340B Drug Pricing Program Database


RWII32501A AIDS HEALTHCARE FOUNDATION (Terminated) - information as of 6/25/2025 12:46:04 AM

Main Details
AIDS HEALTHCARE FOUNDATION
AHF HEALTHCARE CENTER PENSACOLA /MOBILE TREATMENT/TESTING VAN
Ryan White Part B
RWII32501A
X07HA00057


Additional Details
Terminated
6/16/2010
7/1/2010
6/16/2010
2/16/2023
9/30/2022 - 9/29/2023

1/1/2024
Loss of qualifying grant/support

Contacts

AIDS Healthcare Foundation
Rena DeStefano, Director of Pharmacy Finance
(631) 370-2022

AIDS Healthcare Foundation
Barry Altstaedter, Director of Pharmacy Finance
(631) 870-5169

Addresses

4300 BAYOU BLVD
SUITE 17D
Pensacola, FL 32503

AHF HEALTHCARE FOUNDATION
6255 WEST SUNSET BLVD, 21ST FLOOR
LOS ANGELES, CA 90028


  • Comments
  • Medicaid Billing
  • Shipping Addresses
  • Contract Pharmacies
  • History
Comments
CommentLast Updated On 
7/8/10 SHIP TO ADDED07/08/2010
Medicaid Billing

No
Shipping Addresses

AHF PHARMACY - JACKSONVILLE
2 SHIRCLIFF WAY SUITE 900
JACKSONVILLE, FL 32204

AHF PHARMACY - SUNRISE
1785 E. SUNRISE BLVD
FT. LAUDERDALE, FL 33304

AHF PHARMACY - WILTON MANORS
2097 WILTON DRIVE
WILTON MANORS, FL 33305

AHF PHARMACY - ACC FORT LAUDERDALE
700 S.E. 3rd AVENUE SUITE 100
FORT LAUDERDALE, FL 33316

AHF PHARMACY - ORLANDO
1701 N. MILLS AVE
ORLANDO, FL 32803

AHF PHARMACY - JACKSON NORTH
100 N.W. 170TH STREET SUITE 208
NORTH MIAMI BEACH, FL 33169

AHF PHARMACY - PENSACOLA
4300 BAYOU BLVD SUITE 17D
PENSACOLA, FL 32503

AHF PHARMACY-SAFETY HARBOR
3135 SR 580, SUITE 1
SAFETY HARBOR, FL 34695

AHF PHARMACY - COCONUT GROVE
3661 S. MIAMI AVE. SUITE 806
MIAMI, FL 33133

AHF PHARMACY - MIAMI BEACH
4308 ALTON ROAD, SUITE 950
MIAMI BEACH, FL 33140

AHF Pharmacy - St. Petersburg
3400 26th Ave. S.
St. Petersburg, FL 33711

AHF Pharmacy - Delray Beach
200 Congress Park Drive
Suite 210
Delray Beach, FL 33445

AHF Pharmacy - Castro
4071 18th Street
San Francisco, CA 94114

AHF Pharmacy - Downtown
1400 S. Grand Avenue
Suite 801
Los Angeles, CA 90015

AHF Pharmacy - East Los Angeles
5356 Whittier Blvd.
Los Angeles, CA 90022

AHF Pharmacy - Gardena
19300 S. Hamilton Avenue
Suite 170/180
Gardena, CA 90248

AHF Pharmacy - Hollywood
1300 N. Vermont Avenue
Suite 407
Los Angeles, CA 90027

AHF Pharmacy - Long Beach
3500 E. Pacific Coast Highway
Long Beach, CA 90804

AHF Pharmacy - Oakland
400 30th Street
Suite 300
Oakland, CA 94609

AHF Pharmacy - Valley
4940 Van Nuys Blvd.
Suite 200
Sherman Oaks, CA 91403

AHF Pharmacy - West Hollywood
8212 Santa Monica Blvd.
West Hollywood, CA 90046

AHF Pharmacy - Westside
99 N. La Cienega
Suite 200
Beverly Hills, CA 90211

AHF Pharmacy - Lithonia
5700 Hillandale Drive
Suite 100
Lithonia, GA 30058

AHF Pharmacy - Newnan
770 Greison Trail
Suite H
Newnan, GA 30263

AHF Pharmacy - North Las Vegas
3201 S. Maryland Pkwy.
Suite 218
Las Vegas, NV 89109

AHF Pharmacy - Brooklyn
475 Atlantic Ave.
Brooklyn, NY 11217

AHF Pharmacy - Jamaica
161-21 Jamaica Avenue
7th Floor
Jamaica, NY 11432

AHF Pharmacy - Farmingdale
619 Main Street
Farmingdale, NY 11735

AHF Pharmacy - Cleveland
2829 Euclid Avenue
Cleveland, OH 44115

AHF Pharmacy - Columbus
1230 N. High Street
Columbus, OH 43201

AHF Pharmacy - Columbia
3025 Farrow Road
Columbia, SC 29203

AHF Pharmacy - Dallas
3920 Cedar Springs Rd.
Dallas, TX 75219

AHF Pharmacy - Fort Worth
400 N. Beach Street
Suite 102
Fort Worth, TX 76111

AHF Pharmacy - Cabrini
901 Boren Avenue
Suite 800
Seattle, WA 98104

AHF Pharmacy - Pike Street
1016 East Pike Street
Suite 100
Seattle, WA 98122

AHF Pharmacy - AHF Campus Fort Lauderdale
700 S.E. 3rd Avenue
Suite 100A
Fort Lauderdale, FL 33316

AHF Pharmacy - Dallas (Medical City)
7777 Forest Lane
Suite B-A80
Dallas, TX 75230

