| Addresses | Shipping Address | Update | Change Request | AHF Pharmacy - Westside
99 N. La Cienega
Suite 200
Beverly Hills, CA 90211 | AHF Pharmacy - Westside
8641 WILSHIRE BLVD.
Suite 200
Beverly Hills, CA 90211 | 4/15/2025 12:21 PM |
| Details | Last Recertification Date | Update | Recertification | 2/26/2024 8:49:51 AM | 2/20/2025 5:05:14 PM | 2/20/2025 5:05 PM |
| Addresses | Shipping Address | Delete | Change Request | AHF Pharmacy - East Los Angeles
5356 Whittier Blvd.
Los Angeles, CA 90022 | | 11/25/2024 8:38 AM |
| Addresses | Shipping Address | Delete | Change Request | AHF Pharmacy - West Hollywood
8212 Santa Monica Blvd.
West Hollywood, CA 90046 | | 11/25/2024 8:38 AM |
| Addresses | Shipping Address | Delete | Change Request | AHF Pharmacy - Sunrise
1785 E. Sunrise Blvd.
Fort Lauderdale, FL 33304 | | 11/25/2024 8:38 AM |
| Addresses | Shipping Address | Delete | Change Request | AHF Pharmacy - Wilton Manors
2097 Wilton Drive
Wilton Manors, FL 33305 | | 11/25/2024 8:38 AM |
| Addresses | Shipping Address | Delete | Change Request | AHF Pharmacy - Farmingdale
619 Main Street
Farmingdale, NY 11735 | | 11/25/2024 8:38 AM |
| Addresses | Shipping Address | Delete | Change Request | AHF Pharmacy - Columbus
1230 N. High Street
Columbus, OH 43201 | | 11/25/2024 8:38 AM |
| Addresses | Shipping Address | Delete | Change Request | AHF Pharmacy - Cabrini
901 Boren Avenue
Suite 800
Seattle, WA 98104 | | 11/25/2024 8:38 AM |
| Addresses | Shipping Address | Delete | Change Request | AHF Pharmacy - CIty View
2307 Astoria Blvd.
Astoria, NY 11102 | | 11/25/2024 8:38 AM |
| Addresses | Shipping Address | Delete | Change Request | AHF Pharmacy - Houston OTC
1435 Westheimer Rd.
Houston, TX 77006-2616 | | 11/25/2024 8:38 AM |
| Addresses | Shipping Address | Delete | Change Request | AHF Pharmacy - Hillcrest Pharmacy
120 University Avenue
San Diego, CA 92103 | | 11/25/2024 8:38 AM |
| Addresses | Shipping Address | Delete | Change Request | AHF Pharmacy - Hillcrest North
1988 Hacienda Drive
VIsta, CA 92081 | | 11/25/2024 8:38 AM |
| Addresses | Shipping Address | Delete | Change Request | AHF Pharmacy - Orlando OTC
1349 N Mills Avenue
Orlando, FL 32803-2542 | | 11/25/2024 8:38 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - West
18421 South Main Street
Gardena, CA 90248 | 11/25/2024 8:38 AM |
| Addresses | Shipping Address | Delete | Change Request | AHF PHARMACY - DALLAS
3920 CEDAR SPRINGS RD.
DALLAS, TX 75219 | | 11/25/2024 8:38 AM |
| Details | Assistance Received From Date | Update | Change Request | 8/1/2023 12:00:00 AM | 8/1/2024 12:00:00 AM | 11/5/2024 4:23 PM |
| Details | Assistance Received To Date | Update | Change Request | 7/31/2024 12:00:00 AM | 7/31/2025 12:00:00 AM | 11/5/2024 4:23 PM |
| Addresses | Shipping Address | Update | Change Request | AHF Pharmacy - Oakland Park
