Organization · NPI-2
Aids Healthcare Foundation
Pharmacy · San Diego, CA
NPI number1649600487
StatusActive
Last updated in NPPESNov 14, 2013
Details
- NPI
- 1649600487
- Entity type
- Organization (NPI-2)
- Legal business name
- Aids Healthcare Foundation
- Organization subpart
- No
- Enumeration date
- Nov 14, 2013
- Last updated
- Nov 14, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | PHY51043 | CA | Yes |
Other names
- Ahf Pharmacy (Doing Business As)
Practice location
3940 Fourth AvenueSuite 150
San Diego, CA 92103-7193
Phone 619-574-9700 · Fax 619-574-9701
Mailing address
19300 S. Hamilton AvenueSuite 107
Gardena, CA 90248-4411
Phone 310-464-8241 · Fax 310-771-0621
Authorized official
Peter Reis
Vice President
3238605200
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