

03/10/2010

One World Community Health Center Inc.

One World Community Health Center Inc.

2862 4920 S 30th St, Suite 105

Omaha, NE 68107

(402) 502-5832

01/04/2006

Option Care

Option Care Enterprises, Inc

2664 10924 John Galt Blvd

Omaha, NE 68137

(402) 331-0980

12/02/2004

Option Care

Option Care Enterprises, Inc.

2626 4401 S 70th Suite 2

Lincoln, NE 68516

(402) 423-1333

08/07/2014

Pac N' Save Discount Pharmacy

D & L Rx Inc.

3024 1519 W HWY 34 Ste 1

Seward, NE 68434

(402) 643-2918

01/01/1978

Petersen Drug

Petersen Drug Inc Owner

1310 302 Main St

Chadron, NE 69337

(308) 432-2400

Page 19: Community Pharmacy Roster

OWNER NAMEFULL NAME

ISSUE DATE

LICENSE NO

ADDRESSTELEPHONE NUMBER

10/01/1981

Petes Pharmacy

Petes Pharmacy Inc

1425 643 G St

Pawnee City, NE 68420

(402) 852-2321

09/19/2003

PharMerica Pharmacy

Pharmacy Corporation of America

2575 6528 S 118th St

Omaha, NE 68137

(888) 895-7133

09/17/2013

Pharmacy Solutions

Pharmacy Solutions, Inc

2975 5750 Hidcote Dr

Lincoln, NE 68516

(402) 486-3383

03/10/2003

Plainview Pharmacy

Plainview Pharmacy, Inc.

2518 103 S Main St

PO Box 129

Plainview, NE 68769(402) 582-4202

03/01/1984

Poling Drug

William Michael Holley

1813 711 E Court

Beatrice, NE 68310

(402) 223-3529

07/12/2010

Precision Compounding Pharmacy Inc.

Nancy Johnson and Jodi Block

2872 15722 W Center Rd

Omaha, NE 68130

(402) 932-6373

10/16/1992

Priefert Pharmacy

Priefert Pharmacy Inc Owner

2164 428 Lincoln Ave

Hebron, NE 68370

(402) 768-6319

04/05/2007

Promesa Health Pharmacy

Promesa Health, Inc

2748 10815 Old Mill Road

Omaha, NE 68154

(877) 234-4409

01/04/2008

Quantum Med Pharmacy

Systems Healthcorp, Inc

2783 3744 S. 132nd St

Omaha, NE 68144

(402) 339-4036

07/13/2015

Redler's LTC Pharmacy, LLC

Troy Redler, PharmD

3053 13831 Chalco Valley Pkwy #101

Omaha, NE 68138

(402) 592-5244

11/22/2017

Redline Pharmacy Solutions LLC

Timothy and Hilarie Redline

3135 2415 Osborne Dr. East Ste 100

Hastings, NE 68901

(402) 462-2929

09/27/2002

Regional West Medical Center

Regional West Medical Center

2498 4021 Ave B

Scottsbluff, NE 69361

(308) 630-1262

02/27/2015

Reimer Pharmacy

Reimer Pharmacy, LLC

3041 312 Broadway St

PO Box 460

Fullerton, NE 68638(308) 536-2641

07/23/2012

RelyCare LTC Pharmacy Bellevue

Your Hometown Pharmacy, Inc

2927 2227 Thurston Cir

Bellevue, NE 68005

(402) 991-7283

09/18/2013

RelyCare LTC Pharmacy Lincoln

ExtendCare the pharmacy, Inc

2978 1219 North Cotner Blvd

Lincoln, NE 68505

(402) 466-6083

Page 20: Community Pharmacy Roster

OWNER NAMEFULL NAME

ISSUE DATE

LICENSE NO

ADDRESSTELEPHONE NUMBER

02/02/2004

RelyCare Pharmacy Lincoln

Osie, Inc.

2590 1221 N Cotner Blvd Ste 1

Lincoln, NE 68505

(402) 466-6082

05/15/2013

Rock County Pharmacy

Rock County Hospital

2954 801 S State St

Bassett, NE 68714

(402) 684-2906

07/01/1977

Rons Pharmacy

Ronald J Karmazin RP

1477 537 W Gage St

PO Box 307

Blue Hill, NE 68930(402) 756-3811

08/01/1997

Russ's Market Pharmacy

B and R Stores Inc

2330 4400 S 33rd St Court

Lincoln, NE 68516

(402) 421-1333

03/16/2016

Russ's Market Pharmacy

B & R Stores Inc

3082 130 N 66th St

Lincoln, NE 68505

(402) 325-0254

10/15/2014

Russ's Market Pharmacy #7

B&R Stores Inc

3032 611 N Burlington Ave

Hastings, NE 68901

(402) 463-3574

06/17/1991

Russ's Pharmacy

B & R Stores Inc

2121 1709 Washington St

Lincoln, NE 68502

(402) 474-2102

10/01/2001

Russ's Pharmacy #21

B & R Stores, Inc.

