340B Drug Pricing Program Database

Pharmacy Name

WAL-MART PHARMACY 10-1190

Pharmacy Address

120 JILL DRIVE
BEREA, KY 40403

Pharmacy Comments

Approval Date

4/16/2020

Contract Begin Date

7/1/2020

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Sandra Rose, Vice President of Operations
(859) 986-6559

Contract Pharmacy Representative

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

Signed By Date

4/16/2020