340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
AIDS HEALTHCARE FOUNDATION
RW424837B AIDS HEALTHCARE FOUNDATION
Print
Covered Entity Details
Entity Name
AIDS HEALTHCARE FOUNDATION
Subdivision Name
AHF HEALTHCARE CENTER - DALLAS
Type
Ryan White Part D
340B ID
RW424837B
Entity Address
7777 FOREST LANE B-122
DALLAS, TX 75230
Grant Number
H12HA24837
Participating Start Date
1/1/2016
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
AIDS HEALTHCARE FOUNDATION
Pharmacy Address
AHF PHARMACY
4630 BORDER VILLAGE RD STE K
SAN YSIDRO, CA 92173
Pharmacy Comments
Contract Details
Approval Date
10/4/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2024
Agreement registered in error
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
10/4/2024
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session