Organization · NPI-2

Medical Edge Healthcare Group PA

Pharmacy, Community/Retail Pharmacy · Addison, TX

NPI number1124108550
StatusActive
Last updated in NPPESJun 1, 2010

Details

NPI
1124108550
Entity type
Organization (NPI-2)
Legal business name
Medical Edge Healthcare Group PA
Organization subpart
No
Enumeration date
Oct 17, 2006
Last updated
Jun 1, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail Pharmacy25255TXYes
3336H0001X Pharmacy, Home Infusion Therapy Pharmacy––
3336C0004X Pharmacy, Compounding Pharmacy––

Other names

  • Healthedge Infusion Therapeutics (Doing Business As)

Practice location

15800 Dooley Rd
Ste 120
Addison, TX 75001-4284

Phone 972-788-0592 · Fax 972-788-0697

Mailing address

Po Box 650268
Dallas, TX 75265-0268

Authorized official

Clay Heighten
President
9727393001

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