Individual ProviderBonnie A DanielPharmacistPharmacy Service ProvidersPractice Address12201 Academy Rd NE, Albuquerque, NM 87111-8051(505) 275-9733PECOS EnrollmentBased on the most recent information from CMS, provider Bonnie A Daniel 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 ID1114369618Provider TypeIndividualFull NameDaniel, Bonnie ACredentialPHARMDGenderFemaleSole ProprietorNoEnumeration Date7/24/2013Last Updated3/24/2014Contact InformationPractice LocationPractice Address12201 Academy Rd NE, Albuquerque, NM 87111-8051Phone(505) 275-9733FaxUnlisted FaxMailing LocationMailing Address12201 Academy Rd NE, Albuquerque, NM 87111-8051PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicenseRP8030New MexicoCode183500000XDescriptionPharmacistPharmacy Service ProvidersLicense0020203Colorado