AETNA SPECIALTY PHARMACY, LLC
Suppliers at Sunport Ln, Orlando, FL

License number
Florida PH21035
Category
Suppliers
Type
Home Infusion Therapy Pharmacy
License number
Florida PH21035
Category
Suppliers
Type
Specialty Pharmacy
Owner
Name: JEAN R. CARNEY
Title: SR. PHARMACY OPS MGR
Phone: (407) 513-6495
Address
Address
503 Sunport Ln, Orlando, FL 32809
National Provider ID: 1942203187
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about AETNA SPECIALTY PHARMACY, LLC at bizstanding.com

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

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