340B Drug Pricing Program Database

Pharmacy Name

WAL-MART PHARMACY 10-2455

Pharmacy Address

701 SMELTER AVENUE NE
GREAT FALLS, MT 59404

Pharmacy Comments

Approval Date

11/19/2018

Contract Begin Date

1/1/2019

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Terry Olinger, President
(406) 455-5477

Contract Pharmacy Representative

Healdsburg District Hospital
Kathi Phelps, Manager Contracting
(479) 277-3719

Signed By Date

10/31/2018