Individual ProviderTou V ThaoPharmacistPharmacy Service ProvidersPractice Address6001 Tierra St NE Apt H, Albuquerque, NM 87111-6128(918) 704-7773PECOS EnrollmentBased on the most recent information from CMS, provider Tou V Thao 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 ID1275494882Provider TypeIndividualFull NameThao, Tou VGenderMaleSole ProprietorNoEnumeration Date11/21/2025Last Updated11/21/2025Contact InformationPractice LocationPractice Address6001 Tierra St NE Apt H, Albuquerque, NM 87111-6128Phone(918) 704-7773FaxUnlisted FaxMailing LocationMailing Address6001 Tierra St NE Apt H, Albuquerque, NM 87111-6128PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense127070Minnesota