340B Drug Pricing Program Database

Pharmacy Name

WAL-MART PHARMACY 10-5134

Pharmacy Address

5075 GOSFORD ROAD
BAKERSFIELD, CA 93313

Pharmacy Comments

Approval Date

2/28/2013

Contract Begin Date

4/1/2013

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Brent W. Soper, Chief Financial Officer
(661) 869-6180

Contract Pharmacy Representative

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

Signed By Date

1/15/2013