Advant Edge Pharmacy, Inc in El Paso - Parenteral & Enteral Nutrition
Advant Edge Pharmacy, Inc - NPI 1477547552
Advant Edge Pharmacy, Inc is a Parenteral & Enteral Nutrition in El Paso, Texas. Advant Edge Pharmacy, Inc practices all healthcare services and medical treatments related to Parenteral & Enteral Nutrition. The NPI Number for Advant Edge Pharmacy, Inc is 1477547552. The last update date is 2012-09-10.
Advant Edge Pharmacy, Inc's current location address is 1576 Lomaland, El Paso, Texas. You can contact this provider via phone number 9155950409 and fax number 9155951306. The mailing address for Advant Edge Pharmacy, Inc is 1576 Lomaland, El Paso, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Advant Edge Pharmacy, Inc |
|---|---|
| Address | 1576 Lomaland, El Paso, Texas |
| Phone Number | 9155950409 |
| Fax Number | 9155951306 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Rivas Eustacio |
| Credentials | RPH |
| Telephone Number | 9155950409 |
NPI Number Detail
| NPI Number | 1477547552 |
|---|---|
| Provider Enumeration Date | 2005-09-06 |
| Last Updated Date | 2012-09-10 |
Provider Mailing Address Detail
| Address | 1576 Lomaland |
|---|---|
| City | El Paso |
| State | Texas (TX) |
| Post Code | 79935 |
| Phone Number | 9155950409 |
| Fax Number | 9155951306 |
Provider's Primary Taxonomy Detail
| Speciality | Parenteral & Enteral Nutrition |
|---|---|
| Taxonomy | 332Bp3500X |
| Licence No | 19378 |
|
Definition: Durable medical equipment and supplies for tube feeding and intravenous nutritional support prescribed by providers. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10965401 | TX | -- | |
| 16896501 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Advant Edge Pharmacy, Inc by the Centers for Medicare & Medicaid Services?
The Advant Edge Pharmacy, Inc has been issued the NPI (National Provider Identifier) 1477547552, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Advant Edge Pharmacy, Inc's facilities are situated?
The facilities of Advant Edge Pharmacy, Inc are physically located at the following address: 1576 Lomaland, El Paso, TX, 79935.
What is Advant Edge Pharmacy, Inc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Advant Edge Pharmacy, Inc is Parenteral & Enteral Nutrition, and the taxonomy code that classifies this field of practice is 332Bp3500X.
On what date did the Centers for Medicare & Medicaid Services assign the 1477547552 to Advant Edge Pharmacy, Inc?
The Centers for Medicare & Medicaid Services assigned the 1477547552 to Advant Edge Pharmacy, Inc on 2005-09-06.
When was the information pertaining to Advant Edge Pharmacy, Inc most recently updated or revised?
The details related to Advant Edge Pharmacy, Inc, including its address, specialty, and other relevant information, were last updated or revised on 2012-09-10.