Organization Name: | AETNA RX HOME DELIVERY |
NPI Number: | 1427096809 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TOKUNBO NIKE KASSIM (SITE MANAGER) |
Mailing Address: | 1600 Sw 80th Ter 2nd Floor Plantation |
State: | FL US |
Postal Code: | 333244049 |
Phone Number: | 9546932800 |
Fax Number: | 9546932905 |
NPI Enumeration Date: | 06/04/2006 |
NPI Last Update Date: | 05/11/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 333600000X |
License Number: | PH21465 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Pharmacy |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |