340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN CO.
RWI30309 Positive Impact Health Centers, Inc.
Print
Covered Entity Details
Entity Name
Positive Impact Health Centers, Inc.
Subdivision Name
Type
Ryan White Part A
340B ID
RWI30309
Entity Address
523 Church St
Decatur, GA 30030
Grant Number
H89HA00007
Participating Start Date
7/1/2014
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
COMMUNITY, A WALGREENS PHARMACY #21146
565 PEACHTREE ST NE STE B
ATLANTA, GA 30308
Pharmacy Comments
Contract Details
Approval Date
4/4/2018
Contract Begin Date
7/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/1/2023
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
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/4/2018
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