Organization
BERTOLINOS PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS MICHAEL BERTOLINO (OWNER/PHARMACIST)
(215) 389-5917
Entity
Organization
Contact information
Practice address
1500 S 12TH ST, PHILADELPHIA, PA 19147-6202
(215) 389-5917
(215) 389-5917
Mailing address
1500 S 12TH ST, PHILADELPHIA, PA 19147-6202
(215) 389-5917
(215) 389-8685
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PP410177L
PA
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011924410001
—
PA
01
—
39-59749
PACO
PA
Enumeration date
06/21/2005
Last updated
03/07/2023
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