340B Drug Pricing Program Database
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CH02151BK Sun River Health, Inc. (Active)
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Main Details
Name
Sun River Health, Inc.
Subdivision Name
LISH at Manorville
Type
HRSA-Funded Health Center
Site ID
BPS-H80-018481
340B ID
CH02151BK
Grant Number
H80CS00313
Additional Details
Current Program Status
Active
Registration Date
10/4/2016
Participating Start Date
1/1/2017
Participating Approval Date
10/24/2016
Last Recertification Date
2/24/2025
Contacts
Authorizing Official
Sun River Health, Inc.
Allison Dubois, COO
(914) 734-8600 Ext: 78503
Primary Contact
Sun River Health, Inc.
Tania Lyons, 340B Manager
(845) 745-8958
Addresses
Street Address
221 North Sunrise Service Road
Manorville, NY 11949
Billing Address
LISH at Manorville
159 Carleton Ave
Central Islip, NY 11722
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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