Contract Pharmacy Details

PHARMACY4HUMANITY
RWI33133 AIDS HEALTHCARE FOUNDATION

Covered Entity Details

Entity Name

AIDS HEALTHCARE FOUNDATION

Subdivision Name

AHF Healthcare Center- Coconut Grove

Type

Ryan White Part A

340B ID

RWI33133

Entity Address

3661 S. MIAMI AVENUE, SUITE 806
MIAMI, FL 33133

Grant Number

H89HA00005

Participating Start Date

10/1/2013

Last Recertification Date

2/20/2025

Pharmacy Details

Pharmacy Name

PHARMACY4HUMANITY

Pharmacy Address

AHF PHARMACY
2097 WILTON DR
WILTON MANORS, FL 33305

Pharmacy Comments

Contract Details

Approval Date

4/8/2024

Contract Begin Date

7/1/2024

Carve-In Effective Date

Contract Comments

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

4/8/2024

340B Drug Pricing Program Database