340B Drug Pricing Program Database

Pharmacy Name

WAL-MART PHARMACY 10-0167

Pharmacy Address

910 UNITY RD
CROSSETT, AR 71635

Pharmacy Comments

Approval Date

4/18/2017

Contract Begin Date

7/1/2017

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

PHILLIP GILMORE, CHIEF EXECUTIVE OFFICER
(870) 364-4111 Ext: 271

Contract Pharmacy Representative

WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498

Signed By Date

4/18/2017