| Addresses | Main Address | Update | Change Request |
3201 W. North Ave.
Chicago, IL 60647 |
3201 W. North Ave.
Chicago, IL 60651 | 4/30/2025 3:16 PM |
| Addresses | Shipping Address | Delete | Group Change Request | AHF Pharmacy - Westside
99 N. La Cienega
Suite 200
Beverly Hills, CA 90211 | | 4/15/2025 12:02 PM |
| Addresses | Shipping Address | Insert | Group Change Request | | AHF Pharmacy - Westside
8641 WILSHIRE BLVD
Ste 200
BEVERLY HILLS, CA 90211 | 4/15/2025 12:02 PM |
| Medicaid Billing | Medicaid: Is Primary | Insert | Change Request | | False | 3/7/2025 4:14 PM |
| Medicaid Billing | Medicaid: Number | Insert | Change Request | | 036154021 | 3/7/2025 4:14 PM |
| Medicaid Billing | Medicaid: State | Insert | Change Request | | IL | 3/7/2025 4:14 PM |
| Medicaid Billing | NPI: Number | Insert | Change Request | | 1649001850 | 3/7/2025 4:14 PM |
| Medicaid Billing | NPI: State | Insert | Change Request | | IL | 3/7/2025 4:14 PM |
| Addresses | Shipping Address | Delete | Group Change Request | AHF Pharmacy - East Los Angeles
5356 Whittier Blvd.
Los Angeles, CA 90022 | | 12/2/2024 7:05 AM |
| Addresses | Shipping Address | Delete | Group Change Request | AHF Pharmacy - Hillcrest
120 University Avenue
San Diego, CA 92103 | | 12/2/2024 7:05 AM |
| Addresses | Shipping Address | Delete | Group Change Request | AHF Pharmacy - Hillcrest North
1988 Hacienda Drive
Vista, CA 92081 | | 12/2/2024 7:05 AM |
| Addresses | Shipping Address | Delete | Group Change Request | AHF Pharmacy - West Hollywood
8212 Santa Monica Blvd.
West Hollywood, CA 90046 | | 11/25/2024 8:39 AM |
| Addresses | Shipping Address | Delete | Group Change Request | AHF Pharmacy - Farmingdale
619 Main Street
Farmingdale, NY 11735 | | 11/25/2024 8:39 AM |
| Addresses | Shipping Address | Delete | Group Change Request | AHF Pharmacy - Columbus
1230 N. High Street
Columbus, OH 43201 | | 11/25/2024 8:39 AM |
| Addresses | Shipping Address | Delete | Group Change Request | AHF Pharmacy - Dallas
3920 Cedar Springs Rd.
Dallas, TX 75219 | | 11/25/2024 8:39 AM |
| Addresses | Shipping Address | Delete | Group Change Request | AHF Pharmacy - Cabrini
901 Boren Avenue
Suite 800
Seattle, WA 98104 | | 11/25/2024 8:39 AM |
| Addresses | Shipping Address | Delete | Group Change Request | AHF Pharmacy - Houston OTC
1435 Westheimer Rd.
Houston, TX 77006 | | 11/25/2024 8:39 AM |
| Addresses | Shipping Address | Delete | Group Change Request | AHF Pharmacy - Orlando OTC
1349 N Mills Avenue
Orlando, FL 32803-2542 | | 11/25/2024 8:39 AM |
| Addresses | Shipping Address | Insert | Group Change Request | | AHF Pharmacy - West
18421 South Main Street
Gardena, CA 90248 | 11/25/2024 8:39 AM |
| Details | Nature of Support: Support Received From Date | Update | Change Request | 7/1/2023 12:00:00 AM | 7/1/2024 12:00:00 AM | 11/5/2024 4:27 PM |
| Details | Nature of Support: Support Received To Date | Update | Change Request | 6/30/2024 12:00:00 AM | 6/30/2025 12:00:00 AM | 11/5/2024 4:27 PM |
| Medicaid Billing | Medicaid: Number | Delete | Change Request | 1841792355 (IL) | | 8/26/2024 5:22 PM |
| Medicaid Billing | NPI: Number | Insert | Change Request | | 1578920492 | 8/26/2024 5:22 PM |
| Medicaid Billing | NPI: State | Insert | Change Request | | IL | 8/26/2024 5:22 PM |
| Addresses | Shipping Address | Update | Change Request | AHF Pharmacy - Mi Farmacia
