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AHF PHARMACY
RWI900152F AIDS Healthcare Foundation
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Covered Entity Details
Entity Name
AIDS Healthcare Foundation
Subdivision Name
AHF Healthcare Center - Long Beach
Type
Ryan White Part A
340B ID
RWI900152F
Entity Address
3500 E. Pacific Coast Highway
Long Beach, CA 90804
Grant Number
H89HA00016
Participating Start Date
4/1/2020
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
AHF PHARMACY
Pharmacy Address
AIDS HEALTHCARE FOUNDATION
1988 HACIENDA DR
VISTA, CA 92081-6026
Pharmacy Comments
Contract Details
Approval Date
10/13/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2024
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
10/13/2023
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