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NPI Code Detail

MEDICARE: CIGNA HEALTH CARE OF ARIZONA INC

MEDICARE: CIGNA HEALTH CARE OF ARIZONA INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1333600000XPharmacyY001346AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11988285OTHERPK

General Provider Information

NPI Number : 1306838354
Entity Type Code : Organization
Provider Name (Legal Business Name) : CIGNA HEALTH CARE OF ARIZONA INC
Provider Business Mailing Address
First Line : 25500 N NORTERRA DR
Second Line :
City : PHOENIX
State : AZ
Zip : 85085-8200
Country : US
Telephone Number : 623-277-1168
Fax Number : 623-277-1023
Provider Business Practice Location Address
First Line : 7236 S CENTRAL AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85042-5425
Country : US
Telephone Number : 602-243-7266
Fax Number : 602-232-9698
Authorized Official
Title or Position : PHARMACY AREA MANAGER
Name : LINDSEY WHITE
Credential : PHARMD
Telephone Number : 623-277-1168
Provider Enumeration Date : 08/16/2005
Last Update Date : 07/27/2016

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Directions to “CIGNA HEALTH CARE OF ARIZONA INC ” Practice Location

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