340B Drug Pricing Program Database

Pharmacy Name

WAL-MART PHARMACY 10-2480

Pharmacy Address

723A OLD WILLOW AVE
HONESDALE, PA 18431

Pharmacy Comments

Approval Date

10/29/2014

Contract Begin Date

1/1/2015

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Frederick Jackson, Executive Director
(570) 253-8450

Contract Pharmacy Representative

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

Signed By Date

10/29/2014