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WALGREEN CO.
STD30309 Positive Impact Health Centers, Inc.
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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 # 06032
595 PIEDMONT AVE NE STE 100
ATLANTA, GA 30308-2480
Pharmacy Comments
Contract Details
Approval Date
10/11/2017
Contract Begin Date
1/1/2018
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
Quinton L Rasberry, Director of Marketing
(378) 990-6454 Ext: 454
Contract Pharmacy Representative
Walgreens
Jim Guth, Regional Manager, 340B Client Relationship
(847) 964-4749
Signed By Date
10/11/2017
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