Advant Edge Pharmacy
LBN: Advant-Edge Pharmacy, Inc
Advant Edge Pharmacy is an health care organization with primary practice located at 1576 Lomaland Dr , El Paso TX 79935-4202. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Home Infusion Therapy Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Advant-Edge Pharmacy, Inc can be contacted via phone (915) 595-0409, or through Rivas, Eustacio via phone (915) 595-0409.
Contact Information
Primary practice address
1576 Lomaland Dr
El Paso TX 79935-4202
Phone: (915) 595-0409
Fax: (915) 595-1028
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 19378 | Texas |
| Suppliers / Home Infusion Therapy Pharmacy | 3336H0001X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1003994518 |
|---|---|
| LBN Legal business name | Advant-Edge Pharmacy, Inc |
| DBA Doing business as | Advant Edge Pharmacy |
| Authorized official | Rivas, Eustacio |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Nov 13th, 2023 - about last year |
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 | 1003994518 | NPPES |
| Other | 2091866 | PK | |
| MEDICAID | 144844 | PK |
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