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

10/16/2023

Contract Begin Date

1/1/2024

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Dennis P. Hesch, Executive VP and CFO
(217) 326-8231

Contract Pharmacy Representative

Walmart
Tisha Campbell, Director of Contracting
(949) 872-4138

Signed By Date

10/16/2023