340B Drug Pricing Program Database

Pharmacy Name

Walmart Pharmacy 10-7611

Pharmacy Address

2501 Perry Rd
Plainfield, IN 46168

Pharmacy Comments

Approval Date

10/13/2023

Contract Begin Date

1/1/2024

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Robert Cornelius Weathersby, Chief Operating Officer
(601) 249-1882

Contract Pharmacy Representative

Southwest Mississippi Regional Medical Center
Henry Albert Wood, Assistant Director
(601) 250-4329

Signed By Date

10/13/2023