Community Pharmacy Roster Page 1 of 33

Community Pharmacy Roster Page 1 of 33

Current as of: 9/15/2021 Community Pharmacy Roster Page 1 of 33 LICENSE NO FULL NAME OWNER NAME ISSUE DATE TELEPHONE NUMBER ADDRESS Community Pharmacy License 3124 ARJ Infusion Services, Inc 3730 S 149th Street Ste 102 07/05/2017 ARJ Infusion Services, Inc Omaha, NE 68144 (866) 451-8804 2885 ARRX, Inc. dba Lake Crest Pharmacy 620 Main St Ste B 09/24/2010 ARRX, Inc. Adams, NE 68301 (402) 988-7145 3132 Accredo Health Group, Inc 19060 Q St Ste 101 10/25/2017 Accredo Health Group, Inc Omaha, NE 68135 (877) 315-6140 2096 Adams Drug Inc 513 Broadway 11/16/1990 Adams Drug Inc Imperial, NE 69033 (308) 882-4949 2608 Alegent Health Memorial Hospital, Schuyler dba CHI Health Schuyler 104 West 17th Street 08/30/2004 Alegent Health Schuyler, NE 68661 (402) 352-4067 3116 Alivation Pharmacy, LLC 8550 Cuthills Cir 02/22/2017 Alivation Pharmacy, LLC Lincoln, NE 68526 (402) 476-5686 3217 Alliance Community Pharmacy 2409 Box Butte Ave 06/01/2021 Tim Kotschwar, Owner/RP in Charge Alliance, NE 69301 (308) 629-1045 3009 Amber Enterprises, Inc dba Amber Specialty Pharmacy 10004 S 152nd St Ste A 05/29/2014 Amber Acquisition, LLC Omaha, NE 68138 (402) 896-5000 2704 Anderson Pharmacy 1429 M St 06/09/2006 Michael E. Blaha Ord, NE 688621426 (308) 728-5922 3219 Arapahoe Pharmacy 507 Nebraska Ave 08/11/2021 Poniday LLC Arapahoe, NE 68922 (308) 962-7895 3015 Arbor State Pharmacy 203 S 7th Ste B 07/03/2014 Arborpharm, LLC Wymore, NE 68466 (402) 645-3080 2193 Ashland Pharmacy Inc 1401 Silver St 03/22/1994 Ashland Pharmacy Inc Ashland, NE 68003 (402) 944-3303 LICENSE NO FULL NAME OWNER NAME ISSUE DATE TELEPHONE NUMBER ADDRESS 3220 Atlas RX 11923 Pacific St. Suite A 08/26/2021 Daniel P. Molloy Omaha, NE 68154 (402) 520-6601 2837 BAART Community Healthcare 1941 S 42 St Ste 210 04/08/2009 BAART Community Healthcare Omaha, NE 68105 (402) 341-6220 3034 BLPS LLC dba Medicine Man Pharmacy 748 N Main Street 01/15/2015 BLPS LLC North Bend, NE 68649 (402) 652-3217 1866 Barnas Drug Inc 124 W 3rd St 12/01/1984 Barnas Drug Inc Wilber, NE 68465 (402) 821-2834 3061 Baxter Healthcare Corporation 4225 S 57th St 08/27/2015 Baxter Healthcare Corporation Omaha, NE 68117 (402) 734-4117 2923 Beatrice Community Hospital & Health Center 4800 Hospital Pkwy 04/04/2012 Beatrice Community Hospital & Health Center, Inc. PO Box 278 (402) 223-7314 Beatrice, NE 68310 3140 Bemis Drug LLC 129 S Chestnut St 03/30/2018 RxPlus Limited Tri-State, LLC Kimball, NE 69145 (308) 235-3936 3214 Ben's Drug Store Inc dba Midwest LTC Pharmacy 2208 N Webb Road Unit #3 03/04/2021 Cody R Lobeda Irrevocable Trust Grand Island, NE 68803 (308) 398-0538 3025 Berts Drug Store 700 W 2nd St 08/07/2014 Berts Drug Inc Hastings, NE 68901 (402) 462-4343 3026 Berts Pharmacy 1021 W 14th 08/07/2014 Berts Drug Inc Hastings, NE 68901 (402) 462-4466 3194 Beyond Dispensing Pharmacy & Compounding 2206 Longo Dr 07/24/2020 The Group DPC, LLC Bellevue, NE 68005 (402) 509-7474 pharmacy 2728 Blakes Pharmacy 213 Main Street 11/20/2006 Louisville Drug Inc dba Blakes Pharmacy Louisville, NE 68037 (402) 234-3025 2865 Bloomfield Pharmacy 