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PHARMACY4HUMANITY
RWI11772 Thursday's Child, Inc
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Covered Entity Details
Entity Name
Thursday's Child, Inc
Subdivision Name
Type
Ryan White Part A
340B ID
RWI11772
Entity Address
475 East Main Street
Suite 114
Patchogue, NY 11772-3121
Grant Number
H89HA00020
Participating Start Date
7/1/2024
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
PHARMACY4HUMANITY
Pharmacy Address
AHF PHARMACY
5356 WHITTIER BLVD
LOS ANGELES, CA 90022
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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