Organization
AIDS HEALTHCARE FOUNDATION
Active
Other names
AHF Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH SCOTT CARRUTHERS (CHIEF OF PHARMACY)
(323) 860-5266
Entity
Organization
Contact information
Practice address
5700 HILLANDALE DR STE 100, LITHONIA, GA 30058-4104
(770) 808-3705
(770) 808-4432
Mailing address
18421 S MAIN ST, GARDENA, CA 90248-4609
(310) 999-6089
(833) 261-3712
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
PHRE009841
GA
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003124620A
—
GA
01
—
2135406
PK
—
Enumeration date
06/05/2012
Last updated
12/03/2025
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