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NPI Code Detail

MEDICARE: AIDS HEALTHCARE FOUNDATION

MEDICARE: AIDS HEALTHCARE FOUNDATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336C0002XClinic Pharmacy
23336S0011XSpecialty Pharmacy
33336C0003XCommunity/Retail PharmacyPH24092FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
22120480OTHERPK

General Provider Information

NPI Number : 1225264583
Entity Type Code : Organization
Provider Name (Legal Business Name) : AIDS HEALTHCARE FOUNDATION
Provider Business Mailing Address
First Line : 18421 S MAIN ST
Second Line :
City : GARDENA
State : CA
Zip : 90248-4609
Country : US
Telephone Number : 310-999-6089
Fax Number : 833-261-3712
Provider Business Practice Location Address
First Line : 6333 N FEDERAL HWY STE 301
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33308-1907
Country : US
Telephone Number : 954-727-2174
Fax Number : 954-727-2176
Authorized Official
Title or Position : SR. MGR / CHIEF PHARM. OFFICER
Name : SCOTT CARRUTHERS
Credential :
Telephone Number : 323-860-5200
Provider Enumeration Date : 06/01/2009
Last Update Date : 12/03/2025

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Directions to “AIDS HEALTHCARE FOUNDATION ” Practice Location

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