340B Drug Pricing Program Database
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RWI300302 DEKALB COUNTY BOARD OF HEALTH (Terminated)
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Main Details
Name
DEKALB COUNTY BOARD OF HEALTH
Subdivision Name
Type
Ryan White Part A
340B ID
RWI300302
Grant Number
H89HA00007
Additional Details
Current Program Status
Terminated
Registration Date
7/1/1996
Participating Start Date
7/1/1996
Participating Approval Date
6/15/2005
Last Recertification Date
2/11/2021
Time Period the Assistance was Received
3/1/2020 - 2/28/2021
Termination Date
Termination Reason
4/1/2022
Business decision by the Covered Entity
Contacts
Authorizing Official
Fulton County Ryan White Program
Jeff Cheek, Director, Ryan White Program
(404) 612-0789
Primary Contact
DeKalb County Board of Health
Adewale Adesanmi, Program Manager
(404) 508-7898
Addresses
Street Address
3807 Clairmont Rd. N.E.,
Room 1128
Chamblee, GA 30341
Billing Address
DeKalb County Board of Health
PO Box 987
Decatur, GA 30031
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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5/2006 UPDATED 340B_ID, FORMERLY (RW300302)
08/05/2010
June 2025
June 2025
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