AHF Pharmacy - Piedmont
735 Piedmont Ave NE
Atlanta, GA 30308-1416

AHF Pharmacy - Jackson
766 Lakeland Drive
Suite A
Jackson, MS 39216-4610

AHF Pharmacy - City View
2307 Astoria Blvd.
Astoria, NY 11102

AHF Pharmacy - Washington DC
2141 K Street NW
Suite 707
Washington, DC 20037

AHF Pharmacy - West Palm Beach
1411 N. Flagler Drive
Suite 9300
West Palm Beach, FL 33401-3421

AHF Pharmacy - Chicago
3311 N. Halsted Street
Chicago, IL 60657-2412

AHF Pharmacy - Philadelphia
1211 Chestnut Street
Philadelphia, PA 19107

AHF Pharmacy - Houston (Binz)
1200 Binz Street
Suite 1040
Houston, TX 77004

AHF Pharmacy - Bronx
655 Morris Avenue
#2
Bronx, NY 10451-4898

AHF Pharmacy - New Hollywood
4905 Hollywood Blvd.
Los Angeles, CA 90027

AHF Pharmacy - San Juan
Carr. 848 KM 1.0 Saint Just
Trujillo Alto, PR 00978

AHF Pharmacy - Houston OTC
1435 Westheimer Rd.
Houston, TX 77006-2616

AHF Pharmacy - Baton Rouge
4890 Bluebonnet Blvd.
Baton Rouge, LA 70809

AHF Pharmacy - Chelsea
352 7th Avenue
Suite 1206
New York, NY 10001

AHF Pharmacy - Dallas Market Center
2600 N. Stemmons Fwy
Suite 141-A
Dallas, TX 75207-2113

AHF PHARMACY - BISCAYNE
2400 BISCAYNE BLVD
MIAMI, FL 33137

AHF Pharmacy - Hillcrest Pharmacy
120 University Avenue
San Diego, CA 92103

AHF Pharmacy - Hillcrest North
1988 Hacienda Drive
VIsta, CA 92081

AHF Pharmacy - Mi Farmacia San Ysidro
4630 Border Village Road
San Ysidro, CA 92173

AHF Pharmacy - Orlando OTC
1349 N Mills Avenue
Orlando, FL 32803-2542

AHF Pharmacy - Priority
3580 5th Avenue
Suite 200
Suite 200
San Diego, CA 92103-5017

AHF Pharmacy - Cheshire Bridge
659 Auburn Avenue NE
Suite 156
Atlanta, GA 30312

AHF Pharmacy - North Point
6333 N. Federal Highway
Suite 301
Fort Lauderdale, FL 33308

