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POSITIVE IMPACT HEALTH CENTERS, INC.
STD300600 COBB COUNTY BOARD OF HEALTH
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Covered Entity Details
Entity Name
COBB COUNTY BOARD OF HEALTH
Subdivision Name
Marietta Community Health Center DISTRICT 3-1
Type
Sexually Transmitted Diseases
340B ID
STD300600
Entity Address
1650 County Services Parkway
Marietta, GA 30008
Grant Number
NH25PS005184
Participating Start Date
1/1/1997
Last Recertification Date
5/6/2024
Pharmacy Details
Pharmacy Name
POSITIVE IMPACT HEALTH CENTERS, INC.
Pharmacy Address
PIHC PHARMACY
3350 BRECKINRIDGE BLVD STE 200A
DULUTH, GA 30096
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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