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COLLIER DRUG FARMINGTON
CH0619500 ST. FRANCIS HOUSE NWA, INC.
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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
COLLIER DRUG FARMINGTON
Pharmacy Address
197 E MAIN ST
FARMINGTON, AR 72730-3077
Pharmacy Comments
Contract Details
Approval Date
1/14/2025
Contract Begin Date
4/1/2025
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
Collier Drug
Joshua Schader, CEO
(479) 521-7876
Signed By Date
1/14/2025
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