Contract Pharmacy Details

AUSTIN 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

AUSTIN DRUG

Pharmacy Address

118 MAIN STREET N.E.
BOX 239
GRAVETTE, AR 72736

Pharmacy Comments

Contract Details

Approval Date

4/10/2024

Contract Begin Date

7/1/2024

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

Austin Drug
James Austin, Owner
(479) 787-5432

Signed By Date

4/10/2024

340B Drug Pricing Program Database