340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
AHCS SPECIALTY CARE
RWI92614A AIDS Services Foundation Orange County dba Radiant Health Centers
Print
Covered Entity Details
Entity Name
AIDS Services Foundation Orange County dba Radiant Health Centers
Subdivision Name
Type
Ryan White Part A
340B ID
RWI92614A
Entity Address
2010 E. 1st Street
Suite 270
Santa Ana, CA 92705
Grant Number
H89HA00019
Participating Start Date
7/1/2019
Last Recertification Date
1/29/2020
Entity Termination Date
7/1/2020
Pharmacy Details
Pharmacy Name
AHCS SPECIALTY CARE
Pharmacy Address
12832 VALLEY VIEW ST
STE A & B
GARDEN GROVE, CA 92845
Pharmacy Comments
Contract Details
Approval Date
1/14/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2020
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Guita Sharifi, CFO
(949) 809-5753
Contract Pharmacy Representative
Advantage Healthcare Services
Nevil Jhaveri, Director of Operations
(714) 488-3580
Signed By Date
1/14/2020
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session