Individual ProviderRandy DurrPharmacistPharmacy Service ProvidersPractice Address8800 Montgomery Blvd NE, Albuquerque, NM 87111-2310(505) 462-6400(505) 923-6770PECOS EnrollmentBased on the most recent information from CMS, provider Randy Durr 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 ID1790065530Provider TypeIndividualFull NameDurr, RandyTitleDr.CredentialPHARMDGenderMaleSole ProprietorYesEnumeration Date8/24/2011Last Updated12/10/2015Contact InformationPractice LocationPractice Address8800 Montgomery Blvd NE, Albuquerque, NM 87111-2310Phone(505) 462-6400FaxUnlisted FaxMailing LocationMailing AddressPO Box 26666, Presbyterian Heatlhcare Services, Albuquerque, NM 87125-6666Phone(505) 923-6770FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicensePC00000193New MexicoCode1835P0018XDescriptionPharmacistPharmacy Service ProvidersLicenseRP00007459New MexicoCode1835P0018XDescriptionPharmacistPharmacy Service ProvidersLicense042892MissouriCode1835P0018XDescriptionPharmacistPharmacy Service ProvidersLicense10646Nebraska