340B Drug Pricing Program Database

Pharmacy Name

WAL-MART PHARMACY 10-0086

Pharmacy Address

2825 N KANSAS EXPRESSWAY
SPRINGFIELD, MO 65803

Pharmacy Comments

Approval Date

10/1/2015

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

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

Signed By Date

10/1/2015