Contract Pharmacy Details

GREENE PHARMA LLC
CH021510 Sun River Health, Inc.

Entity Name

Sun River Health, Inc.

Subdivision Name

Sun River Health Peekskill

Type

HRSA-Funded Health Center

340B ID

CH021510

Entity Address

1037 Main St
Peekskill, NY 10566-2913

Grant Number

H80CS00313

Participating Start Date

12/1/1992

Last Recertification Date

2/5/2024

Pharmacy Name

GREENE PHARMA LLC

Pharmacy Address

DBA-GREENE MEDICAL ARTS PHARMACY
159 JEFFERSON HEIGHTS
SUITE D102
CATSKILL, NY 12414-1239

Pharmacy Comments

Approval Date

10/11/2019

Contract Begin Date

1/1/2020

Carve-In Effective Date

Contract Comments

Contract Termination Date

8/1/2020

Termination Reason

Business decision by covered entity and/or pharmacy

Covered Entity Signing Official

Allison Dubois-Adach, COO
(914) 734-8503

Signed By Date

10/11/2019

Contract Pharmacy Representative

Greene Medical Arts Pharmacy
Srinivas Velesetty, Pharmacy Manager
(518) 943-1715