340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN CO.
STD30309 Positive Impact Health Centers, Inc.
Print
Covered Entity Details
Entity Name
Positive Impact Health Centers, Inc.
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD30309
Entity Address
523 Church St
Decatur, GA 30030
Grant Number
NH25PS005244-01-00
Participating Start Date
10/1/2013
Last Recertification Date
5/6/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 06088
2365 BUFORD DRIVE
LAWRENCEVILLE, GA 30043
Pharmacy Comments
Contract Details
Approval Date
7/14/2017
Contract Begin Date
10/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/13/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Danny Sprouse, Associate Director - Prevention
(678) 365-4300 Ext: 102
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/14/2017
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session