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RWI30058 AIDS HEALTHCARE FOUNDATION (Active)
Main Details
Name
AIDS HEALTHCARE FOUNDATION
Subdivision Name
AHF HEALTHCARE CENTER - LITHONIA
Type
Ryan White Part A
340B ID
RWI30058
Grant Number
H89HA00007
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
Additional Details
Current Program Status
Active
Registration Date
7/15/2013
Participating Start Date
10/1/2013
Participating Approval Date
9/9/2013
Last Recertification Date
2/26/2024
Time Period the Assistance was Received
3/1/2023 - 2/28/2024
Addresses
Street Address
5700 HILLANDALE DRIVE, SUITE 100
LITHONIA, GA 30058
Billing Address
AIDS HEALTHCARE FOUNDATION
6255 W. SUNSET BLVD. 21ST FLOOR
LOS ANGELES, CA 90028
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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