2484 1550 S Coddington

Lincoln, NE 68522

(402) 435-8241

05/23/2017

Rx Express Pharmacy

USPRX, Inc

3121 402 North Jeffers Street

North Platte, NE 69101

(308) 532-7010

09/09/2016

RxSolutions

JSK LLC

3103 1225 Golden Gate Drive

Papillion, NE 68046

(402) 502-6511

06/15/2016

Safeway Pharmacy #0549

Safeway Inc

3089 500 E Third St

Alliance, NE 69301

(308) 762-1258

03/22/2016

Safeway Pharmacy #0556

Safeway Inc

3084 601 Broadway

Scottsbluff, NE 69361

(308) 635-1444

03/22/2016

Safeway Pharmacy #0557

Safeway Inc

3083 611 N Spruce St

Ogallala, NE 69153

(308) 284-3670

05/03/2016

Safeway Pharmacy #2555

Safeway Inc

3085 1944 Illinois Street

Sidney, NE 69162

(308) 254-1157

06/15/2016

Safeway Pharmacy #2563

Safeway Inc

3090 230 Morehead

Chadron, NE 69337

(308) 432-2070

Page 21: Community Pharmacy Roster

OWNER NAMEFULL NAME

ISSUE DATE

LICENSE NO

ADDRESSTELEPHONE NUMBER

11/29/2012

Sam's Club Pharmacy 10-4873

Wal-Mart Stores Inc

2941 8480 Andermatt Dr

Lincoln, NE 68526

(402) 975-6908

10/17/2014

Sam's Pharmacy 10-6181

Sam's West, Inc., owner

3033 9851 S 71st Plz

Papillion, NE 68133

(402) 331-0615

07/16/2001

Sam's Pharmacy 10-6413

Sam's West, Inc., Owner

2475 4900 N 27th St

Lincoln, NE 68521

(402) 438-3015

09/17/2004

Sam's Pharmacy 10-8146

Sam's West Inc.

