Individual ProviderZachary WainwrightPharmacistPharmacy Service ProvidersPractice Address8400 Montgomery Blvd NE, Albuquerque, NM 87111-2302(505) 559-9134PECOS EnrollmentBased on the most recent information from CMS, provider Zachary Wainwright 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 ID1679109367Provider TypeIndividualFull NameWainwright, ZacharyTitleDr.CredentialPHARMDGenderMaleSole ProprietorYesEnumeration Date3/13/2020Last Updated3/13/2020Contact InformationPractice LocationPractice Address8400 Montgomery Blvd NE, Albuquerque, NM 87111-2302Phone(505) 559-9134FaxUnlisted FaxMailing LocationMailing Address8400 Montgomery Blvd NE, Albuquerque, NM 87111-2302Phone(505) 559-9134FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicenseRP00009253New Mexico