Individual ProviderPhuong Thanh QuachPharmacistPharmacy Service ProvidersPractice Address8400 Montgomery Blvd NE, Albuquerque, NM 87111-2302(505) 559-9134(505) 266-0681PECOS EnrollmentBased on the most recent information from CMS, provider Phuong Thanh Quach 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 ID1982836367Provider TypeIndividualFull NameQuach, Phuong ThanhCredentialPHARM.D.GenderMaleSole ProprietorYesEnumeration Date8/18/2009Last Updated8/18/2009Contact InformationPractice LocationPractice Address8400 Montgomery Blvd NE, Albuquerque, NM 87111-2302Phone(505) 559-9134FaxUnlisted FaxMailing LocationMailing Address508 Glacier Bay Pl SE, Albuquerque, NM 87123-3481Phone(505) 266-0681FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicenseRP00007156New Mexico