4630 Border Village Rd.
Suite K-L
San Ysidro, CA 92173 | AHF Pharmacy - Mi Farmacia
4630 Border Village Rd.
Suite K
San Ysidro, CA 92173 | 8/5/2024 7:19 AM |
| Addresses | Shipping Address | Update | Change Request | AHF Pharmacy - Oakland Park
2866 E Oakland Park
2nd FL
Ft Lauderdale, FL 33306 | AHF Pharmacy - Oakland Park
2866 E Oakland Park Blvd
2nd FL
Ft Lauderdale, FL 33306 | 8/5/2024 7:19 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Capitol Hill
650 Pennsylvania Ave
Suite 380
Washington, DC 20003 | 8/5/2024 7:19 AM |
| Details | Nature of Support: Support Received From Date | Update | Recertification | 7/1/2022 12:00:00 AM | 7/1/2023 12:00:00 AM | 5/28/2024 5:04 PM |
| Details | Nature of Support: Support Received To Date | Update | Recertification | 6/30/2023 12:00:00 AM | 6/30/2024 12:00:00 AM | 5/28/2024 5:04 PM |
| Details | Last Recertification Date | Update | Recertification | 6/2/2023 1:16:32 PM | 5/28/2024 5:04:35 PM | 5/28/2024 5:04 PM |
| Addresses | Shipping Address | Delete | Group Change Request | AHF Pharmacy - Castro
4071 18th Street
San Francisco, CA 94114 | | 5/6/2024 7:21 AM |
| Addresses | Shipping Address | Insert | Group Change Request | | AHF Pharmacy - San Francisco
518 A Castro Street
San Francisco, CA 94114 | 5/6/2024 7:21 AM |
| Addresses | Shipping Address | Insert | Group Change Request | | AHF Pharmacy - Austin
2927 GUADALUPE ST
AUSTIN, TX 78705-3721 | 3/28/2024 12:57 PM |
| Addresses | Shipping Address | Delete | Group Change Request | AHF Pharmacy - Oakland Park
1164 E. Oakland Park Blvd.
3rd Floor
Oakland Park, FL 33334 | | 7/21/2023 8:27 AM |
| Addresses | Shipping Address | Delete | Group Change Request | AHF Pharmacy - Midtown
1605 Peachtree Street NE
Atlanta, GA 30309 | | 7/21/2023 8:27 AM |
| Addresses | Shipping Address | Insert | Group Change Request | | AHF Pharmacy - Oakland Park
2866 E Oakland Park
2nd FL
Ft Lauderdale, FL 33306 | 7/21/2023 8:27 AM |
| Addresses | Shipping Address | Insert | Group Change Request | | AHF Pharmacy - Peachtree
1438 W. Peachtree NW
Atlanta, GA 30309 | 7/21/2023 8:27 AM |
| Details | Nature of Support: Support Received From Date | Update | Recertification | 7/1/2021 12:00:00 AM | 7/1/2022 12:00:00 AM | 6/2/2023 1:16 PM |
| Details | Nature of Support: Support Received To Date | Update | Recertification | 6/30/2022 12:00:00 AM | 6/30/2023 12:00:00 AM | 6/2/2023 1:16 PM |
| Details | Last Recertification Date | Update | Recertification | 5/24/2022 3:45:03 PM | 6/2/2023 1:16:32 PM | 6/2/2023 1:16 PM |
| 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 | 3/30/2023 8:56 AM |
| Addresses | Shipping Address | Delete | Group Change Request | AHF Pharmacy - Hollywood
1300 N. Vermont Avenue
Suite 407
Los Angeles, CA 90027 | | 3/6/2023 5:24 PM |
| Addresses | Shipping Address | Delete | Group Change Request | AHF Pharmacy - Baltimore
11 E. Lexington Street
Suite 100
Baltimore, MD 21202 | | 3/6/2023 5:24 PM |
| Addresses | Shipping Address | Delete | Group Change Request | AHF Pharmacy - San Juan
Carr. 848 KM 1.0 Saint Just
Trujillo Alto, PR 00978 | | 3/6/2023 5:24 PM |
| Addresses | Shipping Address | Insert | Group Change Request | | AHF Pharmacy - Baltimore
2510 Saint Paul Street
Baltimore, MD 21218 | 3/6/2023 5:24 PM |
