340B Drug Pricing Program Database

Pharmacy Name

WALMART PHARMACY #10-4317

Pharmacy Address

400 TUCKER RD
TEHACHAPI, CA 93561

Pharmacy Comments

Approval Date

1/17/2020

Contract Begin Date

4/1/2020

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Steven G Chen, CHIEF FINANCIAL OFFICER
(661) 869-6183

Contract Pharmacy Representative

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

Signed By Date

1/17/2020