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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