340B Drug Pricing Program Database

Pharmacy Name

WAL-MART PHARMACY 10-1665

Pharmacy Address

4801 W. CLARA LN
MUNCIE, IN 47304

Pharmacy Comments

Approval Date

10/15/2021

Contract Begin Date

1/1/2022

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Scott Riggs, Chief Financial Officer
(765) 254-5189

Contract Pharmacy Representative

WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498

Signed By Date

10/15/2021