Organization
AIDS HEALTHCARE FOUNDATION
Active
Other names
MOMS Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH SCOTT CARRUTHERS (NATIONAL DIRECTOR OF PHARMACY-SRMGR)
(323) 860-5266
Entity
Organization
Contact information
Practice address
75 AMORY STREET, ROXBURY, MA 02119
(617) 708-3922
(617) 522-0631
Mailing address
6255 W. SUNSET BLVD., 21ST FLOOR, LOS ANGELES, CA 90028
(323) 860-5281
(323) 860-5315
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
05/14/2012
Last updated
05/16/2012
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