Covered Entity Details

RWI917301 AIDS HEALTHCARE FOUNDATION (Active)

Main Details

Name

AIDS HEALTHCARE FOUNDATION

Subdivision Name

AHF HEALTHCARE CENTER - UPLAND

Type

Ryan White Part A

340B ID

RWI917301

Grant Number

H89HA00032

Additional Details

Current Program Status

Active

Registration Date

7/1/2005

Participating Start Date

7/1/2005

Participating Approval Date

6/13/2005

Last Recertification Date

2/20/2025

Time Period the Assistance was Received

3/1/2025 - 2/28/2026

Contacts

Authorizing Official

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

Primary Contact

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

Addresses

Street Address

8263 GROVE AVE
SUITE 201
RANCHO CUCAMONGA, CA 91730

Billing Address

AIDS HEALTHCARE FOUNDATION
6255 WEST SUNSET BLVD, SUITE 2100,
LOS ANGELES, CA 90028

Comment	Last Updated On
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3/5/14 verified via PM Scott Carruthers that site was terminated in error, site resigned contract and is receiving RW funds to participate in program JH 7/22/10 UPDATED SHIP TO (WAS AIDS HEALTHCARE FOUNDATION (AHF HEALTHCARE CENTER-UPLAND, 6210 W. SUNSET BLVD.); 02/26/09 ADDED SHIP TO	03/05/2014
7/22/10 UPDATED SHIP TO (WAS AIDS HEALTHCARE FOUNDATION (AHF HEALTHCARE CENTER-UPLAND, 6210 W. SUNSET BLVD.); 02/26/09 ADDED SHIP TO	07/22/2010

340B Drug Pricing Program Database