340B Drug Pricing Program Database

Pharmacy Name

Walmart Pharmacy 10-7611

Pharmacy Address

2501 Perry Rd
Plainfield, IN 46168

Pharmacy Comments

Approval Date

11/14/2023

Contract Begin Date

1/1/2024

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Shawn Bransky, Chief Financial Officer
(815) 432-7929

Contract Pharmacy Representative

Walmart
Julie Howard, 340b Program Manager
(479) 739-1973 Ext: 4792771498

Signed By Date

10/13/2023