Organization
BESTCARE PHARMACY GRANTS LLC
Active
Other names
Parkhurst Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RANJITHA PALLAPOTHU (AUTHORIZED OFFICIAL)
(214) 675-2012
Entity
Organization
Contact information
Practice address
1208 BONITA ST STE A, GRANTS, NM 87020-2234
(505) 287-4641
(505) 287-7160
Mailing address
1208 BONITA ST STE A, GRANTS, NM 87020-2234
(505) 287-4641
(505) 287-7160
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PH00004229
NM
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2159707
PK
—
Enumeration date
09/07/2016
Last updated
02/14/2017
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