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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