Mesa Pharmacy

LBN: Bestcare Mesa
Mesa Pharmacy is an health care organization with primary practice located at 1279 S 2Nd St , Raton NM 87740-2234. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Bestcare Mesa can be contacted via phone (575) 245-6372, or through Pothula, Ashok via phone (575) 245-6372.

Contact Information

Primary practice address
1279 S 2Nd St Raton NM 87740-2234
Fax: (575) 245-3291
Website:
Authorized official contact:
Name: Pothula, Ashok RPH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X PH00003652 New Mexico
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1972925279
LBN Legal business name Bestcare Mesa
DBA Doing business as Mesa Pharmacy
Authorized official Pothula, Ashok RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jan 6th, 2014
Last updated Mar 20th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972925279 NPPES
New Mexico MEDICAID 52024300

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