340B Drug Pricing Program Database

Pharmacy Name

WAL-MART PHARMACY 10-1932

Pharmacy Address

17 MYRICK STREET
ELLSWORTH, ME 04605

Pharmacy Comments

Approval Date

3/12/2020

Contract Begin Date

4/1/2020

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

7/1/2025
Covered Entity Terminated

Covered Entity Signing Official

Wendy J Jones, VP of Finance
(207) 374-3409

Contract Pharmacy Representative

WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498

Signed By Date

1/15/2020