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CVS ALBANY, L.L.C.
CH02151CR Sun River Health, Inc.
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Covered Entity Details
Entity Name
Sun River Health, Inc.
Subdivision Name
Harmony Healthcare Long Island at Freeport High School
Type
HRSA-Funded Health Center
340B ID
CH02151CR
Entity Address
50 South Brookside Avenue
104
Freeport, NY 11520-1153
Grant Number
H80CS00313
Participating Start Date
7/1/2021
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
CVS ALBANY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 00992
403 ATLANTIC AVENUE
FREEPORT, NY 11520
Pharmacy Comments
Contract Details
Approval Date
10/16/2022
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
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/16/2022
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