Aetna Speciality Pharmacy LLC - (Pharmacy)
Nereida Padilla, PIC
Orlando, MO 32809
License# : 2005004458 - Issued on : 2/18/2005
Doing Business As : Aetna Speciality Pharmacy LLC
| Licensee Name: | Aetna Speciality Pharmacy LLC |
| Profession Name: | Pharmacy |
| Licensee Number: | 2005004458 |
| Expiration Date: | 10/31/2015 |
| Original Issue Date: | 2/18/2005 |
| Address: | Nereida Padilla, PIC |
| Address Con't: | 503 Sunport Lane |
| City, State Zip: | Orlando, FL 32809 |
| County: | Unknown/Out of State |
| Practitioner DBA Name: | Aetna Speciality Pharmacy LLC |
| Classification: | Class A, M |
| Current Discipline Status: | None |
Board of Pharmacy
3605 Missouri Boulevard
P.O. Box 625
Jefferson City, MO 65102-0625
573.751.0091 Telephone
573.526.3464 Fax
800.735.2966 TTY
800.735.2466 Voice Relay
MissouriBOP@pr.mo.gov
http://pr.mo.gov/pharmacists
