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DEPARTMENT OF INSURANCE
Licensee Search Details
Name
Aetna Pharmacy Management Services LLC
DOIID
978956
NAIC NPN
18623657
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Designated Home State
Inactive
Non Resident
Pharmacy Benefit Managers
Not Applicable
2/9/2018
7/15/2019
*If a status is
Pending, Pending Replacement
,or the record displays
Affidavit on File
, click on them for more details.
No License Renewal Information
NOTE: Licensee may renew up to 6 months prior to Next Compliance Date.
Address Information
Type
Address
Mailing
151 Farmington Ave, RW61 Hartford, CT 06156
Business / Home Office
151 Farmington Ave, RW61 Hartford, CT 06156
Internet Information
Type
Address
Business Email
frazern@aetna.com
Phone Information
Type
Phone
Business / Home Office
(860) 273-7945
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