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TOMPKINSVILLE RX INC
CH02151CG Sun River Health, Inc.
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Covered Entity Details
Entity Name
Sun River Health, Inc.
Subdivision Name
Sun River Health Bay Street Health Center
Type
HRSA-Funded Health Center
340B ID
CH02151CG
Entity Address
57 Bay St
Staten Island, NY 10301-2510
Grant Number
H80CS00313
Participating Start Date
4/1/2019
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
TOMPKINSVILLE RX INC
Pharmacy Address
TOMPKINSVILLE PHARMACY
45 VICTORY BLVD
STATEN ISLAND, NY 10301
Pharmacy Comments
Contract Details
Approval Date
1/7/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Allison Dubois-Adach, COO
(914) 734-8503
Contract Pharmacy Representative
TOMPKINSVILLE RX INC
Nehal Patel, Vice President
(718) 727-0430
Signed By Date
1/7/2020
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