340B Drug Pricing Program Database

Pharmacy Name

WAL-MART PHARMACY 10-0111

Pharmacy Address

2700 SOUTH SANTA FE
CHANUTE, KS 66720

Pharmacy Comments

Approval Date

11/7/2018

Contract Begin Date

1/1/2019

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Dennis Franks, CEO
(620) 432-5313

Contract Pharmacy Representative

Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498

Signed By Date

10/12/2018