Organization
BORTZS PHARMACIES INC
Active
Organization
BORTZS PHARMACIES INC
Active
Other names
MEDICAP Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DENA FERMAN (THIRD PARTY PLAN COORDINATOR)
(314) 993-6000
Entity
Organization
Contact information
Practice address
90 GIBRALTAR RD, READING, PA 19606-9460
(610) 779-1095
(610) 779-1098
Mailing address
90 GIBRALTAR RD, READING, PA 19606-9460
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PP481357
PA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011785070001
—
PA
01
—
3983029
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/31/2006
Last updated
03/07/2023
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