Jesus Ivan Olivas | Albuquerque, NM • PECOS Search

Jesus Ivan Olivas

Pharmacist

Pharmacy Service Providers

8510 Montgomery Blvd NE, Albuquerque, NM 87111-2307

PECOS Enrollment

Based on the most recent information from CMS, provider Jesus Ivan Olivas does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records today at 9:43 AM.

Profile Details

Provider ID
1487133641
Provider Type
Individual
Full Name
Olivas, Jesus Ivan
Credential
PHARM D

Gender
Male
Sole Proprietor
Yes
Enumeration Date
8/8/2018
Last Updated
3/4/2020

Contact Information

Practice Location

8510 Montgomery Blvd NE, Albuquerque, NM 87111-2307

Unlisted Fax

Mailing Location

8510 Montgomery Blvd NE, Albuquerque, NM 87111-2307

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 183500000X Primary	Description Pharmacist Pharmacy Service Providers	License RP00008922 New Mexico