AHF Pharmacy - Oakland Park
2866 E Oakland Park
2nd FL
Ft Lauderdale, FL 33306

AHF Pharmacy - Peachtree
1438 W. Peachtree NW
Atlanta, GA 30309
Contract Pharmacies
Contract DetailPharmacy NameAddressAddress Cont.CityStateZip CodeApproval DateBegin DateCarve-In Effective DateTermination DateLast Updated On
Contract DetailACCREDO HEALTH GROUP INC3000 ERICSSON DRIVE, SUITE 100
WARRENDALEPA15086-750204/15/202007/01/2020 01/01/202401/01/2024
Contract DetailACCREDO HEALTH GROUP INC1620 CENTURY CENTER PKWY # 109
MEMPHISTN38134-884904/15/202007/01/2020 01/01/202401/01/2024
Contract DetailACCREDO HEALTH GROUP INC2040 W RIO SALADO PKWY STE 101B
TEMPEAZ85281-201004/15/202007/01/2020 01/01/202401/01/2024
Contract DetailACCREDO HEALTH GROUP, INC.6272 LEE VISTA BLVD STE 100
ORLANDOFL3282204/15/202007/01/2020 01/01/202401/01/2024
Contract DetailACCREDO HEALTH GROUP, INC.2825 W PERIMETER RD STE 112
INDIANAPOLISIN4624104/15/202007/01/2020 01/01/202401/01/2024
Contract DetailACCREDO HEALTH GROUP, INC.2 BOULDEN CIR STE 1
NEW CASTLEDE19720-349204/15/202007/01/2020 01/01/202401/01/2024
Contract DetailCAREMARK FLORIDA SPECIALTY PHARMACY LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7930 WOODLAND CENTER BLVD STE 500
TAMPAFL3361407/15/202110/01/2021 01/01/202401/01/2024
Contract DetailCAREMARK ILLINOIS SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 800 BIERMANN CT STE B
MOUNT PROSPECTIL6005607/15/202110/01/2021 01/01/202401/01/2024
Contract DetailCAREMARK KANSAS SPECIALTY PHARMACYCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 11162 RENNER BLVD
LENEXAKS6621907/15/202110/01/2021 01/01/202401/01/2024
Contract DetailCAREMARK MASSACHUSETTS SPECIALTY PHARMACDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 25 BIRCH STREET, BLDG B, SUITE 100
MILFORDMA0175707/15/202110/01/2021 01/01/202401/01/2024
Contract DetailCAREMARK MICHIGAN SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1307 ALLEN DR STE H
TROYMI4808307/15/202110/01/2021 01/01/202401/01/2024
Contract DetailCAREMARK NEW JERSEY SPECIALTY PHCY, LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 180 PASSAIC AVE UNIT B-5
FAIRFIELDNJ0700407/15/202110/01/2021 01/01/202401/01/2024
Contract DetailCAREMARK NORTH CAROLINA SPECIALTY PHARMADBA CVS/SPECIALTY OR CARELONRX SPECIALTY 10700 WORLD TRADE BLVD STE 110
RALEIGHNC2761707/15/202110/01/2021 01/01/202401/01/2024
Contract DetailCAREMARK TENNESSEE SPECIALTY PHARMACY, LDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 8370 WOLF LAKE DR
STE 107
BARTLETTTN3813307/15/202110/01/2021 01/01/202401/01/2024
Contract DetailCAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1127 BRYN MAWR AVE
SUITE A
REDLANDSCA9237407/15/202110/01/2021 01/01/202401/01/2024
Contract DetailCAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7251 S. EASTERN AVE.
LAS VEGASNV8911907/15/202110/01/2021 01/01/202401/01/2024
Contract DetailCVS/SPECIALTY OR CARELONRX SPECIALTY PHACAREMARK, LLC 1001 SPINKS ROAD, STE 280
FLOWER MOUNDTX7502807/15/202110/01/2021 01/01/202401/01/2024
Contract DetailESI MAIL PHARMACY SERVICEDBA EXPRESS SCRIPTS 7909 S HARDY DR STE 106
TEMPEAZ85284-111204/15/202007/01/2020 01/01/202401/01/2024
Contract DetailEXPRESS SCRIPTSESI MAIL PHARMACY SERVICE INC 4600 N HANLEY RD
SAINT LOUISMO6313404/15/202007/01/2020 01/01/202401/01/2024
Contract DetailEXPRESS SCRIPTS PHARMACY, INC.DBA EXPRESS SCRIPTS 2040 ROUTE 130 NORTH
BURLINGTONNJ0801604/15/202007/01/2020 01/01/202401/01/2024
Contract DetailEXPRESS SCRIPTS PHARMACY, INC.DBA EXPRESS SCRIPTS 4750 E. 450 S.
WHITESTOWNIN4607504/15/202007/01/2020 01/01/202401/01/2024
Contract DetailGENOA HEALTHCARE LLC4300 SW 13TH ST, ROOM 27
GAINESVILLEFL3260804/15/202107/01/2021 01/01/202401/01/2024
Contract DetailGENOA HEALTHCARE LLC6075 BATHEY LANE, SUITE D-5
NAPLESFL3411604/15/202107/01/2021 01/01/202401/01/2024
Contract DetailGENOA HEALTHCARE LLC1700 EDUCATION AVE BUILDING A, STE P
PUNTA GORDAFL3395004/15/202107/01/2021 01/01/202401/01/2024
Contract DetailHOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 04177 2100 WEST CERVANTES
PENSACOLAFL3250507/13/202210/01/2022 01/01/202401/01/2024
Contract DetailHOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 04449 6501 CAROLINE ST
MILTONFL3257007/13/202210/01/2022 01/01/202401/01/2024
Contract DetailHOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 05180 6025 MOBILE HWY.
PENSACOLAFL3252607/14/202210/01/2022 01/01/202401/01/2024
Contract DetailHOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 04458 8100 N DAVIS HWY
