340B Drug Pricing Program Database

Pharmacy Name

WAL-MART PHARMACY 10-1255

Pharmacy Address

901 U.S. 401 BYPASS
LAURINBURG, NC 28352

Pharmacy Comments

Approval Date

7/8/2014

Contract Begin Date

10/1/2014

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

GREG WOOD, PRESIDENT AND CEO
(910) 291-7000 Ext: 7501

Contract Pharmacy Representative

Healdsburg District Hospital
Kathi Phelps, Manager Contracting
(479) 277-3719

Signed By Date

7/8/2014