Organization
SKYEMED PHARMACY INC
Active
Other names
SKYEMED PHARMACY AND INFUSION SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
DEEPAK RANADE RPH (PRESIDENT)
(954) 580-0170
Entity
Organization
Contact information
Practice address
1332 N FEDERAL HWY, POMPANO BEACH, FL 33062-3730
(954) 580-0170
(954) 960-6000
Mailing address
PO BOX 117070, ATLANTA, GA 30368-7070
(954) 580-0170
(954) 960-6000
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
PH17169
FL
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021784100
—
FL
05
—
021784101
—
FL
01
—
2013306
PK
—
Enumeration date
11/08/2005
Last updated
02/21/2017
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