340B Drug Pricing Program Database

Pharmacy Name

WAL-MART PHARMACY #10-2189

Pharmacy Address

4855 KIETZKE LN
RENO, NV 89509

Pharmacy Comments

Approval Date

3/18/2013

Contract Begin Date

4/1/2013

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Dawn Ahner, EVP & Chief Administrative Officer
(775) 982-4404

Contract Pharmacy Representative

Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498

Signed By Date

3/15/2013