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

10/10/2023

Contract Begin Date

1/1/2024

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Casey Gillham, Chief Administrative Officer
(775) 870-4354

Contract Pharmacy Representative

Community Health Alliance
Jennifer Wheeler, Pharmacy Manager
(775) 329-6300 Ext: 184

Signed By Date

10/10/2023