Organization
BESTCARE PHARMACY CHAMA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANJITHA PALLAPOTHU (OWNER)
(505) 268-2030
Entity
Organization
Contact information
Practice address
2215 STATE ROAD 17, #B, CHAMA, NM 87520
(505) 268-2030
(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
PH00004469
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH00004469
BOARD OF PHARMACY NEW MEXICO
NM
Enumeration date
07/14/2017
Last updated
07/14/2017
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