340B Drug Pricing Program Database

Pharmacy Name

WAL-MART PHARMACY 10-3792

Pharmacy Address

2687 NORTH MEMORIAL DRIVE
LANCASTER, OH 43130

Pharmacy Comments

Approval Date

10/11/2018

Contract Begin Date

1/1/2019

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Lauree Althaus, Director of Finance
(740) 277-6043 Ext: 1001

Contract Pharmacy Representative

WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498

Signed By Date

10/11/2018