Advant Edge Pharmacy, INC
Durable Medical Equipment & Medical Supplies in El Paso, TX. Organization (NPI-2).
NPI number1477547552
StatusActive
Last updated in NPPESSep 10, 2012
Details
- NPI
- 1477547552
- Entity type
- Organization (NPI-2)
- Legal business name
- Advant Edge Pharmacy, INC
- Organization subpart
- No
- Enumeration date
- Sep 6, 2005
- Last updated
- Sep 10, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | 19378 | TX | Yes |
| 332BP3500X | Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | 19378 | TX | |
| 332BX2000X | Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | 19378 | TX |
Other names
- Advant Edge Hme (Doing Business As)
Practice location
1576 Lomaland DrEl Paso, TX 79935-4202
Phone 915-595-0409 · Fax 915-595-1306
Mailing address
1576 LomalandEl Paso, TX 79935
Phone 915-595-0409 · Fax 915-595-1306
Authorized official
Eustacio Rivas
President
9155950409
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