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RWII761111 AIDS HEALTHCARE FOUNDATION (Terminated)
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Main Details
Name
AIDS HEALTHCARE FOUNDATION
Subdivision Name
AHF HEALTHCARE CENTER FORT WORTH
Type
Ryan White Part B
340B ID
RWII761111
Grant Number
X07HA00054
Additional Details
Current Program Status
Terminated
Registration Date
10/15/2015
Participating Start Date
1/1/2016
Participating Approval Date
11/20/2015
Last Recertification Date
2/26/2024
Time Period the Assistance was Received
9/30/2024 - 9/29/2025
Termination Date
Termination Reason
4/1/2025
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
400 N. BEACH STREET SUITE 104
FORT WORTH, TX 76111
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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April 2025
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