| NPI | 1922287804 |
|---|---|
| Doing Business As | ADVANT EDGE PHARMACY 00002 |
| Entity Type | Organization |
| Authorized Contact | EUSTACIO RIVAS President 915-309-9343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 25772) |
| Additional Taxonomies | 333600000X Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2007-10-29 |
| Last Update Date | 2017-01-13 |