340B Drug Pricing Program Database

Pharmacy Name

WAL-MART PHARMACY 10-2574

Pharmacy Address

60 NOBLE BLVD
CARLISLE, PA 17013

Pharmacy Comments

Approval Date

1/5/2018

Contract Begin Date

4/1/2018

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Kenneth M. Green, Chief Executive Officer
(717) 218-6670 Ext: 4321

Contract Pharmacy Representative

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

Signed By Date

1/5/2018