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AMENIA DRUGS LLC
CH021510 Sun River Health, Inc.
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Covered Entity Details
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
3/5/2025
Pharmacy Details
Pharmacy Name
AMENIA DRUGS LLC
Pharmacy Address
AMENIA DRUGS
5094 ROUTE 22 # 48
AMENIA, NY 12501-5355
Pharmacy Comments
Contract Details
Approval Date
10/11/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/17/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Allison Dubois-Adach, COO
(914) 734-8503
Contract Pharmacy Representative
Benzer Pharmacy
Mrugesh Amin, 340B & Business Development Specialist
(813) 304-2221 Ext: 264
Signed By Date
10/11/2019
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