Individual ProviderJanece Marie LylePharmacistPharmacy Service ProvidersPractice Address8040 Academy Rd NE, Albuquerque, NM 87111-1159(760) 533-3546PECOS EnrollmentBased on the most recent information from CMS, provider Janece Marie Lyle 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 ID1740885649Provider TypeIndividualFull NameLyle, Janece MarieCredentialPHARMDGenderFemaleSole ProprietorNoEnumeration Date12/1/2020Last Updated12/1/2020Contact InformationPractice LocationPractice Address8040 Academy Rd NE, Albuquerque, NM 87111-1159Phone(760) 533-3546FaxUnlisted FaxMailing LocationMailing Address8040 Academy Rd NE, Albuquerque, NM 87111-1159Phone(760) 533-3546FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicenseRP00009420New Mexico