Contract Pharmacy Details

NORCROSS PHARMACY
HV00799 Positive Impact Health Centers, Inc

Covered Entity Details

Entity Name

Positive Impact Health Centers, Inc

Subdivision Name

Type

Ryan White Part C

340B ID

HV00799

Entity Address

3350 BRECKINRIDGE BLVD
STE 200
DULUTH, GA 30096

Grant Number

H76HA00799

Participating Start Date

7/1/2004

Last Recertification Date

2/11/2025

Pharmacy Details

Pharmacy Name

NORCROSS PHARMACY

Pharmacy Address

2625 BEAVER RUIN RD
NORCROSS, GA 30071-4136

Pharmacy Comments

Contract Details

Approval Date

7/1/2004

Contract Begin Date

7/1/2004

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Contract Pharmacy Representative

Signed By Date

340B Drug Pricing Program Database