340B Drug Pricing Program Database

Pharmacy Name

WALMART PHARMACY 10-5125

Pharmacy Address

2310 S UNION STREET
OPELOUSAS, LA 70570

Pharmacy Comments

Approval Date

10/3/2016

Contract Begin Date

1/1/2017

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Jim Juneau, CFO
(337) 948-5133

Contract Pharmacy Representative

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

Signed By Date

10/3/2016