Organization
BESTCARE PHARMACY 4 LLC
Active
Other names
Bestcare Pharmacy 4 LLC
Organization subpart
No
Provider details
NPI number
Authorized official
RANJITHA PALLAPOTHU (OWNER)
(917) 769-8014
Entity
Organization
Contact information
Practice address
2349 STATE ROAD 522, QUESTA, NM 87556
(505) 268-2033
(505) 214-5144
Mailing address
5400 GIBSON BLVD SE, ALBUQUERQUE, NM 87108-4729
(505) 268-2030
(505) 268-2022
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PH00004237
NM
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2160349
PK
—
Enumeration date
06/06/2016
Last updated
04/06/2017
About Stedi
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