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RWII761111A AIDS HEALTHCARE FOUNDATION (Active)
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Main Details
Name
AIDS HEALTHCARE FOUNDATION
Subdivision Name
AHF HEALTHCARE CENTER - DALLAS
Type
Ryan White Part B
340B ID
RWII761111A
Grant Number
X07HA00054
Additional Details
Current Program Status
Active
Registration Date
10/17/2016
Participating Start Date
1/1/2017
Participating Approval Date
11/8/2016
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
7777 FOREST LANE B-122
DALLAS, TX 75230
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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