Individual ProviderKristy Hoa PhamPharmacistPharmacy Service ProvidersPractice Address11200 Montgomery Blvd NE, Albuquerque, NM 87111-2677(505) 298-7477PECOS EnrollmentBased on the most recent information from CMS, provider Kristy Hoa Pham 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 ID1497088678Provider TypeIndividualFull NamePham, Kristy HoaCredentialPHARMDGenderFemaleSole ProprietorYesEnumeration Date9/6/2009Last Updated9/6/2009Contact InformationPractice LocationPractice Address11200 Montgomery Blvd NE, Albuquerque, NM 87111-2677Phone(505) 298-7477Fax(505) 299-8617Mailing LocationMailing Address11200 Montgomery Blvd NE, Albuquerque, NM 87111-2677Phone(505) 298-7477Fax(505) 299-8617Provider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense7121New Mexico