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RWII33901 AIDS HEALTHCARE FOUNDATION (Active)
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Main Details
Name
AIDS HEALTHCARE FOUNDATION
Subdivision Name
AIDS Healthcare Center- Fort Myers
Type
Ryan White Part B
340B ID
RWII33901
Grant Number
X07HA00057
Additional Details
Current Program Status
Active
Registration Date
4/14/2014
Participating Start Date
7/1/2014
Participating Approval Date
5/7/2014
Last Recertification Date
2/20/2025
Time Period the Assistance was Received
4/1/2024 - 3/31/2025
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
2320 Cleveland Ave.
Fort Myers, FL 33901
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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May 2025
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