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PREFERRED PHARMACY INC
CH02151BR Sun River Health, Inc.
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Covered Entity Details
Entity Name
Sun River Health, Inc.
Subdivision Name
Charles Evans Center, Inc - Hauppauge
Type
HRSA-Funded Health Center
340B ID
CH02151BR
Entity Address
305 Oser Avenue
Hauppauge, NY 11788
Grant Number
H80CS00313
Participating Start Date
10/1/2017
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
PREFERRED PHARMACY INC
Pharmacy Address
PREFERRED PHARMACY INC
175 FULTON AVE STE 104
HEMPSTEAD, NY 11550
Pharmacy Comments
Contract Details
Approval Date
10/13/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Allison Dubois-Adach, COO
(914) 734-8503
Contract Pharmacy Representative
PREFERRED PHARMACY
ALEX ABRAMOVICH, PRESIDENT
(516) 483-5000
Signed By Date
10/13/2022
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