OrganizationActive
Aids Healthcare Foundation
NPI 1902167141 · Specialty Pharmacy · Lithonia, GA
Provider details
- NPI number
- 1902167141
- Entity type
- Organization
- Primary specialty
- Specialty PharmacySuppliers
- Authorized official
- Kenneth Scott Carruthers, Chief of Pharmacy
- License
- PHRE009841 (GA)
Practice location
5700 Hillandale Dr Ste 100
Lithonia, GA 30058-4104
Phone: (770) 808-3705
Fax: (770) 808-4432
Mailing address
18421 S Main St
Gardena, CA 90248-4609
Registry dates
- Enumerated
- 2012-06-05
- Last updated
- 2025-12-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.