1164 E. Oakland Park Blvd.
3rd Floor
Oakland Park, FL 33334 | AHF Pharmacy - Oakland Park
2866 E Oakland Park 2nd Fl
Fort Lauderdale, FL 33306 | 8/5/2024 7:55 AM |
| Addresses | Shipping Address | Update | Change Request | AHF Pharmacy - Midtown
1605 Peachtree Street NE
Atlanta, GA 30309 | AHF Pharmacy - Peachtree
1438 W. Peachtree NW
Atlanta, GA 30309 | 8/5/2024 7:55 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Austin
2927 Guadalupe St
Austin, TX 78705-3721 | 8/5/2024 7:55 AM |
| Addresses | Shipping Address | Delete | Change Request | AHF Pharmacy - Castro
4071 18th Street
San Francisco, CA 94114 | | 5/6/2024 7:38 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - San Francisco
518 A Castro Street
San Francisco, CA 94114 | 5/6/2024 7:38 AM |
| Addresses | Billing Address | Update | Change Request | AIDS HEALTHCARE FOUNDATION
6255 W Sunset Blvd. 21st Floor
Los Angeles, CA 90028 | AIDS HEALTHCARE FOUNDATION
6255 West Sunset Blvd. 21st Floor
Los Angeles, CA 90028 | 5/6/2024 7:38 AM |
| Addresses | Shipping Address | Delete | Recertification | AHF Pharmacy - Miami Beach
4308 Alton Road
Suite 950
Miami Beach, FL 33140 | | 2/26/2024 8:49 AM |
| Addresses | Shipping Address | Insert | Recertification | | AHF Pharmacy - Miami Beach
4308 Alton Road
Suite 870
Miami Beach, FL 33140 | 2/26/2024 8:49 AM |
| Addresses | Shipping Address | Insert | Recertification | | AHF Pharmacy - Capitol Hill
650 Pennsylvania Ave
Suite 380
Washington, DC 20003 | 2/26/2024 8:49 AM |
| Details | Assistance Received From Date | Update | Recertification | 8/1/2022 12:00:00 AM | 8/1/2023 12:00:00 AM | 2/26/2024 8:49 AM |
| Details | Assistance Received To Date | Update | Recertification | 7/31/2023 12:00:00 AM | 7/31/2024 12:00:00 AM | 2/26/2024 8:49 AM |
| Details | Last Recertification Date | Update | Recertification | 2/14/2023 12:40:48 PM | 2/26/2024 8:49:51 AM | 2/26/2024 8:49 AM |
| Details | NOFO Number | Update | | HRSA-22-156 | | 12/16/2023 10:34 AM |
| Addresses | Shipping Address | Update | Change Request | AHF Pharmacy - New Hollywood
4905 Hollywood Blvd.
Los Angeles, CA 90027 | AHF Pharmacy - Hollywood Flagship
4905 Hollywood Blvd.
Los Angeles, CA 90027 | 3/29/2023 11:39 AM |
| Addresses | Shipping Address | Delete | Change Request | AHF Pharmacy - Hollywood
1300 N. Vermont Avenue
Suite 407
Los Angeles, CA 90027 | | 3/6/2023 11:56 AM |
| Addresses | Shipping Address | Update | Change Request | AHF Pharmacy - Baltimore
11 E. Lexington Street
Suite 100
Baltimore, MD 21202 | AHF Pharmacy - Baltimore
2510 Saint Paul Street
Baltimore, MD 21218 | 3/6/2023 11:56 AM |
| Addresses | Shipping Address | Update | Change Request | AHF Pharmacy - San Juan
Carr. 848 KM 1.0 Saint Just
Trujillo Alto, PR 00978 | AHF Pharmacy - Carolina
Paseo Del Prado Shopping Center, Primer Nivel
Suite 107
Carolina, PR 00987 | 3/6/2023 11:56 AM |
| Addresses | Billing Address | Update | Change Request | AIDS HEALTHCARE FOUNDATION
6255 W. SUNSET BLVD. 21ST FLOOR
LOS ANGELES, CA 90028 | AIDS HEALTHCARE FOUNDATION
6255 W Sunset Blvd. 21st Floor
Los Angeles, CA 90028 | 3/6/2023 11:56 AM |
| Details | Assistance Received From Date | Update | Recertification | 8/1/2021 12:00:00 AM | 8/1/2022 12:00:00 AM | 2/14/2023 12:40 PM |
| Details | Assistance Received To Date | Update | Recertification | 7/31/2022 12:00:00 AM | 7/31/2023 12:00:00 AM | 2/14/2023 12:40 PM |
| Details | Last Recertification Date | Update | Recertification | 2/23/2022 12:14:32 PM | 2/14/2023 12:40:48 PM | 2/14/2023 12:40 PM |
| Details | NOFO Number | Update | Recertification | HRSA-21-059 | HRSA-22-156 | 2/14/2023 12:40 PM |
| Addresses | Shipping Address | Delete | Group Change Request | AHF Pharmacy - North Point
6405 N. Federal Highway
Suite 205
Fort Lauderdale, FL 33308 | | 6/3/2022 12:13 PM |
| Addresses | Shipping Address | Insert | Group Change Request | | AHF Pharmacy - North Point
6333 N. Federal Highway
Suite 301
Fort Lauderdale, FL 33308 | 6/3/2022 12:13 PM |
| Addresses | Shipping Address | Delete | Group Change Request | AHF Pharmacy - Cheshire Bridge
1858 Cheshire Bridge Road NE
Atlanta, GA 30324 | | 5/3/2022 7:03 AM |
| Addresses | Shipping Address | Insert | Group Change Request | | AHF Pharmacy - Cheshire Bridge
659 Auburn Avenue NE
Suite 156
Atlanta, GA 30312 | 5/3/2022 7:03 AM |
| Details | Last Recertification Date | Update | Recertification | 2/23/2021 11:06:58 AM | 2/23/2022 12:14:32 PM | 2/23/2022 12:14 PM |
| Addresses | Shipping Address | Delete | Group Change Request | AHF Pharmacy - Priority
3940 4th Avenue
Suite 150
San Diego, CA 92103 | | 12/7/2021 1:45 PM |
| Addresses | Shipping Address | Insert | Group Change Request | | AHF Pharmacy - Priority
3580 5th Avenue
Suite 200
Suite 200
San Diego, CA 92103-5017 | 12/7/2021 1:45 PM |
| Details | Assistance Received From Date | Update | Change Request | 8/1/2020 12:00:00 AM | 8/1/2021 12:00:00 AM | 9/27/2021 6:31 AM |
| Details | Assistance Received To Date | Update | Change Request | 7/31/2021 12:00:00 AM | 7/31/2022 12:00:00 AM | 9/27/2021 6:31 AM |
| Details | NOFO Number | Update | Change Request | HRSA-20-068 | HRSA-21-059 | 9/27/2021 6:31 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Orlando OTC
1349 N Mills Avenue
Orlando, FL 32803-2542 | 4/30/2021 5:10 PM |
| Contacts | Authorizing Official | Update | Change Request | Ho, Philip
Senior Director of Pharmacy and 340B Compliance
AIDS Healthcare Foundation
3238605323 | DeStefano, Rena
Director of Pharmacy Finance
AIDS Healthcare Foundation
6313702022 | 3/11/2021 8:58 AM |
| Details | Assistance Received From Date | Update | Recertification | | 8/1/2020 12:00:00 AM | 2/23/2021 11:06 AM |
| Details | Assistance Received To Date | Update | Recertification | | 7/31/2021 12:00:00 AM | 2/23/2021 11:06 AM |
| Details | Last Recertification Date | Update | Recertification | 2/19/2020 11:08:16 AM | 2/23/2021 11:06:58 AM | 2/23/2021 11:06 AM |
| Details | NOFO Number | Update | Recertification | | HRSA-20-068 | 2/23/2021 11:06 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Hillcrest Pharmacy
120 University Avenue
San Diego, CA 92103 | 1/31/2021 11:27 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Hillcrest North
1988 Hacienda Drive
VIsta, CA 92081 | 1/31/2021 11:27 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Mi Farmacia San Ysidro
4630 Border Village Road
San Ysidro, CA 92173 | 1/31/2021 11:27 AM |
| Addresses | Shipping Address | Delete | Change Request | AHF Pharmacy - Biscayne
2900 N. Biscayne Blvd.
Miami, FL 33137 | | 10/30/2020 12:56 PM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Biscayne
2400 Biscayne Blvd.
Miami, FL 33137 | 10/30/2020 12:56 PM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Dallas Market Center
2600 N. Stemmons Fwy
Suite 141-A
Dallas, TX 75207-2113 | 9/10/2020 2:09 PM |
| Addresses | Shipping Address | Delete | Change Request | AHF Pharmacy - Chelsea
365A W. 28th Street
New York, NY 10001 | | 8/18/2020 7:44 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Chelsea
352 7th Avenue
Suite 1206
New York, NY 10001 | 8/18/2020 7:44 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Baton Rouge
4890 Bluebonnet Blvd.
Baton Rouge, LA 70809 | 7/21/2020 6:16 PM |
| Addresses | Shipping Address | Insert | Recertification | | AHF Pharmacy - Houston OTC
