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CVS ALBANY, L.L.C.
CH02151L Sun River Health, Inc.
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Covered Entity Details
Entity Name
Sun River Health, Inc.
Subdivision Name
Sun River Health Dover Plains
Type
HRSA-Funded Health Center
340B ID
CH02151L
Entity Address
3174 ROUTE 22
DOVER PLAINS, NY 12522-5924
Grant Number
H80CS00313
Participating Start Date
7/1/2003
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
CVS ALBANY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 05055
3081 ROUTE 22, PO BOX 432
DOVER PLAINS, NY 12522
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
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/16/2023
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