340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH100157 LAKELAND REGIONAL MED CTR (Active)
Print
Main Details
Name
LAKELAND REGIONAL MED CTR
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH100157
Medicare Provider Number
100157
Additional Details
Current Program Status
Active
Registration Date
10/18/2019
Participating Start Date
1/1/2020
Participating Approval Date
10/18/2019
Last Recertification Date
8/19/2024
Contacts
Authorizing Official
Lakeland Regional Medical Center, Inc.
Lance Green, EVP/Chief Financial Officer
(863) 687-1100 Ext: 5225
Primary Contact
Lakeland Regional Medical Center, Inc.
Rodriguez Dangerfield, Director of Pharmacy
(863) 687-1100 Ext: 1281
Addresses
Street Address
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
1
to
2
of
2
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
1
to
2
of
2
Page:
of 1
Go
Page size:
Change
Participated starting 7/1/2017, terminated 2/28/2018. Reinstated 1/1/2020.
10/18/2019
6/9/17 Initial start date 7/1/2012, termination date 4/1/2016, reinstate 7/1/2017;
06/09/2017
April 2025
April 2025
week
S
M
T
W
T
F
S
14
30
31
1
2
3
4
5
15
6
7
8
9
10
11
12
16
13
14
15
16
17
18
19
17
20
21
22
23
24
25
26
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
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