Individual ProviderAnnalise Kay AndersonPharmacistPharmacy Service ProvidersPractice Address5850 Eubank Blvd NE, Albuquerque, NM 87111-6132(505) 217-2818PECOS EnrollmentBased on the most recent information from CMS, provider Annalise Kay Anderson 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 ID1780090316Provider TypeIndividualFull NameAnderson, Annalise KayCredentialPHARMDGenderFemaleSole ProprietorNoEnumeration Date7/3/2014Last Updated9/24/2020Contact InformationPractice LocationPractice Address5850 Eubank Blvd NE, Albuquerque, NM 87111-6132Phone(505) 217-2818Fax(505) 217-2821Mailing LocationMailing Address5850 Eubank Blvd NE, Albuquerque, NM 87111-6132Phone(505) 217-2818Fax(505) 217-2821Provider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense5302042418Michigan