| NPI | 1003994518 |
|---|---|
| Doing Business As | ADVANT EDGE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | EUSTACIO RIVAS President 915-595-0409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 19378) |
| Additional Taxonomies | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2023-11-13 |