# BURTS PHARMACY MOORPARK

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053962613
- **Authorized official:** ROBERT THOMAS LEARK (CEO)
- **Authorized official phone:** (805) 498-6675

## Contact information

- **Practice address:** 865 PATRIOT DR STE 103, MOORPARK, CA 93021-3407
- **Practice address phone:** (805) 552-4500
- **Practice address fax:** (805) 552-4515
- **Mailing address:** 865 PATRIOT DR STE 103, MOORPARK, CA 93021-3407

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 09/25/2019
- **Last updated:** 04/13/2020