Organization
BESTCARE PHARMACY LORDSBURG LLC
Active
Other names
Bestcare Pharmacy Lordsburg LLc
Organization subpart
No
Provider details
NPI number
Authorized official
RANJITHA PALLAPOTHU (OWNER)
(214) 675-2012
Entity
Organization
Contact information
Practice address
204 E 4TH ST, LORDSBURG, NM 88045-1907
(575) 424-2279
(505) 212-0888
Mailing address
5400 GIBSON BLVD SE, ALBUQUERQUE, NM 87108-4729
(505) 268-2030
(505) 212-0888
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH00004387
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2168681
PK
—
Enumeration date
04/05/2017
Last updated
04/05/2017
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