340B Drug Pricing Program Database

Pharmacy Name

WAL-MART PHARMACY 10-0281

Pharmacy Address

1500 HIGHWAY 25B NORTH
HEBER SPRINGS, AR 72543

Pharmacy Comments

Approval Date

3/26/2015

Contract Begin Date

4/1/2015

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

STUART HILL, VP/CFO
(501) 380-1004

Contract Pharmacy Representative

Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374

Signed By Date

3/26/2015