Provider Demographics
NPI:1568222008
Name:RON GROUP, LLC
Entity Type:Organization
Organization Name:RON GROUP, LLC
Other - Org Name:BLUE SKY SPECIALTY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:MCCULLOUGH
Authorized Official - Last Name:RANNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-352-7662
Mailing Address - Street 1:1501 BELLE ISLE AVE STE 150
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-8381
Mailing Address - Country:US
Mailing Address - Phone:866-822-0103
Mailing Address - Fax:833-898-3992
Practice Address - Street 1:6301 NW 5TH WAY STE 1410B
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33309-6131
Practice Address - Country:US
Practice Address - Phone:866-822-0103
Practice Address - Fax:833-898-3992
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-21
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy