Individual ProviderHerman Manuel TrujilloPharmacistPharmacy Service ProvidersPractice Address5850 Eubank Blvd NE Ste A1, Albuquerque, NM 87111-6132(505) 217-2818(505) 220-4847PECOS EnrollmentBased on the most recent information from CMS, provider Herman Manuel 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 ID1194211847Provider TypeIndividualFull NameTrujillo, Herman ManuelTitleDr.GenderMaleSole ProprietorNoEnumeration Date7/5/2018Last Updated7/5/2018Contact InformationPractice LocationPractice Address5850 Eubank Blvd NE Ste A1, Albuquerque, NM 87111-6132Phone(505) 217-2818FaxUnlisted FaxMailing LocationMailing Address8324 Mock Heather Rd NW, Albuquerque, NM 87120-4244Phone(505) 220-4847FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicenseRP00008901New Mexico