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PHARMACY4HUMANITY
STD606471 AIDS HEALTHCARE FOUNDATION
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Covered Entity Details
Entity Name
AIDS HEALTHCARE FOUNDATION
Subdivision Name
CALOR
Type
Sexually Transmitted Diseases
340B ID
STD606471
Entity Address
3201 W. North Ave.
Chicago, IL 60647
Grant Number
NU62PS924566
Participating Start Date
7/1/2020
Last Recertification Date
5/28/2024
Pharmacy Details
Pharmacy Name
PHARMACY4HUMANITY
Pharmacy Address
AHF PHARMACY
18421 S MAIN ST
GARDENA, CA 90248
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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