105 S Broadway Ste 1 03/23/2010 John J Nagengast PO Box 9 (402) 373-4411 Bloomfield, NE 68718 2557 Boone County Health Center (nursing support) 723 W Fairview St 05/21/2003 Boone County, Owner PO Box 151 (402) 395-2191 Albion, NE 68620 3207 Brehm Rexall Drug Inc 608 Howard Avenue 12/03/2020 Brehm Rexal Drug Inc PO Box 185 (308) 754-4611 Saint Paul, NE 68873 LICENSE NO FULL NAME OWNER NAME ISSUE DATE TELEPHONE NUMBER ADDRESS 3081 Bryan Employee Specialty Pharmacy 1600 S 48th St 02/22/2016 Bryan Health Lincoln, NE 68506 (402) 481-8380 2544 Bryan Medical Center East 1600 S 48th St 05/13/2003 Bryan Health Lincoln, NE 68506 (402) 481-3157 2545 Bryan Medical Center West ATTN: Pharmacy 05/13/2003 Bryan Health 2300 South 16th Street (402) 481-5855 Lincoln, NE 68502 863 Burwell Pharmacy 137 Grand St 04/01/1976 Burwell Pharmacy, LLC PO Box 520 (308) 346-4747 Burwell, NE 68823 2648 Butler County Pharmacy 372 S 9th St 08/12/2005 Butler County - County Hospital David City, NE 68632 (402) 367-1207 2936 CHI Health Pharmacy - 132nd and Center 13315 W Center Rd Ste 101 11/29/2012 CHI Health Omaha, NE 68144 (402) 717-9410 3038 CHI Health Pharmacy - 161st and Maple 16101 Evans St Ste 101 02/17/2015 CHI Health Omaha, NE 681162020 (402) 717-9770 3078 CHI Health Pharmacy - 42nd and L 4220 L St Ste 101 02/22/2016 Alegent Creighton Health Omaha, NE 68107 (402) 717-7055 2807 CHI Health Pharmacy - Bellevue 3308 Samson Way Ste 106 06/03/2008 CHI Health Bellevue, NE 68123 (402) 291-5076 1472 CHI Health Pharmacy - Bergan Mercy 7710 Mercy Rd Ste 110 03/01/1988 CHI Health Omaha, NE 68124 (402) 398-6781 2416 CHI Health Pharmacy - Florence 8613 N 30th St 11/18/1999 CHI Health Omaha, NE 68112 (402) 451-2125 2519 CHI Health Pharmacy - Immanuel 6901 N 72nd St 03/12/2003 CHI Health Omaha, NE 68122 (402) 572-2300 2932 CHI Health Pharmacy - LaVista 8248 S 96th St Ste 101 11/26/2012 CHI Health La Vista, NE 68128 (402) 717-9500 2661 CHI Health Pharmacy - Lakeside 16909 Lakeside Hills Ct Ste 107 01/03/2006 CHI Health Omaha, NE 68130 (402) 758-5006 2842 CHI Health Pharmacy - Midlands 11109 S 84th St Ste 1841 07/27/2009 CHI Health Papillion, NE 68046 (402) 827-4200 LICENSE NO FULL NAME OWNER NAME ISSUE DATE TELEPHONE NUMBER ADDRESS 3000 CHI Health Specialty Pharmacy 7710 Mercy Rd Ste 102 04/24/2014 Catholic Health Initiatives Omaha, NE 68124 (402) 398-5503 2552 CHI Health St Francis 2620 W Faidley Ave 05/21/2003 Catholic Health Initiatives Grand Island, NE 68803 (308) 398-6778 2990 CHI National Home Care dba CHI Health at Home - HME 5428 F St 11/01/2013 CHI National Home Care Omaha, NE 681172815 (402) 898-8470 2999 CSR/AVP Holdings 11701 Centennial Rd Stes 2 & 3 04/22/2014 CSR/AVP Holdings, LLC La Vista, NE 68128 (800) 367-4444 2986 CVS/Pharmacy #10243 1710 W 2nd St 11/01/2013 Nebraska CVS Pharmacy, LLC Grand Island, NE 68803 (308) 384-2507 3002 CVS/Pharmacy #10293 1301 W Norfolk Ave 04/30/2014 Nebraska CVS Pharmacy LLC Norfolk, NE 68701 (402) 371-9438 3062 CVS/Pharmacy #10441 2307 23rd St 09/08/2015 Nebraska CVS Pharmacy, LLC Columbus, NE 68601 (402) 564-5105 3079 CVS/Pharmacy #16055 333 N 48th St 02/22/2016 Nebraska CVS Pharmacy, LLC