Contract Pharmacy Details

AIDS HEALTHCARE FOUNDATION
RWI94612 AIDS Project of the East Bay

Covered Entity Details

Entity Name

AIDS Project of the East Bay

Subdivision Name

Type

Ryan White Part A

340B ID

RWI94612

Entity Address

1320 Webster Street
Oakland, CA 94612

Grant Number

H89HA00018

Participating Start Date

10/1/2012

Last Recertification Date

2/20/2018

Entity Termination Date

4/1/2019

Pharmacy Details

Pharmacy Name

AIDS HEALTHCARE FOUNDATION

Pharmacy Address

DBA AHF PHARMACY
4071 18TH STREET
SAN FRANCISCO, CA 94114-2535

Pharmacy Comments

Contract Details

Approval Date

4/22/2013

Contract Begin Date

4/22/2013

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

1/5/2018
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Alvan Quamina, Executive Director
(510) 435-7688

Contract Pharmacy Representative

Michael Weinstein, President
(323) 860-5200

Signed By Date

4/22/2013

340B Drug Pricing Program Database