| Addresses | Shipping Address | Insert | Group Change Request | | AHF Pharmacy - Carolina
Paseo Del Prado Shopping Center, Primer Nivel
Suite 107
Carolina, PR 00987 | 3/6/2023 5:24 PM |
| Addresses | Shipping Address | Delete | Group Change Request | AHF Pharmacy - North Point
6405 N. Federal Highway
Suite 205
Fort Lauderdale, FL 33308 | | 6/5/2022 6:11 PM |
| Addresses | Shipping Address | Insert | Group Change Request | | AHF Pharmacy - North Point
6333 N. Federal Highway
Suite 301
Fort Lauderdale, FL 33308 | 6/5/2022 6:11 PM |
| Details | Last Recertification Date | Update | Recertification | 5/12/2021 8:55:24 PM | 5/24/2022 3:45:03 PM | 5/24/2022 3:45 PM |
| Addresses | Shipping Address | Delete | Group Change Request | AHF Pharmacy - Cheshire Bridge
1858 Cheshire Bridge Road NE
Atlanta, GA 30324 | | 5/3/2022 7:54 AM |
| Addresses | Shipping Address | Insert | Group Change Request | | AHF Pharmacy - Cheshire Bridge
659 Auburn Avenue NE
Suite 156
Atlanta, GA 30312 | 5/3/2022 7:54 AM |
| Addresses | Shipping Address | Delete | Group Change Request | AHF Pharmacy - Priority
3940 4th Avenue
Suite 150
San Diego, CA 92103 | | 12/7/2021 1:49 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 1:49 PM |
| Details | Nature of Support: Support Received From Date | Update | Change Request | 7/1/2020 12:00:00 AM | 7/1/2021 12:00:00 AM | 9/24/2021 3:50 PM |
| Details | Nature of Support: Support Received To Date | Update | Change Request | 6/30/2021 12:00:00 AM | 6/30/2022 12:00:00 AM | 9/24/2021 3:50 PM |
| Details | Nature of Support: Support Received From Date | Update | Recertification | | 7/1/2020 12:00:00 AM | 5/12/2021 8:55 PM |
| Details | Nature of Support: Support Received To Date | Update | Recertification | | 6/30/2021 12:00:00 AM | 5/12/2021 8:55 PM |
| Medicaid Billing | NPI: Number | Delete | Recertification | 1437775038 ( ) | | 5/12/2021 8:55 PM |
| Medicaid Billing | NPI: Number | Delete | Recertification | 1447487665 ( ) | | 5/12/2021 8:55 PM |
| Medicaid Billing | NPI: Number | Delete | Recertification | 1841792355 ( ) | | 5/12/2021 8:55 PM |
| Medicaid Billing | NPI: Number | Insert | Recertification | | 1437775038 | 5/12/2021 8:55 PM |
| Medicaid Billing | NPI: State | Insert | Recertification | | IL | 5/12/2021 8:55 PM |
| Medicaid Billing | NPI: Number | Insert | Recertification | | 1447487665 | 5/12/2021 8:55 PM |
| Medicaid Billing | NPI: State | Insert | Recertification | | IL | 5/12/2021 8:55 PM |
| Medicaid Billing | NPI: Number | Insert | Recertification | | 1841792355 | 5/12/2021 8:55 PM |
| Medicaid Billing | NPI: State | Insert | Recertification | | IL | 5/12/2021 8:55 PM |
| Details | Last Recertification Date | Update | Recertification | | 5/12/2021 8:55:24 PM | 5/12/2021 8:55 PM |
| Details | NOFO Number | Update | Recertification | | PS18-1802 | 5/12/2021 8:55 PM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Piedmont
735 Piedmont Ave NE
Atlanta, GA 30308-1416 | 4/30/2021 7:40 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Hillcrest
120 University Avenue
San Diego, CA 92103 | 4/30/2021 7:40 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Hillcrest North
1988 Hacienda Drive
Vista, CA 92081 | 4/30/2021 7:40 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Mi Farmacia