2611 13130 L Street

Omaha, NE 68137

(402) 334-3496

01/20/2016

Saunders Medical Center LTC

Kevin Stange, PIC

3065 1760 County Road J

Wahoo, NE 68066

(402) 443-4191

03/04/2014

Sav-Rx Pharmacy

A & A Drug Co

2996 1612 N Bell St

Fremont, NE 68025

(402) 721-7634

03/04/2014

Sav-Rx Pharmacy

A & A Drug Co

2997 224 N Park Ave

Fremont, NE 68025

(402) 753-2800

02/19/2016

Schuyler Pharmacy

Vogt Pharmacies Inc

3076 122 W 16th PO Box 351

Schuyler, NE 68661

(402) 352-3020

09/02/2016

Scribner Drugstore

Midwest Health Innovations, LLC

3102 416 Main Street

Scribner, NE 68057

(402) 664-3133

10/01/1972

Service Drug Store

Paul H McGinnis

1268 133 E 8th St

Cozad, NE 69130

(308) 784-2238

07/02/1990

Seward Family Pharmacy

Memorial Health Care Systems

2083 250 N Columbia Avenue

Seward, NE 68434

(402) 646-4607

04/17/2013

ShopKo Pharmacy #2658

ShopKo Stores Operating Co., LLC

2945 123 N 24th St

Beatrice, NE 68310

(402) 223-2240

05/31/2013

ShopKo Pharmacy #2659

ShopKo Stores Operating Co., LLC

2957 2410 Dahlke Ave

Auburn, NE 68305

(402) 274-2434

05/31/2013

ShopKo Pharmacy #2660

ShopKo Stores Operating Co., LLC

2956 930 Main Ave

Crete, NE 68333

(402) 826-2996

04/17/2013

ShopKo Pharmacy #2661

ShopKo Stores Operating Co., LLC

2944 500 Plaza Dr

West Point, NE 68788

(402) 372-5655

Page 22: Community Pharmacy Roster

OWNER NAMEFULL NAME

ISSUE DATE

LICENSE NO

ADDRESSTELEPHONE NUMBER

05/31/2013

ShopKo Pharmacy #2662

ShopKo Stores Operating Co., LLC

2958 211 S 23rd St

Plattsmouth, NE 68048

(402) 296-6253

05/13/2013

ShopKo Pharmacy #2670

ShopKo Stores Operating Co., LLC

2950 615 Dearborn St

Wayne, NE 68787

(402) 375-2079

05/14/2013

ShopKo Pharmacy #2672

ShopKo Stores Operating Co,. LLC

2951 404 E HWY 20

Oneill, NE 68763

(402) 336-2000

08/16/2013

ShopKo Pharmacy #2673

ShopKo Stores Operating Co., LLC

2964 1511 E 4th St

Ainsworth, NE 69210

(402) 387-1533

10/31/2013

ShopKo Pharmacy #2690

ShopKo Stores Operating Co., LLC

2981 1533 Burlington St

Holdrege, NE 68949

(308) 995-2075

10/31/2013

ShopKo Pharmacy #2692

ShopKo Stores Operating Co., LLC

2982 1150 E 3rd St

PO BOX 6

Superior, NE 68978(402) 879-4811

10/31/2013

ShopKo Pharmacy #2695

ShopKo Stores Operating Co., LLC

2984 PO BOX 383

2353 South E St

Broken Bow, NE 68822(308) 872-6818

05/14/2013

ShopKo Pharmacy #2698

ShopKo Stores Operating Co., LLC

2953 718 4th St

Gothenburg, NE 69138

(308) 537-4334

03/08/2006

Shopko Pharmacy #2038

Shopko Stores Operating Co., LLC

2676 2208 N Webb Rd

Grand Island, NE 68803

(308) 382-6744

03/08/2006

Shopko Pharmacy #2039

Shopko Stores Operating Co., LLC

2677 4200 S 27th St

Lincoln, NE 68502

(402) 421-2444

03/08/2006

Shopko Pharmacy #2045

Shopko Stores Operating Co., LLC

2679 601 Galvin Rd S

Bellevue, NE 68005

(402) 293-1845

03/08/2006

Shopko Pharmacy #2047

Shopko Stores Operating Co., LLC

2681 100 S 66th St

Lincoln, NE 68510

(402) 489-7148

10/20/2006

Shopko Pharmacy #2048

Shopko Stores Operating Co., LLC

2724 2005 Krenzien St

Norfolk, NE 68701

(402) 379-4380

03/08/2006

Shopko Pharmacy #2053

Shopko Stores Operating Co., LLC

2682 510 E Philip Ave

North Platte, NE 69101

(308) 534-7353

03/08/2006

Shopko Pharmacy #2056

Shopko Stores Operating Co., LLC

2683 14445 W Center Rd

Omaha, NE 68144

(402) 333-6930

Page 23: Community Pharmacy Roster

OWNER NAMEFULL NAME

ISSUE DATE

LICENSE NO

ADDRESSTELEPHONE NUMBER

08/17/2006

Shopko Pharmacy #2175

Shopko Stores Operating Co., LLC

2708 6845 S 27th St

Lincoln, NE 68512

(402) 420-1199

07/25/2014

Shopko Pharmacy #2523

ShopKo Stores Operating Co., LLC

3018 525 E HWY 20

Valentine, NE 69201

(402) 376-3531

11/26/2012

Shopko Pharmacy #2704

ShopKo Stores Operating Co., LLC

2930 1300 Stone St

Falls City, NE 683552657

(402) 245-5282

07/07/2008

Soleo Health

Biomed Kansas, Inc.

2811 7915 L Street

Omaha, NE 68127

(402) 932-0881

12/03/1990

Sonnys Pharmacy

Alex & Yvonne Schmunk Inc

2093 PO Box 1058 310 N Main

Bridgeport, NE 69336

(308) 262-0580

04/07/2010

Southeast Nebraska Hematology and Oncology Consultants, PC

Southeast Nebraska Hematology and Oncology PC

2868 201 S 68 St Pl Ste 200

Lincoln, NE 685102496

(402) 420-7000

11/02/2017

Spalding Pharmacy

Friendly Neighbor Healthcare, LLC

3134 230 W. St Joseph St

Spalding, NE 68665

(308) 497-2250

06/01/1977

Springfield Drug

Keith & Rose Hentzen Owner

1470 205 Main St

PO Box 130

Springfield, NE 68059(402) 253-2000

05/21/2003

St Francis Mem Hlth Center

St Francis Medical Center Owner

2555 ATTN: Pharmacy

2116 W Faidley

PO Box 9804

Grand Island, NE 68803(308) 398-6569

06/07/1999

Steffen Drug Store

Steffen Drug, Inc.

2402 214 N Broadway PO Box 248

Hartington, NE 687390248

(402) 254-3549

09/04/1990

Steier Pharmacy Inc

Steier Pharmacy Inc

2090 6828 N 72nd St #2160

Omaha, NE 68122

(402) 571-6868

07/25/2014

Stockmen's Drug

MDSLC, Inc

3021 116 N Main Street

Gordon, NE 69343

(308) 282-1114

03/01/2000

Stockwell Pharmacy

Schmit Pharmacy, Inc., Owner

2423 3811 S 27th St

Lincoln, NE 68502

(402) 423-8588

10/12/1988

Super Saver Pharmacy

B & R Stores Inc

2020 2662 Cornhusker Highway

Lincoln, NE 68521

(402) 466-7775

10/04/1999

Super Saver Pharmacy #17

B & R Stores, Inc.

2413 2525 Pine Lake Rd

Lincoln, NE 68512

(402) 420-8269

Page 24: Community Pharmacy Roster

OWNER NAMEFULL NAME

ISSUE DATE

LICENSE NO

ADDRESSTELEPHONE NUMBER

02/22/1999

Super Saver Pharmacy #18

B & R Stores, Inc

2396 3318 23rd St

Columbus, NE 68601

(402) 563-3349

07/02/2004

Super Saver Pharmacy #20

B & R Stores, Inc.

2599 5710 S 144th St

Omaha, NE 68137

(402) 895-5644

08/21/2013

Super Saver Pharmacy #27

B&R Stores, Inc

2967 840 Fallbrook Blvd

Lincoln, NE 68521

(402) 464-6297

08/10/2016

Super Saver Pharmacy #28

B&R Stores, Inc

3096 710 W State St

Grand Island, NE 68801

(308) 398-0940

11/18/2003

Super Saver Pharmacy #4

B & R Stores, Inc.

2582 233 N 48th St

Lincoln, NE 68504

(402) 464-8822

08/12/2003

Superior Pharmacy

Superior Pharmacy Inc.

2567 348 N Central Ave

PO Box 308

Superior, NE 68978(402) 879-4234

07/20/2010

Sutton Pharmacy

Sutton Pharmacy, LLC

2876 210 N Saunders Ave

Sutton, NE 68979

(402) 773-4300

08/21/2013

Svanda Healthmart Pharmacy

Svanda Pharmacy, Inc.

2966 314 Grand Ave

Ravenna, NE 68869

(308) 452-3672

09/01/1977

Syracuse Town & Country Pharmacy, Inc.

Syracuse Town & Country Pharmacy Inc

1480 448 5th St

PO Box 220

Syracuse, NE 68446(402) 269-2001

01/09/2002

TCHS Pharmacy

Thayer County Health Services, Owner

2492 120 Park Ave

Hebron, NE 68370

(402) 768-4611

08/16/2016

Tekamah Drug Company

Bailey Drug Inc.

