340B Drug Pricing Program Database

Name

GREATER LAWRENCE FAMILY HEALTH CENTER INC

Subdivision Name

GLFHC site at Element Care PACE Program

Type

HRSA-Funded Health Center

Site ID

BPS-H80-013920

340B ID

CH01216AG

Grant Number

H80CS00314

Current Program Status

Terminated

Registration Date

7/14/2014

Participating Start Date

10/1/2014

Participating Approval Date

7/21/2014

Last Recertification Date

2/18/2016

Termination Date
Termination Reason

4/1/2016
Loss of qualifying grant/support

Authorizing Official

Greater Lawrence Family Health Center
Patrick Grotton, SVP & CIO
(978) 725-7400 Ext: 6657

Primary Contact

Greater Lawrence Family Health Center
Diane Martin, SVP, Chief Pharmacy Officer
(978) 689-6635

Street Address

12 INGALLS CT
METHUEN, MA 01844-3712

Billing Address

Greater Lawrence Family Health Center
1 Griffin Brook Drive, Suite 101
Methuen, MA 01844