Organization
AETNA SPECIALTY PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEREIDA PADILLA RPH (PHARMACIST IN CHARGE)
(407) 513-8626
Entity
Organization
Contact information
Practice address
503 SUNPORT LN, ORLANDO, FL 32809-7874
(407) 513-1880
Mailing address
503 SUNPORT LN, ORLANDO, FL 32809-7874
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
03/12/2014
Last updated
03/12/2014
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