340B Drug Pricing Program Database

Pharmacy Name

WAL-MART PHARMACY 10-1266

Pharmacy Address

2171 O'NEAL LANE
BATON ROUGE, LA 70816

Pharmacy Comments

Approval Date

1/15/2021

Contract Begin Date

4/1/2021

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Dianne Teal, Chief Nursing officer
(225) 755-4983

Contract Pharmacy Representative

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

Signed By Date

1/15/2021