Pharmacy Details

CVS ALBANY, L.L.C. - information as of 4/25/2025 6:51:03 PM

Name
CVS ALBANY, L.L.C.

Address

CVS/PHARMACY # 17065
2975 HORSEBLOCK RD
MEDFORD, NY 11763

Comments

Contracts
History

Contracts

Contract Detail	340B ID	Entity Name	Sub Name	Entity Type	Address	Address Cont.	City	State	Begin Date	Term Date	Edit Date
Details	CH021510	Sun River Health, Inc.	Sun River Health Peekskill	HRSA-Funded Health Center	1037 Main St		Peekskill	NY	07/01/2023		7/1/2023 12:01 AM
Details	CH02151BG	Sun River Health, Inc.	LISH at Port Jefferson Station	HRSA-Funded Health Center	51 Terryville Rd		Port Jefferson Station	NY	04/01/2025		4/1/2025 12:01 AM
Details	CH02151BH	Sun River Health, Inc.	LISH at Smithtown	HRSA-Funded Health Center	75 Landing Meadow Road		Smithtown	NY	04/01/2025		4/1/2025 12:01 AM
Details	CH02151BJ	Sun River Health, Inc.	LISH at the Family Wellness Center	HRSA-Funded Health Center	120 Plant Avenue		Hauppauge	NY	04/01/2025		4/1/2025 12:01 AM
Details	CH02151BK	Sun River Health, Inc.	LISH at Manorville	HRSA-Funded Health Center	221 North Sunrise Service Road		Manorville	NY	04/01/2025		4/1/2025 12:01 AM
Details	CH02151BL	Sun River Health, Inc.	LISH at Central Islip	HRSA-Funded Health Center	159 Carleton Avenue		Central Islip	NY	04/01/2025		4/1/2025 12:01 AM
Details	CH02151BM	Sun River Health, Inc.	LISH at Riverhead	HRSA-Funded Health Center	883 East Main Street		Riverhead	NY	04/01/2025		4/1/2025 12:01 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Comments	Insert				5/25/2016 12:21 PM
Details	Is Deleted	Insert			False	5/25/2016 12:21 PM
Addresses	Pharmacy Address	Insert			CVS ALBANY, L.L.C. CVS/PHARMACY # 17065 2975 HORSEBLOCK RD MEDFORD, NY 11763	5/25/2016 12:21 PM
Details	Name	Insert			CVS ALBANY, L.L.C.	5/25/2016 12:21 PM