Organization
BESTCARE PHARMACY-MORA LLC
Active
Organization
BESTCARE PHARMACY-MORA LLC
Active
Other names
Bestcare Pharmacy-Mora LLC
Organization subpart
No
Provider details
NPI number
Authorized official
RANJITHA PALLAPOTHU (OWNER)
(505) 268-2030
Entity
Organization
Contact information
Practice address
#3 A033, MORA, NM 87732
(575) 387-5703
(505) 212-0888
Mailing address
PO BOX 8156, ALBUQUERQUE, NM 87198-8156
(575) 387-5703
(505) 212-0888
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH00004422
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2169560
PK
—
Enumeration date
06/09/2017
Last updated
07/21/2022
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