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BERNHARD RX INC
CH02151AG Sun River Health, Inc.
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Covered Entity Details
Entity Name
Sun River Health, Inc.
Subdivision Name
Harmony Healthcare Long Island at Westbury
Type
HRSA-Funded Health Center
340B ID
CH02151AG
Entity Address
682 Union Ave
104
Westbury, NY 11590-1153
Grant Number
H80CS00313
Participating Start Date
4/1/2014
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
BERNHARD RX INC
Pharmacy Address
D B A BERNHARD'S PHARMACY
34 W MERRICK RD
FREEPORT, NY 11520-3827
Pharmacy Comments
Contract Details
Approval Date
10/9/2017
Contract Begin Date
1/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/30/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Allison Dubois-Adach, COO
(914) 734-8503
Contract Pharmacy Representative
Bernhard's Pharmacy
Narasi Motagan, Pharmacist
(516) 378-0008
Signed By Date
10/9/2017
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