4630 Border Village Rd.
Suite K-L
San Ysidro, CA 92173 | 4/30/2021 7:40 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Orlando OTC
1349 N Mills Avenue
Orlando, FL 32803-2542 | 4/30/2021 7:40 AM |
| 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 | 3/16/2021 1:48 PM |
| Addresses | Shipping Address | Delete | Change Request | AHF Pharmacy - Biscayne
2900 N. Biscayne Blvd.
Miami, FL 33137 | | 12/2/2020 10:34 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Biscayne
2400 Biscayne Blvd.
Miami, FL 33137 | 12/2/2020 10:34 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Dallas Market Center
2600 N. Stemmons Fwy
Suite 141-A
Dallas, TX 75207-2113 | 9/3/2020 12:45 PM |
| Addresses | Shipping Address | Delete | Change Request | AHF Pharmacy - Chelsea
365A W. 28th Street
New York, NY 10001 | | 8/20/2020 11:59 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Chelsea
352 7th Avenue
Suite 1206
New York, NY 10001 | 8/20/2020 11:59 AM |
| Addresses | Shipping Address | Insert | Change Request | | AHF Pharmacy - Baton Rouge
4890 Bluebonnet Blvd.
Baton Rouge, LA 70809 | 7/22/2020 10:17 AM |
| Medicaid Billing | Medicaid: Is Primary | Insert | Change Request | | False | 7/9/2020 4:39 PM |
| Medicaid Billing | Medicaid: Number | Insert | Change Request | | 036130830 | 7/9/2020 4:39 PM |
| Medicaid Billing | Medicaid: State | Insert | Change Request | | IL | 7/9/2020 4:39 PM |
| Medicaid Billing | Medicaid: Is Primary | Insert | Change Request | | False | 7/9/2020 4:39 PM |
| Medicaid Billing | Medicaid: Number | Insert | Change Request | | 1841792355 | 7/9/2020 4:39 PM |
| Medicaid Billing | Medicaid: State | Insert | Change Request | | IL | 7/9/2020 4:39 PM |
| Medicaid Billing | NPI: Number | Insert | Change Request | | 1437775038 | 7/9/2020 4:39 PM |
| Medicaid Billing | NPI: Number | Insert | Change Request | | 1447487665 | 7/9/2020 4:39 PM |
| Medicaid Billing | NPI: Number | Insert | Change Request | | 1841792355 | 7/9/2020 4:39 PM |
| Contacts | Primary Contact | Update | Change Request | Ho, Philip
Senior Director of Pharmacy and 340B Compliance
AIDS Healthcare Foundation
3238605323 | Altstaedter, Barry
Director of Pharmacy Finance
AIDS Healthcare Foundation
6318705169 | 7/9/2020 4:39 PM |
| Contacts | Authorizing Official | Update | Change Request | Altstaedter, Barry
Director of Pharmacy Finance
AIDS Healthcare Foundation
6318705169 | Ho, Philip
Senior Director of Pharmacy and 340B Compliance
AIDS Healthcare Foundation
3238605323 | 7/9/2020 4:39 PM |
| Details | State | Update | | Approved | Active | 7/1/2020 12:00 AM |
| Contacts | Signed By | Insert | New Registration | | Altstaedter, Barry
Director of Pharmacy Finance
AIDS Healthcare Foundation
6318705169 | 5/22/2020 9:24 AM |
| Details | 340B ID | Update | New Registration | | STD606471 | 5/22/2020 9:24 AM |
| Dates | Participating Approval Date | Update | New Registration | | 5/22/2020 9:24:39 AM | 5/22/2020 9:24 AM |
| Details | State | Update | New Registration | Pending | Approved | 5/22/2020 9:24 AM |
| Dates | Signed By Date | Update | New Registration | | 4/14/2020 2:33:11 PM | 5/22/2020 9:24 AM |
| Dates | Start Date | Update | New Registration | | 7/1/2020 12:00:00 AM | 5/22/2020 9:24 AM |
