340B Drug Pricing Program Database
COBB COUNTY BOARD OF HEALTH
RWIID303031 GEORGIA DEPT OF PUBLIC HEALTH - information as of 5/8/2025 11:07:13 PM
Covered Entity Details
Entity Name
GEORGIA DEPT OF PUBLIC HEALTH
Subdivision Name
Type
Ryan White Part B ADAP Direct Purchase
340B ID
RWIID303031
Entity Address
200 Piedmont Ave. SE
West Tower
Suite 1508
ATLANTA, GA 30334
Grant Number
X07HA22709
Participating Start Date
4/1/1997
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
COBB COUNTY BOARD OF HEALTH
Pharmacy Address
1650 COUNTY SERVICES PARKWAY
MARIETTA, GA 30008-4010
Pharmacy Comments
Contract Details
Approval Date
7/1/2006
Contract Begin Date
7/1/2006
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
MARISOL CRUZ, HIV CARE PROGRAM MANAGER
(404) 463-2453
Contract Pharmacy Representative
Signed By Date
6/1/2006
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