Individual ProviderRichard MaPharmacistPharmacy Service ProvidersPractice Address5850 Eubank Blvd NE Ste A1, Albuquerque, NM 87111-6132(505) 217-2818(505) 620-1942PECOS EnrollmentBased on the most recent information from CMS, provider Richard Ma 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 ID1942559604Provider TypeIndividualFull NameMa, RichardCredentialPHARM DGenderMaleSole ProprietorYesEnumeration Date9/9/2012Last Updated9/9/2012Contact InformationPractice LocationPractice Address5850 Eubank Blvd NE Ste A1, Albuquerque, NM 87111-6132Phone(505) 217-2818FaxUnlisted FaxMailing LocationMailing Address8619 Ashton Pl NE, Albuquerque, NM 87122-2684Phone(505) 620-1942FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicenseRP00007882New Mexico