340B Drug Pricing Program Database

Pharmacy Name

WAL-MART PHARMACY 10-0308

Pharmacy Address

2518 HILLSBORO BLVD.
MANCHESTER, TN 37355

Pharmacy Comments

Approval Date

7/26/2019

Contract Begin Date

10/1/2019

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Martha Henley, Chief Executive Officer
(931) 450-1701

Contract Pharmacy Representative

Wal-Mart
Candace Bowman, Pharmacy Manager
(931) 728-8904

Signed By Date

7/10/2019