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SKYEMED PHARMACY & INFUSION SERVICE
CAN100079-00 UNIVERSITY OF MIAMI HOSPITAL AND CLINICS
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Covered Entity Details
Entity Name
UNIVERSITY OF MIAMI HOSPITAL AND CLINICS
Subdivision Name
Type
Free Standing Cancer Hospital
340B ID
CAN100079-00
Entity Address
1475 NW 12th Avenue
2080A
Miami, FL 33136
Medicare Provider Number
100079
Participating Start Date
1/1/2011
Last Recertification Date
8/22/2024
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
7/15/2015
Contract Begin Date
10/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/30/2017
Pharmacy closed
Contacts
Covered Entity Signing Official
RICHARD BALLARD, HOSPITAL ADMINISTRATOR/CEO
(305) 243-4382
Contract Pharmacy Representative
Ravikumar Baskaran, Controller
(866) 778-8255 Ext: 219
Signed By Date
7/15/2015
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