Contract Pharmacy Details

PHARMACY4HUMANITY
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

PHARMACY4HUMANITY

Pharmacy Address

AHF PHARMACY
901 BOREN AVE., STE. 800
SEATTLE, WA 98104

Pharmacy Comments

Contract Details

Approval Date

10/4/2024

Contract Begin Date

1/1/2025

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

10/4/2024

340B Drug Pricing Program Database