Aetna Specialty Pharmacy, Llc in Orlando - Home Infusion Therapy Pharmacy
Aetna Specialty Pharmacy, Llc - NPI 1942203187
Aetna Specialty Pharmacy, Llc is a Home Infusion Therapy Pharmacy in Orlando, Florida. Aetna Specialty Pharmacy, Llc practices all healthcare services and medical treatments related to Home Infusion Therapy Pharmacy. The NPI Number for Aetna Specialty Pharmacy, Llc is 1942203187. The last update date is 2014-05-19.
Aetna Specialty Pharmacy, Llc's current location address is 503 Sunport Lane, Orlando, Florida. You can contact this provider via phone number 4075136400 and fax number 8663292779. The mailing address for Aetna Specialty Pharmacy, Llc is 503 Sunport Lane, Orlando, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Aetna Specialty Pharmacy, Llc |
|---|---|
| Address | 503 Sunport Lane, Orlando, Florida |
| Phone Number | 4075136400 |
| Fax Number | 8663292779 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SR. PHARMA |
|---|---|
| Authorized Official Name | Carney R. Jean |
| Telephone Number | 4075136495 |
NPI Number Detail
| NPI Number | 1942203187 |
|---|---|
| Provider Enumeration Date | 2005-05-23 |
| Last Updated Date | 2014-05-19 |
Provider Mailing Address Detail
| Address | 503 Sunport Lane |
|---|---|
| City | Orlando |
| State | Florida (FL) |
| Post Code | 3280978740 |
| Phone Number | 4075136400 |
| Fax Number | 8663292779 |
Provider's Primary Taxonomy Detail
| Speciality | Home Infusion Therapy Pharmacy |
|---|---|
| Taxonomy | 3336H0001X |
| Licence No | PH21035 |
|
Definition: Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 582713 | HI | -- | |
| 6029037 | WA | -- | |
| 1714655 | AETNA HEALTHCARE | ||
| 200369680A | KS | -- | |
| 411068400 | MD | -- | |
| 35123 | AZ | -- | |
| 3726379 | AETNA HEALTHCARE HMO CLMS | ||
| 720789 | IA | -- | |
| 7446672 | AETNA HEALTHCARE DIEM CLAIM | ||
| 215059 | MT | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Aetna Specialty Pharmacy, Llc by the Centers for Medicare & Medicaid Services?
The Aetna Specialty Pharmacy, Llc has been assigned the NPI (National Provider Identifier) 1942203187 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Aetna Specialty Pharmacy, Llc is physically located?
The Aetna Specialty Pharmacy, Llc is physically situated at the following address: 503 Sunport Lane, Orlando, FL, 3280978740.
What is the Aetna Specialty Pharmacy, Llc's specialty and taxonomy code?
The Aetna Specialty Pharmacy, Llc's specialty is Home Infusion Therapy Pharmacy, and the corresponding taxonomy code is 3336H0001X.
When did the Aetna Specialty Pharmacy, Llc receive its 1942203187?
The Aetna Specialty Pharmacy, Llc was issued its 1942203187 on 2005-05-23, which is the date when the organization was assigned this unique identifier.
When was the Aetna Specialty Pharmacy, Llc's information last updated?
The Aetna Specialty Pharmacy, Llc's information was last updated on 2014-05-19.