1435 Westheimer Rd.
Houston, TX 77006-2616 | 2/19/2020 11:08 AM |
| Details | Last Recertification Date | Update | Recertification | 2/25/2019 7:24:50 AM | 2/19/2020 11:08:16 AM | 2/19/2020 11:08 AM |
| Addresses | Shipping Address | Delete | Change Request | AHF Pharmacy - Sunset
6210 W. Sunset Blvd.
Los Angeles, CA 90028 | | 12/12/2019 8:08 AM |
| Addresses | Shipping Address | Delete | Change Request | AHF Pharmacy - San Juan
Calle 848 KM 1.0 Saint Just
Trujillo Alto, PR 00978 | | 12/12/2019 8:08 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - New Hollywood
4905 Hollywood Blvd.
Los Angeles, CA 90027 | 12/12/2019 8:08 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - San Juan
Carr. 848 KM 1.0 Saint Just
Trujillo Alto, PR 00978 | 12/12/2019 8:08 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Houston (Binz)
1200 Binz Street
Suite 1040
Houston, TX 77004 | 11/21/2019 1:07 PM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Bronx
655 Morris Avenue
#2
Bronx, NY 10451-4898 | 11/21/2019 1:07 PM |
| Contacts | Authorizing Official | Update | AO Change Request | CARRUTHERS, SCOTT
SR. MANAGER, CHIEF PHARMACY OFFICER
aidshealth
3238605200-5266 | Ho, Philip
Senior Director of Pharmacy and 340B Compliance
AIDS Healthcare Foundation
3238605323 | 11/13/2019 8:19 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Philadelphia
1211 Chestnut Street
Suite 405
Philadelphia, PA 19107 | 7/17/2019 8:30 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - San Juan
Calle 848 KM 1.0 Saint Just
Trujillo Alto, PR 00978 | 7/17/2019 8:30 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Baltimore
11 E. Lexington Street
Suite 100
Baltimore, MD 21202 | 6/10/2019 7:23 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Chicago
3311 N. Halsted Street
Chicago, IL 60657-2412 | 6/10/2019 7:23 AM |
| Addresses | Shipping Address | Delete | Change Request | AHF Pharmacy - West Palm Beach
1411 N. Flagler Drive
West Palm Beach, FL 33401-3421 | | 3/25/2019 4:39 PM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - West Palm Beach
1411 N. Flagler Drive
Suite 9300
West Palm Beach, FL 33401-3421 | 3/25/2019 4:39 PM |
| Addresses | Shipping Address | Delete | Change Request | AHF Pharmacy - Washington DC
2141 K Street NW
Suite 606-RX
Washington, DC 20037 | | 3/22/2019 11:47 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Washington DC
2141 K Street NW
Suite 707
Washington, DC 20037 | 3/22/2019 11:47 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - West Palm Beach
1411 N. Flagler Drive
West Palm Beach, FL 33401-3421 | 3/22/2019 11:47 AM |
| Addresses | Shipping Address | Delete | Recertification | City View Pharmacy
2307 Astoria Blvd.
Astoria, NY 11102 | | 2/25/2019 7:24 AM |
| Addresses | Shipping Address | Insert | Recertification | | AHF Pharmacy - CIty View
2307 Astoria Blvd.
Astoria, NY 11102 | 2/25/2019 7:24 AM |
| Details | Last Recertification Date | Update | Recertification | 2/20/2018 3:53:24 PM | 2/25/2019 7:24:50 AM | 2/25/2019 7:24 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Jackson
766 Lakeland Drive
Suite A
Jackson, MS 39216-4610 | 9/11/2018 7:15 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Piedmont
735 Piedmont Ave NE
Atlanta, GA 30308-1416 | 7/6/2018 7:49 AM |
| Addresses | Shipping Address | Delete | Change Request | AHF Pharmacy - Dallas (Medical City)
7777 Forest Lane
Suite B-A80
Dallas, TX 75251 | | 5/30/2018 3:41 PM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Dallas (Medical City)
7777 Forest Lane
Suite B-A80
Dallas, TX 75230 | 5/30/2018 3:41 PM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - AHF Campus Fort Lauderdale
700 S.E. 3rd Avenue
Suite 100A
Fort Lauderdale, FL 33316 | 4/23/2018 9:11 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Dallas (Medical City)
7777 Forest Lane
Suite B-A80
Dallas, TX 75251 | 4/23/2018 9:11 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Castro
4071 18th Street
San Francisco, CA 94114 | 3/27/2018 9:23 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Downtown
1400 S. Grand Avenue
Suite 801
Los Angeles, CA 90015 | 3/27/2018 9:23 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - East Los Angeles
