340B Drug Pricing Program Database

Pharmacy Name

WAL-MART PHARMACY 10-2053

Pharmacy Address

470 N AIRPORT ROAD
WILLOWS, CA 95988

Pharmacy Comments

Approval Date

4/10/2017

Contract Begin Date

7/1/2017

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

INDER WADHWA, CHIEF EXECUTIVE OFFICER
(530) 896-9409

Contract Pharmacy Representative

WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498

Signed By Date

4/10/2017