Organization
BESTCARE PHARMACY JAL LLC
Active
Other names
Bestcare Pharmacy Jal llc
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RANJITHA PALLAPOTHU BE (MEMBER)
(575) 395-2103
Entity
Organization
Contact information
Practice address
115 MAIN STREET, JAL, NM 88252
(575) 395-2103
(505) 212-0888
Mailing address
PO BOX 8156, ALBUQUERQUE, NM 87198-8156
(505) 268-2030
(505) 212-0888
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH00004472
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH00004472
STATE BOARD OF PHARMACY
NM
Enumeration date
08/15/2017
Last updated
08/15/2017
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