5356 Whittier Blvd.
Los Angeles, CA 90022 | 3/27/2018 9:23 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Gardena
19300 S. Hamilton Avenue
Suite 170/180
Gardena, CA 90248 | 3/27/2018 9:23 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Hollywood
1300 N. Vermont Avenue
Suite 407
Los Angeles, CA 90027 | 3/27/2018 9:23 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Long Beach
3500 E. Pacific Coast Highway
Long Beach, CA 90804 | 3/27/2018 9:23 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Oakland
400 30th Street
Suite 300
Oakland, CA 94609 | 3/27/2018 9:23 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Priority
3940 4th Avenue
Suite 150
San Diego, CA 92103 | 3/27/2018 9:23 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Sunset
6210 W. Sunset Blvd.
Los Angeles, CA 90028 | 3/27/2018 9:23 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Valley
4940 Van Nuys Blvd.
Suite 200
Sherman Oaks, CA 91403 | 3/27/2018 9:23 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - West Hollywood
8212 Santa Monica Blvd.
West Hollywood, CA 90046 | 3/27/2018 9:23 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Westside
99 N. La Cienega
Suite 200
Beverly Hills, CA 90211 | 3/27/2018 9:23 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Washington DC
2141 K Street NW
Suite 606-RX
Washington, DC 20037 | 3/27/2018 9:23 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - ACC Fort Lauderdale
700 S.E. 3rd Avenue
Suite 100
Fort Lauderdale, FL 33316 | 3/27/2018 9:23 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Biscayne
2900 N. Biscayne Blvd.
Miami, FL 33137 | 3/27/2018 9:23 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Coconut Grove
3661 S. Miami Avenue
Suite 806
Miami, FL 33133 | 3/27/2018 9:23 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Jackson North
100 N.W. 170th Street
Suite 208
North Miami Beach, FL 33169 | 3/27/2018 9:23 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Jacksonville
2 Shircliff Way
Suite 900
Jacksonville, FL 32204 | 3/27/2018 9:23 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Miami Beach
4308 Alton Road
Suite 950
Miami Beach, FL 33140 | 3/27/2018 9:23 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - North Point
6405 N. Federal Highway
Suite 205
Fort Lauderdale, FL 33308 | 3/27/2018 9:23 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Oakland Park
1164 E. Oakland Park Blvd.
3rd Floor
Oakland Park, FL 33334 | 3/27/2018 9:23 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Orlando
1701 N. Mills Avenue
Orlando, FL 32803 | 3/27/2018 9:23 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Pensacola
4300 Bayou Blvd.
Suite 17D
Pensacola, FL 32503 | 3/27/2018 9:23 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Safety Harbor
3135 SR 580
Suite 1
Safety Harbor, FL 34695 | 3/27/2018 9:23 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Sunrise
1785 E. Sunrise Blvd.
Fort Lauderdale, FL 33304 | 3/27/2018 9:23 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Wilton Manors
2097 Wilton Drive
Wilton Manors, FL 33305 | 3/27/2018 9:23 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - St. Petersburg
3400 26th Ave. S.
St. Petersburg, FL 33711 | 3/27/2018 9:23 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Delray Beach
200 Congress Park Drive
Suite 210
Delray Beach, FL 33445 | 3/27/2018 9:23 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Cheshire Bridge
1858 Cheshire Bridge Road NE
Atlanta, GA 30324 | 3/27/2018 9:23 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Lithonia
5700 Hillandale Drive
Suite 100
Lithonia, GA 30058 | 3/27/2018 9:23 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Midtown
1605 Peachtree Street NE
Atlanta, GA 30309 | 3/27/2018 9:23 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Newnan
770 Greison Trail
Suite H
Newnan, GA 30263 | 3/27/2018 9:23 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - North Las Vegas
3201 S. Maryland Pkwy.
Suite 218
Las Vegas, NV 89109 | 3/27/2018 9:23 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Chelsea
365A W. 28th Street
New York, NY 10001 | 3/27/2018 9:23 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Brooklyn
