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RWI32204 AIDS HEALTHCARE FOUNDATION (Active)
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Main Details
Name
AIDS HEALTHCARE FOUNDATION
Subdivision Name
AHF JACKSONVILLE
Type
Ryan White Part A
340B ID
RWI32204
Grant Number
H89HA00039
Additional Details
Current Program Status
Active
Registration Date
5/21/2007
Participating Start Date
7/1/2007
Participating Approval Date
5/21/2007
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
2 SHIRCLIFF WAY
Suite 900
JACKSONVILLE, FL 32204
Billing Address
AIDS HEALTHCARE FOUNDATION, ADMINISTRATIVE OFFICES
6255 WEST SUNSET BLVD
21ST FLOOR
LOS ANGELES, CA 90028
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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10/01/2012 added shipping address 4, confirmed CE owned in-house pharmacy; 6/2/10 ADDED SHIP TO;
10/01/2012
6/2/10 ADDED SHIP TO;
07/20/2010
May 2025
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