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AHF PHARMACY
STD708091 AIDS Healthcare Foundation
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Covered Entity Details
Entity Name
AIDS Healthcare Foundation
Subdivision Name
AHF Healthcare Center - Baton Rouge (Azmeh)
Type
Sexually Transmitted Diseases
340B ID
STD708091
Entity Address
4890 Bluebonnet Blvd.
Baton Rouge, LA 70809-9649
Grant Number
NH25PS005176
Participating Start Date
7/13/2020
Last Recertification Date
5/14/2025
Pharmacy Details
Pharmacy Name
AHF PHARMACY
Pharmacy Address
AIDS HEALTHCARE FOUNDATION
1435 WESTHEIMER RD.
HOUSTON, TX 77006-2616
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
2/29/2024
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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