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AIDS HEALTHCARE FOUNDATION
CH091220 BAY AREA COMMUNITY HEALTH
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Covered Entity Details
Entity Name
BAY AREA COMMUNITY HEALTH
Subdivision Name
Mowry I Health Clinic
Type
HRSA-Funded Health Center
340B ID
CH091220
Entity Address
2299 MOWRY AVE STE 3B
FREMONT, CA 94538-1621
Grant Number
H80CS02326
Participating Start Date
7/1/1996
Last Recertification Date
2/26/2025
Pharmacy Details
Pharmacy Name
AIDS HEALTHCARE FOUNDATION
Pharmacy Address
AHF PHARMACY
SAN FRANCISCO
100 CHURCH ST.
SAN FRANCISCO, CA 94114
Pharmacy Comments
Contract Details
Approval Date
1/21/2014
Contract Begin Date
4/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/5/2017
Pharmacy closed
Contacts
Covered Entity Signing Official
Zettie D Page, CEO
(760) 902-5249
Contract Pharmacy Representative
SCOTT CARRUTHERS, SR.NATIONAL DIRECTOR OF PHARMACY
(323) 860-5262
Signed By Date
1/21/2014
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