| Addresses | Main Address | Insert | New Registration | |
3201 W. North Ave.
Chicago, IL 60647 | 4/14/2020 2:33 PM |
| Addresses | Billing Address | Insert | New Registration | | AIDS Healthcare Foundation
6255 W. Sunset Blvd.
21st Floor
Los Angeles, CA 90028 | 4/14/2020 2:33 PM |
| Addresses | Shipping Address | Insert | New Registration | | AHF Pharmacy - Castro
4071 18th Street
San Francisco, CA 94114 | 4/14/2020 2:33 PM |
| Addresses | Shipping Address | Insert | New Registration | | AHF Pharmacy - Downtown
1400 S. Grand Avenue
Suite 801
Los Angeles, CA 90015 | 4/14/2020 2:33 PM |
| Addresses | Shipping Address | Insert | New Registration | | AHF Pharmacy - East Los Angeles
5356 Whittier Blvd.
Los Angeles, CA 90022 | 4/14/2020 2:33 PM |
| Addresses | Shipping Address | Insert | New Registration | | AHF Pharmacy - Gardena
19300 S. Hamilton Avenue
Suite 170/180
Gardena, CA 90248 | 4/14/2020 2:33 PM |
| Addresses | Shipping Address | Insert | New Registration | | AHF Pharmacy - Hollywood
1300 N. Vermont Avenue
Suite 407
Los Angeles, CA 90027 | 4/14/2020 2:33 PM |
| Addresses | Shipping Address | Insert | New Registration | | AHF Pharmacy - Long Beach
3500 E. Pacific Coast Highway
Long Beach, CA 90804 | 4/14/2020 2:33 PM |
| Addresses | Shipping Address | Insert | New Registration | | AHF Pharmacy - Oakland
400 30th Street
Suite 300
Oakland, CA 94609 | 4/14/2020 2:33 PM |
| Addresses | Shipping Address | Insert | New Registration | | AHF Pharmacy - Priority
3940 4th Avenue
Suite 150
San Diego, CA 92103 | 4/14/2020 2:33 PM |
| Addresses | Shipping Address | Insert | New Registration | | AHF Pharmacy - New Hollywood
4905 Hollywood Blvd.
Los Angeles, CA 90027 | 4/14/2020 2:33 PM |
| Addresses | Shipping Address | Insert | New Registration | | AHF Pharmacy - Valley
4940 Van Nuys Blvd.
Suite 200
Sherman Oaks, CA 91403 | 4/14/2020 2:33 PM |
| Addresses | Shipping Address | Insert | New Registration | | AHF Pharmacy - West Hollywood