PENSACOLAFL3251407/14/202210/01/2022 01/01/202401/01/2024
Contract DetailHOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 05158 5301 N PALAFOX ST
PENSACOLAFL3250507/14/202210/01/2022 01/01/202401/01/2024
Contract DetailHOLIDAY CVS, L.L.C.DBA: CVS/PHARMACY # 05249 3888 HWY 90
PACEFL3257110/10/202201/01/2023 01/01/202401/01/2024
Contract DetailOPTUM FRONTIER THERAPIES II, LLC6425 SANTA MARGARITA ST UNIT 110
LAS VEGASNV89118-191307/09/202010/01/2020 04/01/202104/01/2021
Contract DetailOPTUM PHARMACY 700, LLC5700 DOT COM CT, STE 1000
OVIEDOFL3276507/09/202010/01/2020 01/01/202401/01/2024
Contract DetailOPTUM PHARMACY 700, LLC19 CHAPIN RD BLDG D, STE D8
PINE BROOKNJ0705801/14/202104/01/2021 01/01/202401/01/2024
Contract DetailOPTUM PHARMACY 701, LLC4015 SHOPTON RD STE 600
CHARLOTTENC28217-302501/14/202104/01/2021 01/01/202401/01/2024
Contract DetailOPTUM PHARMACY 701, LLC8131 W BOSTIAN RD STE A350
WOODINVILLEWA98072-502901/14/202104/01/2021 01/01/202401/01/2024
Contract DetailOPTUM PHARMACY 702, LLC1050 PATROL RD
JEFFERSONVILLEIN4713007/09/202010/01/2020 01/01/202401/01/2024
Contract DetailOPTUM PHARMACY 704, INC.5627 UNIVERSITY HTS STE 108
SAN ANTONIOTX7824901/14/202104/01/2021 01/01/202401/01/2024
Contract DetailOPTUM PHARMACY 706, INC.30-30 47TH AVENUE SUITE 410
LONG ISLAND CITYNY1110107/09/202010/01/2020 01/01/202401/01/2024
Contract DetailOPTUMRXOPTUMRX INC 6800 W 115TH ST STE 600
OVERLAND PARKKS66211-983801/14/202104/01/2021 01/01/202401/01/2024
Contract DetailOPTUMRX2858 LOKER AVE E STE 100
CARLSBADCA92010-660801/14/202104/01/2021 01/01/202401/01/2024
Contract DetailPRIME THERAPEUTICS SPECIALTY PHARMACY LLALLIANCERX WALGREENS PRIME #16568 2354 COMMERCE PARK DRIVE
SUITE 100
ORLANDOFL32819-999204/13/202107/01/2021 10/01/202210/10/2022
Contract DetailPROCARE PHARMACY DIRECT, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 105 MALL BOULEVARD
MONROEVILLEPA1514607/15/202110/01/2021 01/01/202401/01/2024
Contract DetailPROCARE PHARMACY, L.L.C.NAVARRO SPECIALTY SERVICES # 10727 7205 CORPORATE CENTER DRIVE
SUITE 104
MIAMIFL3312607/15/202110/01/2021 01/01/202401/01/2024
Contract DetailPROCARE PHARMACY, L.L.C.DBA: CVS/PHARMACY #2909 1521 4TH AVE., SOUTH
BIRMINGHAMAL3523307/15/202110/01/2021 01/01/202401/01/2024
Contract DetailPROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY #2923 3250 HARDEN ST. EXT. SUITE #300
COLUMBIASC2920307/15/202110/01/2021 01/01/202401/01/2024
Contract DetailPROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY OR CARELONRX SPECIALTY ONE WATERFRONT PLAZA
500 ALA MOANA BLVD., BLDG 1
HONOLULUHI9681307/15/202110/01/2021 01/01/202401/01/2024
Contract DetailWALGREEN CO.DBA: WALGREENS #12300 6506 CAROLINE STREET
MILTONFL3257004/13/202107/01/2021 01/01/202401/01/2024
Contract DetailWALGREEN CO.DBA: WALGREENS # 09916 1841 E OLIVE RD
PENSACOLAFL3251404/13/202107/01/2021 01/01/202401/01/2024
Contract DetailWALGREEN CO.DBA: WALGREENS # 01222 20 W NINE MILE ROAD
PENSACOLAFL32534-126304/13/202107/01/2021 01/01/202401/01/2024
Contract DetailWALGREEN CO.DBA: WALGREENS # 10181 2237 WEST NINE MILE ROAD
PENSACOLAFL32534-941604/13/202107/01/2021 01/01/202401/01/2024
Contract DetailWALGREEN CO.DBA: WALGREENS # 05659 870 E CERVANTES
PENSACOLAFL3250104/13/202107/01/2021 01/01/202401/01/2024
Contract DetailWALGREEN CO.DBA: WALGREENS # 06084 2 SOUTH GREENO RD
FAIRHOPEAL3653207/13/202210/01/2022 01/01/202401/01/2024
Contract DetailWALGREEN CO.DBA: WALGREENS # 09917 5995 MOBILE HIGHWAY
PENSACOLAFL3252610/10/202201/01/2023 01/01/202401/01/2024
Contract DetailWALGREEN CO.DBA: WALGREENS # 05581 6314 N 9TH AVE
PENSACOLAFL3250410/10/202201/01/2023 01/01/202401/01/2024
Contract DetailWALGREEN CO.DBA: WALGREENS # 07344 700 N PACE BLVD
PENSACOLAFL32505-750001/16/202304/01/2023 01/01/202401/01/2024
Contract DetailWALGREENS SPECIALTY PHARMACY, LLCALLIANCERX WALGREENS PRIME #12314 9775 SW GEMINI DR, STE 1
BEAVERTONOR9700804/13/202107/01/2021 06/30/202107/09/2021
Contract DetailWALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #15438 41460 HAGGERTY CIR S
CANTONMI4818804/13/202107/01/2021 01/01/202401/01/2024
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsStateUpdate To Be TerminatedTerminated1/1/2024 12:01 AM
DetailsNOFO NumberUpdate HRSA-22-034 12/16/2023 10:34 AM
DatesLast Date That 340B Drugs PurchasedUpdateTermination Request 9/29/2023 12:00:00 AM10/17/2023 9:12 AM
DetailsStateUpdateTermination RequestActiveTo Be Terminated10/17/2023 9:12 AM
TerminationsTermination DateUpdateTermination Request 1/1/2024 12:00:00 AM10/17/2023 9:12 AM
