Blue Sky Specialty Pharmacy
LBN: Ron Group
Blue Sky Specialty Pharmacy is an health care organization with primary practice located at 1501 Belle Isle Ave Ste 150 , Mount Pleasant SC 29464-8381. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Home Infusion Therapy Pharmacy, Suppliers / Mail Order Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Ron Group can be contacted via phone (843) 352-7662, or through Chisum, Aubrey Lynn via phone (843) 352-7662.
Contact Information
Primary practice address
1501 Belle Isle Ave Ste 150
Mount Pleasant SC 29464-8381
Phone: (843) 352-7662
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Home Infusion Therapy Pharmacy | 3336H0001X | ||
| Suppliers / Mail Order Pharmacy | 3336M0002X | ||
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1265028583 |
|---|---|
| LBN Legal business name | Ron Group |
| DBA Doing business as | Blue Sky Specialty Pharmacy |
| Authorized official | Chisum, Aubrey Lynn |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 21st, 2020 |
| Last updated | Apr 18th, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265028583 | NPPES |
| Arizona | MEDICAID | 558966 | |
| Arizona | MEDICAID | 201252280A | |
| Arizona | MEDICAID | 566127 | |
| Arizona | MEDICAID | 104164100 | |
| Arizona | MEDICAID | Q057548 | |
| Arizona | MEDICAID | 500780945 | |
| Arizona | MEDICAID | 7100619490 | |
| Arizona | MEDICAID | 715688 |
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