# BESTCARE PHARMACY ANGEL FIRE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bestcare Pharmacy Angel Fire LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790137735
- **Authorized official:** RANJITHA PALLAPOTHU (OWNER)
- **Authorized official phone:** (917) 769-8014

## Contact information

- **Practice address:** UNIT B4, THE INN, HIGHWAY 434, ANGEL FIRE, NM 87710
- **Practice address phone:** (575) 208-1616
- **Mailing address:** UNIT B4, THE INN, HIGHWAY 434, ANGEL FIRE, NM 87710
- **Mailing address phone:** (575) 208-1616

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | — | — |
| 333600000X | Pharmacy | PH00004273 | NM | Yes |

## Other

- **Enumeration date:** 07/01/2016
- **Last updated:** 07/01/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2160858 | PK | — |