TerminationsTermination Effective DateUpdateTermination Request 10/1/2023 12:00:00 AM10/17/2023 9:12 AM
TerminationsTermination ReasonUpdateTermination Request Loss of qualifying grant/support10/17/2023 9:12 AM
AddressesShipping AddressDeleteGroup Change RequestAHF Pharmacy - Midtown 1605 Peachtree Street NE Atlanta, GA 30309 7/26/2023 8:58 AM
AddressesShipping AddressDeleteGroup Change RequestAHF PHARMACY - OAKLAND PARK 1164 E. OAKLAND PARK BLVD. 3RD FLOOR OAKLAND PARK, FL 33334 7/21/2023 8:27 AM
AddressesShipping AddressInsertGroup Change Request AHF Pharmacy - Oakland Park 2866 E Oakland Park 2nd FL Ft Lauderdale, FL 333067/21/2023 8:27 AM
AddressesShipping AddressInsertGroup Change Request AHF Pharmacy - Peachtree 1438 W. Peachtree NW Atlanta, GA 303097/21/2023 8:27 AM
DetailsAssistance Received From DateUpdateRecertification9/30/2021 12:00:00 AM9/30/2022 12:00:00 AM2/16/2023 11:29 AM
DetailsAssistance Received To DateUpdateRecertification9/29/2022 12:00:00 AM9/29/2023 12:00:00 AM2/16/2023 11:29 AM
DetailsLast Recertification DateUpdateRecertification2/23/2022 2:42:16 PM2/16/2023 11:29:59 AM2/16/2023 11:29 AM
DetailsNOFO NumberUpdateRecertificationHRSA-21-067HRSA-22-0342/16/2023 11:29 AM
AddressesShipping AddressDeleteGroup Change RequestAHF PHARMACY - NORTH POINT 6405 N. FEDERAL HIGHWAY SUITE 205 FORT LAUDERDALE, FL 33308 6/3/2022 12:14 PM
AddressesShipping AddressInsertGroup Change Request AHF Pharmacy - North Point 6333 N. Federal Highway Suite 301 Fort Lauderdale, FL 333086/3/2022 12:14 PM
AddressesShipping AddressDeleteGroup Change RequestAHF Pharmacy - Cheshire Bridge 1858 Cheshire Bridge Road NE Atlanta, GA 30324 5/3/2022 7:04 AM
AddressesShipping AddressInsertGroup Change Request AHF Pharmacy - Cheshire Bridge 659 Auburn Avenue NE Suite 156 Atlanta, GA 303125/3/2022 7:04 AM
DetailsAssistance Received From DateUpdateRecertification9/30/2020 12:00:00 AM9/30/2021 12:00:00 AM2/23/2022 2:42 PM
DetailsAssistance Received To DateUpdateRecertification9/29/2021 12:00:00 AM9/29/2022 12:00:00 AM2/23/2022 2:42 PM
DetailsLast Recertification DateUpdateRecertification2/22/2021 8:16:30 AM2/23/2022 2:42:16 PM2/23/2022 2:42 PM
DetailsNOFO NumberUpdateRecertificationHRSA-20-065HRSA-21-0672/23/2022 2:42 PM
AddressesShipping AddressDeleteGroup Change RequestAHF Pharmacy - Priority 3940 4th Avenue Suite 150 San Diego, CA 92103 12/7/2021 1:47 PM
AddressesShipping AddressInsertGroup Change Request AHF Pharmacy - Priority 3580 5th Avenue Suite 200 Suite 200 San Diego, CA 92103-501712/7/2021 1:47 PM
AddressesMain AddressUpdateChange Request 4300 BAYOU BLVD SUITE 17C Pensacola, FL 32503 4300 BAYOU BLVD SUITE 17D Pensacola, FL 325034/30/2021 5:01 PM
AddressesShipping AddressInsertChange Request AHF Pharmacy - Orlando OTC 1349 N Mills Avenue Orlando, FL 32803-25424/30/2021 5:01 PM
DetailsAssistance Received From DateUpdateChange Request4/1/2020 12:00:00 AM9/30/2020 12:00:00 AM4/19/2021 9:55 AM
DetailsAssistance Received To DateUpdateChange Request3/31/2021 12:00:00 AM9/29/2021 12:00:00 AM4/19/2021 9:55 AM
ContactsAuthorizing OfficialUpdateChange RequestHo, Philip Senior Director of Pharmacy and 340B Compliance AIDS Healthcare Foundation 3238605323DeStefano, Rena Director of Pharmacy Finance AIDS Healthcare Foundation 63137020223/11/2021 1:30 PM
DetailsAssistance Received From DateUpdateRecertification 4/1/2020 12:00:00 AM2/22/2021 8:16 AM
DetailsAssistance Received To DateUpdateRecertification 3/31/2021 12:00:00 AM2/22/2021 8:16 AM
DetailsLast Recertification DateUpdateRecertification2/20/2020 7:32:24 AM2/22/2021 8:16:30 AM2/22/2021 8:16 AM
DetailsNOFO NumberUpdateRecertification HRSA-20-0652/22/2021 8:16 AM
AddressesShipping AddressInsertChange Request AHF Pharmacy - Hillcrest Pharmacy 120 University Avenue San Diego, CA 921031/29/2021 4:48 PM
AddressesShipping AddressInsertChange Request AHF Pharmacy - Hillcrest North 1988 Hacienda Drive VIsta, CA 920811/29/2021 4:48 PM
AddressesShipping AddressInsertChange Request AHF Pharmacy - Mi Farmacia San Ysidro 4630 Border Village Road San Ysidro, CA 921731/29/2021 4:48 PM
AddressesShipping AddressDeleteChange RequestAHF PHARMACY - BISCAYNE 2900 N. BISCAYNE BLVD MIAMI, FL 33137 11/24/2020 11:50 AM
AddressesShipping AddressInsertChange Request AHF PHARMACY - BISCAYNE 2400 BISCAYNE BLVD MIAMI, FL 3313711/24/2020 11:50 AM
AddressesShipping AddressInsertChange Request AHF Pharmacy - Dallas Market Center 2600 N. Stemmons Fwy Suite 141-A Dallas, TX 75207-21139/10/2020 2:01 PM
