340B Drug Pricing Program Database

Pharmacy Name

WAL-MART PHARMACY 10-5315

Pharmacy Address

2354 COMMERCE PARK DR.
ORLANDO, FL 32819

Pharmacy Comments

Approval Date

10/14/2019

Contract Begin Date

1/1/2020

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Jeffrey Euclide, Chief Administrative Officer
(715) 532-6651 Ext: 41107

Contract Pharmacy Representative

Marshfield Medical Center Ladysmith
Paul Eugene Finn, Pharmacy Manager
(715) 532-5561 Ext: 43122

Signed By Date

10/14/2019