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DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C
RWI20037 AIDS Healthcare Foundation
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Covered Entity Details
Entity Name
AIDS Healthcare Foundation
Subdivision Name
AHF Healthcare Center - Washington DC
Type
Ryan White Part A
340B ID
RWI20037
Entity Address
1701 K Street
4 Floor
WASHINGTON, DC 20037
Grant Number
H89HA00012
Participating Start Date
7/1/2011
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
DISTRICT OF COLUMBIA CVS PHARMACY, L.L.C
Pharmacy Address
DBA: CVS/PHARMACY # 01333
3601 12TH STREET NE
WASHINGTON, DC 20017
Pharmacy Comments
Contract Details
Approval Date
1/14/2022
Contract Begin Date
4/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Rena DeStefano, Director of Pharmacy Finance
(631) 370-2022
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/14/2022
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