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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
13336C0003XCommunity/Retail Pharmacy
23336S0011XSpecialty Pharmacy
3333600000XPharmacy

General Provider Information

NPI Number : 1235634007
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 : PASEO DEL PRADO SHOPPING CENTER
Second Line : LOCALES 107 Y 108 PRIMER NIVEL
City : CAROLINA
State : PR
Zip : 00987
Country : US
Telephone Number : 787-300-3214
Fax Number : 888-965-3974
Authorized Official
Title or Position : CHIEF PHARMACY OFFICER
Name : SCOTT CARRUTHERS
Credential :
Telephone Number : 323-860-5200
Provider Enumeration Date : 03/26/2018
Last Update Date : 12/03/2025

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Directions to “AIDS HEALTHCARE FOUNDATION ” Practice Location

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