Individual ProviderSteve RodriguezPharmacistPharmacy Service ProvidersPractice Address9101 Montgomery Blvd NE, Albuquerque, NM 87111-2405(505) 275-4249PECOS EnrollmentBased on the most recent information from CMS, provider Steve Rodriguez 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 ID1588858047Provider TypeIndividualFull NameRodriguez, SteveTitleMr.CredentialRPHGenderMaleSole ProprietorNoEnumeration Date8/28/2007Last Updated8/28/2007Contact InformationPractice LocationPractice Address9101 Montgomery Blvd NE, Albuquerque, NM 87111-2405Phone(505) 275-4249Fax(505) 275-4208Mailing LocationMailing Address9101 Montgomery Blvd NE, Albuquerque, NM 87111-2405Phone(505) 275-4249Fax(505) 275-4208Provider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicenseNM 5711New Mexico