# ADVANT-EDGE HEALTHCARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Advant-Edge Pharmacy \#2
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821853458
- **Authorized official:** MR. EUSTACIO RIVAS JR. RPH (PRESIDENT)
- **Authorized official phone:** (915) 852-8884

## Contact information

- **Practice address:** 14476 HORIZON BLVD STE J, EL PASO, TX 79928-8579
- **Practice address phone:** (915) 852-8884
- **Practice address fax:** (915) 852-1727
- **Mailing address:** 14476 HORIZON BLVD STE J, EL PASO, TX 79928-8579

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 02/13/2024
- **Last updated:** 02/13/2024