Advant Edge Pharmacy 00002

LBN: Advant-Edge Healthcare
Advant Edge Pharmacy 00002 is an health care organization with primary practice located at 14476 Horizon Blvd Ste J, Horizon City TX 79928-8578. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Advant-Edge Healthcare can be contacted via phone (915) 852-8884, or through Rivas, Eustacio via phone (915) 309-9343.

Contact Information

Primary practice address
14476 Horizon Blvd Ste J Horizon City TX 79928-8578
Phone: (915) 852-8884
Fax: (915) 852-1727
Website:
Map and Directions
Authorized official contact:
Name: Rivas, Eustacio
Phone: (915) 309-9343

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 25772 Texas

Profile Details

NPI number 1922287804
LBN Legal business name Advant-Edge Healthcare
DBA Doing business as Advant Edge Pharmacy 00002
Authorized official Rivas, Eustacio
Entity Organization
Organization subpart 1 No
Enumeration date Oct 29th, 2007
Last updated Jan 13th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922287804 NPPES
Texas MEDICAID 145854
Texas Other 2100496

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