Organization
AETNA RX HOME DELIVERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY C FOX (PRESIDENT)
(860) 273-9664
Entity
Organization
Contact information
Practice address
11500 NW AMBASSADOR DRIVE, 1ST FLOOR, KANSAS CITY, MO 64153
(816) 891-8019
(816) 880-7200
Mailing address
11500 NW AMBASSADOR DRIVE, 1ST FLOOR, KANSAS CITY, MO 64153
(816) 891-8019
(816) 880-7200
Taxonomy
Speciality
Code
Description
License number
State
3336M0002X
Mail Order Pharmacy
Primary
2008004615
MO
Other
Enumeration date
09/19/2008
Last updated
09/19/2008
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