Individual ProviderGary Michael FelicettiPharmacistPharmacy Service ProvidersPractice Address5850 Menaul NE, Albuquerque, NM 87111(505) 299-7621PECOS EnrollmentBased on the most recent information from CMS, provider Gary Michael Felicetti 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 ID1164680310Provider TypeIndividualFull NameFelicetti, Gary MichaelCredentialRPHGenderMaleSole ProprietorYesEnumeration Date5/23/2008Last Updated5/23/2008Contact InformationPractice LocationPractice Address5850 Menaul NE, Albuquerque, NM 87111Phone(505) 299-7621Fax(505) 296-8225Mailing LocationMailing Address5850 Menaul NE, Albuquerque, NM 87111Phone(505) 299-7621Fax(505) 296-8225Provider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense3630New Mexico