8212 Santa Monica Blvd.
West Hollywood, CA 90046 | 4/14/2020 2:33 PM |
| Addresses | Shipping Address | Insert | New Registration | | AHF Pharmacy - Westside
99 N. La Cienega
Suite 200
Beverly Hills, CA 90211 | 4/14/2020 2:33 PM |
| Addresses | Shipping Address | Insert | New Registration | | AHF Pharmacy - Washington DC
2141 K Street NW
Suite 707
Washington, DC 20037 | 4/14/2020 2:33 PM |
| Addresses | Shipping Address | Insert | New Registration | | AHF Pharmacy - ACC Fort Lauderdale
700 S.E. 3rd Avenue
Suite 100
Fort Lauderdale, FL 33316 | 4/14/2020 2:33 PM |
| Addresses | Shipping Address | Insert | New Registration | | AHF Pharmacy - AHF Campus Fort Lauderdale
700 S.E. 3rd Avenue
Suite 100A
Fort Lauderdale, FL 33316 | 4/14/2020 2:33 PM |
| Addresses | Shipping Address | Insert | New Registration | | AHF Pharmacy - Biscayne
2900 N. Biscayne Blvd.
Miami, FL 33137 | 4/14/2020 2:33 PM |
| Addresses | Shipping Address | Insert | New Registration | | AHF Pharmacy - Coconut Grove
3661 S. Miami Avenue
Suite 806
Miami, FL 33133 | 4/14/2020 2:33 PM |
| Addresses | Shipping Address | Insert | New Registration | | AHF Pharmacy - Delray Beach
200 Congress Park Drive
Suite 210
Delray Beach, FL 33445 | 4/14/2020 2:33 PM |
| Addresses | Shipping Address | Insert | New Registration | | AHF Pharmacy - Jackson North
100 N.W. 170th Street
Suite 208
North Miami Beach, FL 33169 | 4/14/2020 2:33 PM |
| Addresses | Shipping Address | Insert | New Registration | | AHF Pharmacy - Jacksonville
2 Shircliff Way
Suite 900
Jacksonville, FL 32204 | 4/14/2020 2:33 PM |
| Addresses | Shipping Address | Insert | New Registration | | AHF Pharmacy - Miami Beach
4308 Alton Road
Suite 950
Miami Beach, FL 33140 | 4/14/2020 2:33 PM |
| Addresses | Shipping Address | Insert | New Registration | | AHF Pharmacy - North Point
6405 N. Federal Highway
Suite 205
Fort Lauderdale, FL 33308 | 4/14/2020 2:33 PM |
| Addresses | Shipping Address | Insert | New Registration | | AHF Pharmacy - Oakland Park
1164 E. Oakland Park Blvd.
3rd Floor
Oakland Park, FL 33334 | 4/14/2020 2:33 PM |
| Addresses | Shipping Address | Insert | New Registration | | AHF Pharmacy - Orlando
1701 N. Mills Avenue
Orlando, FL 32803 | 4/14/2020 2:33 PM |
| Addresses | Shipping Address | Insert | New Registration | | AHF Pharmacy - Pensacola
4300 Bayou Blvd.
Suite 17D
Pensacola, FL 32503 | 4/14/2020 2:33 PM |
| Addresses | Shipping Address | Insert | New Registration | | AHF Pharmacy - Safety Harbor
3135 SR 580
Suite 1
Safety Harbor, FL 34695 | 4/14/2020 2:33 PM |
| Addresses | Shipping Address | Insert | New Registration | | AHF Pharmacy - St. Petersburg
3400 26th Ave. S.
St. Petersburg, FL 33711 | 4/14/2020 2:33 PM |
| Addresses | Shipping Address | Insert | New Registration | | AHF Pharmacy - Sunrise
