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AHF PHARMACY
HV01713 MetroHealth
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Covered Entity Details
Entity Name
MetroHealth
Subdivision Name
Type
Ryan White Part C
340B ID
HV01713
Entity Address
1012 14TH STREET, NW
SUITE 700
WASHINGTON, DC 20005
Grant Number
H89HA00012
Participating Start Date
7/1/2009
Last Recertification Date
1/29/2019
Entity Termination Date
1/1/2020
Pharmacy Details
Pharmacy Name
AHF PHARMACY
Pharmacy Address
AIDS HEALTHCARE FOUNDATION
2141 K ST NW STE 707
WASHINGTON, DC 20037-1810
Pharmacy Comments
Contract Details
Approval Date
5/11/2010
Contract Begin Date
5/11/2010
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2020
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
5/10/2010
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