MEDICARE: BURTS PHARMACY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy	55986	CA

General Provider Information

NPI Number	:	1114435583
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BURTS PHARMACY INC

Provider Business Mailing Address
First Line	:	2333 BORCHARD RD
Second Line	:
City	:	NEWBURY PARK
State	:	CA
Zip	:	91320-3206
Country	:	US
Telephone Number	:	805-498-6675
Fax Number	:

Provider Business Practice Location Address
First Line	:	2900 TOWNSGATE RD STE 105
Second Line	:
City	:	WESTLAKE VILLAGE
State	:	CA
Zip	:	91361-5818
Country	:	US
Telephone Number	:	805-371-4000
Fax Number	:	805-374-4001

Authorized Official
Title or Position	:	CEO
Name	:	ROBERT THOMAS LEARK
Credential	:
Telephone Number	:	805-498-6675

Provider Enumeration Date	:	01/18/2018
Last Update Date	:	02/03/2026

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