Organization
ADVANT EDGE PHARMACY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EUSTACIO RIVAS JR. RPH (PRESIDENT)
(915) 595-0409
Entity
Organization
Contact information
Practice address
1576 LOMALAND DR, EL PASO, TX 79935-4202
(915) 595-0409
(915) 595-3997
Mailing address
1576 LOMALAND DR, EL PASO, TX 79935-4202
(915) 595-0409
(915) 595-3997
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
02/01/2024
Last updated
02/01/2024
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