Contract Pharmacy Details

AHF PHARMACY
FQHCLA414B METRO HEALTH, INC.

Covered Entity Details

Entity Name

METRO HEALTH, INC.

Subdivision Name

600 Pennsylvania Avenue, SE

Type

Health Center Program Look-Alike

340B ID

FQHCLA414B

Entity Address

600 Pennsylvania Avenue, SE # Unit #LL1
WASHINGTON, DC 20003-4316

Grant Number

LALCS39530

Participating Start Date

4/1/2024

Last Recertification Date

Entity Termination Date

4/1/2025

Pharmacy Details

Pharmacy Name

AHF PHARMACY

Pharmacy Address

AIDS HEALTHCARE FOUNDATION
2141 K ST NW STE 707
WASHINGTON, DC 20037-1810

Pharmacy Comments

Contract Details

Approval Date

1/9/2024

Contract Begin Date

4/1/2024

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/1/2025
Covered Entity Terminated

Contacts

Covered Entity Signing Official

Duane Taylor, Interim CEO and COO
(202) 638-0750 Ext: 2027744595

Contract Pharmacy Representative

AIDS HEALTHCARE FOUNDATION
Scott Carruthers, Chief Pharmacy Officer
(323) 860-5200 Ext: 5266

Signed By Date

1/9/2024

340B Drug Pricing Program Database