Individual ProviderMarla FellerhoffPharmacistPharmacy Service ProvidersPractice Address8800 Montgomery Blvd NE, Albuquerque, NM 87111-2310(505) 462-6409(505) 298-4063PECOS EnrollmentBased on the most recent information from CMS, provider Marla Fellerhoff 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 ID1730227877Provider TypeIndividualFull NameFellerhoff, MarlaTitleMs.CredentialRPH, PHCGenderFemaleSole ProprietorYesEnumeration Date2/1/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address8800 Montgomery Blvd NE, Albuquerque, NM 87111-2310Phone(505) 462-6409FaxUnlisted FaxMailing LocationMailing Address3020 Camino De La Sierra NE, Albuquerque, NM 87111-5602Phone(505) 298-4063FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicenseNM5253New Mexico