AETNA SPECIALTY PHARMACY
Pharmacy at Sun Prt Ln, Orlando, FL

License number
Florida 736
Issued Date
Apr 11, 2016
Effective Date
Apr 11, 2016
Category
Health Care
Type
Pharmacy Technician Training Program
Address
Address
503 Sunport Ln, Orlando, FL 32809
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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

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