Healthcare Provider Details

I. General information

NPI: 1285626234
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: 07/19/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7287 E EARLL DR BLDG D BUILDING D
SCOTTSDALE AZ
85251-7230
US

IV. Provider business mailing address

25500 N NORTERRA DR
PHOENIX AZ
85085-8200
US

V. Phone/Fax

Practice location:
  • Phone: 480-840-0840
  • Fax: 480-840-0841
Mailing address:
  • Phone: 623-277-1168
  • Fax: 623-277-1023

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number1369
License Number StateAZ

VIII. Authorized Official

Name: LINDSEY WHITE
Title or Position: AREA PHARMACY MANAGER
Credential: PHARMD
Phone: 623-277-1168