340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
NATIONAL RX PHARMACY, INC.
CH02151AH Sun River Health, Inc.
Print
Covered Entity Details
Entity Name
Sun River Health, Inc.
Subdivision Name
Harmony Healthcare Long Island at Roosevelt
Type
HRSA-Funded Health Center
340B ID
CH02151AH
Entity Address
380 Nassau Road
104
Roosevelt, NY 11575-1153
Grant Number
H80CS00313
Participating Start Date
4/1/2014
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
NATIONAL RX PHARMACY, INC.
Pharmacy Address
111 HEMPSTEAD TURNPIKE
WEST HEMPSTEAD, NY 11552
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
1/4/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Allison Dubois-Adach, COO
(914) 734-8503
Contract Pharmacy Representative
National Rx Pharmacy
Sam Kikov, Supervising Pharmacist
(516) 539-7540
Signed By Date
10/9/2017
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