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JEWEL OF FLUSHING RX INC.
CH02151CH Sun River Health, Inc.
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Covered Entity Details
Entity Name
Sun River Health, Inc.
Subdivision Name
Sun River Health Queens Health Center
Type
HRSA-Funded Health Center
340B ID
CH02151CH
Entity Address
10504 Sutphin Blvd
Jamaica, NY 11435-5022
Grant Number
H80CS00313
Participating Start Date
4/1/2019
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
JEWEL OF FLUSHING RX INC.
Pharmacy Address
70-35 PARSONS BLVD.
FLUSHING, NY 11365-3049
Pharmacy Comments
Contract Details
Approval Date
10/16/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Allison Dubois, COO
(914) 734-8600 Ext: 78503
Contract Pharmacy Representative
JEWEL OF FLUSHING RX INC.
Syed T Rizvi, President
(516) 417-0250
Signed By Date
10/16/2023
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