Individual
MR. JACK LEE BERTCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
16806 N 7TH ST, T-2236, PHOENIX, AZ 85022-2662
(602) 794-3602
Mailing address
9157 E VOLTAIRE DR, SCOTTSDALE, AZ 85260-4285
(480) 580-6988
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S006407
AZ
Other
Enumeration date
06/18/2011
Last updated
06/18/2011
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