Individual ProviderNathorn IamsenPharmacistPharmacy Service ProvidersPractice Address5850 Eubank Blvd NE, Albuquerque, NM 87111-6132(505) 217-2818(575) 636-5195PECOS EnrollmentBased on the most recent information from CMS, provider Nathorn Iamsen 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 ID1477366011Provider TypeIndividualFull NameIamsen, NathornGenderMaleSole ProprietorNoEnumeration Date1/28/2025Last Updated1/28/2025Contact InformationPractice LocationPractice Address5850 Eubank Blvd NE, Albuquerque, NM 87111-6132Phone(505) 217-2818FaxUnlisted FaxMailing LocationMailing Address329 Carlisle Blvd NE, Albuquerque, NM 87106-1318Phone(575) 636-5195FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicenseRP00010274New Mexico