340B Drug Pricing Program Database
AIDS HEALTHCARE FOUNDATION
CH09312DB FAMILY HEALTH CENTERS OF SAN DIEGO, INC. - information as of 6/20/2025 12:29:51 AM
Covered Entity Details
Entity Name
FAMILY HEALTH CENTERS OF SAN DIEGO, INC.
Subdivision Name
Monarch School
Type
HRSA-Funded Health Center
340B ID
CH09312DB
Entity Address
1625 Newton Ave
San Diego, CA 92113
Grant Number
H80CS00224
Participating Start Date
10/1/2016
Last Recertification Date
3/1/2025
Pharmacy Details
Pharmacy Name
AIDS HEALTHCARE FOUNDATION
Pharmacy Address
DBA AHF PHARMACY
19300 S. HAMILTON AVE #170/180
GARDENA, CA 90248-4400
Pharmacy Comments
Contract Details
Approval Date
10/15/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ricardo Roman, CFO
(619) 906-4603
Contract Pharmacy Representative
AIDS HEALTHCARE FOUNDATION
Peter Reis, Senior Vice President
(323) 860-5208
Signed By Date
10/15/2019
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