340B Drug Pricing Program Database
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DSH070007AL LAWRENCE & MEMORIAL HOSPITAL (Approved)
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Main Details
Name
LAWRENCE & MEMORIAL HOSPITAL
Subdivision Name
LMH CANCER CENTER ANTI COAG CLINIC - Clinic
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH070007AL
Medicare Provider Number
070007
Outpatient Facility Provider Number
Additional Details
Current Program Status
Approved
Registration Date
4/9/2025
Participating Start Date
7/1/2025
Participating Approval Date
4/21/2025
Last Recertification Date
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
230 Waterford Parkway South
WATERFORD, CT 06385
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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