Organization
BURTS PHARMACY LLC
Active
Other names
Burt's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT LEARK (OWNER/PIC)
(562) 522-4954
Entity
Organization
Contact information
Practice address
2333 BORCHARD RD, NEWBURY PARK, CA 91320-3206
(805) 498-6675
(805) 498-8017
Mailing address
2333 BORCHARD RD, NEWBURY PARK, CA 91320-3206
(805) 498-6675
(805) 498-8017
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY50828
CA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2135907
PK
—
Enumeration date
03/22/2007
Last updated
04/05/2017
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