OrganizationActive
Aetna Specialty Pharmacy, LLC
NPI 1942203187 · Specialty Pharmacy · Orlando, FL
Provider details
- NPI number
- 1942203187
- Entity type
- Organization
- Primary specialty
- Specialty PharmacySuppliers
- Authorized official
- Jean Carney, Sr. Pharmacy Ops Mgr
- License
- PH21035 (FL)
Practice location
503 Sunport Lane
Orlando, FL 32809-7874
Phone: (407) 513-6400
Fax: (866) 329-2779
Mailing address
503 Sunport Lane
Orlando, FL 32809-7874
Registry dates
- Enumerated
- 2005-05-23
- Last updated
- 2014-05-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.