340B Drug Pricing Program Database
TAP RX, LLC
CH02151BH Sun River Health, Inc. - information as of 5/6/2025 12:16:02 AM
Covered Entity Details
Entity Name
Sun River Health, Inc.
Subdivision Name
LISH at Smithtown
Type
HRSA-Funded Health Center
340B ID
CH02151BH
Entity Address
75 Landing Meadow Road
Smithtown, NY 11787
Grant Number
H80CS00313
Participating Start Date
1/1/2017
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
TAP RX, LLC
Pharmacy Address
D/B/A PROCARE LTC
270 S SERVICE RD STE 25
MELVILLE, NY 11747
Pharmacy Comments
Contract Details
Approval Date
10/15/2020
Contract Begin Date
1/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/31/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Allison Dubois-Adach, COO
(914) 734-8503
Contract Pharmacy Representative
ProCare
Thomas Hyde, COO
(631) 843-0500
Signed By Date
10/15/2020
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