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HV24724 AIDS Healthcare Foundation (Active)
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Main Details
Name
AIDS Healthcare Foundation
Subdivision Name
AHF Healthcare Center - Jacksonville
Type
Ryan White Part C
340B ID
HV24724
Grant Number
H76HA24724
Additional Details
Current Program Status
Active
Registration Date
10/10/2012
Participating Start Date
1/1/2013
Participating Approval Date
11/9/2012
Last Recertification Date
2/20/2025
Time Period the Assistance was Received
5/1/2024 - 4/30/2025
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
6255 West Sunset Blvd. 21st Floor
Los Angeles, CA 90028
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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11/8/12 - Reviewed registration and forwarded to IS for approval.
11/08/2012
April 2025
April 2025
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