Individual ProviderRichard StevensPharmacistPharmacy Service ProvidersPractice Address5717 Burnhamwood Pl NE, Albuquerque, NM 87111-6323(505) 292-9182PECOS EnrollmentBased on the most recent information from CMS, provider Richard Stevens 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 ID1326159344Provider TypeIndividualFull NameStevens, RichardGenderMaleSole ProprietorNoEnumeration Date8/31/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address5717 Burnhamwood Pl NE, Albuquerque, NM 87111-6323Phone(505) 292-9182FaxUnlisted FaxMailing LocationMailing Address5717 Burnhamwood Pl NE, Albuquerque, NM 87111-6323PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense4457New Mexico