Lincoln, NE 685043505 (402) 464-8066 3067 CVS/Pharmacy #16146 4001 N 132nd St 01/20/2016 Nebraska CVS Pharmacy, LLC Omaha, NE 681641839 (402) 431-9161 3073 CVS/Pharmacy #16148 718 N Washington St 01/29/2016 Nebraska CVS Pharmacy, LLC Papillion, NE 680463910 (402) 597-9499 3074 CVS/Pharmacy #16297 4800 3rd Ave 02/11/2016 Nebraska CVS Pharmacy, LLC Kearney, NE 688452892 (308) 237-2002 3068 CVS/Pharmacy #16867 3808 Twin Creek Dr 01/20/2016 Nebraska CVS Pharmacy, LLC Bellevue, NE 681234163 (402) 291-6779 3072 CVS/Pharmacy #16903 17810 W Center Road 01/21/2016 NebraskaCVS Pharmacy, LLC Omaha, NE 681302308 (402) 697-4876 3088 CVS/Pharmacy #17105 6636 N 73rd Plz 06/09/2016 Nebraska CVS Pharmacy, LLC Omaha, NE 681221803 (402) 573-2221 3071 CVS/Pharmacy #17208 7200 Dodge St 01/21/2016 Nebraska CVS Pharmacy, LLC Omaha, NE 681143673 (402) 390-8881 LICENSE NO FULL NAME OWNER NAME ISSUE DATE TELEPHONE NUMBER ADDRESS 3080 CVS/Pharmacy #17371 8201 S 40th St 02/22/2016 Nebraska CVS Pharmacy, LLC Lincoln, NE 685163005 (402) 420-3541 3070 CVS/Pharmacy #17392 16959 Evans Plz 01/20/2016 Nebraska CVS Pharmacy, LLC Omaha, NE 681162388 (402) 970-1001 3069 CVS/Pharmacy #17446 12500 K Plz 01/20/2016 Nebraska CVS Pharmacy, LLC Omaha, NE 681372207 (402) 334-3436 2938 CVS/Pharmacy #2741 6901 S 84th St 11/29/2012 Nebraska CVS Pharmacy LLC La Vista, NE 68128 (402) 339-1090 2901 CVS/Pharmacy #2931 14303 U St 03/18/2011 Nebraska CVS Pharmacy, LLC Omaha, NE 68137 (402) 895-0181 2899 CVS/Pharmacy #3085 1701 Galvin Rd S 03/09/2011 Nebraska CVS Pharmacy, LLC Bellevue, NE 680053810 (402) 292-2685 2914 CVS/Pharmacy #3478 2609 S 132nd St 01/26/2012 Nebraska CVS Pharmacy, LLC Omaha, NE 68144 (402) 334-6933 2919 CVS/Pharmacy #4033 5611 S 27th St 01/30/2012 Nebraska CVS Pharmacy LLC Lincoln, NE 68512 (402) 420-0318 2931 CVS/Pharmacy #473 1550 South St 11/26/2012 Nebraska CVS Pharmacy, LLC Lincoln, NE 68502 (402) 477-0542 2887 CVS/Pharmacy #4929 10770 Fort St 11/08/2010 Nebraska CVS Pharmacy, LLC Omaha, NE 68134 (402) 493-3257 2937 CVS/Pharmacy #5634 8315 W Center Rd 11/29/2012 Nebraska CVS Pharmacy LLC Omaha, NE 68124 (402) 393-2557 2912 CVS/Pharmacy #5714 4840 Dodge St 01/26/2012 Nebraska CVS Pharmacy, LLC Omaha, NE 68132 (402) 558-2000 2889 CVS/Pharmacy #5863 14460 W Maple Rd 11/18/2010 Nebraska CVS Pharmacy, LLC Omaha, NE 68116 (402) 493-0443 2913 CVS/Pharmacy #6733 1919 N 90th St 01/26/2012 Nebraska CVS Pharmacy LLC Omaha, NE 68114 (402) 895-0198 2891 CVS/Pharmacy #8294 4808 O St 11/23/2010 Nebraska CVS Pharmacy, LLC Lincoln, NE 68510 (402) 467-1134 LICENSE NO FULL NAME OWNER NAME ISSUE DATE TELEPHONE NUMBER ADDRESS 2715 CVS/Pharmacy #8610 2755 S 48th Street 10/11/2006 Nebraska CVS Pharmacy LLC Lincoln, NE 68506 (402) 484-5777 2991 CVS/Pharmacy #8615 1411 Superior St 12/12/2013 Nebraska CVS Pharmacy LLC Lincoln, NE 68521 (402) 477-9200 2977 CVS/Pharmacy #8616 5566 S 56th St 09/17/2013 Nebraska CVS Pharmacy LLC Lincoln, NE 68516 (402) 423-3839 3001 CVS/Pharmacy #8626 7002 O St 04/30/2014 Nebraska CVS Pharmacy LLC Lincoln, NE 68510 (402) 467-5341 2922 Campbell Drug 311 Main 04/02/2012 AME P.C.

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