1785 E. Sunrise Blvd.
Fort Lauderdale, FL 33304 | 4/14/2020 2:33 PM |
| Addresses | Shipping Address | Insert | New Registration | | AHF Pharmacy - Wilton Manors
2097 Wilton Drive
Wilton Manors, FL 33305 | 4/14/2020 2:33 PM |
| Addresses | Shipping Address | Insert | New Registration | | AHF Pharmacy - West Palm Beach
1411 N. Flagler Drive
Suite 9300
West Palm Beach, FL 33401 | 4/14/2020 2:33 PM |
| Addresses | Shipping Address | Insert | New Registration | | AHF Pharmacy - Cheshire Bridge
1858 Cheshire Bridge Road NE
Atlanta, GA 30324 | 4/14/2020 2:33 PM |
| Addresses | Shipping Address | Insert | New Registration | | AHF Pharmacy - Lithonia
5700 Hillandale Drive
Suite 100
Lithonia, GA 30058 | 4/14/2020 2:33 PM |
| Addresses | Shipping Address | Insert | New Registration | | AHF Pharmacy - Midtown
1605 Peachtree Street NE
Atlanta, GA 30309 | 4/14/2020 2:33 PM |
| Addresses | Shipping Address | Insert | New Registration | | AHF Pharmacy - Newnan
770 Greison Trail
Suite H
Newnan, GA 30263 | 4/14/2020 2:33 PM |
| Addresses | Shipping Address | Insert | New Registration | | AHF Pharmacy - North Las Vegas
3201 S. Maryland Pkwy.
Suite 218
Las Vegas, NV 89109 | 4/14/2020 2:33 PM |
| Addresses | Shipping Address | Insert | New Registration | | AHF Pharmacy - Brooklyn
475 Atlantic Ave.
Brooklyn, NY 11217 | 4/14/2020 2:33 PM |
| Addresses | Shipping Address | Insert | New Registration | | AHF Pharmacy - Chelsea
365A W. 28th Street
New York, NY 10001 | 4/14/2020 2:33 PM |
| Addresses | Shipping Address | Insert | New Registration | | AHF Pharmacy - Farmingdale
619 Main Street
Farmingdale, NY 11735 | 4/14/2020 2:33 PM |
| Addresses | Shipping Address | Insert | New Registration | | AHF Pharmacy - Jamaica
161-21 Jamaica Avenue
7th Floor
Jamaica, NY 11432 | 4/14/2020 2:33 PM |
| Addresses | Shipping Address | Insert | New Registration | | AHF Pharmacy - City View
2307 Astoria Blvd.
Astoria, NY 11102 | 4/14/2020 2:33 PM |
| Addresses | Shipping Address | Insert | New Registration | | AHF Pharmacy - Cleveland
2829 Euclid Avenue
Cleveland, OH 44115 | 4/14/2020 2:33 PM |
| Addresses | Shipping Address | Insert | New Registration | | AHF Pharmacy - Columbus
1230 N. High Street
Columbus, OH 43201 | 4/14/2020 2:33 PM |
| Addresses | Shipping Address | Insert | New Registration | | AHF Pharmacy - Columbia
3025 Farrow Road
Columbia, SC 29203 | 4/14/2020 2:33 PM |
| Addresses | Shipping Address | Insert | New Registration | | AHF Pharmacy - Dallas
3920 Cedar Springs Rd.
Dallas, TX 75219 | 4/14/2020 2:33 PM |
| Addresses | Shipping Address | Insert | New Registration | | AHF Pharmacy - Dallas (Medical City)
7777 Forest Lane
Suite B-A80
Dallas, TX 75230 | 4/14/2020 2:33 PM |
| Addresses | Shipping Address | Insert | New Registration | | AHF Pharmacy - Fort Worth
400 N. Beach Street
Suite 102
Fort Worth, TX 76111 | 4/14/2020 2:33 PM |
| Addresses | Shipping Address | Insert | New Registration | | AHF Pharmacy - Cabrini
901 Boren Avenue
Suite 800
Seattle, WA 98104 | 4/14/2020 2:33 PM |
| Addresses | Shipping Address | Insert | New Registration | | AHF Pharmacy - Pike Street
1016 East Pike Street
Suite 100
Seattle, WA 98122 | 4/14/2020 2:33 PM |
| Addresses | Shipping Address | Insert | New Registration | | AHF Pharmacy - Jackson
766 Lakeland Drive
