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WAL-MART PHARMACY #10-6971
CH061950Y St. Francis House NWA, Inc.
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Covered Entity Details
Entity Name
St. Francis House NWA, Inc.
Subdivision Name
Community Clinic Outreach - RPP
Type
HRSA-Funded Health Center
340B ID
CH061950Y
Entity Address
614 E Emma Ave STE M426
Springdale, AR 72764
Grant Number
H80CS04290
Participating Start Date
10/1/2022
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
10/16/2023
Contract Begin Date
1/1/2024
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
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
10/16/2023
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