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RWII32501A AIDS HEALTHCARE FOUNDATION (Terminated)
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Main Details
Name
AIDS HEALTHCARE FOUNDATION
Subdivision Name
AHF HEALTHCARE CENTER PENSACOLA /MOBILE TREATMENT/TESTING VAN
Type
Ryan White Part B
340B ID
RWII32501A
Grant Number
X07HA00057
Additional Details
Current Program Status
Terminated
Registration Date
6/16/2010
Participating Start Date
7/1/2010
Participating Approval Date
6/16/2010
Last Recertification Date
2/16/2023
Time Period the Assistance was Received
9/30/2022 - 9/29/2023
Termination Date
Termination Reason
1/1/2024
Loss of qualifying grant/support
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
4300 BAYOU BLVD
SUITE 17D
Pensacola, FL 32503
Billing Address
AHF HEALTHCARE FOUNDATION
6255 WEST SUNSET BLVD, 21ST FLOOR
LOS ANGELES, CA 90028
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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7/8/10 SHIP TO ADDED
07/08/2010
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