3098 410 South 13th Street

P O Box 9

Tekamah, NE 68061(402) 374-2500

07/03/2014

The Apothecary Shop

The Pender Care Centre District, Inc

3011 100 Valley View Dr

Pender, NE 68047

(402) 385-3350

07/12/2010

The Nebraska Medical Center Bellevue Pharmacy

The Nebraska Medical Center

2874 2510 Bellevue Medical Center Drive,

Suite 100

Bellevue, NE 68123(402) 595-1156

10/23/1997

The Nebraska Medical Center Clinic Pharmacy

The Nebraska Medical Center

2340 989200 Nebraska Medical Center

Omaha, NE 681989200

(402) 559-5215

04/23/1997

The Osmond Pharmacy

Scott and Debbie Taylor

2315 322 State St

PO Box 36

Osmond, NE 68765(402) 748-3708

Page 25: Community Pharmacy Roster

OWNER NAMEFULL NAME

ISSUE DATE

LICENSE NO

ADDRESSTELEPHONE NUMBER

07/24/2015

Think Aksarben Pharmacy, LLC

Think Aksarben Pharmacy, LLC

3056 7100 W Center Rd

Omaha, NE 68106

(402) 506-9010

08/05/2015

Tigers Pharmacy Inc dba Benkelman Pharmacy

Tigers Pharmacy Inc

3059 509 Chief St

Benkelman, NE 69021

(308) 423-2759

07/01/1993

Tom's Rexall Drug

Epe Inc

2183 124 N Main

West Point, NE 68788

(402) 372-2108

05/01/1971

Tooley Drug Co

Tooley Drug Company

1147 2615 13th St

Columbus, NE 68601

(402) 564-7205

10/14/2014

Tooley's Osceola Pharmacy

Tooley Drug Co

3031 415 Hawkeye Street

Osceola, NE 68651

(402) 747-8994

01/26/2012

Tooleys Clinic Pharmacy

Tooley Drug Company

2917 4306 38th St

Columbus, NE 68601

(402) 562-8627

11/28/2012

Tower Pharmacy Express #7

Pharmacy Express Services Inc

2935 349 N 78th St

Omaha, NE 68114

(402) 932-8709

10/25/2017

Trav's U-Save Pharmacy

Balynor Inc

3130 1414 16th Street

Central City, NE 68826

(308) 946-3859

03/16/2017

U Save Pharmacy Cozad

TGSC Ventures LLC

3117 312 W 8th Street

Cozad, NE 69130

(308) 784-3500

07/13/2015

U Save Pharmacy GI Clinic

U Save Pharmacy Inc

3052 2444 W Faidley Ave

Grand Island, NE 68803

(308) 389-4282

08/30/2013

U Save Pharmacy Gretna

U Save Pharmacy Inc

2969 611 N HWY 6

PO Box 99

Gretna, NE 68028(402) 332-5990

11/30/2015

U Save Pharmacy Lex

U Save Dawson County LLC

3064 603 N Washington

Lexington, NE 68850

(308) 324-6325

09/16/2013

U Save Pharmacy Ogallala

USPRX INC

2973 23 N Spruce St

Ogallala, NE 69153

(308) 284-2242

04/30/2014

U Save Pharmacy of Aurora Inc

U Save Pharmacy of Aurora Inc

3008 219 Q St

Aurora, NE 68818

(402) 694-3187

07/14/2016

U-Save Pavilion Pharmacy

North Platte Pavilion Pharmacy Inc

3094 611 W Francis Street Ste 130

North Platte, NE 69101

(308) 221-6993

Page 26: Community Pharmacy Roster

OWNER NAMEFULL NAME

ISSUE DATE

LICENSE NO

ADDRESSTELEPHONE NUMBER

04/26/2011

U-Save Pharmacy

U-Save Pharmacy Inc

2904 940 N 204th Ave Suite 270

Elkhorn, NE 68022

(402) 289-2576

12/28/2016

U-Save Pharmacy

U-Save Pharmacy Inc

3110 13851 Guildford St., Ste D

Waverly, NE 68462

(402) 786-0255

11/17/2009

U-Save Pharmacy

Westholl Inc.

2853 216 E 7th St

Wayne, NE 68787

(402) 375-2922

01/17/2009

U-Save Pharmacy

North Platte Pharmacy, Inc

2828 211 W Leota

North Platte, NE 69101

(308) 532-0310

12/03/2010

U-Save Pharmacy - 4th Street

U-Save Pharmacy, Inc

2892 423 W 4th St

Grand Island, NE 68801

(308) 384-7372

08/26/2011

U-Save Pharmacy Northwest

MCM Pharmacy Inc

2910 3224 W 13th St

Grand Island, NE 68803

(308) 384-9010

08/30/2013

U-Save Pharmacy South

Hamik Family Pharmacy Inc.

2972 2105 S Locust St

Grand Island, NE 68801

(308) 382-3784

09/20/2007

U-Save Pharmacy and Medical Supply

David H. Smith/Angela Langan, owners

2769 902 North Hwy 83

McCook, NE 69001

(308) 345-5670

07/13/2015

U-Save Pharmacy of Norfolk

U-Save Pharmacy of Norfolk, Inc

3051 1001 W Benjamin Ave

Norfolk, NE 68701

(402) 379-8728

09/16/1992

Unimed Pharmacy

Gerimed Inc

2157 7915 N 30th St

Omaha, NE 68112

(402) 827-6080

06/01/1981

University of Nebraska Health Center - Pharmacy

University of Nebraska Owner

1020 1500 U St

Lincoln, NE 685880618

(402) 472-7457

02/19/2008

Urban Clinic Pharmacy

Urban Clinic Pharmacy, Inc

2792 1760 County Rd J

Wahoo, NE 68066

(402) 443-1630

12/02/2008

VNA Home Infusion Therapy Company

Visiting Nurse Association of the Midlands

2820 12565 W Center Rd

Suite 100

Omaha, NE 68144(402) 930-4206

09/02/2016

Valley Pharmacy

Vogt Pharmacies Inc

3101 123 E Gardiner

Valley, NE 68064

(402) 359-2284

09/01/1980

Valley Pharmacy Inc

Valley Pharmacy, Inc.

