Contract Pharmacy Details

BIOPLUS SPECIALTY PHARMACY SERVICES, LLC
RWI30058 AIDS HEALTHCARE FOUNDATION

Covered Entity Details

Entity Name

AIDS HEALTHCARE FOUNDATION

Subdivision Name

AHF HEALTHCARE CENTER - LITHONIA

Type

Ryan White Part A

340B ID

RWI30058

Entity Address

5700 HILLANDALE DRIVE, SUITE 100
LITHONIA, GA 30058

Grant Number

H89HA00007

Participating Start Date

10/1/2013

Last Recertification Date

2/20/2025

Pharmacy Details

Pharmacy Name

BIOPLUS SPECIALTY PHARMACY SERVICES, LLC

Pharmacy Address

BIOPLUS SPECIALTY PHARMACY SERVICES, LLC
145 S 79TH ST STE 70
CHANDLER, AZ 85226

Pharmacy Comments

Contract Details

Approval Date

10/15/2024

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

BIOPLUS SPECIALTY PHARMACY
Bill Cook, Executive VP Sales and Business Development
(407) 388-5927 Ext: 4209

Signed By Date

10/15/2024

340B Drug Pricing Program Database