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Contact Information

AETNA SPECIALTY PHARMACY
503 SUNPORT LN
ORLANDO, FL32809-7874
 Phone: 407-513-1880
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Preferred Provider Organization

305R00000X
Indicates primary specialty

NPI Profile & details for AETNA SPECIALTY PHARMACY

NPI # 1386060580
LBN Legal business name AETNA SPECIALTY PHARMACY
Authorized official NEREIDA PADILLA - (PHARMACIST IN CHARGE)
Entity Organization
Organization subpart 1 No
Enumeration date 03/12/2014
Last updated 03/12/2014 - About 12 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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