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PHARMACY4HUMANITY
RWI32204J AIDS Healthcare Foundation
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Covered Entity Details
Entity Name
AIDS Healthcare Foundation
Subdivision Name
AHF Healthcare Center - St. Petersburg
Type
Ryan White Part A
340B ID
RWI32204J
Entity Address
3404 26th Avenue South
St. Petersburg, FL 33711
Grant Number
H89HA00024
Participating Start Date
4/1/2025
Last Recertification Date
Pharmacy Details
Pharmacy Name
PHARMACY4HUMANITY
Pharmacy Address
AHF PHARMACY
901 BOREN AVE., STE. 800
SEATTLE, WA 98104
Pharmacy Comments
Contract Details
Approval Date
4/7/2025
Contract Begin Date
7/1/2025
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
4/7/2025
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