Individual ProviderJose Luis PachecoPharmacistPharmacy Service ProvidersPractice Address495 State Rd, North Dartmouth, MA 02747-1801(508) 994-4236PECOS EnrollmentBased on the most recent information from CMS, provider Jose Luis Pacheco 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 2 days ago.Profile DetailsProvider ID1467735167Provider TypeIndividualFull NamePacheco, Jose LuisTitleMr.CredentialRPHGenderMaleSole ProprietorNoEnumeration Date9/20/2011Last Updated9/20/2011Contact InformationPractice LocationPractice Address495 State Rd, North Dartmouth, MA 02747-1801Phone(508) 994-4236Fax(508) 992-0716Mailing LocationMailing Address495 State Rd, North Dartmouth, MA 02747-1801Phone(508) 994-4236Fax(508) 992-0716Provider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense22480Massachusetts