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AIDS HEALTHCARE FOUNDATION
CH100450 Community Health Care
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Covered Entity Details
Entity Name
Community Health Care
Subdivision Name
COMMUNITY HEALTH CARE
Type
HRSA-Funded Health Center
340B ID
CH100450
Entity Address
1148 Broadway
100
Tacoma, WA 98402-3518
Grant Number
H80CS00481
Participating Start Date
1/1/1997
Last Recertification Date
3/5/2025
Pharmacy Details
Pharmacy Name
AIDS HEALTHCARE FOUNDATION
Pharmacy Address
AHF PHARMACY
1016 E PIKE ST STE 100
SEATTLE, WA 98122
Pharmacy Comments
Contract Details
Approval Date
1/14/2014
Contract Begin Date
4/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/20/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
DAVID FLENTGE, CEO
(253) 597-4550
Contract Pharmacy Representative
aidshealth
SCOTT CARRUTHERS, SR. MANAGER, CHIEF PHARMACY OFFICER
(323) 860-5200 Ext: 5266
Signed By Date
1/14/2014
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