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

10/12/2023

Contract Begin Date

1/1/2024

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Joseph Wooldridge, Chief Financial Officer
(325) 657-5303

Contract Pharmacy Representative

Shannon Medical Center
Abby Hughes, 340B Coordinator
(325) 657-5255

Signed By Date

10/12/2023