Individual ProviderAlicia V ChavezPharmacistPharmacy Service ProvidersPractice Address8011 Harper Dr NE, Albuquerque, NM 87111-1054(505) 858-3134PECOS EnrollmentBased on the most recent information from CMS, provider Alicia V Chavez 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 ID1437382835Provider TypeIndividualFull NameChavez, Alicia VCredentialPHARMDGenderFemaleSole ProprietorNoEnumeration Date9/1/2009Last Updated9/1/2009Contact InformationPractice LocationPractice Address8011 Harper Dr NE, Albuquerque, NM 87111-1054Phone(505) 858-3134FaxUnlisted FaxMailing LocationMailing Address525 El Dorado Dr NW, Albuquerque, NM 87114-1745PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicenseRP00007317New Mexico