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POST AVENUE PHARMACY 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
POST AVENUE PHARMACY INC.
Pharmacy Address
POST AVENUE PHARMACY
173 POST AVENUE
WESTBURY, NY 11590
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
Post Avenue Pharmacy
Rich Mala, Manager
(516) 334-1444
Signed By Date
10/9/2017
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