Individual ProviderJonathan Arenas RustiaPharmacistPharmacy Service ProvidersPractice Address11200 Montgomery Blvd NE, Albuquerque, NM 87111-2677(505) 298-7477PECOS EnrollmentBased on the most recent information from CMS, provider Jonathan Arenas Rustia 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 ID1578843868Provider TypeIndividualFull NameRustia, Jonathan ArenasCredentialPHARM DGenderMaleSole ProprietorNoEnumeration Date8/18/2011Last Updated8/18/2011Contact InformationPractice LocationPractice Address11200 Montgomery Blvd NE, Albuquerque, NM 87111-2677Phone(505) 298-7477FaxUnlisted FaxMailing LocationMailing Address11200 Montgomery Blvd NE, Albuquerque, NM 87111-2677Phone(505) 298-7477FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicenseRP00007711New Mexico