340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
MEDFORD CHEMISTS INC
CH02151BM Sun River Health, Inc.
Print
Covered Entity Details
Entity Name
Sun River Health, Inc.
Subdivision Name
LISH at Riverhead
Type
HRSA-Funded Health Center
340B ID
CH02151BM
Entity Address
883 East Main Street
Riverhead, NY 11901
Grant Number
H80CS00313
Participating Start Date
1/1/2017
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
MEDFORD CHEMISTS INC
Pharmacy Address
2608 ROUTE 112
MEDFORD, NY 11763
Pharmacy Comments
Contract Details
Approval Date
1/13/2017
Contract Begin Date
4/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Allison Dubois-Adach, COO
(914) 734-8503
Contract Pharmacy Representative
Crystal Koller, Vice President, Finance & Operations
(631) 475-1171
Signed By Date
1/13/2017
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