Contract Pharmacy Details

WAL-MART PHARMACY 10-0144
CH061950S St. Francis House NWA, Inc.

Covered Entity Details

Entity Name

St. Francis House NWA, Inc.

Subdivision Name

Parson Hills Elementary School Based Health Center

Type

HRSA-Funded Health Center

340B ID

CH061950S

Entity Address

2328 Cardinal Dr
Springdale, AR 72764-5735

Grant Number

H80CS04290

Participating Start Date

10/1/2020

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

WAL-MART PHARMACY 10-0144

Pharmacy Address

2875 MARTIN LUTHER KING, JR BLVD
FAYETTEVILLE, AR 72704

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

340B Drug Pricing Program Database