340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
AHF PHARMACY WEST HOLLYWOOD
RWI900152D AIDS Healthcare Foundation
Print
Covered Entity Details
Entity Name
AIDS Healthcare Foundation
Subdivision Name
AHF Wellness Center - Oakland
Type
Ryan White Part A
340B ID
RWI900152D
Entity Address
238 E. 18th Street
Oakland, CA 94606
Grant Number
H89HA00018
Participating Start Date
7/1/2017
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
AHF PHARMACY WEST HOLLYWOOD
Pharmacy Address
AIDS HEALTHCARE FOUNDATION
8212 SANTA MONICA BVLD.
WEST HOLLYWOOD, CA 90046
Pharmacy Comments
Contract Details
Approval Date
10/12/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/9/2024
Ownership change
Contacts
Covered Entity Signing Official
Rena DeStefano, Director of Pharmacy Finance
(631) 370-2022
Contract Pharmacy Representative
AIDS HEALTHCARE FOUNDATION
Scott Carruthers, Chief Pharmacy Officer
(323) 860-5200 Ext: 5266
Signed By Date
10/12/2023
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