340B Drug Pricing Program Database

Pharmacy Name

WAL-MART PHARMACY 10-1555

Pharmacy Address

2150 N. WATERMAN AVE
EL CENTRO, CA 92243

Pharmacy Comments

Approval Date

4/10/2019

Contract Begin Date

7/1/2019

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Cathy Kennerson, Chief Strategic Officer
(760) 339-7107

Contract Pharmacy Representative

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

Signed By Date

4/10/2019