Covered Entity Details

RWIID303031 GEORGIA DEPT OF PUBLIC HEALTH (Active)

Main Details

Name

GEORGIA DEPT OF PUBLIC HEALTH

Subdivision Name

Type

Ryan White Part B ADAP Direct Purchase

340B ID

RWIID303031

Grant Number

X07HA22709

Additional Details

Current Program Status

Active

Registration Date

4/1/1997

Participating Start Date

4/1/1997

Participating Approval Date

6/10/2005

Last Recertification Date

2/11/2025

Time Period the Assistance was Received

4/1/2025 - 3/31/2026

Contacts

Authorizing Official

Georgia Department of Public Health
Marisol Cruz, HIV Care Program Manager
(404) 463-2453

Primary Contact

Georgia Department of Public Health
Gay Campbell, ADAP Pharmacy Director
(404) 657-9862

Addresses

Street Address

200 Piedmont Ave. SE
West Tower
Suite 1508
ATLANTA, GA 30334

Billing Address
Same as Street Address

Comment	Last Updated On
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9/30/11 name change (was GEORGIA DEPT OF HUMAN RESOURCES DIVISION OF PUBLIC HEALTH); 12/16/10 ADDR UPDATED (WAS SUITE 12-235) 6/5/09 REMOVED BILL TO/SHIP TO ADDR; 11/9/06 ADDED SHIP TO/BILL TO; 3/22/06 NEW 340B ID # (WAS RW303031)	09/30/2011
12/16/10 ADDR UPDATED (WAS SUITE 12-235) 6/5/09 REMOVED BILL TO/SHIP TO ADDR; 11/9/06 ADDED SHIP TO/BILL TO; 3/22/06 NEW 340B ID # (WAS RW303031)	12/16/2010

340B Drug Pricing Program Database