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MEI SERVICES INC
RWIID303031 GEORGIA DEPT OF PUBLIC HEALTH
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Covered Entity Details
Entity Name
GEORGIA DEPT OF PUBLIC HEALTH
Subdivision Name
Type
Ryan White Part B ADAP Direct Purchase
340B ID
RWIID303031
Entity Address
200 Piedmont Ave. SE
West Tower
Suite 1508
ATLANTA, GA 30334
Grant Number
X07HA22709
Participating Start Date
4/1/1997
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
MEI SERVICES INC
Pharmacy Address
DBA PHARMALIFE
6330 PRIMROSE HILL CT, STE 103
NORCROSS, GA 30092
Pharmacy Comments
Contract Details
Approval Date
9/21/2010
Contract Begin Date
9/21/2010
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/7/2017
Pharmacy closed
Contacts
Covered Entity Signing Official
MARISOL CRUZ, HIV CARE PROGRAM MANAGER
(404) 463-2453
Contract Pharmacy Representative
MICHAEL BOGACHECK, PHARMACIST
(404) 261-7775
Signed By Date
9/14/2010
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