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General NPI Number Information
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NPI Number | 1962514802
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Entity Type | Organization
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Legal Business Name | SKYEMED PHARMACY INC
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 3664 NE 18TH TER
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City | POMPANO BEACH
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State | FL
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Zip | 33064-6654
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Country | US
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Telephone | 954-426-3330
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Fax | 954-426-3386
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Provider Business Mailing Address
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Address Line | 3664 NE 18TH TER
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City | POMPANO BEACH
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State | FL
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Zip | 33064-6654
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VP
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Name | CATHY BRUMBAUGH
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Credential | CMS
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Telephone | 954-570-0170
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number | PH17169
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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