1036 211 W 33rd St

Kearney, NE 68845

(308) 234-3300

Page 27: Community Pharmacy Roster

OWNER NAMEFULL NAME

ISSUE DATE

LICENSE NO

ADDRESSTELEPHONE NUMBER

05/05/2005

Varney Health Mart

Trijon, PC

2638 744 South E Street

PO Box 70

Broken Bow, NE 68822(308) 872-2321

04/04/2012

Vets First Choice

Vets First Choice, LLC

2924 5013 S 110th St

Omaha, NE 68137

(866) 356-6214opt4

07/30/2015

ViaRx

The Group Cato, LLC

3058 825 N 90th St

Omaha, NE 68114

(402) 614-6363

07/14/2015

Village Pharmacy of Red Cloud

Harris Apothecaries LLC

3054 317 N Webster St

Red Cloud, NE 68970

(402) 746-3335

08/27/2009

Vital Care Pharmacy of Norfolk, Inc.

Vital Care Pharmacy of Norfolk, Inc.

2844 120 N 27th St. Suite 200

Norfolk, NE 68701

(402) 371-3444

05/02/2003

Wahoo Pharmacy and Gifts

Vogt Pharmacies Inc

2535 526 N Linden St

Wahoo, NE 68066

(402) 443-4167

05/16/2006

Wal-Mart Pharmacy 10-1326

Wal-Mart Stores, Inc.

2700 2250 North Diers Ave

Grand Island, NE 68803

(308) 381-0337

07/05/2005

Wal-Mart Pharmacy 10-0350

Walmart Inc.

2644 101 East David Drive

York, NE 68467

(402) 362-2092

04/03/2007

Wal-Mart Pharmacy 10-0418

Walmart Inc.

2747 2831 Hwy 15

Fairbury, NE 68352

(402) 729-3755

09/01/1986

Wal-Mart Pharmacy 10-0598

Walmart Inc.

1939 5411 2nd Ave

Kearney, NE 68847

(308) 234-6681

07/02/2004

Wal-Mart Pharmacy 10-0637

Walmart Inc.

2601 200 Frontier St

Lexington, NE 68850

(308) 324-7437

03/06/1989

Wal-Mart Pharmacy 10-0645

Walmart Inc.

1843 2400 W Pasewalk Ave

Norfolk, NE 68701

(402) 371-6232

11/10/2005

Wal-Mart Pharmacy 10-0774

Walmart Inc.

2655 818 East 23rd Street

Columbus, NE 68601

(402) 563-4571

03/03/1995

Wal-Mart Pharmacy 10-0776

Walmart Inc.

2241 3010 E 23rd Ave N

Fremont, NE 68025

(402) 727-8772

09/01/1985

Wal-Mart Pharmacy 10-0790

Walmart Inc.

1893 1902 W B St

McCook, NE 69001

(308) 345-7024

Page 28: Community Pharmacy Roster

OWNER NAMEFULL NAME

ISSUE DATE

LICENSE NO

ADDRESSTELEPHONE NUMBER

04/01/2003

Wal-Mart Pharmacy 10-0867

Wal-Mart Stores Inc

2525 3322 Avenue I

Scottsbluff, NE 69361

(308) 632-3767

08/12/2005

Wal-Mart Pharmacy 10-0885

Wal-Mart Stores Inc

2649 1326 280th

Seward, NE 684347541

(402) 643-6611

10/12/2006

Wal-Mart Pharmacy 10-1332

Wal-Mart Stores Inc

2723 1601 Cornhuskers Drive

South Sioux City, NE 68776

(402) 494-8850

07/05/2005

Wal-Mart Pharmacy 10-1460

Wal-Mart Stores, Inc.

2646 3803 Osborne Dr West

Hastings, NE 68901

(402) 462-6100

12/06/1990

Wal-Mart Pharmacy 10-1585

Wal-Mart Stores Inc

2098 1401 S Dewey St

North Platte, NE 69101

(308) 532-5830

07/02/2004

Wal-Mart Pharmacy 10-1637

Wal-Mart Stores, Inc.

2598 6304 North 99th Street

Omaha, NE 68122

(402) 492-9349

01/04/2007

Wal-Mart Pharmacy 10-1671

Wal-Mart Store, Inc.

2737 8525 S 71st Street Plaza

Papillion, NE 68133

(402) 597-8982

04/02/1993

Wal-Mart Pharmacy 10-1943

Wal-Mart Stores Inc

2176 4700 N 27th St

Lincoln, NE 68521

(402) 438-4381

09/17/2013

Wal-Mart Pharmacy 10-2432

Wal-Mart Stores, Inc.

2976 2500 Jamie Lane

Lincoln, NE 68512

(402) 483-2518

01/13/1998

Wal-Mart Pharmacy 10-2579

Wal-Mart Stores Inc

2350 510 Linden St

Chadron, NE 69337

(308) 432-6995

12/15/1999

Wal-Mart Pharmacy 10-2784

Wal-Mart Stores, Inc., Owner

2419 3620 N 6th St

Beatrice, NE 68310

(402) 228-4594

12/28/2000

Wal-Mart Pharmacy 10-2847

Wal-Mart Stores, Inc.

2450 10504 S 15th St

Bellevue, NE 68123

(402) 292-0463

04/30/2014

Wal-Mart Pharmacy 10-3151

Wal-Mart Stores, Inc

3005 5018 Ames Ave

Omaha, NE 68104

(402) 970-9304

04/30/2014

Wal-Mart Pharmacy 10-3152

Wal-Mart Stores, Inc

3004 2451 N 90th St

Omaha, NE 68134

(402) 609-5275

09/17/2013

Wal-Mart Pharmacy 10-3153

Wal-Mart Stores, Inc.

