340B Drug Pricing Program Database

Pharmacy Name

WALMART PHARMACY 10-5169

Pharmacy Address

2252 NORTH 8TH STREET
SUITE A
ROGERS, AR 72756

Pharmacy Comments

Approval Date

1/11/2023

Contract Begin Date

4/1/2023

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

GREG HAVARD, CHIEF EXECUTIVE OFFICER
(601) 947-9148

Contract Pharmacy Representative

George County Hospital
Carman Walley, DOP
(601) 673-6181

Signed By Date

1/11/2023