340B Drug Pricing Program Database

Pharmacy Name

WAL-MART PHARMACY 10-1351

Pharmacy Address

1330 N EISENHOWER DR
BECKLEY, WV 25801

Pharmacy Comments

Approval Date

7/12/2019

Contract Begin Date

10/1/2019

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Joseph Grossman, PRESIDENT and CEO
(859) 226-2450

Contract Pharmacy Representative

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

Signed By Date

7/12/2019