AddressesShipping AddressDeleteChange RequestAHF Pharmacy - Chelsea 365A W. 28th Street New York, NY 10001 8/18/2020 7:52 AM
AddressesShipping AddressInsertChange Request AHF Pharmacy - Chelsea 352 7th Avenue Suite 1206 New York, NY 100018/18/2020 7:52 AM
AddressesShipping AddressInsertChange Request AHF Pharmacy - Baton Rouge 4890 Bluebonnet Blvd. Baton Rouge, LA 708097/23/2020 9:49 AM
AddressesMain AddressUpdateRecertification 4300 BAYOU BLVD SUITE 17D Pensacola, FL 32503 4300 BAYOU BLVD SUITE 17C Pensacola, FL 325032/20/2020 7:32 AM
AddressesShipping AddressInsertRecertification AHF Pharmacy - Houston OTC 1435 Westheimer Rd. Houston, TX 77006-26162/20/2020 7:32 AM
DetailsLast Recertification DateUpdateRecertification2/24/2019 10:03:33 AM2/20/2020 7:32:24 AM2/20/2020 7:32 AM
AddressesShipping AddressDeleteChange RequestAHF Pharmacy - Sunset 6210 W. Sunset Blvd. Los Angeles, CA 90028 12/11/2019 2:47 PM
AddressesShipping AddressDeleteChange RequestAHF Pharmacy - San Juan Calle 848 KM 1.0 Saint Just Trujillo Alto, PR 00978 12/11/2019 2:47 PM
AddressesShipping AddressInsertChange Request AHF Pharmacy - New Hollywood 4905 Hollywood Blvd. Los Angeles, CA 9002712/11/2019 2:47 PM
AddressesShipping AddressInsertChange Request AHF Pharmacy - San Juan Carr. 848 KM 1.0 Saint Just Trujillo Alto, PR 0097812/11/2019 2:47 PM
AddressesShipping AddressInsertChange Request AHF Pharmacy - Houston (Binz) 1200 Binz Street Suite 1040 Houston, TX 7700411/21/2019 4:13 PM
AddressesShipping AddressInsertChange Request AHF Pharmacy - Bronx 655 Morris Avenue #2 Bronx, NY 10451-489811/21/2019 4:13 PM
ContactsAuthorizing OfficialUpdateAO Change RequestCARRUTHERS, SCOTT SR. MANAGER, CHIEF PHARMACY OFFICER aidshealth 3238605200-5266Ho, Philip Senior Director of Pharmacy and 340B Compliance AIDS Healthcare Foundation 323860532311/14/2019 5:11 PM
AddressesShipping AddressInsertChange Request AHF Pharmacy - Chicago 3311 N. Halsted Street Chicago, IL 60657-24127/16/2019 12:19 PM
AddressesShipping AddressInsertChange Request AHF Pharmacy - Philadelphia 1211 Chestnut Street Philadelphia, PA 191077/16/2019 12:19 PM
AddressesShipping AddressInsertChange Request AHF Pharmacy - San Juan Calle 848 KM 1.0 Saint Just Trujillo Alto, PR 009787/16/2019 12:19 PM
AddressesShipping AddressDeleteChange RequestAHF Pharmacy - Washington DC 2141 K Street NW Suite 606-RX Washington, DC 20037 3/25/2019 7:46 AM
AddressesShipping AddressInsertChange Request AHF Pharmacy - Washington DC 2141 K Street NW Suite 707 Washington, DC 200373/25/2019 7:46 AM
AddressesShipping AddressInsertChange Request AHF Pharmacy - West Palm Beach 1411 N. Flagler Drive Suite 9300 West Palm Beach, FL 33401-34213/25/2019 7:46 AM
AddressesShipping AddressDeleteRecertificationCity View Pharmacy 2307 Astoria Blvd. Astoria, NY 11102 2/24/2019 10:03 AM
AddressesShipping AddressInsertRecertification AHF Pharmacy - City View 2307 Astoria Blvd. Astoria, NY 111022/24/2019 10:03 AM
DetailsLast Recertification DateUpdateRecertification2/21/2018 10:29:43 AM2/24/2019 10:03:33 AM2/24/2019 10:03 AM
AddressesShipping AddressInsertChange Request AHF Pharmacy - Jackson 766 Lakeland Drive Suite A Jackson, MS 39216-46109/6/2018 2:11 PM
AddressesShipping AddressInsertChange Request AHF Pharmacy - Piedmont 735 Piedmont Ave NE Atlanta, GA 30308-14167/6/2018 8:22 AM
AddressesShipping AddressDeleteChange RequestAHF Pharmacy - Dallas (Medical City) 7777 Forest Lane Suite B-A80 Dallas, TX 75251 5/31/2018 7:52 AM
AddressesShipping AddressInsertChange Request AHF Pharmacy - Dallas (Medical City) 7777 Forest Lane Suite B-A80 Dallas, TX 752305/31/2018 7:52 AM
AddressesShipping AddressInsertChange Request AHF Pharmacy - Castro 4071 18th Street San Francisco, CA 941144/16/2018 9:38 AM
AddressesShipping AddressInsertChange Request AHF Pharmacy - Downtown 1400 S. Grand Avenue Suite 801 Los Angeles, CA 900154/16/2018 9:38 AM
AddressesShipping AddressInsertChange Request AHF Pharmacy - East Los Angeles 5356 Whittier Blvd. Los Angeles, CA 900224/16/2018 9:38 AM
AddressesShipping AddressInsertChange Request AHF Pharmacy - Gardena 19300 S. Hamilton Avenue Suite 170/180 Gardena, CA 902484/16/2018 9:38 AM
AddressesShipping AddressInsertChange Request AHF Pharmacy - Hollywood 1300 N. Vermont Avenue Suite 407 Los Angeles, CA 900274/16/2018 9:38 AM
AddressesShipping AddressInsertChange Request AHF Pharmacy - Long Beach 3500 E. Pacific Coast Highway Long Beach, CA 908044/16/2018 9:38 AM
AddressesShipping AddressInsertChange Request AHF Pharmacy - Oakland 400 30th Street Suite 300 Oakland, CA 946094/16/2018 9:38 AM
