Bertolinos Pharmacy Inc

LBN: Bertolinos Pharmacy Inc
Bertolinos Pharmacy Inc is an health care organization with primary practice located at 1500 S 12Th St , Philadelphia PA 19147-6202. The organization recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Suppliers / Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Bertolinos Pharmacy Inc can be contacted via phone (215) 389-5917, or through Bertolino, Thomas Michael via phone (215) 389-5917.

Contact Information

Primary practice address
1500 S 12Th St Philadelphia PA 19147-6202
Phone: (215) 389-5917
Fax: (215) 389-5917
Website:
Map and Directions
Authorized official contact:
Name: Bertolino, Thomas Michael
Phone: (215) 389-5917

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PP410177L Pennsylvania
Suppliers / Pharmacy 333600000X

Profile Details

NPI number 1962408419
LBN Legal business name Bertolinos Pharmacy Inc
DBA Doing business as
Authorized official Bertolino, Thomas Michael
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2005
Last updated Mar 7th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962408419 NPPES
Pennsylvania MEDICAID 0011924410001
Pennsylvania Other 39-59749

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