340B Drug Pricing Program Database
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DSH070007AK LAWRENCE & MEMORIAL HOSPITAL (ToBeTerminated)
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Main Details
Name
LAWRENCE & MEMORIAL HOSPITAL
Subdivision Name
LMH PEQUOT PRE/POST - PRE and POST
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH070007AK
Medicare Provider Number
070007
Outpatient Facility Provider Number
Additional Details
Current Program Status
ToBeTerminated
Registration Date
4/8/2024
Participating Start Date
7/1/2024
Participating Approval Date
4/29/2024
Last Recertification Date
9/3/2024
Termination Date
Termination Reason
7/1/2025
Business decision by the Covered Entity
Contacts
Authorizing Official
Yale New Haven Health Services
Leeann Miller, Chief Pharmacy Officer
(203) 479-3000
Primary Contact
Yale New Haven Health System
Maria Da Silva, Senior Reimbursement Analyst
(203) 688-9332
Addresses
Street Address
52 Hazelnut Hill Road
Groton, CT 06340
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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