340B Drug Pricing Program Database

Pharmacy Name

WAL-MART PHARMACY 10-1846

Pharmacy Address

199 WEST 5TH STREET
DOUGLAS, AZ 85607

Pharmacy Comments

Approval Date

7/14/2023

Contract Begin Date

10/1/2023

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Jonathan Melk, CEO
(520) 227-9167

Contract Pharmacy Representative

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

Signed By Date

7/14/2023