Organization
BESTCARE PHARMACY ANGEL FIRE LLC
Active
Other names
Bestcare Pharmacy Angel Fire LLC
Organization subpart
No
Provider details
NPI number
Authorized official
RANJITHA PALLAPOTHU (OWNER)
(917) 769-8014
Entity
Organization
Contact information
Practice address
UNIT B4, THE INN, HIGHWAY 434, ANGEL FIRE, NM 87710
(575) 208-1616
Mailing address
UNIT B4, THE INN, HIGHWAY 434, ANGEL FIRE, NM 87710
(575) 208-1616
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
PH00004273
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2160858
PK
—
Enumeration date
07/01/2016
Last updated
07/01/2016
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