340B Drug Pricing Program Database

Pharmacy Name

WAL-MART PHARMACY 10-0557

Pharmacy Address

2301 INDUSTRIAL ROAD
EMPORIA, KS 66801

Pharmacy Comments

Approval Date

4/12/2019

Contract Begin Date

7/1/2019

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Renee E. Hively, Chief Executive Officer
(620) 342-4864 Ext: 3701

Contract Pharmacy Representative

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

Signed By Date

4/12/2019