Individual ProviderNick HoldenPharmacistPharmacy Service ProvidersPractice Address4700 Tramway Blvd NE, Albuquerque, NM 87111-2979(505) 292-5888PECOS EnrollmentBased on the most recent information from CMS, provider Nick Holden 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 ID1770814774Provider TypeIndividualFull NameHolden, NickGenderMaleSole ProprietorNoEnumeration Date1/15/2010Last Updated1/15/2010Contact InformationPractice LocationPractice Address4700 Tramway Blvd NE, Albuquerque, NM 87111-2979Phone(505) 292-5888FaxUnlisted FaxMailing LocationMailing Address4700 Tramway Blvd NE, Albuquerque, NM 87111-2979PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicenseRP00007328New Mexico