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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
5/6/2025
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
1/13/2020
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
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/4/2018
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