340B Drug Pricing Program Database

Pharmacy Name

WAL-MART PHARMACY 10-2013

Pharmacy Address

80 WATERVILLE COMMONS DRIVE
WATERVILLE, ME 04901

Pharmacy Comments

Approval Date

4/15/2014

Contract Begin Date

7/1/2014

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

DEAN BITHER, VICE PRESIDENT OF FINANCE
(207) 861-3013

Contract Pharmacy Representative

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

Signed By Date

4/15/2014