340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH220063F THE LOWELL GENERAL HOSPITAL (Terminated)
Print
Main Details
Name
THE LOWELL GENERAL HOSPITAL
Subdivision Name
THE LOWELL GENERAL HOSPITAL
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH220063F
Medicare Provider Number
220063
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/7/2016
Participating Start Date
10/1/2016
Participating Approval Date
9/14/2016
Last Recertification Date
8/17/2018
Termination Date
Termination Reason
1/1/2019
Hospital Outpatient facility no longer eligible
Contacts
Authorizing Official
TuftsMedicine
William F Wyman, SVP of Operations & Treasurer
(978) 937-6034
Primary Contact
Lowell General
Eric Musial, Director of Pharmacy Services
(978) 937-6416
Addresses
Street Address
1230 BRIDGE ST
LOWELL GENERAL HOSPITAL URGENT CARE
LOWELL, MA 01850-1291
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
May 2025
May 2025
week
S
M
T
W
T
F
S
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
20
11
12
13
14
15
16
17
21
18
19
20
21
22
23
24
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
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