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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922287804 | NPPES |
| Texas | MEDICAID | 145854 | |
| Texas | Other | 2100496 |
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