Contract Pharmacy Details

HARPS PHARMACY #113
CH061950D ST. FRANCIS HOUSE NWA, INC.

Covered Entity Details

Entity Name

ST. FRANCIS HOUSE NWA, INC.

Subdivision Name

Community Clinic Siloam Springs Medical

Type

HRSA-Funded Health Center

340B ID

CH061950D

Entity Address

500 South Mount Olive STE 200
Siloam Springs, AR 72761

Grant Number

H80CS04290

Participating Start Date

7/1/2009

Last Recertification Date

2/5/2024

Entity Termination Date

4/1/2025

Pharmacy Details

Pharmacy Name

HARPS PHARMACY #113

Pharmacy Address

201 HIGHWAY 412 W
SILOAM SPRINGS, AR 72761

Pharmacy Comments

Contract Details

Approval Date

6/30/2010

Contract Begin Date

6/30/2010

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/13/2017
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Kathy Grisham, CEO
(479) 751-7417 Ext: 6070

Contract Pharmacy Representative

Signed By Date

5/27/2010

340B Drug Pricing Program Database