340B Drug Pricing Program Database

Pharmacy Name

WAL-MART PHARMACY 10-0046

Pharmacy Address

2451 S SPRINGFIELD
BOLIVAR, MO 65613

Pharmacy Comments

Approval Date

2/1/2013

Contract Begin Date

4/1/2022

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Donald J. Babb, Chief Executive Officer
(417) 328-6501

Contract Pharmacy Representative

Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374

Signed By Date

1/15/2013