475 Atlantic Ave.
Brooklyn, NY 11217 | 3/27/2018 9:23 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Jamaica
161-21 Jamaica Avenue
7th Floor
Jamaica, NY 11432 | 3/27/2018 9:23 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Farmingdale
619 Main Street
Farmingdale, NY 11735 | 3/27/2018 9:23 AM |
| Addresses | Shipping Address | Insert | Change Request | | City View Pharmacy
2307 Astoria Blvd.
Astoria, NY 11102 | 3/27/2018 9:23 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Cleveland
2829 Euclid Avenue
Cleveland, OH 44115 | 3/27/2018 9:23 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Columbus
1230 N. High Street
Columbus, OH 43201 | 3/27/2018 9:23 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Columbia
3025 Farrow Road
Columbia, SC 29203 | 3/27/2018 9:23 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Cabrini
901 Boren Avenue
Suite 800
Seattle, WA 98104 | 3/27/2018 9:23 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Pike Street
1016 East Pike Street
Suite 100
Seattle, WA 98122 | 3/27/2018 9:23 AM |
| Details | Last Recertification Date | Update | Recertification | 2/11/2017 12:00:00 AM | 2/20/2018 3:53:24 PM | 2/20/2018 3:53 PM |
| Contacts | Authorizing Official | Update | OPA Edit Contract Pharmacy | CARRUTHERS, SCOTT
SR. MANAGER, CHIEF PHARMACY OFFICER
Aidshealth
3238605200-5266 | CARRUTHERS, SCOTT
SR. MANAGER, CHIEF PHARMACY OFFICER
aidshealth
3238605200-5266 | 12/21/2017 11:33 AM |
| Contacts | Signed By | Update | OPA Edit Contract Pharmacy | CARRUTHERS, SCOTT
SR. MANAGER, CHIEF PHARMACY OFFICER
Aidshealth
3238605200-5266 | CARRUTHERS, SCOTT
SR. MANAGER, CHIEF PHARMACY OFFICER
aidshealth
3238605200-5266 | 12/21/2017 11:33 AM |
| Contacts | Authorizing Official | Update | OPA Edit Contract Pharmacy | CARRUTHERS, SCOTT
SR. MANAGER, CHIEF PHARMACY OFFICER
Aids Health
3238605200-5266 | CARRUTHERS, SCOTT
SR. MANAGER, CHIEF PHARMACY OFFICER
Aidshealth
3238605200-5266 | 12/21/2017 11:26 AM |
| Contacts | Signed By | Update | OPA Edit Contract Pharmacy | CARRUTHERS, SCOTT
SR. MANAGER, CHIEF PHARMACY OFFICER
Aids Health
3238605200-5266 | CARRUTHERS, SCOTT
SR. MANAGER, CHIEF PHARMACY OFFICER
Aidshealth
3238605200-5266 | 12/21/2017 11:26 AM |
| Contacts | Authorizing Official | Update | OPA Edit Contract Pharmacy | CARRUTHERS, SCOTT
SR. MANAGER, CHIEF PHARMACY OFFICER
AHF Pharmacy
3238605200-5266 | CARRUTHERS, SCOTT
SR. MANAGER, CHIEF PHARMACY OFFICER
Aids Health
3238605200-5266 | 12/21/2017 11:22 AM |
| Contacts | Signed By | Update | OPA Edit Contract Pharmacy | CARRUTHERS, SCOTT
SR. MANAGER, CHIEF PHARMACY OFFICER
AHF Pharmacy
3238605200-5266 | CARRUTHERS, SCOTT
SR. MANAGER, CHIEF PHARMACY OFFICER
Aids Health
3238605200-5266 | 12/21/2017 11:22 AM |
| Contacts | Primary Contact | Insert | Change Request | | Altstaedter, Barry
Director of Pharmacy Finance
AIDS Healthcare Foundation
6318705169 | 11/8/2017 12:14 PM |
| Contacts | Authorizing Official | Update | Contract Pharmacy Registration | CARRUTHERS, SCOTT
SR. MANAGER, CHIEF PHARMACY OFFICER
3238605200-5266 | CARRUTHERS, SCOTT
SR. MANAGER, CHIEF PHARMACY OFFICER
AHF Pharmacy
3238605200-5266 | 10/5/2017 2:47 PM |
| Contacts | Signed By | Update | Contract Pharmacy Registration | CARRUTHERS, SCOTT
