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CIVA DRUGS CORP
CH02151BE Sun River Health, Inc.
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Covered Entity Details
Entity Name
Sun River Health, Inc.
Subdivision Name
Sun River Health Riverhead
Type
HRSA-Funded Health Center
340B ID
CH02151BE
Entity Address
300 CENTER DR
RIVERHEAD, NY 11901-3393
Grant Number
H80CS00313
Participating Start Date
4/1/2016
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
CIVA DRUGS CORP
Pharmacy Address
DBA BRENTWOOD PHARMACY
761 SUFFOLK AVE
BRENTWOOD, NY 11717
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
Civa Drugs Corp
Digesh Thaker, Pharmacist/Owner
(631) 273-3314
Signed By Date
10/16/2023
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