340B Drug Pricing Program Database

Pharmacy Name

WAL-MART PHARMACY 10-1697

Pharmacy Address

8465 ELK GROVE BLVD
ELK GROVE, CA 95758

Pharmacy Comments

Approval Date

3/8/2013

Contract Begin Date

4/1/2013

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

8/1/2016
Business decision by covered entity and/or pharmacy

Covered Entity Signing Official

Bonnie Helen Jenkins, CFO
(916) 453-4459

Contract Pharmacy Representative

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

Signed By Date

1/15/2013