Aetna Specialty Pharmacy, LLC
Pharmacy at Sunport Ln, Orlando, FL

License number
Colorado 5569
Issued Date
Feb 1, 2005
Renew Date
Nov 1, 2016
Expiration Date
Oct 31, 2018
Type
Prescription Drug Outlet Out of State
Address
Address
503 Sunport Ln, Orlando, FL 32809

Organization information

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AETNA SPECIALTY PHARMACY, LLC

Orlando, FL  -  Hartford, CT

Industry:
Ret Drugs/Sundries
Registration:
Aug 24, 2004
Phone:
(407) 513-6400 (Phone)
Addresses:
503 Sunport Ln, Orlando, FL 32809 (Physical)
151 Farmington Ave Rw61, Hartford, CT 06156 (Mailing)
151 Farmington Ave, Hartford, CT 06156
State ID:
M04000003460
Business type:
Foreign Limited Liability Company
Entity State:
DE
Presidents:
Aetna Health Holdings, Llc (Manager, Managing Member, Governing Person), 503 Sunport Ln, Orlando, FL 32809 (Physical),Edward C. Lee (Assistant Secretary),John R. Loxterman (Vice President),...
Agent:
C T Corporation System,1200 S Pne Is Rd, Fort Lauderdale, FL 33324 (Physical)
TIN:
15712097680
EIN:
57-1209768