Contract Pharmacy Details

EVERS RX INC
CH02151CC Sun River Health, Inc.

Covered Entity Details

Entity Name

Sun River Health, Inc.

Subdivision Name

Sun River Health Westchester Square Health Center

Type

HRSA-Funded Health Center

340B ID

CH02151CC

Entity Address

2510 Westchester Ave Ste 202
Bronx, NY 10461-3585

Grant Number

H80CS00313

Participating Start Date

4/1/2019

Last Recertification Date

2/24/2025

Pharmacy Details

Pharmacy Name

EVERS RX INC

Pharmacy Address

226 E 144TH ST
2 FLOOR
BRONX, NY 10451-5909

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

Boom Pharmacy
Dave Watts, Owner
(718) 292-0900

Signed By Date

10/16/2023