340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
TAP RX, LLC
CH02151BL Sun River Health, Inc.
Print
Covered Entity Details
Entity Name
Sun River Health, Inc.
Subdivision Name
LISH at Central Islip
Type
HRSA-Funded Health Center
340B ID
CH02151BL
Entity Address
159 Carleton Avenue
Central Islip, NY 11722
Grant Number
H80CS00313
Participating Start Date
1/1/2017
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
TAP RX, LLC
Pharmacy Address
D/B/A PROCARE LTC
270 S SERVICE RD STE 25
MELVILLE, NY 11747
Pharmacy Comments
Contract Details
Approval Date
10/15/2020
Contract Begin Date
1/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/31/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Allison Dubois-Adach, COO
(914) 734-8503
Contract Pharmacy Representative
ProCare
Thomas Hyde, COO
(631) 843-0500
Signed By Date
10/15/2020
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