AddressesShipping AddressInsertChange Request AHF Pharmacy - Priority 3940 4th Avenue Suite 150 San Diego, CA 921034/16/2018 9:38 AM
AddressesShipping AddressInsertChange Request AHF Pharmacy - Sunset 6210 W. Sunset Blvd. Los Angeles, CA 900284/16/2018 9:38 AM
AddressesShipping AddressInsertChange Request AHF Pharmacy - Valley 4940 Van Nuys Blvd. Suite 200 Sherman Oaks, CA 914034/16/2018 9:38 AM
AddressesShipping AddressInsertChange Request AHF Pharmacy - West Hollywood 8212 Santa Monica Blvd. West Hollywood, CA 900464/16/2018 9:38 AM
AddressesShipping AddressInsertChange Request AHF Pharmacy - Westside 99 N. La Cienega Suite 200 Beverly Hills, CA 902114/16/2018 9:38 AM
AddressesShipping AddressInsertChange Request AHF Pharmacy - Washington DC 2141 K Street NW Suite 606-RX Washington, DC 200374/16/2018 9:38 AM
AddressesShipping AddressInsertChange Request AHF Pharmacy - Cheshire Bridge 1858 Cheshire Bridge Road NE Atlanta, GA 303244/16/2018 9:38 AM
AddressesShipping AddressInsertChange Request AHF Pharmacy - Lithonia 5700 Hillandale Drive Suite 100 Lithonia, GA 300584/16/2018 9:38 AM
AddressesShipping AddressInsertChange Request AHF Pharmacy - Midtown 1605 Peachtree Street NE Atlanta, GA 303094/16/2018 9:38 AM
AddressesShipping AddressInsertChange Request AHF Pharmacy - Newnan 770 Greison Trail Suite H Newnan, GA 302634/16/2018 9:38 AM
AddressesShipping AddressInsertChange Request AHF Pharmacy - North Las Vegas 3201 S. Maryland Pkwy. Suite 218 Las Vegas, NV 891094/16/2018 9:38 AM
AddressesShipping AddressInsertChange Request AHF Pharmacy - Chelsea 365A W. 28th Street New York, NY 100014/16/2018 9:38 AM
AddressesShipping AddressInsertChange Request AHF Pharmacy - Brooklyn 475 Atlantic Ave. Brooklyn, NY 112174/16/2018 9:38 AM
AddressesShipping AddressInsertChange Request AHF Pharmacy - Jamaica 161-21 Jamaica Avenue 7th Floor Jamaica, NY 114324/16/2018 9:38 AM
AddressesShipping AddressInsertChange Request AHF Pharmacy - Farmingdale 619 Main Street Farmingdale, NY 117354/16/2018 9:38 AM
AddressesShipping AddressInsertChange Request City View Pharmacy 2307 Astoria Blvd. Astoria, NY 111024/16/2018 9:38 AM
AddressesShipping AddressInsertChange Request AHF Pharmacy - Cleveland 2829 Euclid Avenue Cleveland, OH 441154/16/2018 9:38 AM
AddressesShipping AddressInsertChange Request AHF Pharmacy - Columbus 1230 N. High Street Columbus, OH 432014/16/2018 9:38 AM
AddressesShipping AddressInsertChange Request AHF Pharmacy - Columbia 3025 Farrow Road Columbia, SC 292034/16/2018 9:38 AM
AddressesShipping AddressInsertChange Request AHF Pharmacy - Dallas 3920 Cedar Springs Rd. Dallas, TX 752194/16/2018 9:38 AM
AddressesShipping AddressInsertChange Request AHF Pharmacy - Fort Worth 400 N. Beach Street Suite 102 Fort Worth, TX 761114/16/2018 9:38 AM
AddressesShipping AddressInsertChange Request AHF Pharmacy - Cabrini 901 Boren Avenue Suite 800 Seattle, WA 981044/16/2018 9:38 AM
AddressesShipping AddressInsertChange Request AHF Pharmacy - Pike Street 1016 East Pike Street Suite 100 Seattle, WA 981224/16/2018 9:38 AM
AddressesShipping AddressInsertChange Request AHF Pharmacy - AHF Campus Fort Lauderdale 700 S.E. 3rd Avenue Suite 100A Fort Lauderdale, FL 333164/16/2018 9:38 AM
AddressesShipping AddressInsertChange Request AHF Pharmacy - Dallas (Medical City) 7777 Forest Lane Suite B-A80 Dallas, TX 752514/16/2018 9:38 AM
DetailsGrant NumberUpdateChange RequestT2-FLX07HA000574/16/2018 9:38 AM
AddressesShipping AddressInsertRecertification AHF Pharmacy - Delray Beach 200 Congress Park Drive Suite 210 Delray Beach, FL 334452/21/2018 10:29 AM
DetailsLast Recertification DateUpdateRecertification2/11/2017 12:00:00 AM2/21/2018 10:29:43 AM2/21/2018 10:29 AM
ContactsAuthorizing OfficialUpdateOPA Edit Contract PharmacyCARRUTHERS, SCOTT SR. MANAGER, CHIEF PHARMACY OFFICER Aidshealth 3238605200-5266CARRUTHERS, SCOTT SR. MANAGER, CHIEF PHARMACY OFFICER aidshealth 3238605200-526612/21/2017 11:33 AM
ContactsAuthorizing OfficialUpdateOPA Edit Contract PharmacyCARRUTHERS, SCOTT SR. MANAGER, CHIEF PHARMACY OFFICER Aids Health 3238605200-5266CARRUTHERS, SCOTT SR. MANAGER, CHIEF PHARMACY OFFICER Aidshealth 3238605200-526612/21/2017 11:26 AM
ContactsAuthorizing OfficialUpdateOPA Edit Contract PharmacyCARRUTHERS, SCOTT SR. MANAGER, CHIEF PHARMACY OFFICER AHF Pharmacy 3238605200-5266CARRUTHERS, SCOTT SR. MANAGER, CHIEF PHARMACY OFFICER Aids Health 3238605200-526612/21/2017 11:22 AM
