NPI 1427096809 · live from the CMS NPI Registry
Aetna Rx Home Delivery
Pharmacy, Mail Order Pharmacy in Plantation, FL. National Provider Identifier 1427096809, active.
NPI record
| NPI | 1427096809 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Mail Order Pharmacy 3336M0002X |
| Practice location | 1600 Sw 80th Ter, 2nd Floor, Plantation, FL 33324 |
| Practice phone | 954-693-2800 |
| Mailing address | 1600 Sw 80th Ter Fl 2, Plantation, FL 33324 |
| Enumerated | June 4, 2006 |
| Last updated | March 1, 2019 |
| Authorized official | Tokunbo Kassim, Dir, Pharmacist In Charge |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy | 333600000X | PH21465 (FL) |
| Pharmacy, Mail Order Pharmacy primary | 3336M0002X | PH21465 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.