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CVS ALBANY, L.L.C.
CH02151Z Sun River Health, Inc.
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Covered Entity Details
Entity Name
Sun River Health, Inc.
Subdivision Name
Sun River Health Haverstraw
Type
HRSA-Funded Health Center
340B ID
CH02151Z
Entity Address
31 W Broad St
Haverstraw, NY 10927-1615
Grant Number
H80CS00313
Participating Start Date
9/4/2008
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
CVS ALBANY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 02292
986 MAIN STREET
FISHKILL, NY 12524
Pharmacy Comments
Contract Details
Approval Date
7/15/2024
Contract Begin Date
10/1/2024
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
7/15/2024
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