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Contact Information

ADVANT EDGE PHARMACY, INC
1576 LOMALAND DR
EL PASO, TX79935-4202
 Phone: 915-595-0409
 Fax: 915-595-3997
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for ADVANT EDGE PHARMACY, INC

NPI # 1467215483
LBN Legal business name ADVANT EDGE PHARMACY, INC
Authorized official EUSTACIO RIVAS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/01/2024
Last updated 02/01/2024 - About 2 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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