340B Drug Pricing Program Database

Pharmacy Name

WAL-MART PHARMACY 10-3277

Pharmacy Address

155 DAMONTE RANCH PKWY
RENO, NV 89521

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