SR. MANAGER, CHIEF PHARMACY OFFICER
3238605200-5266 | CARRUTHERS, SCOTT
SR. MANAGER, CHIEF PHARMACY OFFICER
AHF Pharmacy
3238605200-5266 | 10/5/2017 2:47 PM |
| Contacts | Authorizing Official | Insert | | | CARRUTHERS, SCOTT
SR. MANAGER, CHIEF PHARMACY OFFICER
3238605200-5266 | 8/2/2017 1:52 PM |
| Contacts | Signed By | Insert | | | CARRUTHERS, SCOTT
SR. MANAGER, CHIEF PHARMACY OFFICER
3238605200-5266 | 8/2/2017 1:52 PM |
| Addresses | Main Address | Insert | | |
7777 FOREST LANE B-122
DALLAS, TX 75230 | 2/11/2017 10:07 AM |
| Details | Last Recertification Date | Update | | 2/25/2016 12:00:00 AM | 2/11/2017 12:00:00 AM | 2/11/2017 10:07 AM |
| Details | Last Recertification Date | Update | | | 2/25/2016 12:00:00 AM | 2/25/2016 3:34 PM |
| Addresses | Billing Address | Insert | | | AIDS HEALTHCARE FOUNDATION
6255 W. SUNSET BLVD. 21ST FLOOR
LOS ANGELES, CA 90028 | 1/8/2016 11:35 AM |
| Addresses | Shipping Address | Insert | | | AHF PHARMACY - DALLAS
3920 CEDAR SPRINGS RD.
DALLAS, TX 75219 | 1/8/2016 11:35 AM |
| Addresses | Shipping Address | Insert | | | AHF PHARMACY - FORT WORTH
400 N. BEACH STREET
SUITE 102
FORT WORTH, TX 76111 | 1/8/2016 11:35 AM |
| Dates | Participating Approval Date | Update | | | 11/23/2015 12:00:00 AM | 11/23/2015 4:04 PM |
| Details | State | Update | | Pending | Active | 11/23/2015 4:04 PM |
| Dates | Start Date | Update | | | 1/1/2016 12:00:00 AM | 11/23/2015 4:04 PM |
| Details | 340B ID | Update | | H12HA24837 | RW424837B | 11/23/2015 1:13 PM |
| Details | 340B ID | Update | | ONLINE_REG_55835 | H12HA24837 | 11/23/2015 1:09 PM |
| Details | Grant Number | Update | | GMO160904 | H12HA24837 | 11/23/2015 9:04 AM |
| Details | 340B ID | Update | | ONLINE_REG | ONLINE_REG_55835 | 10/15/2015 12:11 AM |
| Details | Last Recertification Date | Insert | | | | 10/15/2015 12:11 AM |
| Details | Grant Number | Insert | | | GMO160904 | 10/15/2015 12:11 AM |
| Details | 340B ID | Insert | | | ONLINE_REG | 10/15/2015 12:11 AM |
| Details | Is Authorizing Official EHB Data | Insert | | | | 10/15/2015 12:11 AM |
| Dates | Last Date That 340B Drugs Purchased | Insert | | | | 10/15/2015 12:11 AM |
| Details | Medicare Provider Number | Insert | | | | 10/15/2015 12:11 AM |
| Details | Entity Name | Insert | | | AIDS HEALTHCARE FOUNDATION | 10/15/2015 12:11 AM |
| Details | Program Code | Insert | | | RW4 | 10/15/2015 12:11 AM |
| Details | Entity Subname | Insert | | | AHF HEALTHCARE CENTER - DALLAS | 10/15/2015 12:11 AM |
| Dates | Participating Approval Date | Insert | | | | 10/15/2015 12:11 AM |
| Details | State | Insert | | | Pending | 10/15/2015 12:11 AM |
| Dates | Registration Date | Insert | | | 10/15/2015 12:00:00 AM | 10/15/2015 12:11 AM |
| Dates | Signed By Date | Insert | | | 10/15/2015 12:00:00 AM | 10/15/2015 12:11 AM |
| Dates | Start Date | Insert | | | | 10/15/2015 12:11 AM |
| Terminations | Termination Comments | Insert | | | | 10/15/2015 12:11 AM |
| Terminations | Termination Date | Insert | | | | 10/15/2015 12:11 AM |
| Terminations | Termination Effective Date | Insert | | | | 10/15/2015 12:11 AM |
| Terminations | Termination Reason | Insert | | | | 10/15/2015 12:11 AM |