340B Drug Pricing Program Database

Name

Lowell Community Health Center, Inc.

Subdivision Name

Lowell High School Career Academy

Type

HRSA-Funded Health Center

Site ID

BPS-H80-019054

340B ID

CH01146R

Grant Number

H80CS00397

Current Program Status

Terminated

Registration Date

10/2/2017

Participating Start Date

1/1/2018

Participating Approval Date

10/17/2017

Last Recertification Date

2/8/2022

Termination Date
Termination Reason

4/1/2023
Business decision by the Covered Entity

Authorizing Official

Lowell Community Health Center
Timothy Regan, Sr. Dir. Contracts and Compliance
(978) 937-9700

Primary Contact

Lowell Community Health Center
Robin Licata, Director of Financial Operations
(978) 322-8593

Street Address

125 Smith Street
Lowell, MA 01851-2613

Billing Address

Lowell Community Health Center
161 Jackson Street
Lowell, MA 01852