Individual ProviderTran DinhPharmacistPharmacy Service ProvidersPractice Address11200 Montgomery Blvd NE, Albuquerque, NM 87111-2677(505) 298-7477PECOS EnrollmentBased on the most recent information from CMS, provider Tran Dinh 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 ID1265840573Provider TypeIndividualFull NameDinh, TranGenderMaleSole ProprietorNoEnumeration Date7/30/2014Last Updated7/30/2014Contact InformationPractice LocationPractice Address11200 Montgomery Blvd NE, Albuquerque, NM 87111-2677Phone(505) 298-7477FaxUnlisted FaxMailing LocationMailing Address1032 Kentucky St SE, Albuquerque, NM 87108-4941PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicenseRP00008198New Mexico