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Aetna Specialty Pharmacy, Llc
Specialty Pharmacy in Orlando, Florida
NPI 1942203187

Aetna Specialty Pharmacy, Llc is a Specialty Pharmacy based in Orlando, FL and is specialized in Specialty Pharmacy. Aetna Specialty Pharmacy, Llc practices in Orlando, FL. The NPI Number for Aetna Specialty Pharmacy, Llc is 1942203187 and holds a License No. PH21035 (Florida).

The current practice location address for Aetna Specialty Pharmacy, Llc is 503 Sunport Lane, Orlando, FL and can be reached out via phone at 407-513-6400 and via fax at 866-329-2779.

Location: 503 Sunport Lane, Orlando, FL, 32809-7874
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1942203187
Provider Name
Aetna Specialty Pharmacy, Llc
Credential
Provider Entity Type
Organization
Address
503 Sunport Lane, Orlando, FL, 32809-7874
Phone Number
407-513-6400
Fax Number
866-329-2779
Provider Enumeration Date
05/23/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
582713 05 HI
6029037 05 WA
1714655 01 AETNA HEALTHCARE
200369680A 05 KS
411068400 05 MD
035123 05 AZ
3726379 01 AETNA HEALTHCARE HMO CLMS
0720789 05 IA
7446672 01 AETNA HEALTHCARE DIEM CLAIM
0215059 05 MT
030961300 05 FL
35123 05 AZ
3726379 01 AETNA HEALTHCARE HMO CLAIMS
7446672 01 AETNA HEALTHCARE DIEM CLM
807415000 05 ID
PH575FL 05 AK
1016502540001 05 PA
38457750 05 NM
1942203187 05 VA
200077510A 05 OK
7F1035 05 SC
057738300 05 MN
100508643 05 NV
200808960A 05 IN
432182200 05 ME
institution
Provider Business Practice Location Address Details
Address
503 Sunport Lane
City
Orlando
State
Florida
Zip
32809-7874
Phone Number
407-513-6400
Fax Number
866-329-2779
person
Provider Business Mailing Address Details
Address
503 Sunport Lane
City
Orlando
State
Florida
Zip
32809-7874
Phone Number
407-513-6400
Fax Number
866-329-2779
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Home Infusion Therapy Pharmacy
Taxonomy
3336H0001X
License No.
PH21035 (Florida)
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 and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Specialty Pharmacy
Taxonomy
3336S0011X
License No.
PH21035 (Florida)
Definition
A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration.
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