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SKYEMED PHARMACY & INFUSION SERVICE
RW423036 CHILDREN'S DIAGNOSTIC & TREATMENT CENTER
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Covered Entity Details
Entity Name
CHILDREN'S DIAGNOSTIC & TREATMENT CENTER
Subdivision Name
Type
Ryan White Part D
340B ID
RW423036
Entity Address
1401 SOUTH FEDERAL HWY
FT LAUDERDALE, FL 33316
Grant Number
H12HA24787
Participating Start Date
7/1/2009
Last Recertification Date
2/6/2024
Entity Termination Date
10/1/2024
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
7/5/2013
Contract Begin Date
10/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/29/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
SUSAN M. WIDMAYER, ADMINISTRATOR
(954) 728-1055
Contract Pharmacy Representative
Ravikumar Baskaran, Controller
(866) 778-8255 Ext: 219
Signed By Date
7/5/2013
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