Organization
BERTS DRUG INC
Active
Other names
BERTS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL FULLER (PRESIDENT)
(515) 321-7644
Entity
Organization
Contact information
Practice address
1021 W 14TH ST, HASTINGS, NE 68901-3046
(402) 462-4466
(402) 462-4180
Mailing address
PO BOX 87, HASTINGS, NE 68902-0087
(402) 462-4466
(402) 462-4180
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
3026
NE
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2053260
PK
—
Enumeration date
07/22/2006
Last updated
11/07/2025
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