340B Drug Pricing Program Database

Pharmacy Name

WAL-MART PHARMACY 10-2074

Pharmacy Address

1350 SO. SEWARD MERIDIAN PKWY
WASILLA, AK 99654

Pharmacy Comments

Approval Date

4/20/2020

Contract Begin Date

7/1/2020

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Kevin Munson, Chief Executive Officer
(907) 376-2411

Contract Pharmacy Representative

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

Signed By Date

4/20/2020