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PHARMACY4HUMANITY
STD75230 AIDS Healthcare Foundation
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Covered Entity Details
Entity Name
AIDS Healthcare Foundation
Subdivision Name
AHF Healthcare Center- Dallas
Type
Sexually Transmitted Diseases
340B ID
STD75230
Entity Address
7777 Forest Lane, Suite B-122
Dallas, TX 75230
Grant Number
NU62PS924529
Participating Start Date
10/1/2014
Last Recertification Date
5/28/2024
Entity Termination Date
4/1/2025
Pharmacy Details
Pharmacy Name
PHARMACY4HUMANITY
Pharmacy Address
AHF PHARMACY
901 BOREN AVE., STE. 800
SEATTLE, WA 98104
Pharmacy Comments
Contract Details
Approval Date
10/14/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2025
Covered Entity Terminated
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
10/14/2024
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