340B Drug Pricing Program Database

Pharmacy Name

WAL-MART PHARMACY 10-5385

Pharmacy Address

1804 NORTH CLINTON STREET
DEFIANCE, OH 43512

Pharmacy Comments

Approval Date

7/8/2022

Contract Begin Date

10/1/2022

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Ken Swint, CFO
(419) 436-6648

Contract Pharmacy Representative

Walmart
George Flaherty, Senior Director Payer Programs
(479) 204-9374

Signed By Date

7/8/2022