340B Drug Pricing Program Database

Pharmacy Name

WAL-MART PHARMACY 10-3640

Pharmacy Address

1118 SILBER ROAD
HOUSTON, TX 77055

Pharmacy Comments

Approval Date

1/17/2023

Contract Begin Date

4/1/2023

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Marlen Trujillo, Chief Executive Officer
(713) 462-6565 Ext: 118

Contract Pharmacy Representative

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

Signed By Date

1/17/2023