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AHF PHARMACY
DSH050025 UCSD MEDICAL CENTER
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Covered Entity Details
Entity Name
UCSD MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH050025
Entity Address
200 WEST ARBOR DRIVE
SAN DIEGO, CA 92103
Medicare Provider Number
050025
Participating Start Date
12/1/1992
Last Recertification Date
8/27/2024
Pharmacy Details
Pharmacy Name
AHF PHARMACY
Pharmacy Address
AIDS HEALTHCARE FOUNDATION
120 UNIVERSITY AVE
SAN DIEGO, CA 92103-3007
Pharmacy Comments
Contract Details
Approval Date
12/13/2020
Contract Begin Date
12/14/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Lori Donaldson, CFO
(619) 543-6613
Contract Pharmacy Representative
AIDS Healthcare Foundation
Phillip Ho, Sr. Director of Pharmacy and 340B Compliance
(323) 860-5323
Signed By Date
12/13/2020
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