Contract Pharmacy Details

Walgreens #21373
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

Walgreens #21373

Pharmacy Address

Walgreens Central Fill #21373
4100 Dale Earnhardt Way
STE 200
Northlake, TX 76262

Pharmacy Comments

Contract Details

Approval Date

10/14/2021

Contract Begin Date

1/1/2022

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

James Semingson II, Chief Executive Officer
(479) 751-7417 Ext: 6070

Contract Pharmacy Representative

Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663

Signed By Date

10/14/2021

340B Drug Pricing Program Database