340B Drug Pricing Program Database

Pharmacy Name

WAL-MART PHARMACY 10-0742

Pharmacy Address

2500 WEST STONE DRIVE
KINGSPORT, TN 37660

Pharmacy Comments

Approval Date

7/12/2018

Contract Begin Date

10/1/2018

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

LINDA W. BUCK, CHIEF EXECUTIVE OFFICER
(423) 272-9163 Ext: 8901

Contract Pharmacy Representative

Rural Health Services Consortium
Tara Worley, Pharmacist
(423) 921-1621

Signed By Date

7/12/2018