2974 6710 S 167th St

Omaha, NE 68135

(402) 861-9839

Page 29: Community Pharmacy Roster

OWNER NAMEFULL NAME

ISSUE DATE

LICENSE NO

ADDRESSTELEPHONE NUMBER

06/18/2013

Wal-Mart Pharmacy 10-3154

Wal-Mart Stores Inc

2960 2109 Towne Center Dr

Bellevue, NE 68123

(402) 292-0060

09/24/2013

Wal-Mart Pharmacy 10-3172

Wal-Mart Stores Inc

2979 5051 L St

Omaha, NE 68117

(402) 734-8271

04/30/2014

Wal-Mart Pharmacy 10-3173

Wal-Mart Stores, Inc.

3006 9460 Giles Rd

La Vista, NE 68128

(402) 513-4214

04/04/2001

Wal-Mart Pharmacy 10-3267

Wal-Mart Stores, Inc.

2469 18201 Wright St

Omaha, NE 68130

(402) 330-3650

08/05/2003

Wal-Mart Pharmacy 10-3278

Wal-Mart Stores Inc.

2561 8700 Andermatt Drive

Lincoln, NE 68526

(402) 484-6342

11/10/2005

Wal-Mart Pharmacy 10-3395

Wal-Mart Stores, Inc.

2659 3501 S Locust St

Grand Island, NE 68801

(308) 381-5859

01/07/2009

Wal-Mart Pharmacy 10-3823

Wal-Mart Stores, Inc

2826 3400 N 85th St

Lincoln, NE 68507

(402) 466-0447

06/18/2013

Wal-Mart Pharmacy 10-4138

Wal-Mart Stores Inc

2961 13105 Birch Dr

Omaha, NE 68164

(402) 686-2058

03/29/2007

Wal-Mart Pharmacy 10-4209

Wal-Mart Stores, Inc

2742 2101 South 11th Street

Nebraska City, NE 68410

(402) 874-9093

07/05/2007

Wal-Mart Pharmacy 10-4322

Wal-Mart Stores, Inc

2760 1800 E 29th St

Crete, NE 68333

(402) 826-1032

01/07/2009

Wal-Mart Pharmacy 10-4358

Wal-Mart Stores, Inc

2825 1606 S 72nd St

Omaha, NE 68124

(402) 393-9560

04/04/2012

Wal-Mart Pharmacy 10-4568

Wal-Mart Stores, Inc.

2926 1882 Holly St

Blair, NE 68008

(402) 533-8288

11/16/2010

Wal-Mart Pharmacy 10-4600

Wal-Mart Stores, Inc.

2888 11350 Wickersham Blvd

Gretna, NE 68028

(402) 881-3687

01/13/2006

Wal-Mart Pharmacy 10-5141

Wal-Mart Stores, Inc.

2668 16960 West Maple Road

Omaha, NE 68116

(402) 289-9276

04/16/2004

Wal-Mart Pharmacy 10-5170

Wal-Mart Stores Inc.

2596 3001 Silverberg Drive

Sidney, NE 69162

(308) 254-9149

Page 30: Community Pharmacy Roster

OWNER NAMEFULL NAME

ISSUE DATE

LICENSE NO

ADDRESSTELEPHONE NUMBER

09/17/2004

Wal-Mart Pharmacy 10-5361

Wal-Mart Stores, Inc.

2613 12850 L Street

Omaha, NE 68137

(402) 697-1742

11/01/1979

Walgreen Co. dba Walgreens #03467

Walgreen Co.

1572 1515 W Second St

Grand Island, NE 68801

(308) 384-8290

04/27/1999

Walgreen Co. dba Walgreens #04772

Walgreen Co.

2400 3005 Lake St

Omaha, NE 68111

(402) 451-7201

02/01/1986

Walgreen Co. dba Walgreens #04974

Walgreen Co

1904 5038 Center St

Omaha, NE 68106

(402) 551-6205

02/24/2000

Walgreen Co. dba Walgreens #05190

Walgreen Co.

2422 2323 L St

Omaha, NE 68107

(402) 738-8061

01/01/1984

Walgreen Co. dba Walgreens #05540

Walgreen Co.

1614 6905 S 36th St

Bellevue, NE 681471231

(402) 734-7592

08/11/2003

Walgreen Co. dba Walgreens #06802

Walgreen Co

2564 15525 Spaulding Plaza

Omaha, NE 68116

(402) 408-1077

08/13/2003

Walgreen Co. dba Walgreens #07563

Walgreen Co.

2570 8989 W Dodge Rd

Omaha, NE 681143301

(402) 393-2029

05/18/2007

Walgreen Co. dba Walgreens #10408

Walgreen Co.

2754 4811 O Street

Lincoln, NE 68510

(402) 489-2235

12/19/2006

Walgreen Co. dba Walgreens #10437

Walgreen Co.

2732 5225 North 90th Street

Omaha, NE 681342831

(402) 408-0302

06/01/1987

Walgreen Drug Co

Walgreen Co

1250 7151 Cass St

Omaha, NE 68132

(402) 558-8551

06/01/1987

Walgreens

Walgreen Co

1133 9001 Blondo St

Omaha, NE 68134

(402) 393-8056

01/01/1985

Walgreens #00515

Walgreen Co.

1393 2600 S 48th St Ste 7

Lincoln, NE 68506

(402) 483-2834

03/01/1988

Walgreens #00541

Walgreen Co.

610 1301 O St

Lincoln, NE 68508

(402) 476-6898

11/10/2005

Walgreens #01162

Walgreen Co.

