Individual ProviderLynette MartinPharmacistPharmacy Service ProvidersPractice Address8601 Chambers Pl, NE, Albuquerque, NM 87111-2033(505) 823-9820PECOS EnrollmentBased on the most recent information from CMS, provider Lynette Martin 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 ID1205109170Provider TypeIndividualFull NameMartin, LynetteTitleMs.CredentialRPH.GenderFemaleSole ProprietorYesEnumeration Date2/22/2012Last Updated2/22/2012Contact InformationPractice LocationPractice Address8601 Chambers Pl, NE, Albuquerque, NM 87111-2033Phone(505) 823-9820FaxUnlisted FaxMailing LocationMailing Address8601 Chambers Pl, NE, Albuquerque, NM 87111-2033PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicenseRPH00006074New Mexico