| NPI | 1821853458 |
|---|---|
| Doing Business As | ADVANT-EDGE PHARMACY #2 |
| Entity Type | Organization |
| Authorized Contact | EUSTACIO RIVAS President 915-852-8884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2024-02-13 |
| Last Update Date | 2024-02-13 |