340B Drug Pricing Program Database
CVS ALBANY, L.L.C.
CH02151AP Sun River Health, Inc. - information as of 5/18/2025 12:33:28 AM
Covered Entity Details
Entity Name
Sun River Health, Inc.
Subdivision Name
Sun River Health Kraus Family Health Center of The Hamptons
Type
HRSA-Funded Health Center
340B ID
CH02151AP
Entity Address
330 Meeting House Ln
Southampton, NY 11968-5060
Grant Number
H80CS00313
Participating Start Date
7/1/2014
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
CVS ALBANY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 05191
964 MONTAUK HWY.
SHIRLEY, NY 11967
Pharmacy Comments
Contract Details
Approval Date
4/15/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Allison Dubois, COO
(914) 734-8600 Ext: 78503
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/15/2025
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