AddressesShipping AddressInsertChange Request AHF Pharmacy - St. Petersburg 3400 26th Ave. S. St. Petersburg, FL 3371112/5/2017 9:56 AM
ContactsPrimary ContactInsertChange Request Altstaedter, Barry Director of Pharmacy Finance AIDS Healthcare Foundation 631870516911/8/2017 1:01 PM
ContactsAuthorizing OfficialUpdateContract Pharmacy RegistrationCARRUTHERS, SCOTT SR. MANAGER, CHIEF PHARMACY OFFICER 3238605200-5266CARRUTHERS, SCOTT SR. MANAGER, CHIEF PHARMACY OFFICER AHF Pharmacy 3238605200-526610/5/2017 2:47 PM
ContactsAuthorizing OfficialUpdate MAY, JOSEPH PROGRAM ADMINISTRATOR 8502454444-4421CARRUTHERS, SCOTT SR. MANAGER, CHIEF PHARMACY OFFICER 3238605200-52668/2/2017 1:52 PM
AddressesMain AddressInsert   4300 BAYOU BLVD SUITE 17D Pensacola, FL 325032/11/2017 11:27 AM
DetailsLast Recertification DateUpdate 2/25/2016 12:00:00 AM2/11/2017 12:00:00 AM2/11/2017 11:26 AM
AddressesBilling AddressInsert  AHF HEALTHCARE FOUNDATION 6255 WEST SUNSET BLVD, 21ST FLOOR LOS ANGELES, CA 9002811/15/2016 11:00 AM
AddressesShipping AddressInsert  AHF PHARMACY-SAFETY HARBOR 3135 SR 580, SUITE 1 SAFETY HARBOR, FL 3469511/15/2016 11:00 AM
AddressesShipping AddressInsert  AHF PHARMACY - ORLANDO 1701 N. MILLS AVE ORLANDO, FL 3280311/15/2016 11:00 AM
AddressesShipping AddressInsert  AHF PHARMACY - BISCAYNE 2900 N. BISCAYNE BLVD MIAMI, FL 3313711/15/2016 11:00 AM
AddressesShipping AddressInsert  AHF PHARMACY - COCONUT GROVE 3661 S. MIAMI AVE. SUITE 806 MIAMI, FL 3313311/15/2016 11:00 AM
AddressesShipping AddressInsert  AHF PHARMACY - JACKSON NORTH 100 N.W. 170TH STREET SUITE 208 NORTH MIAMI BEACH, FL 3316911/15/2016 11:00 AM
AddressesShipping AddressInsert  AHF PHARMACY - JACKSONVILLE 2 SHIRCLIFF WAY SUITE 900 JACKSONVILLE, FL 3220411/15/2016 11:00 AM
AddressesShipping AddressInsert  AHF PHARMACY - NORTH POINT 6405 N. FEDERAL HIGHWAY SUITE 205 FORT LAUDERDALE, FL 3330811/15/2016 11:00 AM
AddressesShipping AddressInsert  AHF PHARMACY - PENSACOLA 4300 BAYOU BLVD SUITE 17D PENSACOLA, FL 3250311/15/2016 11:00 AM
AddressesShipping AddressInsert  AHF PHARMACY - SUNRISE 1785 E. SUNRISE BLVD FT. LAUDERDALE, FL 3330411/15/2016 11:00 AM
AddressesShipping AddressInsert  AHF PHARMACY - WILTON MANORS 2097 WILTON DRIVE WILTON MANORS, FL 3330511/15/2016 11:00 AM
AddressesShipping AddressInsert  AHF PHARMACY - MIAMI BEACH 4308 ALTON ROAD, SUITE 950 MIAMI BEACH, FL 3314011/15/2016 11:00 AM
AddressesShipping AddressInsert  AHF PHARMACY - OAKLAND PARK 1164 E. OAKLAND PARK BLVD. 3RD FLOOR OAKLAND PARK, FL 3333411/15/2016 11:00 AM
AddressesShipping AddressInsert  AHF PHARMACY - ACC FORT LAUDERDALE 700 S.E. 3rd AVENUE SUITE 100 FORT LAUDERDALE, FL 3331611/15/2016 11:00 AM
DetailsLast Recertification DateUpdate 2/16/2015 12:00:00 AM2/25/2016 12:00:00 AM2/25/2016 5:18 PM
DetailsLast Recertification DateUpdate 2/13/2014 12:00:00 AM2/16/2015 12:00:00 AM2/16/2015 10:21 PM
DetailsEntity SubnameUpdate MOBILE TREATMENT/TESTING VANAHF HEALTHCARE CENTER PENSACOLA /MOBILE TREATMENT/TESTING VAN4/14/2014 9:40 AM
DetailsLast Recertification DateUpdate 1/1/2013 12:00:00 AM2/13/2014 12:00:00 AM2/13/2014 4:37 PM
DetailsLast Recertification DateUpdate 10/1/2011 12:00:00 AM1/1/2013 12:00:00 AM12/12/2012 4:01 PM
ContactsAuthorizing OfficialInsert  MAY, JOSEPH PROGRAM ADMINISTRATOR 8502454444-44219/30/2011 8:39 PM
DetailsLast Recertification DateUpdate  10/1/2011 12:00:00 AM9/30/2011 8:39 PM
DetailsLast Recertification DateInsert   7/8/2010 4:09 PM
DetailsGrant NumberInsert  T2-FL7/8/2010 4:09 PM
Details340B IDInsert  RWII32501A7/8/2010 4:09 PM
DetailsIs Authorizing Official EHB DataInsert   7/8/2010 4:09 PM
DatesLast Date That 340B Drugs PurchasedInsert   7/8/2010 4:09 PM
DetailsMedicare Provider NumberInsert   7/8/2010 4:09 PM
DetailsEntity NameInsert  AIDS HEALTHCARE FOUNDATION7/8/2010 4:09 PM
DetailsProgram CodeInsert  RWII7/8/2010 4:09 PM
DetailsEntity SubnameInsert  MOBILE TREATMENT/TESTING VAN7/8/2010 4:09 PM
DatesParticipating Approval DateInsert  6/16/2010 12:00:00 AM7/8/2010 4:09 PM
DetailsStateInsert  Active7/8/2010 4:09 PM
DatesRegistration DateInsert  6/16/2010 12:00:00 AM7/8/2010 4:09 PM
DatesSigned By DateInsert  8/5/2009 12:00:00 AM7/8/2010 4:09 PM
DatesStart DateInsert  7/1/2010 12:00:00 AM7/8/2010 4:09 PM
TerminationsTermination CommentsInsert   7/8/2010 4:09 PM
TerminationsTermination DateInsert   7/8/2010 4:09 PM
TerminationsTermination Effective DateInsert   7/8/2010 4:09 PM
TerminationsTermination ReasonInsert   7/8/2010 4:09 PM
DetailsComments PublicInsert  7/8/10 SHIP TO ADDED7/8/2010 4:09 PM