340B Drug Pricing Program Database

Pharmacy Name

WAL-MART PHARMACY 10-1943

Pharmacy Address

4700 NORTH 27TH STREET
LINCOLN (N), NE 68521

Pharmacy Comments

Approval Date

10/16/2023

Contract Begin Date

1/1/2024

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Brad Lee Meyer, Chief Executive Officer
(402) 470-5424

Contract Pharmacy Representative

Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498

Signed By Date

10/16/2023