340B Drug Pricing Program Database

Pharmacy Name

WAL-MART PHARMACY 10-0689

Pharmacy Address

177 WASHINGTON DR
SOMERSET, KY 42501

Pharmacy Comments

Approval Date

7/17/2023

Contract Begin Date

10/1/2023

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Jesse Kleven, VP/CFO AdventHealth Manchester
(606) 598-1035

Contract Pharmacy Representative

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

Signed By Date

7/17/2023