JACK LEE BERTCH

PHOENIX, AZ
NPI1699060574
Other NameJACK BERTCH
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: AZ  S006407)
Enumeration Date2011-06-18
Last Update Date2011-06-18
Business Address
Mr. JACK LEE BERTCH RPh
16806 N 7TH ST T-2236
PHOENIX, AZ 85022-2662
Phone number: 602-794-3602
Mailing Address
Mr. JACK LEE BERTCH RPh
9157 E VOLTAIRE DR
SCOTTSDALE, AZ 85260-4285
Phone number: 480-580-6988