340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
SKYEMED PHARMACY & INFUSION SERVICE
DSH100281 MEMORIAL HOSPITAL WEST
Print
Covered Entity Details
Entity Name
MEMORIAL HOSPITAL WEST
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH100281
Entity Address
703 NORTH FLAMINGO ROAD
PEMBROKE PINES, FL 33028
Medicare Provider Number
100281
Participating Start Date
10/11/2005
Last Recertification Date
8/12/2024
Pharmacy Details
Pharmacy Name
SKYEMED PHARMACY & INFUSION SERVICE
Pharmacy Address
SKYEMED PHARMACY & INFUSION SVCS
1332 NORTH FEDERAL HWY
POMPANO BEACH, FL 33062
Pharmacy Comments
Contract Details
Approval Date
4/15/2014
Contract Begin Date
7/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/11/2015
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
KENNON C. HETLAGE, ADMINISTRATOR
(954) 844-7500
Contract Pharmacy Representative
Deepak Ranade, President
(954) 580-0170
Signed By Date
4/15/2014
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