Advant Edge Hme

LBN: Advant Edge Pharmacy, Inc
Advant Edge Hme is an health care organization with primary practice located at 1576 Lomaland Dr , El Paso TX 79935-4202. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Parenteral & Enteral Nutrition, Suppliers / Oxygen Equipment & Supplies. Suppliers / Durable Medical Equipment & Medical Supplies 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
Fax: (915) 595-1306
Website:
Authorized official contact:
Name: Rivas, Eustacio RPH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 19378 Texas
Suppliers / Parenteral & Enteral Nutrition 332BP3500X 19378 Texas
Suppliers / Oxygen Equipment & Supplies 332BX2000X 19378 Texas

Profile Details

NPI number 1477547552
LBN Legal business name Advant Edge Pharmacy, Inc
DBA Doing business as Advant Edge Hme
Authorized official Rivas, Eustacio RPH
Entity Organization
Organization subpart 1 No
Enumeration date Sep 6th, 2005
Last updated Sep 10th, 2012 - about 12 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 1477547552 NPPES
Texas MEDICAID 010965401
Texas MEDICAID 016896501

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