340B Drug Pricing Program Database

Pharmacy Name

WAL-MART PHARMACY 10-0922

Pharmacy Address

2363 HWY 135 NW
CORYDON, IN 47112

Pharmacy Comments

Approval Date

7/15/2022

Contract Begin Date

10/1/2022

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Lisa Marie Lieber, Chief Administrative Officer
(812) 738-7884

Contract Pharmacy Representative

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

Signed By Date

7/15/2022