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Organization
BESTCARE PHARMACY GRANTS LLC
Active
Organization
BESTCARE PHARMACY GRANTS LLC
Active
Other names
Parkhurst Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RANJITHA PALLAPOTHU (AUTHORIZED OFFICIAL)
(214) 675-2012
Entity
Organization
Contact information
Practice address
1208 BONITA ST STE A, GRANTS, NM 87020-2234
(505) 287-4641
(505) 287-7160
Mailing address
1208 BONITA ST STE A, GRANTS, NM 87020-2234
(505) 287-4641
(505) 287-7160
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PH00004229
NM
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2159707
PK
—
Enumeration date
09/07/2016
Last updated
02/14/2017
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