340B Drug Pricing Program Database

Pharmacy Name

WAL-MART PHARMACY 10-5997

Pharmacy Address

9600 PARKSOUTH CT. SUITE 100
ORLANDO, FL 32837

Pharmacy Comments

Approval Date

10/9/2017

Contract Begin Date

1/1/2018

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Patrick B. Carrier, President & CEO
(505) 913-5202

Contract Pharmacy Representative

Healdsburg District Hospital
Kathi Phelps, Manager Contracting
(479) 277-3719

Signed By Date

10/9/2017