# BESTCARE PHARMACY 4 LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bestcare Pharmacy 4 LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992154579
- **Authorized official:** RANJITHA PALLAPOTHU (OWNER)
- **Authorized official phone:** (917) 769-8014

## Contact information

- **Practice address:** 2349 STATE ROAD 522, QUESTA, NM 87556
- **Practice address phone:** (505) 268-2033
- **Practice address fax:** (505) 214-5144
- **Mailing address:** 5400 GIBSON BLVD SE, ALBUQUERQUE, NM 87108-4729
- **Mailing address phone:** (505) 268-2030
- **Mailing address fax:** (505) 268-2022

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | PH00004237 | NM | Yes |
| 3336C0003X | Community/Retail Pharmacy | — | — | — |

## Other

- **Enumeration date:** 06/06/2016
- **Last updated:** 04/06/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2160349 | PK | — |