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COBB COUNTY BOARD OF HEALTH
RWI30309C Positive Impact Health Centers, Inc
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Covered Entity Details
Entity Name
Positive Impact Health Centers, Inc
Subdivision Name
Type
Ryan White Part A
340B ID
RWI30309C
Entity Address
1650 County Services Parkway
Suite 200
Marietta, GA 30008
Grant Number
H89HA00007
Participating Start Date
1/10/2020
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
1/15/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Larry M. Lehman, CEO
(678) 990-6450 Ext: 450
Contract Pharmacy Representative
Cobb and Douglas Public Health
Catharine Smythe, Director, Center for Clinical Services
(770) 514-2351
Signed By Date
1/15/2020
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