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

4/14/2023

Contract Begin Date

7/1/2023

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Marc Mesick, CFO & VP of Finance
(518) 243-4144

Contract Pharmacy Representative

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

Signed By Date

4/14/2023