Individual ProviderSydnie Danielle BacaPharmacistPharmacy Service ProvidersPractice Address8510 Montgomery Blvd NE, Albuquerque, NM 87111-2307(505) 348-0066PECOS EnrollmentBased on the most recent information from CMS, provider Sydnie Danielle Baca 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 ID1902328545Provider TypeIndividualFull NameBaca, Sydnie DanielleCredentialPHARMDGenderFemaleSole ProprietorNoEnumeration Date7/14/2017Last Updated10/19/2017Contact InformationPractice LocationPractice Address8510 Montgomery Blvd NE, Albuquerque, NM 87111-2307Phone(505) 348-0066FaxUnlisted FaxMailing LocationMailing Address7601 La Mariposa Pl NE, Albuquerque, NM 87109-5350PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense00008730New Mexico