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COMMUNITY CARE RX INC.
CH02151BJ Sun River Health, Inc.
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Covered Entity Details
Entity Name
Sun River Health, Inc.
Subdivision Name
LISH at the Family Wellness Center
Type
HRSA-Funded Health Center
340B ID
CH02151BJ
Entity Address
120 Plant Avenue
Hauppauge, NY 11788
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
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