2654 8300 Northern Lights Dr

Lincoln, NE 68505

(402) 464-8302

Page 31: Community Pharmacy Roster

OWNER NAMEFULL NAME

ISSUE DATE

LICENSE NO

ADDRESSTELEPHONE NUMBER

01/01/1986

Walgreens #01430

Walgreen Co.

1883 1701 South St

Lincoln, NE 68502

(402) 435-3271

09/24/1992

Walgreens #02845

Walgreen Co., Owner

2160 5701 Village Blvd

Lincoln, NE 68516

(402) 421-7119

04/18/1994

Walgreens #03182

Walgreen Co.

2207 7045 O St

Lincoln, NE 68510

(402) 484-8222

01/17/1995

Walgreens #03186

Walgreen Co.

2236 3701 N 132nd St

Omaha, NE 68164

(402) 431-0655

07/20/1995

Walgreens #03202

Walgreen Co

2253 7202 N 30th St

Omaha, NE 68112

(402) 457-5615

09/25/2017

Walgreens #03269

Walgreen Co.

3128 705 N Burlington Ave

Hastings, NE 68901

(402) 463-4554

04/01/1981

Walgreens #03694

Walgreen Co

1215 1802 Galvin Rd South

Bellevue, NE 68005

(402) 291-8400

11/17/1988

Walgreens #03716

Walgreen Co.

1853 2516 2nd Ave

Kearney, NE 68847

(308) 236-8547

02/01/1985

Walgreens #04088

Walgreen Co.

1820 2502 N 48th

Lincoln, NE 68504

(402) 466-1424

10/01/1987

Walgreens #04443

Walgreen Co

1362 9001 W Center Rd

Omaha, NE 68124

(402) 393-8451

11/30/1998

Walgreens #04531

Walgreen Co.

2391 1300 W Norfolk Ave

Norfolk, NE 68701

(402) 371-2340

08/20/1999

Walgreens #04753

Walgreen Co.

2411 1404 Superior St

Lincoln, NE 68521

(402) 477-2622

10/01/1987

Walgreens #04754

Walgreen Co

1612 8380 Harrison St

La Vista, NE 681282918

(402) 592-7990

10/10/2000

Walgreens #05059

Walgreen Co.

2443 10725 Fort St

Omaha, NE 68134

(402) 496-2214

07/12/1993

Walgreens #05736

Walgreen Co.

2184 815 N 27th St

Lincoln, NE 68503

(402) 435-5151

Page 32: Community Pharmacy Roster

OWNER NAMEFULL NAME

ISSUE DATE

LICENSE NO

ADDRESSTELEPHONE NUMBER

08/13/2003

Walgreens #05741

Walgreen Co.

2569 3001 Dodge Street

Omaha, NE 68131

(402) 342-3301

10/16/2000

Walgreens #05874

Walgreen Co.

2445 2630 Pine Lake Rd

Lincoln, NE 68512

(402) 421-0984

11/14/2000

Walgreens #05966

Walgreen Co.

2447 2605 S 171st St

Omaha, NE 68130

(402) 697-9393

02/12/2003

Walgreens #06884

Walgreen Co

2512 4000 S 70th St

Lincoln, NE 685064658

(402) 489-0338

08/13/2003

Walgreens #06936

Walgreen Co.

2568 4310 Ames Avenue

Omaha, NE 68111

(402) 453-3400

08/12/2003

Walgreens #06962

Walgreen Co

2566 3121 S 24th Street

Omaha, NE 68108

(402) 345-7178

04/14/2003

Walgreens #07272

Walgreen Co.

2531 13155 W Center Rd

Omaha, NE 681443740

(402) 334-9134

05/06/2003

Walgreens #07383

Walgreen Co.

2540 205 W 27th St

Scottsbluff, NE 693614307

(308) 635-3296

10/12/2006

Walgreens #09899

Walgreen Co

2719 1525 E 23rd Street

Fremont, NE 68025

(402) 721-8872

11/15/2007

Walgreens #10892

WALGREEN CO.

2776 533 S. Lincoln Ave.

York, NE 684674211

(402) 362-1280

07/27/2007

Walgreens #11089

Walgreen Co.

2763 5500 Red Rock Ln

Lincoln, NE 685166512

(402) 421-2122

07/07/2008

Walgreens #11203

Walgreen Co.

2813 17909 Burke St

Omaha, NE 68118

(402) 289-0808

01/04/2008

Walgreens #11204

Walgreen Co.

2782 20201 Manderson St

Elkhorn, NE 68022

(402) 289-0520

02/04/2008

Walgreens #11205

Walgreen Co.

2787 6005 N 72nd St

Omaha, NE 681342300

(402) 201-2729

10/26/2009

Walgreens #11355

Walgreen Co.

2852 9512 S 71st Plaza

Papillion, NE 68133

(402) 551-4098

Page 33: Community Pharmacy Roster

OWNER NAMEFULL NAME

ISSUE DATE

LICENSE NO

ADDRESSTELEPHONE NUMBER

03/08/2009

Walgreens #11356

Walgreen Co.

2834 11343 S 96th St

Papillion, NE 680464280

(402) 408-0761

02/01/2009

Walgreens #11957

Walgreen Co.

2830 1260 Washington St

Blair, NE 68008

(402) 533-8444

01/07/2009

Walgreens #12115

Walgreen Co.

2822 2320 23rd Street

Columbus, NE 68601

(402) 563-3588

03/31/2010

Walgreens #12405

Walgreen Co.

2867 102 E Philip Ave

North Platte, NE 69101

(308) 532-4303

08/27/2009

Walgreens #12538

Walgreen Co.

2847 1230 N Webb Rd

Grand Island, NE 68803

(308) 384-2626

03/11/2010

Walgreens #12854

Walgreen Co.

