Bestcare Pharmacy 4 LLC
Organization Active NPI Pharmacy · Questa, NM
NPI 1992154579 · NPPES record last updated Apr 6, 2017
Key facts
- NPI
- 1992154579
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacy 333600000X
- License
- PH00004237 (NM)
- Legal business name
- BESTCARE PHARMACY 4 LLC
- Practice address
- 2349 State Road 522
Questa, NM 87556 - Phone
- (505) 268-2033
- Fax
- (505) 214-5144
- NPI assigned
- Jun 6, 2016
- Organization subpart
- No
Authorized official
- Name
- Ranjitha Pallapothu
- Title
- Owner
- Phone
- (917) 769-8014
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | PH00004237 | NM | Yes |
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
2349 State Road 522
Questa, NM 87556
Mailing address
5400 Gibson Blvd SE
Albuquerque, NM 87108-4729
Phone (505) 268-2030
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2160349 | Other | PK |
Other names
- Bestcare Pharmacy 4 LLC
Other providers in Questa, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.