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WALGREEN CO.
RWII302461 Positive Impact Health Centers, Inc
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Covered Entity Details
Entity Name
Positive Impact Health Centers, Inc
Subdivision Name
Type
Ryan White Part B
340B ID
RWII302461
Entity Address
3350 Breckenridge Blvd.
STE 200
DULUTH, GA 30096-7612
Grant Number
X07HA22709
Participating Start Date
12/1/1992
Last Recertification Date
2/6/2024
Entity Termination Date
1/1/2025
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
12/1/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Larry M. Lehman, CEO
(678) 990-6450 Ext: 450
Contract Pharmacy Representative
Walgreens
Jim Guth, Regional Manager, 340B Client Relationship
(847) 964-4749
Signed By Date
10/11/2017
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