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ADVANT-EDGE PHARMACY INC
FQHC638101 YSLETA DEL SUR PUEBLO COMMUNITY HEALTH CENTER
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Covered Entity Details
Entity Name
YSLETA DEL SUR PUEBLO COMMUNITY HEALTH CENTER
Subdivision Name
Type
Tribal Contract/Compact with IHS (P.L. 93-638)
340B ID
FQHC638101
Entity Address
9473 Socorro Rd
EL PASO, TX 79907
Grant Number
Participating Start Date
10/1/2004
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
ADVANT-EDGE PHARMACY INC
Pharmacy Address
4109422
1576 LOMALAND DR.
EL PASO, TX 79935
Pharmacy Comments
Contract Details
Approval Date
4/15/2016
Contract Begin Date
7/1/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Martin Lopez Jr., HHS Director
(915) 860-6132
Contract Pharmacy Representative
JR Rivas, Pharmacist Owner
(915) 595-0409
Signed By Date
4/15/2016
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