Suite A
Jackson, MS 39216 | 4/14/2020 2:33 PM |
| Addresses | Shipping Address | Insert | New Registration | | AHF Pharmacy - Baltimore
11 E. Lexington Street
Suite 100
Baltimore, MD 21202 | 4/14/2020 2:33 PM |
| Addresses | Shipping Address | Insert | New Registration | | AHF Pharmacy - Chicago
3311 N. Halsted Street
Chicago, IL 60657 | 4/14/2020 2:33 PM |
| Addresses | Shipping Address | Insert | New Registration | | AHF Pharmacy - Philadelphia
1211 Chestnut Street
Suite 405
Philadelphia, PA 19107 | 4/14/2020 2:33 PM |
| Addresses | Shipping Address | Insert | New Registration | | AHF Pharmacy - San Juan
Carr. 848 KM 1.0 Saint Just
Trujillo Alto, PR 00978 | 4/14/2020 2:33 PM |
| Addresses | Shipping Address | Insert | New Registration | | AHF Pharmacy - Houston (Binz)
1200 Binz Street
Suite 1040
Houston, TX 77004 | 4/14/2020 2:33 PM |
| Addresses | Shipping Address | Insert | New Registration | | AHF Pharmacy - Bronx
655 Morris Avenue
#2
Bronx, NY 10451 | 4/14/2020 2:33 PM |
| Addresses | Shipping Address | Insert | New Registration | | AHF Pharmacy - Houston OTC
1435 Westheimer Rd.
Houston, TX 77006 | 4/14/2020 2:33 PM |
| Details | Nature Of Support | Insert | New Registration | | Direct Funding (dollars received from CDC or an intermediate organization) | 4/14/2020 2:33 PM |
| Contacts | Authorizing Official | Insert | New Registration | | Altstaedter, Barry
Director of Pharmacy Finance
AIDS Healthcare Foundation
6318705169 | 4/14/2020 2:33 PM |
| Contacts | Primary Contact | Insert | New Registration | | Ho, Philip
Senior Director of Pharmacy and 340B Compliance
AIDS Healthcare Foundation
3238605323 | 4/14/2020 2:33 PM |
| Details | Last Recertification Date | Insert | New Registration | | | 4/14/2020 2:33 PM |
| Details | Grant Number | Insert | New Registration | | NU62PS924566 | 4/14/2020 2:33 PM |
| Details | 340B ID | Insert | New Registration | | | 4/14/2020 2:33 PM |
| Details | Is Authorizing Official EHB Data | Insert | New Registration | | | 4/14/2020 2:33 PM |
| Dates | Last Date That 340B Drugs Purchased | Insert | New Registration | | | 4/14/2020 2:33 PM |
| Details | Medicare Provider Number | Insert | New Registration | | | 4/14/2020 2:33 PM |
| Details | Entity Name | Insert | New Registration | | AIDS HEALTHCARE FOUNDATION | 4/14/2020 2:33 PM |
| Details | Program Code | Insert | New Registration | | STD | 4/14/2020 2:33 PM |
| Details | Entity Subname | Insert | New Registration | | CALOR | 4/14/2020 2:33 PM |
| Dates | Participating Approval Date | Insert | New Registration | | | 4/14/2020 2:33 PM |
| Details | State | Insert | New Registration | | Pending | 4/14/2020 2:33 PM |
| Dates | Registration Date | Insert | New Registration | | 4/14/2020 2:33:08 PM | 4/14/2020 2:33 PM |
| Dates | Signed By Date | Insert | New Registration | | | 4/14/2020 2:33 PM |
| Dates | Start Date | Insert | New Registration | | | 4/14/2020 2:33 PM |
| Terminations | Termination Comments | Insert | New Registration | | | 4/14/2020 2:33 PM |
| Terminations | Termination Date | Insert | New Registration | | | 4/14/2020 2:33 PM |
| Terminations | Termination Effective Date | Insert | New Registration | | | 4/14/2020 2:33 PM |
| Terminations | Termination Reason | Insert | New Registration | | | 4/14/2020 2:33 PM |