# AIDS HEALTHCARE FOUNDATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MOMS Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932468725
- **Authorized official:** KENNETH SCOTT CARRUTHERS (NATIONAL DIRECTOR OF PHARMACY-SRMGR)
- **Authorized official phone:** (323) 860-5266

## Contact information

- **Practice address:** 75 AMORY STREET, ROXBURY, MA 02119
- **Practice address phone:** (617) 708-3922
- **Practice address fax:** (617) 522-0631
- **Mailing address:** 6255 W. SUNSET BLVD., 21ST FLOOR, LOS ANGELES, CA 90028
- **Mailing address phone:** (323) 860-5281
- **Mailing address fax:** (323) 860-5315

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 05/14/2012
- **Last updated:** 05/16/2012