340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY #10-6971
CH0619500 ST. FRANCIS HOUSE NWA, INC.
Print
Covered Entity Details
Entity Name
ST. FRANCIS HOUSE NWA, INC.
Subdivision Name
Community Clinic Springdale Medical
Type
HRSA-Funded Health Center
340B ID
CH0619500
Entity Address
614 E Emma Ave STE 300
Springdale, AR 72764-4469
Grant Number
H80CS04290
Participating Start Date
4/1/2005
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY #10-6971
Pharmacy Address
240 SLACK STREET
PEA RIDGE, AR 72751
Pharmacy Comments
Contract Details
Approval Date
10/15/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kathy Grisham, CEO
(479) 751-7417 Ext: 6070
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
10/15/2019
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session