Contract Pharmacy Details

PHYSICIANS RX PHARMACY, LLC
RWI303081 AIDS Healthcare Foundation

Covered Entity Details

Entity Name

AIDS Healthcare Foundation

Subdivision Name

AHF Healthcare Center - Peachtree

Type

Ryan White Part A

340B ID

RWI303081

Entity Address

1438 W. PEACHTREE STREET NW
ATLANTA, GA 30309

Grant Number

H89HA00007

Participating Start Date

12/1/1992

Last Recertification Date

2/20/2025

Pharmacy Details

Pharmacy Name

PHYSICIANS RX PHARMACY, LLC

Pharmacy Address

7525 GREENWAY CENTER DRIVE SUITE 202
GREENBELT, MD 20770

Pharmacy Comments

Contract Details

Approval Date

4/17/2014

Contract Begin Date

7/1/2014

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

7/30/2015
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Patrick Daly, Interim Director
(404) 612-8204

Contract Pharmacy Representative

Donald Smith, CEO
(301) 477-3367

Signed By Date

4/17/2014

340B Drug Pricing Program Database