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WAL-MART PHARMACY 10-3420
CH02151AQ Sun River Health, Inc.
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Covered Entity Details
Entity Name
Sun River Health, Inc.
Subdivision Name
Harmony Healthcare Long Island at Freeport
Type
HRSA-Funded Health Center
340B ID
CH02151AQ
Entity Address
101 South Bergen Place
104
Freeport, NY 11520-1153
Grant Number
H80CS00313
Participating Start Date
7/1/2014
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-3420
Pharmacy Address
1220 OLD COUNTRY ROAD
WESTBURY(, NY 11590
Pharmacy Comments
Contract Details
Approval Date
4/11/2016
Contract Begin Date
7/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/1/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Allison Dubois-Adach, COO
(914) 734-8503
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
4/11/2016
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