Contract Pharmacy Details

MC KINNEY REXALL DRUG
CH0619500 ST. FRANCIS HOUSE NWA, INC.

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

MC KINNEY REXALL DRUG

Pharmacy Address

601 W. MAPLE AVE.
SUITE 201
SPRINGDALE, AR 72764

Pharmacy Comments

Contract Details

Approval Date

3/23/2010

Contract Begin Date

3/23/2010

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/13/2017
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Contract Pharmacy Representative

Signed By Date

5/25/2005

340B Drug Pricing Program Database