340B Drug Pricing Program Database

Pharmacy Name

WAL-MART PHARMACY 10-5853

Pharmacy Address

3715 OCEAN BEACH HWY 2
LONGVIEW, WA 98632

Pharmacy Comments

Approval Date

1/9/2019

Contract Begin Date

4/1/2019

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Sean Gregory, Chief Executive
(360) 514-2082

Contract Pharmacy Representative

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

Signed By Date

1/9/2019