340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
COMMUNITY CARE RX INC.
CH02151BG Sun River Health, Inc.
Print
Covered Entity Details
Entity Name
Sun River Health, Inc.
Subdivision Name
LISH at Port Jefferson Station
Type
HRSA-Funded Health Center
340B ID
CH02151BG
Entity Address
51 Terryville Rd
Port Jefferson Station, NY 11776
Grant Number
H80CS00313
Participating Start Date
1/1/2017
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
COMMUNITY CARE RX INC.
Pharmacy Address
131 SUNNYSIDE BLVD STE 100
PLAINVIEW, NY 11803
Pharmacy Comments
Contract Details
Approval Date
7/15/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Allison Dubois-Adach, COO
(914) 734-8503
Contract Pharmacy Representative
Community Care Rx
Hossam Maksoud, Chief Executive Officer
(347) 561-3806
Signed By Date
7/15/2019
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session