340B Drug Pricing Program Database

Pharmacy Name

WALNUT GROVE PLAZA PHARMACY #2

Pharmacy Address

6027 WALNUT GROVE RD
STE 110
MEMPHIS, TN 38120-2115

Pharmacy Comments

Approval Date

11/12/2020

Contract Begin Date

1/1/2021

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

12/12/2023
Ownership change

Covered Entity Signing Official

Kimberly Young, Vice President-Finance Operations
(901) 227-4080

Contract Pharmacy Representative

Baptist Memorial Health Care Corp
Donna C Cox, Director 340B
(901) 227-5144

Signed By Date

10/13/2020