340B Drug Pricing Program Database
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RWI303041 FULTON COUNTY BOARD OF HEALTH (Active)
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Main Details
Name
FULTON COUNTY BOARD OF HEALTH
Subdivision Name
Fulton County Public Health at 10 Park Place
Type
Ryan White Part A
340B ID
RWI303041
Grant Number
H89HA00007
Additional Details
Current Program Status
Active
Registration Date
12/1/1992
Participating Start Date
12/1/1992
Participating Approval Date
6/27/2005
Last Recertification Date
2/18/2025
Time Period the Assistance was Received
3/1/2025 - 5/31/2025
Contacts
Authorizing Official
Fulton County Board Of Health
Brian Easom, Chief of Staff/Deputy District Health Director
(770) 880-4913
Primary Contact
Fulton County Board of Health
Nwabueze Okeiyi, Pharmacist Supervisor
(770) 520-7554
Addresses
Street Address
10 PARK PLACE SOUTH S.E.
ATLANTA, GA 30303
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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5/22/2008 ADDED MEDICAID PROVIDER NUMBER/NPI; 5/2006 UPDATED 340B_ID, FORMERLY (RW30301)
08/05/2010
April 2025
April 2025
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