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POSITIVE IMPACT HEALTH CENTERS, INC.
STD30101 COBB COUNTY BOARD OF HEALTH
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Covered Entity Details
Entity Name
COBB COUNTY BOARD OF HEALTH
Subdivision Name
Acworth Health Center
Type
Sexually Transmitted Diseases
340B ID
STD30101
Entity Address
3810 Old 41 Highway NW
Kennesaw, GA 30144
Grant Number
NH25PS005184
Participating Start Date
1/1/2015
Last Recertification Date
5/16/2025
Pharmacy Details
Pharmacy Name
POSITIVE IMPACT HEALTH CENTERS, INC.
Pharmacy Address
PIHC PHARMACY
523 CHURCH ST STE B
DECATUR, GA 30030-2515
Pharmacy Comments
Contract Details
Approval Date
1/15/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/12/2025
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Latasha Terry, STD Director
(678) 644-5464
Contract Pharmacy Representative
Cobb & Douglas Public Health
Selina Gore Moon, RPH
(770) 514-2345
Signed By Date
1/15/2020
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