340B Drug Pricing Program Database

Pharmacy Name

WAL-MART PHARMACY 10-0834

Pharmacy Address

810 SOUTH 37TH STREET
BETHANY, MO 64424

Pharmacy Comments

Approval Date

10/10/2023

Contract Begin Date

1/1/2024

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Edward P Kammerer, 340B Administrator
(816) 271-1236

Contract Pharmacy Representative

WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498

Signed By Date

10/3/2023