340B Drug Pricing Program Database

Pharmacy Name

WAL-MART PHARMACY 10-0876

Pharmacy Address

25800 HWY 171
MANY, LA 71449

Pharmacy Comments

7/25/12-changed from Highway 17

Approval Date

9/14/2022

Contract Begin Date

10/1/2022

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Damian K. Soileau, CEO
(318) 214-4512

Contract Pharmacy Representative

Healdsburg District Hospital
Kathi Phelps, Manager Contracting
(479) 277-3719

Signed By Date

7/14/2022