340B Drug Pricing Program Database

Pharmacy Name

WAL-MART PHARMACY 10-1183

Pharmacy Address

2401 AUGUSTA ROAD
WEST COLUMBIA, SC 29169

Pharmacy Comments

Approval Date

4/20/2022

Contract Begin Date

7/1/2022

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Michael Bundy, Chief Executive Officer
(803) 296-5782

Contract Pharmacy Representative

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

Signed By Date

4/20/2022