National Provider Identifier Database

ADVANT EDGE PHARMACY INC
Community/Retail Pharmacy

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.


Contact Information

ADVANT-EDGE PHARMACY, INC
1576 LOMALAND DR
EL PASO, TX79935-4202
Phone: 915-595-0409
Fax: 915-595-1028
Website:
Specialty Taxonomy Code
* Community/Retail Pharmacy 3336C0003X
Durable Medical Equipment & Medical Supplies 332B00000X
Home Infusion Therapy Pharmacy 3336H0001X
Long Term Care Pharmacy 3336L0003X
Pharmacy 333600000X

* Indicates primary specialty

NPI Profile & details for ADVANT-EDGE PHARMACY, INC

NPI Number 1003994518
Legal business name
LBN
ADVANT-EDGE PHARMACY, INC
Authorized official EUSTACIO RIVAS - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 11/01/2006
Last updated 11/13/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • TX License #: 19378
  • TX Medicaid: 144844
  • Other: 2091866 PK

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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