Organization
AIDS HEALTHCARE FOUNDATION
Active
Organization
AIDS HEALTHCARE FOUNDATION
Active
Other names
AHF Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH SCOTT CARRUTHERS (CHIEF PHARMACY OFFICER)
(323) 860-5200
Entity
Organization
Contact information
Practice address
4630 BORDER VILLAGE RD STE K, SAN YSIDRO, CA 92173-3154
(619) 428-3760
Mailing address
18421 S MAIN ST, GARDENA, CA 90248-4609
(310) 999-6089
(833) 261-3712
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073043204
—
CA
Enumeration date
06/20/2017
Last updated
11/20/2025
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