Healthcare Provider Details

I. General information

NPI: 1366434326
Provider Name (Legal Business Name): CIGNA HEALTH CARE OF ARIZONA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2005
Last Update Date: 11/01/2024
Certification Date: 11/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2302 N 75TH AVE
PHOENIX AZ
85035-1216
US

IV. Provider business mailing address

8888 E RAINTREE DR STE 300
SCOTTSDALE AZ
85260-3968
US

V. Phone/Fax

Practice location:
  • Phone: 623-849-7552
  • Fax: 623-849-7770
Mailing address:
  • Phone: 602-328-8400
  • Fax: 623-877-1091

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number1663
License Number StateAZ

VIII. Authorized Official

Name: MATT MORRISON
Title or Position: SR. PHARMACY MANAGER
Credential: PHARMD
Phone: 623-204-2501