Organization
MEDICAL EDGE HEALTHCARE GROUP PA
Active
Organization
MEDICAL EDGE HEALTHCARE GROUP PA
Active
Other names
HEALTHEDGE INFUSION THERAPEUTICS
Organization subpart
No
Provider details
NPI number
Authorized official
CLAY HEIGHTEN RPH (PRESIDENT)
(972) 739-3001
Entity
Organization
Contact information
Practice address
15800 DOOLEY RD, STE 120, ADDISON, TX 75001-4284
(972) 788-0592
(972) 788-0697
Mailing address
PO BOX 650268, DALLAS, TX 75265-0268
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
25255
TX
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4548864
OTHER ID NUMBER
—
Enumeration date
10/17/2006
Last updated
06/01/2010
Update your record
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