Contract Pharmacy Details

BIOPLUS SPECIALTY PHARMACY SERVICES, LLC
RWI917301 AIDS HEALTHCARE FOUNDATION

Covered Entity Details

Entity Name

AIDS HEALTHCARE FOUNDATION

Subdivision Name

AHF HEALTHCARE CENTER - UPLAND

Type

Ryan White Part A

340B ID

RWI917301

Entity Address

8263 GROVE AVE
SUITE 201
RANCHO CUCAMONGA, CA 91730

Grant Number

H89HA00032

Participating Start Date

7/1/2005

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