Organization
MEDICAL EDGE HEALTHCARE GROUP P A
Active
Other names
Arlington Cancer Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CLAY HEIGHTEN (PRESIDENT)
(972) 739-3001
Entity
Organization
Contact information
Practice address
906 W RANDOL MILL RD, ARLINGTON, TX 76012-2510
(817) 543-4685
(817) 543-4643
Mailing address
906 W RANDOL MILL RD, ARLINGTON, TX 76012-2510
(817) 543-4685
(817) 543-4643
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
26923
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5900255
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
05/28/2010
Last updated
07/28/2010
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