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1699060574
JACK LEE BERTCH
PHOENIX, AZ
NPI
1699060574
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Other Name
JACK BERTCH
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: AZ S006407)
Enumeration Date
2011-06-18
Last Update Date
2011-06-18
Business Address
Mr. JACK LEE BERTCH RPh
16806 N 7TH ST T-2236
PHOENIX, AZ 85022-2662
Phone number: 602-794-3602
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Mailing Address
Mr. JACK LEE BERTCH RPh
9157 E VOLTAIRE DR
SCOTTSDALE, AZ 85260-4285
Phone number: 480-580-6988
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