340B Drug Pricing Program Database

Name

LAKEWOOD RESOURCE AND REFERRAL CENTER INC.

Subdivision Name

Belz Site - Mobile

Type

HRSA-Funded Health Center

Site ID

BPS-H80-027032

340B ID

CHC11392-02

Grant Number

H80CS12868

Current Program Status

Terminated

Registration Date

7/3/2019

Participating Start Date

10/1/2019

Participating Approval Date

7/9/2019

Last Recertification Date

2/2/2023

Termination Date
Termination Reason

1/1/2024
Other

Authorizing Official

Lakewood Resource and Referral Center
David Friedman, CEO
(732) 364-2144 Ext: 5211

Primary Contact

Lakewood Resource and Referral Center
Chedva Werblowsky, CCO
(732) 364-2144 Ext: 5206

Street Address

485 Locust St
Lakewood, NJ 08701-5896

Billing Address

LRRC
1771 Madison Ave
Lakewood, NJ 08701