Organization
BERT'S PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ANN BERRETTINI (OWNER)
(570) 888-2394
Entity
Organization
Contact information
Practice address
144 DESMOND ST, SAYRE, PA 18840-2002
(570) 888-2394
(570) 888-4482
Mailing address
144 DESMOND ST, SAYRE, PA 18840-2002
(570) 888-2394
(570) 888-4482
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005842870001
—
PA
05
—
01019878
—
NY
Enumeration date
07/14/2005
Last updated
10/19/2022
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