Organization · NPI-2

Abq Bestcare Pharmacy 2 LLC

Pharmacy, Community/Retail Pharmacy · Albuquerque, NM

NPI number1760852271

StatusActive

Last updated in NPPESMar 21, 2016

Details

NPI: 1760852271
Entity type: Organization (NPI-2)
Legal business name: Abq Bestcare Pharmacy 2 LLC
Organization subpart: No
Enumeration date: Sep 28, 2015
Last updated: Mar 21, 2016

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
3336C0003X	Pharmacy, Community/Retail Pharmacy	PH00004053	NM	Yes
333600000X	Pharmacy	–	–
3336C0004X	Pharmacy, Compounding Pharmacy	–	–
3336S0011X	Pharmacy, Specialty Pharmacy	–	–

Other names

Abq Bestcare Pharmacy 2 LLC (Doing Business As)

Practice location

5400 Gibson Blvd Se
(Gibson Medical Center Pharmacy)
Albuquerque, NM 87108-4729

Phone 505-268-2030 · Fax 505-268-2022

Mailing address

5400 Gibson Blvd Se
(Gibson Medical Center Pharmacy)
Albuquerque, NM 87108-4729

Phone 505-268-2030 · Fax 505-268-2022

Authorized official

Ranjitha Pallapothu
Managing Member
2146752012

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