340B Drug Pricing Program Database

Pharmacy Name

WAL-MART PHARMACY 10-0981

Pharmacy Address

1733 SECOND ST SOUTH
MERIDIAN, MS 39301

Pharmacy Comments

Approval Date

1/15/2020

Contract Begin Date

4/1/2020

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

2/3/2021
Agreement registered in error

Covered Entity Signing Official

WILBERT L. JONES, CEO
(601) 693-0151 Ext: 116

Contract Pharmacy Representative

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

Signed By Date

1/15/2020