340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
31ST & 3RD PHARMACY INC
CH02151AX Sun River Health, Inc.
Print
Covered Entity Details
Entity Name
Sun River Health, Inc.
Subdivision Name
Sun River Health Shirley
Type
HRSA-Funded Health Center
340B ID
CH02151AX
Entity Address
550 MONTAUK HWY
SHIRLEY, NY 11967-2114
Grant Number
H80CS00313
Participating Start Date
4/1/2015
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
31ST & 3RD PHARMACY INC
Pharmacy Address
D/B/A AVITA PHARMACY 1063
1860 WALT WHITMAN RD STE 700
MELVILLE, NY 11747
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
Paramount Pharmacy
John F. Civitello, 340B Program Director
(631) 815-5778
Signed By Date
10/16/2023
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session