Individual ProviderAlisha Renee TrujilloPharmacistPharmacy Service ProvidersPractice Address8510 Montgomery Blvd NE, T-0356, Albuquerque, NM 87111-2307(505) 348-0066PECOS EnrollmentBased on the most recent information from CMS, provider Alisha Renee Trujillo 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 ID1164703096Provider TypeIndividualFull NameTrujillo, Alisha ReneeCredentialRPHGenderFemaleSole ProprietorYesEnumeration Date9/6/2011Last Updated9/6/2011Contact InformationPractice LocationPractice Address8510 Montgomery Blvd NE, T-0356, Albuquerque, NM 87111-2307Phone(505) 348-0066Fax(505) 348-0066Mailing LocationMailing Address8510 Montgomery Blvd NE, T-0356, Albuquerque, NM 87111-2307Phone(505) 348-0066Fax(505) 348-0066Provider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicenseRP00007324New Mexico