Provider Demographics
NPI:1578149902
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:SVP
Authorized Official - Prefix:
Authorized Official - First Name:AUBREY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:CHISUM
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:843-352-7662
Mailing Address - Fax:
Practice Address - Street 1:29640 STATE HIGHWAY 181 UNIT 106
Practice Address - Street 2:
Practice Address - City:DAPHNE
Practice Address - State:AL
Practice Address - Zip Code:36526-9603
Practice Address - Country:US
Practice Address - Phone:251-621-8499
Practice Address - Fax:251-621-3950
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-24
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336S0011XSuppliersPharmacySpecialty Pharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy