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AIDS HEALTHCARE FOUNDATION
STD981181 People of Color Against AIDS Network
Print
Covered Entity Details
Entity Name
People of Color Against AIDS Network
Subdivision Name
MOCHA PrEP Clinic
Type
Sexually Transmitted Diseases
340B ID
STD981181
Entity Address
4437 Rainier Ave South
Seattle, WA 98118
Grant Number
NU62PS924528
Participating Start Date
5/11/2022
Last Recertification Date
5/9/2024
Pharmacy Details
Pharmacy Name
AIDS HEALTHCARE FOUNDATION
Pharmacy Address
AHF PHARMACY
1016 E PIKE ST STE 100
SEATTLE, WA 98122
Pharmacy Comments
Contract Details
Approval Date
10/16/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Steven Sawyer, Director
(206) 322-7061 Ext: 24
Contract Pharmacy Representative
AIDS Healthcare Foundation
Rena DeStefano, Director of Pharmacy Finance
(631) 370-2022
Signed By Date
10/16/2023
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