2863 502 S 11th St

Nebraska City, NE 684102728

(402) 551-4098

04/21/2010

Walgreens #13137

Walgreen Co.

2870 13510 Q St

Omaha, NE 68137

(408) 895-1619

08/26/2013

Walgreens #15237

Walgreen Co.

2968 2929 N 60th St

Omaha, NE 68104

(402) 551-6151

09/25/2014

Walgreens #16270

Walgreens Co.

3030 240 S 77th

Omaha, NE 68114

(847) 527-4604

12/01/2003

Walgreens #7693

Walgreen Co

2585 225 N Saddle Creek Rd

Omaha, NE 681312228

(402) 551-1797

03/14/2000

Walgreens Pharmacy #05360

Walgreen Co

2426 5062 S 155th St

Omaha, NE 68137

(402) 861-6966

12/19/2006

Walgreens Pharmacy #10502

Walgreen Co.

2731 1030 W 21st Street

South Sioux City, NE 687762661

(402) 494-8827

01/24/2005

Walgreens-#02472

Walgreen Co.

2630 18040 R Plaza

Omaha, NE 68135

(402) 408-2342

09/04/2014

Walmart Pharmacy 10-4139

Wal-Mart Stores, Inc

3028 360 N Saddle Creek Rd

Omaha, NE 68131

(479) 258-6036

02/17/2015

Walmart Pharmacy 10-7129

Walmart Stores Inc.

3039 201 Pony Express Lane

Ogallala, NE 69153

(308) 284-0118

Page 34: Community Pharmacy Roster

OWNER NAMEFULL NAME

ISSUE DATE

LICENSE NO

ADDRESSTELEPHONE NUMBER

08/27/2009

Wanek Pharmacy

CW Incorporated

2845 410 Main Street

Neligh, NE 68756

(402) 887-5426

04/01/1980

Weaver Pharmacy

Town & Country Pharmacy Inc

1574 1014 G St

Geneva, NE 68361

(402) 759-4433

09/01/2016

Wellness Pharmacy, Inc.

Kayla Pham

3100 4640 Champlain Dr Ste 113

Lincoln, NE 68521

(402) 304-7564

11/02/2017

Wells Drug

Friendly Neighbor Healthcare, LLC

3133 113 S. 4th

Albion, NE 68620

(402) 395-2184

03/17/2017

West Holt Memorial Hospital dba West Holt Pharmacy

West Holt Memorial Hospital, a Nebraska Non-Profit Corporation

3118 313 West Pearl Street

Atkinson, NE 68713

(402) 925-2651

02/13/2008

Western Drug Co Inc

Western Drug Co Inc Owner

2791 806 Illinois St

Sidney, NE 69162

(308) 254-2032

07/06/1992

Western Drug Company of Chappell

Western Drug Co Of Chappell Inc

2154 650 2nd St

PO Box 368

Chappell, NE 69129(308) 874-2200

08/27/1996

Western Nebraska Veterans Home Pharmacy

State of Nebraska

2299 1102 W 42nd St

Scottsbluff, NE 69361

(308) 632-0355

05/06/2003

Westfield Pharmacy

Westfield Pharmacy Inc

2541 1845 West A

North Platte, NE 69101

(308) 532-5539

12/22/2016

Wisner Apothecary

The Pender Care Centre District, Inc.

3109 1024 Ave E Ste 100

Wisner, NE 68791

(402) 529-3550

05/21/2003

York General Hospital

York General Hospital Inc

2546 2222 Lincoln Ave

York, NE 68467

(402) 362-0453

11/26/2012

Yungdahl's Apothecary

Yungdahl's Apothecary Inc

2934 309 Commercial St

PO Box 774

Stromsburg, NE 68666(402) 764-2827

Total: 504

Provisional Pharmacy License

03/13/2018

Alliance Community Pharmacy

Alliance Community Pharmacy

716 315 Box Butte Ave

Alliance, NE 69301

(402) 759-1693 licensing

02/07/2018

Bemis Drug LLC

RxPlus Limited Tri-State, LLC

713 129 S Chestnut St

Kimball, NE 69145

(308) 235-3936

Page 35: Community Pharmacy Roster

OWNER NAMEFULL NAME

ISSUE DATE

LICENSE NO

ADDRESSTELEPHONE NUMBER

02/02/2018

Cardinal Health 414, LLC

Gene Nickman, PIC

712 3510 Village Dr Ste A

Lincoln, NE 68516

(614) 757-7570 licensing

01/17/2018

Meadowlark Pharmacy

Jonathon Lamarque, RP in Charge

711 18780 S 68th St Ste B

Hickman, NE 68372

(831) 277-1871

05/25/2017

Merrick Medical Center

Merrick Medical Center, a Nebraska nonprofit corporation

696 1715 26th Street

Central City, NE 68826

(308) 946-5976

02/08/2018

Miller Pharmacy Specialties

Miller Pharmacy Inc

714 322 E 22nd St

Fremont, NE 68025

(402) 578-9734 licensing

01/17/2018

Nebraska Hemotology-Oncology PC Pharmacy

Nebraska Hemotology-Oncology PC Pharmacy

710 4004 Pioneer Woods Dr

Lincoln, NE 68506

(402) 484-4919

10/31/2017

Pharma Innovations

Innovative Pain & Spine Specialists, PC

707 7121 Stephanie Lane STE 104

Lincoln, NE 68516

11/27/2017

Super Saver Pharmacy #11

B&R Stores, Inc

709 5460 S 56th Street

Lincoln, NE 68516

(402) 464-6297

02/14/2018

Think Aksarben Specialty Pharmacy

Think Specialty Pharmacy, LLC

715 7100 West Center Rd Ste 312

Omaha, NE 68106

(402) 506-9005 pharmacy

Total: 10