340B Drug Pricing Program Database

Pharmacy Name

WAL-MART PHARMACY 10-1891

Pharmacy Address

420 BUCKLAND HILLS DR
MANCHESTER, CT 06042

Pharmacy Comments

Approval Date

4/21/2021

Contract Begin Date

7/1/2021

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Julie M Drouin, VP of Finance
(860) 545-0585

Contract Pharmacy Representative

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

Signed By Date

4/21/2021