Individual ProviderVictoria Antoinette LopezPharmacistPharmacy Service ProvidersPractice Address11200 Montgomery Blvd NE, Albuquerque, NM 87111-2677(505) 298-7477PECOS EnrollmentBased on the most recent information from CMS, provider Victoria Antoinette Lopez 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 ID1063134278Provider TypeIndividualFull NameLopez, Victoria AntoinetteTitleDr.CredentialPHARMD, RPHGenderFemaleSole ProprietorNoEnumeration Date9/14/2022Last Updated12/18/2025Contact InformationPractice LocationPractice Address11200 Montgomery Blvd NE, Albuquerque, NM 87111-2677Phone(505) 298-7477FaxUnlisted FaxMailing LocationMailing Address11200 Montgomery Blvd NE, Albuquerque, NM 87111-2677PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicenseRP00009729New Mexico