Individual ProviderMichael P DutroPharmacistPharmacy Service ProvidersPractice Address5812 Valerian Pl NE, Albuquerque, NM 87111-8121(505) 292-8103PECOS EnrollmentBased on the most recent information from CMS, provider Michael P Dutro does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 9:43 AM.Profile DetailsProvider ID1023523248Provider TypeIndividualFull NameDutro, Michael PTitleDr.CredentialPHARMD, RPHGenderMaleSole ProprietorYesEnumeration Date12/11/2017Last Updated12/11/2017Contact InformationPractice LocationPractice Address5812 Valerian Pl NE, Albuquerque, NM 87111-8121Phone(505) 292-8103Fax(505) 292-8103Mailing LocationMailing Address5812 Valerian Pl NE, Albuquerque, NM 87111-8121Phone(505) 292-8103FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense5089New Mexico