Organization
BESTCARE HIGHLAND LLC
Active
Other names
Highland Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ASHOK POTHULA (MANAGER)
(505) 243-3777
Entity
Organization
Contact information
Practice address
717 ENCINO PL NE, STE 1, ALBUQUERQUE, NM 87102-2611
(505) 243-3777
(505) 246-0145
Mailing address
717 ENCINO PL NE, STE 1, ALBUQUERQUE, NM 87102-2611
(505) 243-3777
(505) 246-0145
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH00004108
NM
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2155864
PK
—
05
—
46331018
—
NM
Enumeration date
10/12/2005
Last updated
10/06/2023
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